Pulse oximetry as a screening test for congenital heart defects in newborn infants: a test accuracy study with evaluation of acceptability and cost-effectiveness.

Background: Screening for congenital heart defects (CHDs) relies on antenatal ultrasound and postnatal clinical examination; however, life-threatening defects often go undetected.

Objective: To determine the accuracy, acceptability and cost-effectiveness of pulse oximetry as a screening test for CHDs in newborn infants.

Design: A test accuracy study determined the accuracy of pulse oximetry.

Use of mask continuous positive airway pressure in a preterm infant presenting with bilateral cleft lip and palate.

This report highlights innovative ways of overcoming difficulties in delivering effective continuous positive airway pressure in an extremely preterm baby with bilateral cleft lip and cleft palate.

Unusual complication of a central venous line in a neonate.

The placement of a central venous line in a low birthweight neonate led to a complication that highlights the need for continued vigilance after the position of the line is checked and thought satisfactory.