The Journal of pediatrics
-
The Journal of pediatrics · Aug 2014
Observational StudyAdditional injuries in young infants with concern for abuse and apparently isolated bruises.
To determine the prevalence of additional injuries or bleeding disorders in a large population of young infants evaluated for abuse because of apparently isolated bruising. ⋯ Infants younger than 6 months of age with bruising prompting subspecialty consultation for abuse have a high risk of additional serious injuries. Routine medical evaluation for young infants with bruises and concern for physical abuse should include physical examination, skeletal survey, neuroimaging, and abdominal injury screening.
-
The Journal of pediatrics · Aug 2014
Randomized Controlled Trial Multicenter Study Comparative StudyComparison of devices for newborn ventilation in the delivery room.
To evaluate the effectiveness and safety of a T-piece resuscitator compared with a self-inflating bag for providing mask ventilation to newborns at birth. ⋯ There was no difference between the T-piece resuscitator and a self-inflating bag in achieving an HR of ≥100 bpm at 2 minutes in newborns≥26 weeks gestational age resuscitated at birth. However, use of the T-piece decreased the intubation rate and the maximum pressures applied.
-
The Journal of pediatrics · Aug 2014
Multicenter StudyHypothermia therapy for neonatal hypoxic ischemic encephalopathy in the state of California.
To characterize the implementation of hypothermia for neonatal hypoxic ischemic encephalopathy (HIE) in a population-based cohort. ⋯ Our findings highlight an opportunity to explore practice-site variation and to develop quality improvement interventions to assure consistent evidence-based care of term infants with HIE and appropriate application of hypothermia therapy for eligible newborns.