The Journal of pediatrics
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The Journal of pediatrics · Feb 1997
Randomized Controlled Trial Comparative Study Clinical TrialInhaled helium-oxygen revisited: effect of inhaled helium-oxygen during the treatment of status asthmaticus in children.
To assess the effects of breathing a low-density gas mixture on dyspnea and the pulsus paradoxus in children with status asthmaticus. ⋯ During acute status asthmaticus, inhaled HELIOX significantly lowered the pulsus paradoxus, increased peak flow, and lessened the dyspnea index. Moreover, HELIOX spared three patients a planned intubation and caused no apparent side effects. Thus HELIOX reduces the work of breathing and may forestall respiratory failure in children with status asthmaticus, thus preventing the need for mechanical ventilation.
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The Journal of pediatrics · Feb 1997
Comparative StudyUse of hospital-based services in the first three months of life: impact of an early discharge program.
To assess the effect of an early discharge program on the use of hospital-based health care services in the first 3 months of life. ⋯ Early discharge of newborn infants to inner city parents can be accomplished without increasing hospital-based resource use in the first 3 months of life provided coordinated postdischarge care and home visiting services are available.
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The Journal of pediatrics · Feb 1997
Comparative StudyBody temperatures and oxygen consumption during skin-to-skin (kangaroo) care in stable preterm infants weighing less than 1500 grams.
More and progressively smaller preterm infants are taken out of the incubator and placed skin to skin on their mother's chest to promote bonding, despite concerns that the infants are exposed to cold during this intervention. ⋯ For stable preterm infants weighing less than 1500 gm and less than 1 week of age, 1 hour of skin-to-skin care is not a cold stress compared with care in a thermoneutral incubator.
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The Journal of pediatrics · Jan 1997
Comparative StudyPoint-of-care glucose testing in the neonatal intensive care unit is facilitated by the use of the Ames Glucometer Elite electrochemical glucose meter.
To evaluate the Ames Glucometer Elite glucose meter for use in point-of-care glucose testing in the neonatal intensive care unit. ⋯ The Ames Glucometer Elite analyzer can be used with confidence in measuring heel-stick blood glucose concentrations at the bedside in the neonatal intensive care unit. Hypoglycemic blood samples are reliably detected. As with adults, meticulous technique should be followed to prevent filling defects, and all split samples should be analyzed promptly on the CX7 analyzer, with delivery to the laboratory on ice. Unlike previous generations of glucometers, the Elite meter has been well accepted by the neonatal nursing staff.
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To determine the natural history of primary bronchomalacia in infants and children. ⋯ Bronchomalacia should be considered in the differential diagnosis of the persistently wheezing infant and should be evaluated appropriately. More severe forms of bronchomalacia appear to predispose patients to exercise limitation later in life, which suggests that the lesion does not completely resolve with growth.