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Q: Should very prem babies be given CPR?

21 Feb, 10 | by Bob Phillips

So it’s all ethical stuff at the moment. Does the following question reach a point where evidence no longer has a role?

“A premature baby born at 24 weeks gestational age is admitted to the neonatal unit having been born apnoeic, floppy, blue and without a heart rate. After cardio-pulmonary resuscitation (CPR) with adrenaline in the delivery room, a heart rate was noted. Is CPR in these infants inappropriate? What is the chance of survival and risk of disability?


Q: Do written asthma plans reduce asthma admissions?

9 Feb, 09 | by Bob Phillips

Stressed bankerThat’s it really – it’s a very simple question. Does the time, effort and printing resources we use in creating asthma action plans have a measurable benefit in terms of stopping the kids getting as poorly? Or is it a job-creation scheme for these financially strapped times?

Are there effective strategies to reduce the length of stay for “well” near-term babies?

22 Oct, 07 | by BMJ

Premature babyLength of stay for ‘well’ near term (30-36 week gestation) babies varies between units and between countries, with the UK average being discharge at 36+2 weeks corrected. What strategies are in place in your unit to help these ‘small but well’ babies get out of precious neonatal cots into their own lovingly decorated cribs at home? And more to the Archimedes point – is there any evidence these interventions work?


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Latest from Archives of Disease in Childhood

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