Journal of perinatology : official journal of the California Perinatal Association
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Randomized Controlled Trial Comparative Study
High-fidelity simulator technology may not be superior to traditional low-fidelity equipment for neonatal resuscitation training.
Despite completing accredited resuscitation training, neonatal trainees often feel unprepared to deal with real-life clinical emergencies. High-fidelity simulator (HFS) technology offers the potential of recreating a realistic stressful clinical environment to aid training and evaluation. To date, there are limited data examining the physiological impact of this training modality in comparison to less costly alternatives. The objective of this study was to compare the effects of low-fidelity simulator (LFS) versus HFS technology on performance levels, objective and subjective measures of stress in neonatal trainees. ⋯ Simulated neonatal resuscitations induce a significant stress response in neonatal trainees; however, we were unable to identify any difference in stress measures between HFS and LFS. These data suggest that HFS technology offers no additional stress-inducing benefit.
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Randomized Controlled Trial Comparative Study
Lower back-up rates improve ventilator triggering during assist-control ventilation: a randomized crossover trial.
The objective of this study is to compare the effects of back-up ventilation rates (BURs) on triggered inflations and patient cardiorespiratory stability during assist-control/volume guarantee ventilation (AC/VG). ⋯ Using a lower BUR allows greater triggering of ventilator inflations. Cardiorespiratory parameters including CO(2) levels were stable at all rates.
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Randomized Controlled Trial
Safety and efficacy of Trans-warmer mattress for preterm neonates: results of a randomized controlled trial.
To compare the admission temperatures, incidence of hypothermia and discharge outcomes of preterm neonates managed with Trans-warmer mattress (TWM) initiated in the delivery room (DR) and controls. ⋯ In this quasi-randomized controlled trial, the admission temperatures of preterm neonates on whom TWM was used were significantly higher compared to controls with a reduction in the incidence of hypothermia. A TWM initiated in the DR may be a simple efficacious method of reducing hypothermia in preterm neonates.
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Randomized Controlled Trial Comparative Study
Propofol versus midazolam for intubating preterm neonates: a randomized controlled trial.
The ideal combination of premedication for neonatal tracheal intubation has not been established. The aim of this preliminary study was to compare the intubation conditions between propofol and midazolam as premedication for tracheal intubation in neonates. ⋯ Both combinations of premedications have no differences regarding the quality of intubation, which could be of clinical interest. Besides midazolam, propofol could be a valid alternative as hypnotic for premedication for endotracheal intubation in neonates.
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Randomized Controlled Trial Comparative Study
Rocuronium for nonemergent intubation of term and preterm infants.
The aim of this study was to analyze clinical characteristics of rocuronium as premedication for nonemergent intubation in infants. ⋯ Rocuronium facilitated successful intubation and provided clinical paralysis quickly in most infants.