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Can we use methadone for analgesia in neonates?
September 1, 2001... The use of methadone analgesia is undergoing a revival in the field of pain management with doctors, nurses, and other healthcare professionals realising its potential advantages over other commonly used opioid analgesics. [1-3] The efficacy of...
A randomised controlled trial of two methods of delivering nasal continuous positive airway pressure after extubation to infants weighing less than 1000 g: binasal (Hudson) versus single nasal prongs.
September 1, 2001... Abstract
Objectives--Primary: to determine whether nasal continuous positive airway pressure (CPAP) delivered through binasal prongs results in a greater proportion of extremely low birthweight infants being successfully extubated, after a...
A randomised control study comparing the Infant Flow Driver with nasal continuous positive airway pressure in preterm infants.
September 1, 2001... Abstract
Objective-To compare the effectiveness of the Infant Flow Driver (IFD) with single prong nasal continuous positive airway pressure (nCPAP) in preterm neonates affected by respiratory distress syndrome.
Design-Randomised...
A randomised controlled trial to compare methods of milk expression after preterm delivery.(Statistical Data Included)
September 1, 2001... Abstract
Objectives--Primary: to compare sequential and simultaneous breast pumping on volume of milk expressed and its fat content. Secondary: to measure the effect of breast massage on milk volume and fat content.
Design--Sequential...
Evaluation of the role of the neonatal nurse practitioner in resuscitation of preterm infants at birth.
September 1, 2001... Abstract
Background--Changes in the work patterns and numbers of medical staff in training grades pose a significant challenge to those responsible for the provision of an effective clinical neonatal service. Advanced neonatal nurse...
Routine neonatal examination: effectiveness of trainee paediatrician compared with advanced neonatal nurse practitioner.
September 1, 2001... Abstract
Objective--To compare the effectiveness of routine neonatal examination performed by senior house officers (SHOs) and advanced neonatal nurse practitioners (ANNPs).
Design--A prospective study of all infants referred to...
Evaluation of newborn screening for medium chain acyl-CoA dehydrogenase deficiency in 275 000 babies.
September 1, 2001... Abstract
Objective--To evaluate newborn screening by tandem mass spectrometry for detection of medium chain acyl-CoA dehydrogenase (MCAD) deficiency, a fatty acid oxidation disorder with significant mortality in undiagnosed patients.
...
Neonatal bone marrow transplantation for severe combined immunodeficiency.
September 1, 2001... Abstract
Aims--To evaluate outcome following neonatal bone marrow transplantation (BMT) for severe combined immuno deficiency (SCID) when there is a family history of a previously affected sibling, and to compare results with those...
Outcome of very premature infants with necrotising enterocolitis cared for in centres with or without on site surgical facilities.
September 1, 2001... Abstract
Objective--To determine if the presence of a neonatal surgical facility on site has any effect on mortality and morbidity of very premature infants with necrotising enterocolitis (NEC).
Design and Setting--Retrospective review...
Percutaneous femoral arterial and venous catheterisation during neonatal intensive care.
September 1, 2001... Abstract
Background--Femoral vessel catheterisation is generally avoided in the neonatal period because of technical difficulties and the fear of complications.
Aim--To review the use of femoral arterial and venous catheters inserted...
Postnatal changes in concentrations of free and bound leptin.
September 1, 2001... Abstract
Aim--To evaluate the effect of maternal diabetes on the concentrations of free and bound leptin at birth and during postnatal adaptation.
Methods--Total, bound, and free leptin concentrations and the percentage of free leptin...
Non-invasive assessment of shunt and ventilation/perfusion ratio in neonates with pulmonary failure.
September 1, 2001... Abstract
Aims--To make non-invasive measurements of right to left (R-L) shunt and reduced ventilation/perfusion ratio ([V.sub.A]/Q) in neonates with pulmonary failure and to examine sequential changes in these variables after treatment....
Relations between the development of patterns of sleeping heart rate and body temperature in infants.
September 1, 2001... Abstract
Overnight patterns of rectal temperature and heart rate were recorded from 119 normal infants at weekly intervals from 7 to about 16 weeks of age. All data were collected in the infants' own homes. As previously reported,...
Paradoxical embolism causing fatal myocardial infarction in a newborn infant.
September 1, 2001... Abstract
A neonate who presented with circulatory collapse was found to have myocardial infarction caused by thrombotic occlusion of the left main coronary artery. At autopsy, a thrombus was found in the ductus venosus making paradoxical...
Ophthalmic Pseudomonas infection in infancy.
September 1, 2001... Abstract
Four infants developed invasive Pseudomonas aeriginosa ophthalmic infections between 5 and 90 days of age. Three died from septicaemia, and the fourth required enucleation of one eye. Absent red reflexes or other eye signs in a...
Julius Hess, MD, (1876-1955) and the premature infant.
September 1, 2001... Julius Hayes Hess was born in Ottawa, Illinois on 26 January 1876. [1] He graduated from Northwestern University Medical School in 1899 and served his internship at the Alexian Brothers' Hospital in Chicago, 1899-1900. Early on he had become...
LETTERS TO THE EDITOR.
September 1, 2001... A national review of neonatal resuscitation programmes for midwives
EDITOR,--A considerable number of babies with no obstetric or neonatal at risk factors require help in establishing respiration at birth. This may range from tactile...