Acta paediatrica Scandinavica
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Acta Paediatr Scand · Nov 1978
Case ReportsTranscutaneous Po2 monitoring in neonatal intensive care.
The transcutaneous Po2 monitoring technique was applied in 20 newborns. The method proved reliable during hypoxemia, normoxemia and hyperoxemia, with a high correlation between Ptco2 and Pao2 in simultaneously obtained arterial samples. ⋯ A considerable difference between Ptco2 and Pao2 or a change in the energy supply level to the electrode may alert the therapist to check the patient's circulatory status. The Ptco2 technique is now fully developed and can be recommended for use in neonatal intensive care.
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Acta Paediatr Scand · May 1978
The diagnosis of iron deficiency by erythrocyte protoporphyrin and serum ferritin analyses.
Free erythrocyte protoporphyrin (FEP) and serum ferritin have been determined in 57 healthy children and in 25 children with varying degrees of iron deficiency. FEP was found to be inversely correlated to the concentration of hemoglobin (r = -0.80) as well as to serum ferritin (r=-0.64). ⋯ In a patient with iron deficiency (FEP 15.3 mumole/l, hemoglobin 5.2 g/dl), iron therapy was followed by a rapid fall in FEP before any changes in hemoglobin, serum iron transferrin saturation and ferritin could be detected. The rapid fall in FEP during start of treatment in iron deficiency makes FEP a sensitive biochemical parameter on iron homeostasis in iron deficiency anemia.
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Acta Paediatr Scand · Nov 1977
Case ReportsThe early detection of pneumothorax with transthoracic impedance in newborn infants.
During the treatment of IRDS with assisted ventilation pneumothorax is a common and dangerous complication where an early diagnosis is important for the successful treatment. In this case report the continuous monitoring of transthoracic electrical impedance has proven to be a sensitive and non-invasive method to detect the development of pneumothorax long before clinical signs are manifest.
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Acta Paediatr Scand · May 1977
Comparative StudyAsymptomatic bacteriuria in schoolgirls. VI. The correlation between urinary and faecal Escherichia coli. Relation to the duration of the bacteriuria and the sampling technique.
The occurrence of the urinary strain in the anus, rectum and faeces was investigated in 27 girls with asymptomatic bacteriuria (ABU). In patients with bacteriuria of relatively short duration 46% of the faecal isolates were of the urinary strain as compared to only 18% in patients with bacteriuria of relatively long duration. ⋯ Secondly, the correlation may be obscured by complex changes in the properties of bacterial strains established in the urinary tract. Contamination by the infected urine did not seem to be a serious problem when the rectal mucosa was swabbed proximal to the anal canal.
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Acta Paediatr Scand · Jan 1977
Effect of continuous positive airway pressure breathing on cardiorespiratory function in infants with respiratory distress syndrome.
A method of investigating the cardiorespiratory responses to continuous positive airway presslre (CPAP) in infants with respiratory distress syndrome is described. All measurements were made immediately before and within five minutes of application or any change in level of CPAP. Ventilation was derived from a pneumotachograph and dynamic compliance calculated. ⋯ Dynamic compliance decreased on CPAP. With correct use of CPAP, and improvement in oxygenation generally occurs without obvious adverse cardiorespiratory effects. CPAP must nevertheless be used cautiously and in conjunction with close monitoring; because when the appropriate pressures are exceeded, it is possible that both circulatory and ventilatory function might be severely compromised.