Journal of paediatrics and child health
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J Paediatr Child Health · Sep 2012
ReviewTurn and face the strange - ch..ch..ch..changes to neonatal resuscitation guidelines in the past decade.
Resuscitation of newborns has been described since ancient times and is among the most commonly performed emergency medical interventions. The International Liaison Committee on Resuscitation first made recommendations on resuscitation in newborns in 1999. Over the last decade, new research and careful review of the available evidence have resulted in substantial changes to these recommendations - in particular, regarding the assessment of colour, giving supplemental oxygen, suctioning infants born through meconium-stained liquor, confirming endotracheal tube position, the use of pulse oximetry, giving CPAP to premature infants, keeping preterm infants warm using polyethylene wrapping and cooling term infants with encephalopathy. This process has also highlighted the paucity of evidence to support much of the care given to infants in the delivery room and the need for research to refine our techniques.
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J Paediatr Child Health · Jul 2012
Review Historical ArticleImprovement in mortality of very low birthweight infants and the changing pattern of neonatal mortality: the 50-year experience of one perinatal centre.
Neonatology is a relatively new sub-specialty so we aimed to review survival data in the context of advances in neonatal care. ⋯ In addition to reporting the remarkable improvement in neonatal survival over this period, we have highlighted items of historical context.
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J Paediatr Child Health · Apr 2012
ReviewMedical management of paediatric burn injuries: best practice.
Burns commonly occur in children and their first aid remains inadequate despite burn prevention programmes. While scald injuries predominate, contact and flame burns remain common. ⋯ The heterogeneous nature of burn wounds, coupled with the difficulties associated with the early clinical assessment of burn depth, has stimulated the application of novel technologies to predict burn wound outcome. This review explores current best practice in the management of paediatric burns, with a focus on prevention, optimal first aid, resuscitation, burn wound prediction and wound management strategies.
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J Paediatr Child Health · Oct 2011
ReviewUse of laryngeal mask airway in near-term and term neonates during resuscitation: is it effective and safe?
A scenario where laryngeal mask airway was used for successful resuscitation of a late preterm neonate after failed bag and mask ventilation and unsuccessful endotracheal intubation is presented. A summary of available evidence regarding the safety and efficacy of the use of laryngeal mask airway during neonatal resuscitation is also presented.
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J Paediatr Child Health · Aug 2011
ReviewChild nutrition and lower respiratory tract disease burden in New Zealand: a global context for a national perspective.
To consider the contribution of malnutrition to acute lower respiratory infection (ALRI) disease burden in children <5 years old in New Zealand (NZ). ⋯ The contribution of malnutrition to ALRI disease burden in NZ requires greater clarification. Such clarification is necessary to inform the development of nutritional policy, which seeks to improve early child health.