Archives of disease in childhood. Fetal and neonatal edition
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Arch. Dis. Child. Fetal Neonatal Ed. · Nov 2005
Comparative StudyMonitoring of end tidal carbon dioxide and transcutaneous carbon dioxide during neonatal transport.
To assess the accuracy of measurements of end tidal carbon dioxide (CO2) during neonatal transport compared with arterial and transcutaneous measurements. ⋯ Petco2 had an unacceptable under-recording bias. TcPco2 should currently be considered the preferred method of non-invasive CO2 monitoring for neonatal transport.
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Arch. Dis. Child. Fetal Neonatal Ed. · Nov 2005
Cognitive development in low risk preterm infants at 3-4 years of life.
Major neurological handicaps and neuropsychological disturbances are more common in ex-preterm children than their counterparts born at term. ⋯ Neuropsychological abnormalities can be detected early in childhood in apparently normal ex-preterm children and are consistent with a growing body of evidence that prematurity may be associated with long term neuropsychological morbidity in childhood and adolescence.
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Arch. Dis. Child. Fetal Neonatal Ed. · Nov 2005
Improved neurosensory outcome at 8 years of age of extremely low birthweight children born in Victoria over three distinct eras.
To determine neurosensory outcome at 8 years of age of extremely low birthweight (ELBW) children born in the 1990s, how it varies with birth weight, and how it compares with ELBW children born in the 1980s and 1970s. ⋯ Neurosensory disability rates at school age were more common in ELBW children born in the 1990s compared with NBW controls, and were significantly more common in the 500-749 g birthweight subgroup, but have improved compared with ELBW children born in earlier eras.
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Arch. Dis. Child. Fetal Neonatal Ed. · Sep 2005
Randomized Controlled Trial Clinical TrialVenepuncture is preferable to heel lance for blood sampling in term neonates.
The analgesic effect of oral sucrose in newborn infants undergoing painful procedures is generally accepted. For blood sampling, some studies have shown that venepuncture (VP) is less painful than heel lance (HL). ⋯ VP is less painful and more effective than HL for blood sampling in newborn infants. Although oral sucrose may have an additive analgesic effect, it is not necessarily required if VP is used for blood sampling.
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Arch. Dis. Child. Fetal Neonatal Ed. · Sep 2005
Multicenter StudyNeuropsychological and educational problems at school age associated with neonatal encephalopathy.
Adverse cognitive and educational outcomes are often ascribed to perinatal hypoxia without good evidence. ⋯ After neonatal encephalopathy, subtle cognitive impairments are found in the absence of neuromotor impairment. Subtle impairments are found more commonly after a more severe clinical course. Studies of brain protection strategies require long term follow up to study effects on cognitive outcome.