Acta paediatrica
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Randomized Controlled Trial Comparative Study
Resuscitators who compared four simulated infant cardiopulmonary resuscitation methods favoured the three to one compression to ventilation ratio.
Suboptimal cardiopulmonary resuscitation (CPR) is associated with a poor outcome, and international guidelines state that resuscitators should optimise compression and ventilation techniques with as few interruptions as possible. We investigated compression and ventilation quality during simulated CPR with four compression-to-ventilation (C:V) methods. ⋯ Our comparison of four simulated infant cardiopulmonary resuscitation methods favoured the 3:1 C:V method, and the multidisciplinary group of participants felt it offered the best level of coordination between resuscitators.
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Randomized Controlled Trial
Analgesia by cooling vibration during venipuncture in children with cognitive impairment.
Children with cognitive impairment experience pain more frequently than healthy children and are more likely to require venipuncture or intravenous cannulation for various procedures. They are frequently unable to report pain and often receive poor pain assessment and management. This study assessed the effectiveness of physical analgesia during vascular access in children with cognitive impairments. ⋯ Cooling vibration analgesia during vascular access reduced pain in children with cognitive impairment.
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Randomized Controlled Trial
Automated control of inspired oxygen in ventilated preterm infants: crossover physiological study.
To evaluate the efficacy of automated control of the fraction of inspired oxygen (FiO2 ) in comparison with manual FiO2 control in maintaining target pulse oxygen saturation (SpO2 ) range. ⋯ Automated control of FiO2 significantly improved compliance of oxygen saturation targeting and significantly reduced exposure to hypoxaemia as well as hyperoxaemia.
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Randomized Controlled Trial Comparative Study
High-flow nasal cannulae are associated with increased diaphragm activation compared with nasal continuous positive airway pressure in preterm infants.
High-flow nasal cannulae (HFNC) are increasingly used for respiratory management of preterm infants. However, their ability to provide support compared to nasal continuous positive airway pressure (CPAP) has been questioned. We compared the effect of HFNC versus nasal CPAP on diaphragm electrical activity (EAdi) in preterm infants. ⋯ In this cohort of preterm infants, the majority exhibited greater diaphragm activation, as assessed by neural breathing patterns, when supported with HFNC than IF-CPAP, suggesting that nasal CPAP may provide more effective respiratory support.
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Randomized Controlled Trial
Reduced primary care respiratory infection visits following pregnancy and infancy vitamin D supplementation: a randomised controlled trial.
To determine whether vitamin D supplementation reduces primary care visits for acute respiratory infection (ARI). ⋯ Vitamin D3 supplementation during pregnancy and infancy reduces primary care visits for ARI during early childhood.