Archives of disease in childhood
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Randomized Controlled Trial
Neonatal resuscitation using a laryngeal mask airway: a randomised trial in Uganda.
Mortality rates from birth asphyxia in low-income countries remain high. Face mask ventilation (FMV) performed by midwives is the usual method of resuscitating neonates in such settings but may not always be effective. The i-gel is a cuffless laryngeal mask airway (LMA) that could enhance neonatal resuscitation performance. We aimed to compare LMA and face mask (FM) during neonatal resuscitation in a low-resource setting. ⋯ This trial was registered in https://clinicaltrials.gov, with registration number NCT02042118.
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Randomized Controlled Trial Multicenter Study
Randomised controlled trial and economic evaluation of the 'Families for Health' programme to reduce obesity in children.
Evaluating effectiveness and cost-effectiveness of 'Families for Health V2' (FFH) compared with usual care (UC). ⋯ FFH was neither effective nor cost-effective for the management of obesity compared with UC.
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Randomized Controlled Trial
Randomised crossover trial of rate feedback and force during chest compressions for paediatric cardiopulmonary resuscitation.
To determine the effect of visual feedback on rate of chest compressions, secondarily relating the forces used. ⋯ While visual feedback restricted excessive compression rates to within the prescribed range, applied force remained widely variable. The forces required may differ with growth, but such variation treating one manikin is alarming. Feedback technologies additionally measuring force (effort) could help to standardise and define effective treatments throughout childhood.
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Randomized Controlled Trial
Normal saline flushes performed once daily maintain peripheral intravenous catheter patency: a randomised controlled trial.
Recent evidence supports the use of normal saline flushes in place of heparin to maintain the patency of peripheral intravenous locks (IVLs); however, there are no data regarding the recommended flush frequency. ⋯ A flushing procedure with one flush per day allows maintenance of catheter patency without an increase in catheter-related complications. We propose a simplification of the flushing procedure with only one flush per day, thereby reducing costs (materials use and nursing time), labour and unnecessary manipulation of the catheters which can cause distress in younger children and their parents.
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Randomized Controlled Trial Comparative Study
Four year follow-up of a randomised controlled trial comparing open and laparoscopic Nissen fundoplication in children.
To evaluate the 4-year results following a randomised controlled trial (RCT) comparing open (ONF) and laparoscopic (LNF) Nissen fundoplication in children. ⋯ Open and laparoscopic Nissen provide similar control of reflux and quality of life at follow-up. LNF is associated with reduced incidence of retching persisting at 4-year follow-up.