Acta paediatrica
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Multicenter Study
Pulse oximetry screening as a complementary strategy to detect critical congenital heart defects.
To compare strategies with and without first-day of life pulse oximetry screening to detect critical congenital heart defects (CCHDs). ⋯ First-day of life pulse oximetry screening provides early in-hospital detection of CCHDs and may reduce the number missed and diagnosed after discharge.
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To survey current practice regarding neonatal respiratory support strategies to determine whether it reflected evidence from randomised trials. ⋯ Many practitioners do not base their choice of neonatal respiratory support strategies on the results of large randomised trials; more effective methods are required to ensure evidence-based practice.
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Multicenter Study
Treatment-by-gender effect when aiming to avoid hyperoxia in preterm infants in the NICU.
To examine gender-specific differences in response to the O(2) saturation (SpO(2)) targets aimed at avoiding hyperoxia in very low birth weight infants (VLBW). ⋯ There is a significant gender-specific difference favouring females in the beneficial effects produced by avoiding high SpO(2) and hyperoxia, with no difference in the distribution of any potential short-term detrimental effects.
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Multicenter Study
The opinions of clinical staff regarding neonatal procedural pain in two Norwegian neonatal intensive care units.
Neonates are subjected to numerous painful procedures without sufficient pain management. The aim of this study was to describe the opinions of Norwegian physicians, nurses and nurse assistants who care for neonates, regarding procedural pain in neonates. ⋯ Procedural pain in neonates is not sufficiently managed and both pharmacological agents and comfort measures are underutilized, according to clinicians at two Norwegian NICU's.
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Multicenter Study
The availability and accessibility of basic paediatric resuscitation equipment in primary healthcare centres: cause for concern?
Paediatric emergencies in primary healthcare centres are serious events that occur more commonly than envisaged. However, at present, these centres appear to lack the training and equipment to manage common paediatric emergencies. ⋯ Primary healthcare centres appear to lack the training and equipment to manage common paediatric emergencies. We recommend standardization of equipment and algorithms, training and assessment of key personnel, and critical incident reporting within primary healthcare centres.