Archives of disease in childhood. Fetal and neonatal edition
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Arch. Dis. Child. Fetal Neonatal Ed. · Jul 2017
Randomized Controlled TrialHigh flow nasal cannula versus NCPAP, duration to full oral feeds in preterm infants: a randomised controlled trial.
To compare the time taken by preterm infants with evolving chronic lung disease to achieve full oral feeding when supported with humidified high flow nasal cannula (HFNC) or nasal continuous positive airway pressure (NCPAP). ⋯ Preterm infants treated with HFNC did not achieve full oral feeding more quickly than infants treated with NCPAP.
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Arch. Dis. Child. Fetal Neonatal Ed. · Jul 2016
Randomized Controlled TrialRandomised comparison of two neonatal resuscitation bags in manikin ventilation.
To compare ventilation properties and user preference of a new upright neonatal resuscitator developed for easier cleaning, reduced complexity, and possibly improved ventilation properties, with the standard Laerdal neonatal resuscitator. ⋯ Expiratory volumes were higher, mask leakage lower, and mean airway pressure slightly higher with upright versus standard resuscitator when ventilating a manikin. The majority of students preferred the upright resuscitator.
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Arch. Dis. Child. Fetal Neonatal Ed. · Jul 2016
Randomized Controlled TrialNasal continuous positive airway pressure versus nasal intermittent positive-pressure ventilation within the minimally invasive surfactant therapy approach in preterm infants: a randomised controlled trial.
To compare the effectiveness of nasal continuous positive airway pressure (NCPAP) and nasal intermittent positive-pressure ventilation (NIPPV) as the initial respiratory support within the minimally invasive surfactant therapy (MIST) approach in preterm infants with respiratory distress syndrome. ⋯ In infants born at 26-32 weeks' gestation, NIPPV reduced the need for invasive ventilation and the surfactant requirement within the MIST approach.
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Arch. Dis. Child. Fetal Neonatal Ed. · Nov 2015
Randomized Controlled TrialNon-invasive neurally adjusted ventilatory assist in preterm infants: a randomised phase II crossover trial.
To compare non-invasive ventilation neurally adjusted ventilatory assist (NIV-NAVA) and non-invasive pressure support (NIV-PS) in preterm infants on patient-ventilator synchrony. ⋯ NAVA improved patient-ventilator synchrony and diaphragmatic unloading in preterm infants during non-invasive nasal ventilation even in the presence of large air leaks.
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Arch. Dis. Child. Fetal Neonatal Ed. · Jul 2015
Randomized Controlled Trial Multicenter StudyKeeping babies warm: a non-inferiority trial of a conductive thermal mattress.
External thermal support is critical for preterm or ill infants due to altered thermoregulation. Incubators are the gold standard for long-term support and have been adopted successfully in many countries. Alternatives such as radiant warmers, blankets and others are often used as standard of care (SoC) in resource-limited settings when infants are otherwise not in Kangaroo Mother Care (KMC). ⋯ Short-term use of CTM compared with radiant warmers and other modes of warming is non-inferior to SoC and efficacious in maintaining body temperature. No adverse effects were reported. An extended multinational trial, preferably one that demonstrates longer-term thermoregulation, is warranted.