Arch Dis Child Fetal Neonatal Ed
November 2024
Objective: Early hypoglycaemia at the time of neonatal intensive care unit (NICU) admission is common in very/extreme preterm infants. This study aimed to determine whether buccal dextrose gel in the delivery room (DR) would improve rates of early hypoglycaemia in this population.
Design: Randomised, blinded, placebo-controlled trial.
Aim: Immune dysregulation and delayed onset of sleep wake cycling (SWC) are associated with worse outcome in neonatal encephalopathy (NE), however the association between sleep and immune dysfunction in NE remains unclear. Aimed to evaluate association of sleep and systemic inflammation with outcomes in NE.
Methods: Amplitude-integrated electroencephalography (aEEG) recordings were collected on infants undergoing therapeutic hypothermia (TH).
Purpose: Gastric residual measurement is routinely performed in premature infants prior to feeding despite a lack of evidence of benefit. We aimed to evaluate if the exclusion of routine gastric residual measurement and evaluation has an impact on the time taken to achieve full enteral feeding in preterm neonates.
Methods: International multi-centre randomised controlled trial.
Importance: Preterm newborns at risk of respiratory distress syndrome are supported with continuous positive airway pressure (CPAP). Many newborns worsen despite CPAP and are intubated for surfactant administration, an effective therapy for treatment of respiratory distress syndrome. Endotracheal intubation is associated with adverse effects.
View Article and Find Full Text PDFObjective: To test the potential utility of applying machine learning methods to regional cerebral (rcSO) and peripheral oxygen saturation (SpO) signals to detect brain injury in extremely preterm infants.
Study Design: A subset of infants enrolled in the Management of Hypotension in Preterm infants (HIP) trial were analysed ( = 46). All eligible infants were <28 weeks' gestational age and had continuous rcSO measurements performed over the first 72 h and cranial ultrasounds performed during the first week after birth.