Journal of neonatal-perinatal medicine
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J Neonatal Perinatal Med · Jan 2013
Randomized Controlled Trial Comparative StudyDoes daily kangaroo care provide sustained pain and stress relief in preterm infants?
1. Determine whether stress in preterm infants, measured with salivary cortisol, decreases after five days of Kangaroo Care (KC) compared to five days of Standard Care (SC). 2. To determine whether kangaroo care provides sustainable pain relief beyond the period of skin-to-skin holding. ⋯ 1. KC did not affect salivary cortisol levels in preterm neonates, but levels in both the KC and SC groups decreased over time from DOL five to ten. Salivary cortisol may vary with age of infant. 2. Infants experience pain during routine suctioning and may require pain management.
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Probiotics are live microbial feed supplements that beneficially affect the recipient by improving intestinal balance. In an updated systematic review, nineteen trials randomizing more than 2800 infants were included. ⋯ The included trials reported no systemic infection with - supplemented probiotics. Recent data in addition to a report by the European Society for Pediatric Gastroenterology (ESPGAN) concluded probiotics could be generally considered safe.
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J Neonatal Perinatal Med · Jan 2013
Comparative StudyValidation of near infrared spectroscopy to measure abdominal somatic tissue oxygen saturation in neonates.
In this study, we validated the use of the FORE-SIGHT® (CAS Medical Systems, Branford, CT USA) tissue oximeter monitor on abdominal tissue oxygenation in infants ≤4 kg using a stool-interference compensation algorithm. ⋯ Data from this validation study suggest that the FORE-SIGHT monitor, which compensates for the optical properties of stools in neonates, can yield accurate measures of abdominal tissue oxygen saturation.
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J Neonatal Perinatal Med · Jan 2013
Evaluating patterns of morphine use in a neonatal intensive care unit after NEOPAIN.
To test the hypothesis that use of morphine for sedation of ventilated premature neonates has not changed despite evidence-based recommendations. ⋯ Use of morphine as a sedative and/or pre-emptive analgesic agent for critically ill, ventilated, premature neonates has not decreased at the study site despite evidence-based recommendations against this treatment approach. This is an area of care that may benefit from quality improvement interventions.
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J Neonatal Perinatal Med · Jan 2013
Randomized Controlled Trial Comparative StudyA comparison of two nasal continuous positive airway pressure interfaces--a randomized crossover study.
In spite of widespread use of nasal CPAP there are comparatively few studies to guide the choice of nasal prongs. ⋯ The nasal CPAP interfaces studied were equally effective in achieving desired bubble CPAP pressures and target saturations.