Archives of disease in childhood. Fetal and neonatal edition
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Arch. Dis. Child. Fetal Neonatal Ed. · Jul 2001
Randomized Controlled Trial Comparative Study Clinical TrialFoot length, an accurate predictor of nasotracheal tube length in neonates.
Existing guidelines for optimal positioning of endotracheal tubes in neonates are based on scanty data and relate to measurements that are either non-linear or poorly reproducible in sick infants. Foot length can be measured simply and rapidly and is related to a number of external body measurements. ⋯ Foot length is a reliable and reproducible predictor of nasotracheal tube length and is at least as accurate as the conventional weight based estimation. This method may be particularly valuable in sick unstable infants.
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Arch. Dis. Child. Fetal Neonatal Ed. · Jul 2001
Multicenter StudyDevelopment and initial validation of the EDIN scale, a new tool for assessing prolonged pain in preterm infants.
To develop and validate a scale suitable for use in clinical practice as a tool for assessing prolonged pain in premature infants. ⋯ The validation data suggest that the EDIN is appropriate for assessing prolonged pain in preterm infants. Further studies are warranted to obtain further evidence of construct validity by comparing scores in less extreme situations.
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Arch. Dis. Child. Fetal Neonatal Ed. · Jul 2001
Multicenter StudyLingering death after treatment withdrawal in the neonatal intensive care unit.
To explore parents' perceptions of treatment withdrawal and the dying process. ⋯ Parents need to be adequately prepared for what may happen after treatment withdrawal. The debate should be reopened about the best way to manage protracted deaths in line with parental need.
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To determine parents' views on autopsy after treatment withdrawal. ⋯ Autopsy rates in the East of Scotland stand at 62%. Parents' perceptions are an important element in consent to postmortem examination.
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Arch. Dis. Child. Fetal Neonatal Ed. · Jul 2001
Early intracardiac thrombosis in preterm infants and thrombolysis with recombinant tissue type plasminogen activator.
To determine the incidence of catheter related thrombosis and to test the efficacy of recombinant tissue type plasminogen activator (rt-PA) in preterm infants. ⋯ Early thrombosis may occur as a complication of umbilical catheterisation in preterm infants; early echocardiographic detection of this disorder allows complete, safe, and rapid lysis with rt-PA.