Document Detail

Neonatal intensive care and the prevention of major handicap.
MedLine Citation:
PMID:  251503     Owner:  NLM     Status:  MEDLINE    
During the past 20 years there has been a great increase in the understanding of deranged physiological mechanisms in certain groups of newborn infants that were, in the past, at high risk for death or major handicap. Much information of direct clinical relevance has come from the study of experimental animals, particularly about the changes that occur in the lungs and circulation at birth. Work in progress on an animal model of intraventricular haemorrhage suggests that this, like many other causes of brain damage, is a potentially preventable condition. Technological advances, such as continuous blood-gas analysis, make the prevention of handicapping conditions simpler, but the application of modern methods can be expensive. Current evidence shows that neonatal intensive care saves lives, and that the incidence of major handicap in the survivors is reduced. Society will have to decide how much money should be put into this area of medicine, and it will also have to help neonatal paediatricians with the difficult ethical dilemmas that they are now having to face.
E O Reynolds
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Ciba Foundation symposium     Volume:  -     ISSN:  0300-5208     ISO Abbreviation:  Ciba Found. Symp.     Publication Date:  1978  
Date Detail:
Created Date:  1979-02-23     Completed Date:  1979-02-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0356636     Medline TA:  Ciba Found Symp     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  77-106     Citation Subset:  IM    
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MeSH Terms
Asphyxia Neonatorum / complications,  therapy
Blood Gas Analysis
Cerebral Hemorrhage / etiology,  prevention & control
Costs and Cost Analysis
Critical Care / economics
Ethics, Medical
Great Britain
Hyaline Membrane Disease / mortality
Infant Mortality
Infant, Low Birth Weight
Infant, Newborn
Intensive Care Units* / organization & administration
Mental Retardation / prevention & control*
Neonatology / methods*
Respiratory Distress Syndrome, Newborn / therapy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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