The Journal of pediatrics
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The Journal of pediatrics · Apr 2015
Randomized Controlled TrialVasopressin versus dopamine for treatment of hypotension in extremely low birth weight infants: a randomized, blinded pilot study.
To evaluate vasopressin vs dopamine as initial therapy in extremely low birth weight (ELBW) infants with hypotension during the first 24 hours of life. ⋯ Vasopressin in ELBW infants as the initial agent for early hypotension appeared safe. This pilot study supports a larger randomized controlled trial of vasopressin vs dopamine therapy in ELBW infants with hypotension.
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The Journal of pediatrics · Apr 2015
Multicenter StudyRacial disparities in failure-to-rescue among children undergoing congenital heart surgery.
To determine if racial/ethnic disparities exist among children undergoing congenital heart surgery, using failure-to-rescue (FTR) as a measure of hospital-based quality. ⋯ Black children and children of other race/ethnicity had higher rates of mortality after experiencing a complication. This suggests that racial disparities may exist in hospital-based cardiac care or response to care.
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The Journal of pediatrics · Apr 2015
Comparative StudyExhaled carbon dioxide in healthy term infants immediately after birth.
To measure exhaled carbon dioxide (ECO2) in term infants immediately after birth. ⋯ The first breaths for an infant after birth did not contain ECO2. With aeration of the distal gas exchange regions, tidal volume and ECO2 significantly increased. ECO2 can be used to monitor lung aeration immediately after birth.
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The Journal of pediatrics · Apr 2015
Fontan-associated protein-losing enteropathy and plastic bronchitis.
To characterize the medical history, disease progression, and treatment of current-era patients with the rare diseases Fontan-associated protein-losing enteropathy (PLE) and plastic bronchitis. ⋯ Patient-specific factors are associated with diagnoses of PLE or plastic bronchitis. Treatment strategies are diverse without clear patterns. These results provide a foundation upon which to design future therapeutic studies and identify a clear need for forming consensus approaches to treatment.