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Hübler M - - 2010
A 5-week-old preterm infant was scheduled for inguinal hernia repair. Following induction of general anaesthesia, 10 mg.kg(-1) ropivacaine was injected, accidently, into the caudal space. The infant developed cardiac depression with bradycardia (minimum heart rate 50 beats.min(-1) ), elevated T waves and widening of QRS complexes. Resuscitation by means of ...
Akcakus Mustafa - - 2010
Neonates born to mothers with preeclampsia are known to be associated with lipid alterations that might increase the risk for cardiovascular disease in adult life. The aim of this study was to investigate the effect of preeclampsia on lipid metabolism, aortic intimamedia thickness (aIMT) and subsequent atherogenic risk in newborn ...
Carlo Waldemar A - - 2010
This study was designed to test the hypothesis that 2 training programs would reduce incrementally 7-day neonatal mortality rates for low-risk institutional deliveries. Using a train-the-trainer model, certified research midwives sequentially trained the midwives who performed deliveries in low-risk, first-level, urban, community health clinics in 2 cities in Zambia in ...
Pignotti Maria Serenella - - 2010
In the last few years there has been intense debate in Italy on administration of life-prolonging treatment to premature babies at the edge of viability. In 2006, a group of experts based in Florence drafted recommendations known as Carta di Firenze (CdF) for responsible use of intensive care for premature ...
Finer N - - 2010
In an effort to determine the actual conduct of neonatal resuscitation and the errors that may be occurring during this process, we developed a method of video recording neonatal resuscitations as an ongoing quality assurance project. We initiated video recordings of resuscitations using simple video recorders attached to an overhead ...
Saugstad O D - - 2010
This article summarizes the historical background for the use of oxygen during newborn resuscitation and describes some of the research and the process of changing the previous practice from a high- to a low-oxygen approach. Findings of a recent Cochrane review suggest that more than 100,000 newborn lives might be ...
Clifford Michael - - 2010
Neonatal resuscitation techniques are evolving. More sophisticated methods of monitoring have emerged and current practices have been challenged. It is recognised that most newborns will require only gentle assistance to facilitate the transition from intrauterine life. The routine use of suction and oxygen supplementation is no longer recommended and the ...
Odd David E DE Southmead Hospital, Bristol, Avon, UK. - - 2011
Poor condition at birth may impact on IQ, although its effect on other measures of neurodevelopment is unclear. The authors' aim was to determine whether infants receiving resuscitation after birth have reduced scores in measures of attention, memory and language skills or the need for educational support at school even ...
Schmölzer Georg M - - 2010
The aim was to compare resuscitators' estimates of tidal volume (V(T)) and face mask leak with measured values during positive pressure ventilation (PPV) of newborn infants in the delivery room. The authors measured inflating pressures and V(T) delivered using a respiratory function monitor, and calculated face mask leak. After 60 ...
Chen Wei - - 2010
During the stress of cardiopulmonary resuscitation (CPR), it is difficult to maintain the right rhythm and correct ratio of insufflations to chest compressions and to exert the compressions at a constant pressure. In this paper, we propose and demonstrate an integrated sensor system-the "Rhythm of Life Aid" (ROLA) to support ...
Manias Karen A - - 2010
All emergency departments (EDs) should be adequately equipped and prepared to deal with unexpected neonatal deliveries and resuscitation. A study was undertaken to determine what neonatal resuscitation equipment is available in EDs in the UK and to formulate recommendations for improvement. A prospective telephone survey of all UK EDs was ...
Vento M - - 2010
Resuscitation is one of the most frequently performed procedures in the neonatal period. Since the most recent guidelines from the International Liaison Committee on Resuscitation (ILCOR) appeared in 2005, experimental and clinical research has introduced changes regarding the different components of the procedure, with the common denominator being the least ...
Swamy Ravi - - 2010
BACKGROUND: Although survival rates for infants of less than 26 weeks' gestation have increased, rates for those born at less than 24 weeks do not appear to have changed. While there are good data on overall survival, it is unclear how many infants are offered active resuscitation but do not ...
Rich Wade D - - 2010
The authors have conducted video review of neonatal resuscitations since 1999. Over this 10-year period 3 phases of our experience have been recognized. Our early reviews helped us recognize what we were doing in the delivery room, an area that had been ignored in improved intervention. It was noted that ...
Carlo Waldemar A - - 2010
Of the 3.7 million neonatal deaths and 3.3 million stillbirths each year, 98% occur in developing countries. An evaluation of community-based interventions designed to reduce the number of these deaths is needed. With the use of a train-the-trainer model, local instructors trained birth attendants from rural communities in six countries ...
Gathwala Geeta - - 2010
The present study was planned to evaluate the safety and efficacy of vinyl bags in prevention of hypothermia during resuscitation at birth in very low birth weight neonates. Sixty neonates of gestational age ≤32 weeks and birth weight ≤ 1500gm were randomised to either study group, or control group. Study ...
Carroll Patrick D - - 2010
OBJECTIVE: To compare the clinical responses of extremely low birth weight (ELBW) infants resuscitated in polyethylene bags with ELBW infants who were resuscitated using traditional temperature control measures. STUDY DESIGN: Retrospective cohort investigation of 70 ELBW infants who were resuscitated using polyethylene bags (study) and 70 ELBW infants (control) resuscitated ...
Zanardo Vincenzo - - 2010
AIM: This observational study aims to describe: (1) the use of positive pressure ventilation (PPV) for resuscitation in the delivery room among newly born near-term infants; (2) the methods used for PPV resuscitation [e.g., bag-facial mask (BFM), laryngeal mask airway (LMA), endotracheal tube (ETT)]; and (3) the association of each ...
You YeonHo - - 2009
OBJECTIVES: The study aims to evaluate the optimal chest compression site in two-rescuer infant cardiopulmonary resuscitation (CPR). METHODS: Charts and multidirectional computed tomography images of infants who presented to one of four hospitals from March 2004 to March 2009 were reviewed retrospectively. The length of the sternum (S(total)), the length ...
Nightengale Barbara - - 2009
The first breath is the critical moment that initiates life outside the womb. But 10 million or more babies each year need assistance in establishing that first breath. Attempts at assisting the newborn began in ancient times and have undergone significant changes. This article looks at the history of neonatal ...
Wall Stephen N SN Saving Newborn Lives/Save the Children USA, Washington DC and Cape Town, South - - 2009
Each year approximately 10 million babies do not breathe immediately at birth, of which about 6 million require basic neonatal resuscitation. The major burden is in low-income settings, where health system capacity to provide neonatal resuscitation is inadequate. To systematically review the evidence for neonatal resuscitation content, training and competency, ...
Biban Paolo - - 2009
Cardiopulmonary resuscitation (CPR) is necessary in about 1-2% of all newly born infants in their first minutes of life. However, CPR may also be needed in newborns beyond the time of birth, particularly in high risk categories of infants admitted in the NICU or in other less specialised units. In ...
Bizzarro M J - - 2009
Selective resuscitation refers to the practice of providing resuscitative efforts to one or some (but not all) infants born in the setting of multiple gestation. When one fetus is known to have a severe anomaly or severe growth restriction, parents are sometimes offered this option. In the setting of extreme ...
Batton Daniel G - - 2009
The anticipated delivery of an extremely low gestational age infant raises difficult questions for all involved, including whether to initiate resuscitation after delivery. Each institution caring for women at risk of delivering extremely preterm infants should provide comprehensive and consistent guidelines for antenatal counseling. Parents should be provided the most ...
Rajani Anand K - - 2009
Neonatal resuscitation is an attempt to facilitate the dynamic transition from fetal to neonatal physiology. This article outlines the current practices in delivery room management of the neonate. Developments in cardiopulmonary resuscitation techniques for term and preterm infants and advances in the areas of cerebral resuscitation and thermoregulation are reviewed. ...
Odd David E DE Clinical Science at North Bristol, University of Bristol, Bristol, UK. - - 2009
Mild cerebral injury might cause subtle defects in cognitive function that are only detectable as the child grows older. Our aim was to determine whether infants receiving resuscitation after birth, but with no symptoms of encephalopathy, have reduced intelligence quotient (IQ) scores in childhood. Three groups of infants were selected ...
Stola A - - 2009
Oxygen exposure during delivery room (DR) resuscitation, even when brief, is potentially toxic. A practice plan (PP) was introduced for very low birth weight (VLBW) infants < or = 1500 g as follows: initial FiO(2) from 0.21 to 1.0 using blenders, oxygen guided by oximetry to maintain saturation between 85% ...
Partridge J Colin - - 2009
BACKGROUND: The effects of the Born-Alive Infants Protection Act of 2002, which defines the legal status of live-born infants have not been evaluated. OBJECTIVE: To study neonatologists' perceptions and the potential effects of the Born-Alive Infants Protection Act and subsequent Department of Health and Human Services enforcement guidelines on resuscitation ...
Ten Vadim S - - 2009
PURPOSE OF REVIEW: The International Liaison Committee on Resuscitation (ILCOR) recommends initiating neonatal resuscitation with concentrations of oxygen between 21 and 100%. This wide range of oxygen concentrations recommended for resuscitation highlights the lack of evidence supporting either 21 or 100% O2. The purpose of this review is to analyze ...
Wang Kai-Yu - - 2009
Resuscitation in a position other then supine is necessary in certain situations. It has been reported that it can be successfully carried out in the prone position but not in the lateral position. The technical limitations and ventilation-perfusion mismatch in the lateral position make the resuscitation difficult. We present a ...
Hosono Shigeharu - - 2009
AIM: To investigate whether end-tidal CO(2) monitoring is useful for more rapid recognition of tracheal vs. esophageal intubation as compared to standard clinical evaluation in very low birth weight infants during neonatal resuscitation at birth. PATIENTS AND METHODS: Forty infants were prospectively identified. Tracheal tube placement was evaluated either using ...
Rizzi Luca - - 2009
Both stereoisomer of hydroxyethylamine (HEA) and hydroxyethylsulfide (HES) transition-state isostere inhibitors of BACE-1 were synthesized. The syn-HEA epimer resulted always more active than the anti stereoisomer independently from the P(1) and the P(1)' substituents. On the contrary, the anti epimer of the HES isostere resulted more active than the syn ...
Sorimachi Atsuyuki - - 2009
This paper describes the performance of a thoron ((220)Rn) flowthrough source made of a commercially available lantern mantle. This (220)Rn source is easy to construct and operate and has a negligible radon ((222)Rn) gas generated when the air was passed through the source. We studied the (220)Rn concentration generated from ...
Zanardo Vincenzo - - 2009
BACKGROUND: The influence of delivery room resuscitation practice on neonatal breastfeeding pattern is largely not data driven, and clinical experience is insufficient to indicate the impact of available management methods. AIM: This cohort observational study investigated weather laryngeal mask airway (LMA) rather conventional positive pressure resuscitation devices, face mask (FM), ...
Turillazzi Emanuela - - 2009
Multidisciplinary study groups have produced documents in an attempt to support decisions regarding whether to resuscitate "at risk" newborns or not. Moreover, there has been an increasingly insistent request for juridical regulation of neonatal resuscitation practices as well as for clarification of the role of parents in decisions regarding this ...
Gedzelman Stanley David - - 2008
We present the first measurements of radiance spectra of rainbows. The bows on two sunny days (3 and 6 June 2008) were produced by the fountain in the Parque de las Ciencias, Granada, Spain, that consists of a rectangular perimeter of 40 spray nozzles. Optical thickness of the spray from ...
Aziz Khalid - - 2008
BACKGROUND: In the absence of identified risk factors, 7% of term newly borns require PPV-ETT (positive pressure ventilation and/or endotracheal intubation). Factors increasing need for resuscitation, and therefore for individuals with advanced resuscitation skills, require further evaluation. OBJECTIVE: To evaluate the predictive value of ante- and intra-partum risk factors for ...
Martin Richard J - - 2008
There has been considerable controversy surrounding the optimal inspired oxygen concentration for resuscitation of term and preterm infants. We have developed a rat pup model to quantify both physiologic and biochemical parameters associated with normoxic vs. hyperoxic resuscitation. We have confirmed existing human data that hyperoxic resuscitation of rat pups ...
Obladen Michael - - 2009
Endotracheal intubation to resuscitate neonates was used by Scheel in 1798. A century before endotracheal anesthesia was developed, inventive obstetricians constructed devices for endotracheal intubation of infants and mastered their insertion, localization, and airtight sealing. Fell's laryngoscope, Magill's intubation forceps and tissue-friendly materials were significant contributions of the 20th century ...
Lateef F - - 2008
INTRODUCTION: There appears to be a circadian rhythm in the timing of cardiovascular and neurovascular events. The majority of studies have been conducted in western populations. This is the first study to look at the peaks and distribution of out-of-hospital cardiac arrest (OHCA) patients in Singapore. METHODS: The Cardiac Arrest ...
Salzmann Gian M - - 2008
BACKGROUND: Current surgical procedures restoring a dislocated acromioclavicular joint aim to perform an anatomically correct and biomechanically stable reconstruction. However, the coracoidal insertions for the coracoclavicular ligaments have not yet been defined. PURPOSE: The objective was to evaluate dimension and orientation of the coracoclavicular footprints with respect to bony landmarks ...
Da Broi Ugo - - 2009
A fifty year-old woman died after drowning in a swimming-pool. Rescue and ambulance paramedic teams started resuscitation attempts followed by a medical care helicopter team. Acute haematemesis, mucosal tears and gastric micro perforations occurred, due to the cardiorespiratory resuscitation manoeuvres. Death occurred seven days later due to the cerebral anoxia ...
Boyle David W - - 2008
The transition from intrauterine to extrauterine life requires the lungs to change from being fluid-filled to air-filled and for regular, spontaneous respiration to become established. Many infants do not achieve this transition promptly without assistance and are given some form of artificial ventilation. Professional guidelines advocate the establishment of effective ...
Twietmeyer K M - - 2008
Methods are presented for optimizing the design of Mueller matrix polarimeters and and in particular selecting the retardances and orientation angles of polarization components to ensure accurate reconstruction of a sample's Mueller matrix in the presence of error sources. Metrics related to the condition number and to the singular value ...
Nitta Takahiro - - 2008
The design of nanoscale transport systems utilizing motor proteins as engines has advanced rapidly. Here, actin/myosin- and microtubule/kinesin-based molecular shuttles are compared with respect to their requirements for track designs. To this end, the trajectory persistence length of actin filaments gliding on myosin-coated surfaces has been experimentally determined to be ...
Hoehn Thomas - - 2008
Recent evidence suggests that the current ILCOR guidelines regarding hypothermia for the treatment of neonatal encephalopathy need urgent revision. In 2005 when the current ILCOR guidelines were finalised one large (CoolCap trial, n=235) and one small RCT (n=67), in addition to pilot trials, had been published, and demonstrated that therapeutic ...
Tsuboi Yasuyuki - - 2008
We investigated the triboluminescence (TL) of sugars using an innovative experimental approach: the laser-induced shock wave (LISW) technique. We found that the LISW could induce very bright TL in crystalline sugars, the intensity of which was shown to be 10(5) times higher than that obtained by conventional manual hand rubbing. ...
Box M S - - 2008
We report on a study designed to compare the relative efficacy of manual CPR (M-CPR) and automated mechanical CPR (ACD-CPR) provided by an active compression-decompression (ACD) device. The ECG signals of out-of-hospital cardiac arrest patients of cardiac aetiology were analysed just prior to, and immediately after, cardiopulmonary resuscitation (CPR) to ...
Rudnytsky Peter L - - 2008
Written to commemorate the 150th anniversary of Freud's birth, this paper construes Nina Coltart's statement that "if Freud did not exist it would be necessary to invent him," with its implicit comparison of Freud to God, to refer to (a) the things that Freud taught that are incontrovertibly true; (b) ...
McGraw Melanie P - - 2008
OBJECTIVE: The objective of this study was to determine the attitude of neonatal providers toward delivery room resuscitation of an infant with confirmed trisomy 18 with known congenital heart disease at >/=36 weeks of gestation. METHODS: A multiple-choice questionnaire listing this clinical scenario was completed by neonatologists and fellows staffing ...
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