Archives of disease in childhood. Fetal and neonatal edition
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To describe parent views on infant pain care and to explore relations between parents' experience of their infant's pain care and parental stress. ⋯ Parents have unmet information needs about infant pain and wish greater involvement in their infant's pain care. Parent concerns about infant pain may contribute to parental stress.
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Arch. Dis. Child. Fetal Neonatal Ed. · Jan 2004
Comparative StudyNon-expert use of the cerebral function monitor for neonatal seizure detection.
The cerebral function monitor (CFM) is widely used to detect neonatal seizures, but there are very few studies comparing it with simultaneous electroencephalography (EEG). ⋯ Approximately half of all neonatal seizures may be missed using CFM alone. Neonatal seizures need to be diagnosed, characterised, and quantified first using EEG. The CFM may then be useful for long term monitoring.
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Arch. Dis. Child. Fetal Neonatal Ed. · Jan 2004
Pharmacokinetics of single dose intravenous propacetamol in neonates: effect of gestational age.
To investigate the pharmacokinetics and pharmacodynamics of single dose propacetamol in preterm and term infants on the first day of life. ⋯ A correlation was found between gestational age and the serum half life of propacetamol. The maturational trend of clearance and half life in preterm and term neonates is in line with data on the pharmacokinetics of propacetamol beyond the newborn period.
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Arch. Dis. Child. Fetal Neonatal Ed. · Jan 2004
Should euthanasia be legal? An international survey of neonatal intensive care units staff.
To present the views of a representative sample of neonatal doctors and nurses in 10 European countries on the moral acceptability of active euthanasia and its legal regulation. ⋯ Opinions of health professionals vary widely between countries, and, even where neonatal euthanasia is already practiced, do not uniformly support its legalisation.
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Arch. Dis. Child. Fetal Neonatal Ed. · Jan 2004
How safe is intermittent positive pressure ventilation in preterm babies ventilated from delivery to newborn intensive care unit?
To examine whether clinically determined ventilator settings will produce acceptable arterial blood gas values on arrival, in preterm infants ventilated from delivery to the newborn intensive care unit (NICU). Further, to examine the usefulness of tidal volume and minute ventilation measurements at this time. ⋯ Clinically determining appropriate mechanical ventilation settings from the point of delivery to the NICU is difficult, and inadvertent overventilation may be common. Severe hyperoxia can occur in spite of adjustment of the FIO(2) concentration to achieve an SaO(2) range of 90-98%. Limiting minute ventilation during resuscitation may prevent hypocarbia.