Publications by authors named "M Janaillac"

Objective: To assess the educational and clinical impact of a tiny baby intubation team (TBIT).

Study Design: Retrospective study comparing endotracheal intubation (ETI) performed: pre-implementation of a TBIT (T1), 6 months post-implementation (T2), and 4 years post-implementation (T3).

Results: Post-implementation (T2), first-attempt success rate in tiny babies increased (44% T1; 59% T2, p = 0.

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Extremely preterm infants are at higher risk of pulmonary (PH) and intraventricular (IVH) haemorrhage during the transitioning physiology due to immature cardiovascular system. Monitoring of haemodynamics can detect early abnormal circulation that may lead to these complications. We described time-frequency relationships between near infrared spectroscopy (NIRS) cerebral regional haemoglobin oxygen saturation (CrSO) and preductal peripheral perfusion index (PI), capillary oxygen saturation (SpO) and heart rate (HR) in extremely preterm infants in the first 72 h of life.

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Article Synopsis
  • Haemodynamic assessment of extremely preterm infants during their first 72 hours of life is complex, focusing on the relationship between cerebral regional tissue oxygen saturation (CrSO), perfusion index (PI), and various clinical parameters.
  • Continuous monitoring was conducted on twenty newborns under 28 weeks gestation, revealing significant increases in cardiac output and strong correlations between CrSO, PI, and cardiac output during episodes of low output.
  • The study highlights that CrSO and preductal PI are effective, non-invasive indicators for evaluating cardiac output in preterm infants, especially during low cardiac output states.
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Background. In premature infants, maintaining blood partial pressure of carbon dioxide (pCO2) value within a narrow range is important to avoid cerebral lesions. The aim of this study was to assess the accuracy of a noninvasive transcutaneous method (TcpCO2), compared to blood partial pressure of carbon dioxide (pCO2).

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