Acta paediatrica
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To define the clinical competencies currently required by on-call consultant paediatricians in Sweden and to describe how these competencies can be acquired by using an outcome-based continuing professional development (CPD) programme. ⋯ We defined and implemented a competency-based CPD programme to meet the changing demands faced by on-call consultant paediatricians. The aims and objectives of the programme were formulated according to a needs assessment among consultant paediatricians active in on-call services. Evaluation of the programme indicates that participants moved in the direction of the overall objectives.
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Observational Study
First evaluation of the paediatric version of the Swedish rapid emergency triage and treatment system shows good reliability.
To investigate the reliability of Retts-p, Rapid emergency triage and treatment system-paediatric, with regard to inter-rater and intra-rater agreement. ⋯ Retts-p provided good to very good reliability in this first evaluation study of the triage system.
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Whole body hypothermia (WBH) exerts proven neuroprotective effects in infants with hypoxic-ischaemic encephalopathy (HIE). Our aim was to describe how WBH could impact on respiratory function in mechanically ventilated newborn infants, by recording primary and composite indices of oxygenation and ventilation before, during and after WBH. ⋯ These results suggest that WBH might affect respiratory function in mechanically ventilated infants with HIE. Oxygenation might be enhanced by hypothermia, probably as a result of decreased metabolism, while ventilation might also be facilitated as a result of the effect of hypothermia on lung mechanics.
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Randomized Controlled Trial
Oral sucrose and non-nutritive sucking goes some way to reducing pain during retinopathy of prematurity eye examinations.
To evaluate the efficacy of oral sucrose combined with non-nutritive sucking for reducing pain associated with retinopathy of prematurity screening. ⋯ Although sucrose combined with non-nutritive sucking modestly reduces pain scores during eye examinations, there is need to further studies to explore significant pain relief for infants undergoing retinopathy of prematurity screening.
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Multicenter Study
Safety and efficacy of propofol administered by paediatricians during procedural sedation in children.
The aim of this study was to determine the safety and the efficacy of paediatrician-administered propofol in children undergoing different painful procedures. ⋯ This multicentre study demonstrates the safety and the efficacy of paediatrician-administered propofol for procedural sedation in children and highlights the importance of appropriate training for paediatricians to increase the safety of this procedure in children.