Archives of disease in childhood. Fetal and neonatal edition
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Arch. Dis. Child. Fetal Neonatal Ed. · Jan 2001
Randomized Controlled Trial Comparative Study Clinical TrialAn automatic incision device for obtaining blood samples from the heels of preterm infants causes less damage than a conventional manual lancet.
To evaluate in a randomised blind study the effect on puncture site lesions of two different incision devices used to obtain blood samples from preterm infants by repeated heel sticks. ⋯ The use of an automatic incision device for collecting repeated skin puncture samples from preterm infants is less traumatic than the use of a conventional manual lancet.
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Arch. Dis. Child. Fetal Neonatal Ed. · Jan 2001
Randomized Controlled Trial Clinical TrialTopical amethocaine gel for pain relief of heel prick blood sampling: a randomised double blind controlled trial.
Heel prick blood sampling is a commonly performed and painful procedure in the newborn infant. Use of a topical local anaesthetic does not relieve this pain. A 4% w/w amethocaine gel (Ametop) reduces the pain of venepuncture in the newborn but has not been tried with heel pricks. ⋯ Topical amethocaine gel does not have a clinically important effect on the pain of heel prick blood sampling and its use for this purpose cannot therefore be recommended. Alternative approaches to the relief of pain from this procedure should be explored.
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Arch. Dis. Child. Fetal Neonatal Ed. · Nov 2000
Randomized Controlled Trial Clinical TrialDoes topical amethocaine gel reduce the pain of venepuncture in newborn infants? A randomised double blind controlled trial.
Topical amethocaine provides effective pain relief during venepuncture in children, and has been shown to have a local anaesthetic action in the newborn. ⋯ Topical amethocaine provides effective pain relief during venepuncture in the newborn.
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Arch. Dis. Child. Fetal Neonatal Ed. · Sep 2000
Comment Letter Randomized Controlled Trial Clinical TrialPremedication for intubation in neonates.
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Arch. Dis. Child. Fetal Neonatal Ed. · Sep 2000
Comparative StudyA comparison of indices of respiratory failure in ventilated preterm infants.
To compare indices of respiratory failure in terms of their ability to predict adverse respiratory outcomes in preterm infants. The indices evaluated were: (a) the alveolar-arterial oxygen tension difference (A-aDO(2)); (b) the ratio of arterial to alveolar oxygen tension (a/A ratio); (c) the oxygenation index (OI); (d) the fractional inspired oxygen concentration (FIO(2)). ⋯ There was no evidence of a significant difference between the performance of the a/A ratio, A-aDO(2), and OI in predicting adverse respiratory outcomes. Use of the OI is recommended because of its ease of calculation.