Journal of neonatal-perinatal medicine
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J Neonatal Perinatal Med · Jan 2014
Transporting neonates with hypoxic-ischemic encephalopathy utilizing active hypothermia.
The objective of this report was to evaluate a servo-controlled active hypothermia device used during the transport of neonates with HIE. ⋯ Servo-controlled hypothermia enables rapid attainment of targeted temperatures and maintains the temperature throughout the transport process in both ground and air transport.
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J Neonatal Perinatal Med · Jan 2014
Non-invasive measurement of brain temperature using radiometric thermometry: experimental validation and clinical observations in asphyxiated newborns.
Therapeutic hypothermia (HT) has been shown to decrease death and severe disability in infants with hypoxic-ischemic encephalopathy (HIE). Rectal temperature (RT) is used to determine the temperature set-points for treatment with HT, however experimental studies have shown significant differences between RT and brain temperature during HT. Knowledge of actual brain temperature during HT might allow better determination of optimal degree of cooling and improve outcomes. ⋯ RadT provides a safe, passive and non-invasive way to measure brain temperature that can be used in the clinical setting. RadT may be helpful in determining the optimal degree of cooling and identifying infants at highest risk of brain injury.
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J Neonatal Perinatal Med · Jan 2014
A comparison of supine and prone positioning on improves arterial oxygenation in premature neonates.
Respiratory distress syndrome (RDS) is one of the most important causes of mortality and morbidity in premature newborns. The aim of this study was to determine the effect of body position on oxygen saturation in hospitalized premature infants with RDS. ⋯ These findings suggest that, in premature infants with RDS, oxygen saturation was significantly higher in the prone compared with the supine posture.
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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.