Pediatrics international : official journal of the Japan Pediatric Society
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Comparative Study
Electrocardiogram shows reliable heart rates much earlier than pulse oximetry during neonatal resuscitation.
The aim of this study was to determine the usefulness of the three-lead electrocardiogram (ECG) during neonatal resuscitation. ⋯ ECG was a safe and reliable method for showing HR, and was used to determine the initiation and the effectiveness of resuscitation in the delivery room.
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Although the administration of levothyroxine sodium (LT4) to premature infants had been considered safe, several cases of late-onset circulatory collapse (LCC) following the administration of LT4 in very-low-birth-weight (VLBW) infants have been reported in Japan since 2008. This study was performed to investigate the incidence of LCC associated with the administration of LT4 to VLBW infants. ⋯ LT4 is widely used for infants, including VLBW infants, and no major complications have been reported. However, our study revealed that more than a few cases of LCC were associated with the administration of LT4 in VLBW infants. In conclusion, careful attention is necessary when initiating the administration of LT4 to VLBW infants.
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The aim of the present study was to examine short-term and long-term mortality following discharge from the pediatric intensive care unit (PICU). ⋯ A 2 year follow-up period seems sufficient for a comprehensive mortality analysis of PICU patients. Severity of critical illness is the key factor of short-term mortality, whereas comorbidity is the major determinant of long-term mortality.