Archives of disease in childhood. Fetal and neonatal edition
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Arch. Dis. Child. Fetal Neonatal Ed. · Jul 2018
Randomized Controlled TrialRandomised trial of estimating oral endotracheal tube insertion depth in newborns using weight or vocal cord guide.
When intubating newborns, clinicians aim to position the endotracheal tube (ETT) tip in the midtrachea. The depth to which ETTs should be inserted is often estimated using the infant's weight. ETTs are frequently incorrectly positioned in newborns, most often inserted too far. Using the vocal cord guide (a mark at the distal end of the ETT) to guide insertion depth has been recommended. ⋯ Estimating ETT insertion depth using the vocal cord guide did not result in more correctly positioned ETT tips.
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Arch. Dis. Child. Fetal Neonatal Ed. · Jul 2018
Randomized Controlled TrialNon-invasive high-frequency oscillatory ventilation in preterm infants: a randomised controlled cross-over trial.
Non-invasive high-frequency oscillatory ventilation (nHFOV) has recently been described as a novel mode of respiratory support for premature infants. This study was designed to determine whether nHFOV decreases CO2 partial pressure (pCO2) in premature infants more effectively than non-invasive continuous positive airway pressure (nCPAP). ⋯ We could not demonstrate an increased carbon dioxide clearance applying nHFOV compared with nCPAP in this cohort of preterm infants.
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Arch. Dis. Child. Fetal Neonatal Ed. · May 2018
Randomized Controlled TrialInterobserver agreement and image quality of functional cardiac ultrasound measures used in a randomised trial of delayed cord clamping in preterm infants.
Functional cardiac ultrasound measures are used clinically and in trials for assessing the haemodynamic status of newborn infants. Superior vena cava (SVC) flow and right ventricular output (RVO) are established measures of systemic blood flow on the first postnatal day. The objective was to assess image quality and interobserver agreement of these measures in preterm infants enrolled in a randomised trial of immediate versus delayed cord clamping. ⋯ Interobserver variability for SVC flow is consistent with that previously reported, but higher for RVO. The findings should be incorporated into clinical practice, training, accreditation and trial design.
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Arch. Dis. Child. Fetal Neonatal Ed. · Nov 2017
Randomized Controlled TrialDextrose gel treatment does not impair subsequent feeding.
Dextrose gel is increasingly used as first-line treatment for neonatal hypoglycaemia. Treatment with 400 mg/kg previously has been reported to impair subsequent feeding. We sought to determine if the recommended dose of 200 mg/kg altered feeding. ⋯ Treating hypoglycaemic babies with dextrose gel 200 mg/kg does not depress subsequent feeding and may improve breastfeeding quality.
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Arch. Dis. Child. Fetal Neonatal Ed. · Sep 2017
Letter Randomized Controlled Trial Clinical TrialRandomised crossover study comparing speed of heart rate display in newborns using ECG plus pulse oximeter versus pulse oximeter alone.