OBJECTIVE To compare the outcomes of preterm infants with respiratory distress initiated on either Heated Humidified High Flow Nasal Cannula or Nasal Continuous Positive Airway Pressure as a primary mode of respiratory support. STUDY DESIGN Prospective observational cohort study. SETTING Tertiary care level III neonatal intensive care unit. PARTICIPANTS 88 preterm infants between 28 to 34...

background: determining the prevalence and risk factors of thrombocytopenia among neonates enables us to prevent the inevitable and sometimes irreversible complications. in this study we aimed to survey the frequency of thrombocytopenia and its demographic features and risk factors. materials and methods: in this cross sectional study the platelet counts of 364 neonates admitted to neonatal int...

A 34-year-old woman at 25 weeks 3 days was diagnosed with preterm labor and underwent an emergency cesarean section. The neonate did not cry or show any activity. The heart rate was 80 beats/min and the oxygen saturation on pulse oximetry (SpO2) was 77%. Immediately, positive pressure ventilation was delivered by T piece resuscitator, and then anesthesiologist performed endotracheal intubation....

The Journal is the primary organ of Continuing Paediatric Medical Education in Sri Lanka. journal also has a website. Free full text access available for all readers.The Lanka Child Health now indexed SciVerse Scopus (Source Record ID 19900193609), Index Medicus South-East Asia Region (IMSEAR), CABI (Centre Agriculture and Bioscience International Global Database), DOAJ Google, as well Google S...

1. Philip AG. The evolution of neonatology. Pediatr Res. 2005;58:799-815. 2. Carvalho FL, Mezzacappa MA, Calil R, Machado HC. Incidence and risk factors of accidental extubation in a neonatal intensive care unit. J Pediatr (Rio J). 2010;86:189-95. 3. Brown MS. Prevention of accidental extubation in newborns. Am J Dis Child. 1988;142:1240-3. 4. Little LA, Koenig JC Jr, Newth CJ. Factors affectin...

General Management of High-Risk Newborns, 315 Identification of High-Risk Newborns, 315 Late-Preterm Infant, 315 Classification of High-Risk Newborns, 315 Intensive Care Facilities, 317 Organization of Services, 317 Transporting High-Risk Newborns, 317 Nursing Care of High-Risk Newborns, 318 Assessment, 318 Monitoring Physiologic Data, 318 Safety Measures, 320 Respiratory Support, 320 Thermoreg...

Background Skin-to-skin care in the newborn intensive unit typically lasts for short periods of time and enhances breastfeeding, attachment, parental self-esteem. Heart rate variability (HRV) increases with gestational age is a measure maturation parasympathetic vs. sympathetic autonomic nervous system activity. HRV measurements may be useful capturing changes regulation response to skin-to-ski...

Objectives: To compare the cost-effectiveness of two diabetes management models with usual care for type 2 diabetes patients from the societal perspective. Methods: An economic evaluation was performed alongside a clinical trial. In two distinct regions of the Netherlands, two diabetes management models were implemented: managed and protocolized care, with different levels of centralized organi...