The Journal of pediatrics
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The Journal of pediatrics · May 2014
Randomized Controlled Trial Comparative StudyTidal breathing in preterm infants receiving and weaning from continuous positive airway pressure.
To compare tidal breathing on different continuous positive airway pressure (CPAP) devices and pressures and to serially measure tidal breathing during weaning off CPAP using electromagnetic inductive plethysmography. ⋯ At different pressure settings, on all CPAP devices the measured MV/kg was similar either through increasing VT/kg and decreasing fR (nCPAP and nBiPAP) or maintaining both (bCPAP). Serial tidal breathing measurements may aid weaning from CPAP.
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The Journal of pediatrics · May 2014
Randomized Controlled Trial Comparative StudyRemifentanil versus morphine-midazolam premedication on the quality of endotracheal intubation in neonates: a noninferiority randomized trial.
To compare remifentanil and morphine-midazolam for use in nonurgent endotracheal intubation in neonates. ⋯ In our cohort, remifentanil was at least as effective as the morphine-midazolam regimen for endotracheal intubation. Thus, premedication using this very-short-acting opioid can be considered in urgent intubations and is advantageous in rapid extubation.
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The Journal of pediatrics · May 2014
Clinical TrialEvaluation of lymphatic dysplasia in patients with congenital pleural effusion and ascites using indocyanine green lymphography.
To investigate the use of indocyanine green (ICG) lymphography in the diagnosis and assessment of the severity of lymphatic dysfunction in infants and neonates with congenital lymphatic pleural effusion and ascites. ⋯ The ICG lymphographic findings were consistent with the clinical conditions. This imaging technique may be important to the future clinical management of lymphatic dysplasia in neonates and infants.
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To investigate whether birth by cesarean delivery rather than vaginal delivery is a risk factor for later childhood obesity. ⋯ Cesarean delivery may increase the risk of obesity in early childhood. Our results do not support the hypothesis that an increasing rate of cesarean delivery contributes to obesity in childhood.
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The Journal of pediatrics · May 2014
Randomized Controlled TrialThe effects of umbilical cord milking on hemodynamics and neonatal outcomes in premature neonates.
To determine whether umbilical cord milking (UCM) improves systemic blood flow and reduces neonatal morbidities compared with immediate cord clamping (ICC). ⋯ We demonstrate greater systemic blood flow with UCM in preterm neonates compared with ICC. Future large prospective trials are needed to determine whether UCM reduces intraventricular hemorrhage and other long-term morbidities.