Archives of disease in childhood. Fetal and neonatal edition
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Arch. Dis. Child. Fetal Neonatal Ed. · May 2002
Case ReportsNeonatal pneumatocele as a complication of nasal continuous positive airway pressure.
A preterm infant with mild respiratory insufficiency resulting from respiratory distress syndrome developed a pneumatocele after the start of nasal continuous positive airway pressure. Pneumonia was excluded by sputum and blood cultures. Treatment with high frequency oscillation ventilation resulted in complete recovery.
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Arch. Dis. Child. Fetal Neonatal Ed. · May 2002
Biography Historical ArticleSir James Young Simpson (1811-1870) and obstetric anaesthesia.
Sir James Young Simpson of Edinburgh became famous for his discovery of the anaesthetic qualities of chloroform and his championship of obstetric anaesthesia. However, as the outstanding British obstetrician between 1840 and 1870, he also pioneered many other advances in obstetrics.
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Arch. Dis. Child. Fetal Neonatal Ed. · Mar 2002
Do Not Resuscitate orders and ethical decisions in a neonatal intensive care unit in a Muslim community.
To evaluate the need for Do Not Resuscitate (DNR) orders in a tertiary referral centre for neonatal intensive care, the criteria used in making these decisions, and the applicability of the Muslim ethical stance among parents in an Islamic community. ⋯ Asking parents alone to be explicitly involved or take full responsibility for decisions involving life and death is not culturally or socially acceptable in this community. Presence of extended family, and indirectly sounding out and taking into account their wishes, is more appropriate after assessing the resources and support services available.
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Arch. Dis. Child. Fetal Neonatal Ed. · Jan 2002
Randomized Controlled Trial Clinical TrialA pilot randomised controlled trial of peripheral fractional oxygen extraction to guide blood transfusions in preterm infants.
Peripheral fractional oxygen extraction (FOE) may be a better indicator of the need for transfusion than the haemoglobin concentration (Hb) because it is a measure of the adequacy of oxygen delivery to meet demand. A randomised controlled trial of the use of peripheral FOE to guide the need for blood transfusions in preterm infants was carried out to test this hypothesis. ⋯ FOE measurements failed to identify many infants felt by clinicians to require blood transfusion. This may have been because clinicians relied on conventional indicators of transfusion that are vague and non-specific, or a peripheral FOE of 0.47 alone may not be a sensitive enough predictor of the need for transfusion. This requires further study.
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Arch. Dis. Child. Fetal Neonatal Ed. · Jan 2002
Prediction of extubation failure in preterm infants.
To identify whether the results of assessment of respiratory muscle strength or respiratory load were better predictors of extubation failure in preterm infants than readily available clinical data. ⋯ In very premature infants, low gestational age and older postnatal age are better predictors of extubation failure than assessment of respiratory muscle strength or respiratory load.