The Journal of pediatrics
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The Journal of pediatrics · Oct 2005
Case ReportsColorimetric end-tidal carbon dioxide detectors in the delivery room: strengths and limitations. A case report.
Clinical assessment and end-tidal carbon dioxide (ETCO2) detectors are used to verify tracheal intubation in newborn infants. A case is presented in which an ETCO2 detector was misleading in determining endotracheal tube (ETT) position but useful in determining the efficacy of ventilation in an extremely preterm infant.
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The Journal of pediatrics · Sep 2005
Variables associated with the early failure of nasal CPAP in very low birth weight infants.
To identify risk factors and neonatal outcomes associated with the early failure of "bubble" nasal continuous positive airway pressure (CPAP) in very low birth weight (VLBW) infants with respiratory distress syndrome (RDS). ⋯ Although several variables available near birth were strongly associated with early CPAP failure, they proved weak predictors of failure. A prospective controlled trial is needed to determine if extremely premature spontaneously breathing infants are better served by initial management with CPAP or mechanical ventilation.
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The Journal of pediatrics · Sep 2005
Regional variation in ICU care for pediatric patients with asthma.
To determine adherence to guidelines for severe asthma care and evaluate regional variability in practice among pediatric intensive care units (PICU). ⋯ Adherence to national guidelines for use of inhaled anticholinergics among critically ill children is low, and marked variation in use of invasive ventilation exists. More explicit guidelines regarding indications for invasive ventilation may improve asthma care.