Archives of disease in childhood. Fetal and neonatal edition
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Arch. Dis. Child. Fetal Neonatal Ed. · Jan 2013
Perceived role in end-of-life decision making in the NICU affects long-term parental grief response.
Shared decision making (DM) is increasingly advocated as the most appropriate model to support parents confronted with end-of-life (EoL) decisions for a child in the neonatal intensive care unit (NICU). However, few studies have explored its impact on their long-term grief. ⋯ In decisions to forego life-sustaining treatment in the NICU, the perception of a shared decision is associated in the long term with lower grief scores than perceptions of the other types of DM.
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Arch. Dis. Child. Fetal Neonatal Ed. · Jan 2013
Electrolytes in sick neonates - which sodium is the right answer?
Hypoproteinaemia leads to spuriously high-sodium values when measured by indirect ion-selective electrodes (ISE) as used in main laboratory analysers compared with direct ISE employed in point-of-care analysers (POCT). The authors, therefore, investigated the occurrence of hypoalbuminaemia and its effect on measured sodium from POCT and the main laboratory analyser of neonatal intensive-care samples. ⋯ Hypoalbuminaemia is common in sick neonates and monitoring electrolytes using POCT and laboratory analysers frequently yield significantly different results with consequent misclassification. In these patients, measurement of electrolytes by direct ISE (blood-gas analyser) may be more accurate.
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Arch. Dis. Child. Fetal Neonatal Ed. · Nov 2012
Delayed cord clamping and blood flow in the superior vena cava in preterm infants: an observational study.
To determine if timing of cord clamping affects blood flow in the upper body, as measured by flow in the superior vena cava (SVC). ⋯ Blood flow in the SVC was higher in infants where delayed cord clamping was performed. The relationship of IVH, low flow and timing of cord clamping requires further study.
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Arch. Dis. Child. Fetal Neonatal Ed. · Nov 2012
Randomized Controlled Trial Comparative StudyRandomised weaning trial comparing assist control to pressure support ventilation.
To determine if the work of breathing was lower, respiratory muscle strength greater, but the degree of asynchrony higher during weaning by assist control ventilation (ACV) rather than pressure support ventilation (PSV) and if any differences were associated with a shorter duration of weaning. ⋯ No significant differences were found between weaning by PSV and ACV when similar inflation times were used.