The Journal of pediatrics
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The Journal of pediatrics · Nov 2014
The availability and the adherence to pediatric guidelines for the management of syncope in the Emergency Department.
To evaluate the impact of the 2009 Italian pediatric clinical guidelines on the management of syncope. ⋯ Providing practitioners in the ED with age-oriented clinical guidelines increased the efficiency of clinical management of pediatric syncope. Our study demonstrated that the implementation of pediatric clinical guidelines on syncope improve diagnosis, reduce hospital admissions, and decrease the use of unnecessary diagnostic tests.
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The Journal of pediatrics · Oct 2014
Multicenter Study Observational StudyTidal volumes in spontaneously breathing preterm infants supported with continuous positive airway pressure.
To describe changes in tidal volume (VT) and their correlation to changes in oxygen saturation and heart rate in spontaneously breathing preterm infants immediately after birth. ⋯ The 50th percentile for spontaneous VT in preterm infants during mask CPAP ranged from 4.2 to 5.8 mL/kg, with wide individual variation observed in the first minutes after birth. Preterm infants requiring CPAP after birth may take longer to achieve so-called "normal" saturation targets.
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The Journal of pediatrics · Oct 2014
Observational StudyUltrasound evaluation of lumbar spine anatomy in newborn infants: implications for optimal performance of lumbar puncture.
An ultrasound evaluation of lumbar spine anatomic landmarks relevant for lumbar puncture was performed in 199 newborn infants. Effects of 6 patient positions and gestational age on interspinous process distance, subarachnoid space width, predicted needle entry angle, and needle insertion depth were assessed. Our results identify optimized conditions for lumbar puncture: sitting the infant with hips flexed, a needle entry angle of 65-70 degrees, and proper needle insertion depth (calculated as 2.5 × weight in kilograms + 6 in millimeters).