Ventilatory management in extremely low birth weight infants

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Ventilatory management in extremely low birth weight infants

The improvement in survival in premature infants associated with the evolution of mechanical ventilation has been accompanied by an increase in ventilator induced lung injury. High frequency ventilation has been shown to reduce the incidence of ventilator induced lung injury and hence chronic lung disease in the very low birth weight infant. The evolution in understanding how to best use high f...

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Management of Extremely Low Birth Weight Infants in Delivery Room.

Extremely low birth weight (ELBW) infants are particularly vulnerable at birth, and stabilization in the delivery room (DR) remains challenging. After birth, ELBW infants are at high risk for the development of thermal dysregulation, respiratory insufficiency, and hemodynamic instability due to their immature physiology and anatomy. Although successful stabilization facilitates the transition a...

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Hypothyroxinemia in extremely low birth weight infants

Hypothyroxinemia of prematurity (HOP) is a transient alteration in thyroid hormone availabilityfound in more than half of extremely low birth weight infants (ELBW) born at less than 30 weeks [1]. HOP is characterized by very low total T4 (TT4) and free T4 (FT4) levels with a normal or low thyroid stimulating hormone (TSH); TT4 and FT4 show a nadir at 7-10 days of life and they may remained low ...

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Minerals and extremely low birth weight infants

The 80% of bone mineralisation occurs in the third trimester of pregnancy. The daily fetal requirement is 310 mg of calcium and 170 mg of phosphorus [1]. The bone mineral density (BMD) correlates positively with gestational age, weight and length [2]. At birth, extremely premature infants (ELBWI)canpresent hypocalcaemia because of interruption of the maternal calcium supply, high level of calci...

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Best Strategies against Respiratory Problems in Extremely Low Birth Weight Infants

Background Neonatology has evolved with respect to the needs of premature infants for special care. One of the major problems in premature infants is that their lungs are not developed adequately to fulfill newborns’ needs. There is a broad spectrum of strategies for management of respiratory problems in premature infants. In this study, we aimed to determine the best Strategies against Respira...

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ژورنال

عنوان ژورنال: McGill Journal of Medicine

سال: 2020

ISSN: 1715-8125

DOI: 10.26443/mjm.v9i2.443