Archives of disease in childhood. Fetal and neonatal edition
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Arch. Dis. Child. Fetal Neonatal Ed. · May 2006
Predicting successful extubation of very low birthweight infants.
To determine the accuracy of three tests used to predict successful extubation of preterm infants. ⋯ The SBT used just before extubation of infants <1250 g may reduce the number of extubation failures. Further studies are required to establish whether the SBT can be used as the primary determinant of an infant's readiness for extubation.
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Arch. Dis. Child. Fetal Neonatal Ed. · Mar 2006
Neonatal resuscitation of extremely low birthweight infants: a survey of practice in Italy.
Delivery room management of extremely low birthweight infants (ELBWIs) has been little studied. A questionnaire was sent to the heads of the 86 Italian neonatal intensive care units provided with on site delivery. The practice of and approach to the resuscitation of ELBWIs were very different among the centres surveyed, reflecting a paucity of evidence and consequent uncertainty among clinicians.
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Arch. Dis. Child. Fetal Neonatal Ed. · Mar 2006
ReviewTherapeutic hypothermia following perinatal asphyxia.
Well constructed and carefully analysed trials of hypothermic neural rescue therapy for infants with neonatal encephalopathy have recently been reported. The data suggest that either selective head cooling or total body cooling reduces the combined chance of death or disability after birth asphyxia. However, as there are still unanswered questions about these treatments, many may still feel that further data are needed before health care policy can be changed to make cooling the standard of care for all babies with suspected birth asphyxia.
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Arch. Dis. Child. Fetal Neonatal Ed. · Jan 2006
Can all neonatal resuscitation be managed by nurse practitioners?
To assess the ability of nurse practitioners to manage the care of all babies requiring resuscitation at birth in a unit without on site medical assistance. ⋯ The practitioners successfully managed all the problems coming their way from the time of appointment. There was no evidence that their skill decreased over time even though, on average, they only found themselves undertaking laryngeal intubation once a year. It remains to be shown that this level of competence can be replicated in other settings.
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Arch. Dis. Child. Fetal Neonatal Ed. · Jan 2006
Randomized Controlled Trial Multicenter StudyMorphine in ventilated neonates: its effects on arterial blood pressure.
To study the effects of continuous morphine infusion on arterial blood pressure in ventilated neonates. ⋯ Overall arterial blood pressure, use of inotropes, and blood pressure variability were not influenced by morphine infusion. Therefore the clinical impact of hypotension as a side effect of low dose morphine treatment in neonates is negligible.