当前位置： SCI文献检索 > Pediatrics and Neonatology期刊下所有文献 > Positive end-expiratory pressure during resuscitation at birth in very-low birth weight infants: A randomized-controlled pilot trial.

Positive end-expiratory pressure during resuscitation at birth in very-low birth weight infants: A randomized-controlled pilot trial.

Abstract：

BACKGROUND:There is limited evidence of the effect of positive end-expiratory pressure (PEEP) during resuscitation soon after birth. Premature neonates may experience respiratory distress from surfactant insufficiency and providing PEEP after the very first breath, may improve outcomes following appropriate resuscitation. The objective of this study was to evaluate the short term respiratory outcomes after positive pressure ventilation (PPV) with PEEP in preterm infants at birth. METHODS:A prospective randomized-controlled, pilot trial was conducted. Premature neonates ≤ 32 weeks gestational age or birth weight < 1500 g were recruited. Subjects were allocated to either PEEP of 5 cm H2O (PEEP-5) or no PEEP (PEEP-0) if PPV was administered. Pre-ductal, peripheral capillary oxygen saturation (SpO2) and fraction of inspired oxygen concentration (FiO2) were monitored at 1, 3, 5, 10, 15, and 20 min after birth. FiO2 was adjusted to achieve targeted SpO2 using the 2010 neonatal resuscitation protocol guidelines. RESULTS:56% (14/25; PEEP-0) and 50% (13/26; PEEP-5) infants received PPV. Mean gestational age was 30 (PEEP-0) vs 31 (PEEP-5) weeks. The mean [SD] birthweight (g) of PEEP-0 was significantly lower than PEEP-5 (1050.4 [262.7] vs 1218.8 [236.8], p = 0.02). Pre-ductal SpO2, FiO2 delivered at each time point, and rates of pneumothorax, surfactant administration and oxygen dependency at 36 weeks postmenstrual age or death was similar. CONCLUSION:Due to the small sample size and potential bias accrued through random allocation of higher birthweight infants to the PEEP-5 group, the results did not confirm differences in outcomes between the groups, despite evidence favoring postnatal ventilation with PEEP. A further randomized, controlled clinical trial with a larger sample size is warranted to determine the utility and safety of PEEP during the resuscitation of premature infants immediately after birth.

journal_name

Pediatr Neonatol

journal_title

Pediatrics and neonatology

authors

Kitsommart R,Nakornchai K,Yangthara B,Jiraprasertwong R,Paes B

doi

10.1016/j.pedneo.2017.12.002

subject

Has Abstract

pub_date

2018-10-01 00:00:00

pages

448-454

issue

5

eissn

1875-9572

issn

2212-1692

pii

S1875-9572(17)30126-2

journal_volume

59

pub_type

杂志文章,随机对照试验

相关文献

Pediatrics and Neonatology文献大全
  • Three-year follow-up of children with abnormal newborn screening results for congenital hypothyroidism.

    abstract：BACKGROUND:To analyze predictive factors suggesting transient congenital hypothyroidism (TCH) compared to permanent congenital hypothyroidism (PCH) or transient thyroid function test (TFT) abnormalities among children who had positive screening results at our centers over the past decade. METHODS:A retrospective chart...

    journal_title：Pediatrics and neonatology

    pub_type： 杂志文章

    doi：10.1016/j.pedneo.2017.01.002

    authors： Kang MJ,Chung HR,Oh YJ,Shim YS,Yang S,Hwang IT

    更新日期：2017-10-01 00:00:00

  • First attack of acute urticaria in pediatric emergency department.

    abstract：BACKGROUND:Management of a first attack of acute urticaria in children is dependent on the etiology of the disease. Knowledge of the various etiologies of urticaria will help primary physicians to perform appropriate clinical assessments. In this study, we analyzed the etiologies and their prevalence in first-attack ac...

    journal_title：Pediatrics and neonatology

    pub_type： 杂志文章

    doi：10.1016/S1875-9572(08)60014-5

    authors： Liu TH,Lin YR,Yang KC,Chou CC,Chang YJ,Wu HP

    更新日期：2008-06-01 00:00:00

  • Effect of bosentan therapy in persistent pulmonary hypertension of the newborn.

    abstract：BACKGROUND:Persistent pulmonary hypertension of the newborn (PPHN) contributes to neonatal hypoxemia and is associated with a high mortality. Some PPHN patients are unresponsive to inhaled nitric oxide (iNO). Bosentan, an oral endothelin-1 receptor antagonist, reduces pulmonary vascular resistance and hence may play a ...

    journal_title：Pediatrics and neonatology

    pub_type： 杂志文章

    doi：10.1016/j.pedneo.2017.02.003

    authors： Maneenil G,Thatrimontrichai A,Janjindamai W,Dissaneevate S

    更新日期：2018-02-01 00:00:00

  • C-reactive Protein may Predict the Recurrence of Appendicitis in Children Formerly with Appendiceal Mass after Successful Non-operative Treatment.

    abstract：BACKGROUND:This study identified factors associated with the recurrence of appendicitis in children with appendiceal masses after successful nonsurgical treatment. METHODS:In this retrospective study, children who were diagnosed as having appendiceal masses after undergoing conservative treatment between 2000 and 2014...

    journal_title：Pediatrics and neonatology

    pub_type： 杂志文章

    doi：10.1016/j.pedneo.2016.12.001

    authors： Chang YJ,Chao HC,Chen CL,Chen SY,Yan DC,Tsai MH

    更新日期：2017-08-01 00:00:00

  • Ocular findings in a case of trisomy 18 with variant of Dandy-Walker syndrome.

    abstract：:Trisomy 18 is the second most common chromosomal syndrome and has multiple dysmorphic features. However, ocular findings in trisomy 18 are rarely reported. Retinal folds are the most common ocular finding described to date, although retinal hypopigmentation, dysplasia, and areas of hemorrhage and gliosis are also foun...

    journal_title：Pediatrics and neonatology

    pub_type： 杂志文章

    doi：10.1016/S1875-9572(10)60056-3

    authors： Lim FF,Ng YY,Hu JM,Chen SJ,Su PH,Chen JY

    更新日期：2010-10-01 00:00:00

  • Seizure Recurrence in Children after Stopping Antiepileptic Medication: 5-Year Follow-Up.

    abstract：BACKGROUND:We wanted to identify in children with epilepsy the factors associated with seizure control and recurrence after a 2-year remission. METHODS:We did a 5-year follow-up of epileptic children whose antiepileptic medication had been stopped. Bivariate and multivariate analyses were used to compare features of e...

    journal_title：Pediatrics and neonatology

    pub_type： 杂志文章

    doi：10.1016/j.pedneo.2016.08.005

    authors： Lee IC,Li SY,Chen YJ

    更新日期：2017-08-01 00:00:00

  • Clinical characteristics and genotypes of rotaviruses in a neonatal intensive care unit.

    abstract：BACKGROUND:There are few reports on the symptoms of rotavirus infections in neonates. This study aims to describe clinical signs of rotavirus infections among neonates, with a particular focus on preterm infants, and to show the distribution of genotypes in a neonatal intensive care unit (NICU). METHODS:A prospective ...

    journal_title：Pediatrics and neonatology

    pub_type： 杂志文章

    doi：10.1016/j.pedneo.2011.11.005

    authors： Shim JO,Son DW,Shim SY,Ryoo E,Kim W,Jung YC

    更新日期：2012-02-01 00:00:00

  • Nystagmus in childhood.

    abstract：:Nystagmus is an involuntary rhythmic oscillation of the eyes, which leads to reduced visual acuity due to the excessive motion of images on the retina. Nystagmus can be grouped into infantile nystagmus (IN), which usually appears in the first 3-6 months of life, and acquired nystagmus (AN), which appears later. IN can...

    journal_title：Pediatrics and neonatology

    pub_type： 杂志文章,评审

    doi：10.1016/j.pedneo.2014.02.007

    authors： Papageorgiou E,McLean RJ,Gottlob I

    更新日期：2014-10-01 00:00:00

  • Parents' views about the vaccination program in Taiwan.

    abstract：PURPOSE:To investigate parents' views about new vaccines, we surveyed the attitudes and awareness toward immunization program among parents of children younger than 14 years in Taiwan. METHODS:Parents of children were invited to complete a questionnaire in a tertiary referral medical center in Kaoshiung, southern Taiw...

    journal_title：Pediatrics and neonatology

    pub_type： 杂志文章

    doi：10.1016/j.pedneo.2011.02.009

    authors： Tang CW,Huang SH,Weng KP,Ger LP,Hsieh KS

    更新日期：2011-04-01 00:00:00

  • Rebound Thymic Hyperplasia after Chemotherapy in Children with Lymphoma.

    abstract：BACKGROUND:Development of mediastinal masses after completion of chemotherapy in pediatric patients with malignant lymphoma is worrisome and challenging to clinicians. METHODS:We performed a retrospective review of 67 patients with lymphoma treated at our hospital from January 1, 2001 to June 1, 2013. Patients who rec...

    journal_title：Pediatrics and neonatology

    pub_type： 杂志文章

    doi：10.1016/j.pedneo.2016.02.007

    authors： Chen CH,Hsiao CC,Chen YC,Ko SF,Huang SH,Huang SC,Hsieh KS,Sheen JM

    更新日期：2017-04-01 00:00:00

  • Juvenile Myelomonocytic Leukemia in a Premature Neonate Mimicking Neonatal Sepsis.

    abstract：:Juvenile myelomonocytic leukemia (JMML) is a rare hematologic malignancy in children. Its presentations include anemia, thrombocytopenia, monocytosis, skin rash, marked hepatomegaly, and/or splenomegaly. Fever and respiratory involvement are common. Here, we report a case of a premature neonate with initial symptoms o...

    journal_title：Pediatrics and neonatology

    pub_type： 杂志文章

    doi：10.1016/j.pedneo.2013.06.009

    authors： Lee ML,Yen HJ,Chen SJ,Hung GY,Tsao PC,Soong WJ

    更新日期：2016-04-01 00:00:00

  • Nonketotic Hyperglycinemia of Infants in Taiwan.

    abstract：BACKGROUND:Nonketotic hyperglycinemia (NKH) is a rare, inherited disease, with very poor outcome. It is difficult to confirm the diagnosis due to nonspecific presentations and rapid progression. The incidence was reported in a few countries. We report the clinical and genetic features of typical neonatal NKH with novel...

    journal_title：Pediatrics and neonatology

    pub_type： 杂志文章

    doi：10.1016/j.pedneo.2015.10.008

    authors： Chiu CF,Lin JL,Lin JJ,Tseng MH,Lo FS,Chiang MC

    更新日期：2016-10-01 00:00:00

  • Validity of biomarkers in screening for neonatal sepsis - A single center -hospital based study.

    abstract：BACKGROUND:The diagnosis of neonatal sepsis still considered to be a challenge for both clinicians and the laboratory due to the non-specific clinical presentations. The present study aimed to compare and assess the diagnostic & prognostic values of C-reactive protein (CRP), high sensitivity CRP (hsCRP), presepsin, int...

    journal_title：Pediatrics and neonatology

    pub_type： 杂志文章

    doi：10.1016/j.pedneo.2018.05.001

    authors： Rashwan NI,Hassan MH,Mohey El-Deen ZM,Ahmed AE

    更新日期：2019-04-01 00:00:00

  • International Ranking of Infant Mortality Rates: Taiwan Compared with European Countries.

    abstract：BACKGROUND:Rankings of infant mortality rates are commonly cited international comparisons to assess the health status of individual countries. We compared the infant mortality rate of Taiwan with those of European countries for 2004 according to two definitions. METHODS:First, the countries were ranked on the basis o...

    journal_title：Pediatrics and neonatology

    pub_type： 杂志文章

    doi：10.1016/j.pedneo.2015.07.006

    authors： Liang FW,Lu TH,Wu MH,Lue HC,Chiang TL,Huang YL,Chen LH

    更新日期：2016-08-01 00:00:00

  • Prevalence and pathogen distribution of neonatal sepsis among very-low-birth-weight infants.

    abstract：BACKGROUND:Neonatal sepsis contributes to great mortality and morbidity among very-low-birth-weight (VLBW) infants. Prevalence and pathogen distribution of sepsis in the neonatal intensive care units (NICUs) vary with time and geographic location. Such information serves as a guide for selection of empirical antibiotic...

    journal_title：Pediatrics and neonatology

    pub_type： 杂志文章

    doi：10.1016/j.pedneo.2012.06.003

    authors： Lim WH,Lien R,Huang YC,Chiang MC,Fu RH,Chu SM,Hsu JF,Yang PH

    更新日期：2012-08-01 00:00:00

  • The association of early postnatal weight loss with outcome in extremely low birth weight infants.

    abstract：BACKGROUND:To compare outcomes of extremely low birth weight (ELBW) infants having different weight losses in the first 3 days of life. METHODS:One hundred and twenty six ELBW infants were evaluated retrospectively for weight loss percentages on the third day of life compared to their birth weight. We examined the wei...

    journal_title：Pediatrics and neonatology

    pub_type： 杂志文章

    doi：10.1016/j.pedneo.2018.06.003

    authors： Aksoy HT,Güzoğlu N,Eras Z,Gökçe İK,Canpolat FE,Uraş N,Oğuz SS

    更新日期：2019-04-01 00:00:00

  • Effects of Domperidone on QT Interval in Children with Gastroesophageal Reflux Disease.

    abstract：BACKGROUND:Domperidone has been widely used in children with gastroesophageal reflux disease (GERD). Studies on the effects of domperidone on corrected QT interval (QTc) in young children are limited. Our aim was to study the effect of domperidone on the repolarization abnormalities assessed by electrocardiogram (ECG) ...

    journal_title：Pediatrics and neonatology

    pub_type： 杂志文章

    doi：10.1016/j.pedneo.2015.03.015

    authors： Ngoenmak T,Treepongkaruna S,Buddharaksa Y,Khositseth A

    更新日期：2016-02-01 00:00:00

  • The calming effect of maternal breast milk odor on premature infants.

    abstract：BACKGROUND:To compare the effectiveness of maternal breast milk odor and formula milk odor in soothing premature infants undergoing heel lancing. MATERIALS AND METHODS:Fifty preterm infants born between 32 weeks and 37 weeks gestation were randomly assigned into two groups. During heel lancing, we used formula milk od...

    journal_title：Pediatrics and neonatology

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.pedneo.2013.04.004

    authors： Badiee Z,Asghari M,Mohammadizadeh M

    更新日期：2013-10-01 00:00:00

  • Congenital Lung Malformations: Shifting from Open to Thoracoscopic Surgery.

    abstract：BACKGROUND:Over the years the need for surgical treatment, timing of intervention, and the type of surgical approach have been discussed, but the treatment of congenital lung malformations remains controversial. The aim of this study was to compare the thoracotomy approach with the thoracoscopic technique by evaluating...

    journal_title：Pediatrics and neonatology

    pub_type： 杂志文章

    doi：10.1016/j.pedneo.2015.10.009

    authors： Mattioli G,Pio L,Disma NM,Torre M,Sacco O,Pistorio A,Zanaboni C,Montobbio G,Barra F,Ramenghi LA

    更新日期：2016-12-01 00:00:00

  • Fetal Primary Cardiac Tumors During Perinatal Period.

    abstract：:Fetal primary cardiac tumors are rare, but they may cause complications, which are sometimes life threatening, including arrhythmias, hydrops fetalis, ventricular outflow/inflow obstruction, cardiac failure, and even sudden death. Among fetal primary cardiac tumors, rhabdomyomas are most common, followed by teratomas,...

    journal_title：Pediatrics and neonatology

    pub_type： 杂志文章,评审

    doi：10.1016/j.pedneo.2016.07.004

    authors： Yuan SM

    更新日期：2017-06-01 00:00:00

  • Complications in Infants of Diabetic Mothers Related to Glycated Albumin and Hemoglobin Levels During Pregnancy.

    abstract：BACKGROUND:This study was conducted to investigate whether glycated albumin is a useful glycemic marker from the point of view of infant complications for monitoring glycemic control in pregnant women with diabetes or gestational diabetes mellitus. METHODS:We retrospectively studied 42 Japanese infants of diabetic mot...

    journal_title：Pediatrics and neonatology

    pub_type： 杂志文章

    doi：10.1016/j.pedneo.2016.02.003

    authors： Sugawara D,Maruyama A,Imanishi T,Sugiyama Y,Ichihashi K

    更新日期：2016-12-01 00:00:00

  • Influenza-related postinfectious encephalomyelitis complicated by a perforated peptic ulcer.

    abstract：:Influenza virus infection is extremely common and raises global concern due to the increasing prevalence of pandemic H1N1 infection. Influenza may occasionally be associated with neurologic complications and, also, rarely with gastrointestinal complications. Here, we report a rare case complicated with appendicitis, d...

    journal_title：Pediatrics and neonatology

    pub_type： 杂志文章

    doi：10.1016/j.pedneo.2013.01.005

    authors： Hsueh CW,Yu HM,Chen HS,Wu CP

    更新日期：2013-08-01 00:00:00

  • Biochemical and clinical profiles of 52 Tunisian patients affected by Zellweger syndrome.

    abstract：BACKGROUND:Zellweger syndrome (ZS) is a peroxisome biogenesis disorder attributed to a mutation of the PEX genes family. The incidence of this disease in Africa and the Arab world remains unknown. This contribution is aimed at describing the clinical phenotype and biochemical features in Tunisian patients with ZS in or...

    journal_title：Pediatrics and neonatology

    pub_type： 杂志文章

    doi：10.1016/j.pedneo.2016.08.011

    authors： Nasrallah F,Zidi W,Feki M,Kacem S,Tebib N,Kaabachi N

    更新日期：2017-12-01 00:00:00

  • Automated EEG background analysis to identify neonates with hypoxic-ischemic encephalopathy treated with hypothermia at risk for adverse outcome: A pilot study.

    abstract：BACKGROUND:To improve the objective assessment of continuous video-EEG (cEEG) monitoring of neonatal brain function, the aim was to relate automated derived amplitude and duration parameters of the suppressed periods in the EEG background (dynamic Interburst Interval= dIBIs) after neonatal hypoxic-ischemic encephalopat...

    journal_title：Pediatrics and neonatology

    pub_type： 杂志文章

    doi：10.1016/j.pedneo.2018.03.010

    authors： Dereymaeker A,Matic V,Vervisch J,Cherian PJ,Ansari AH,De Wel O,Govaert P,De Vos M,Van Huffel S,Naulaers G,Jansen K

    更新日期：2019-02-01 00:00:00

  • Glycogen storage disease type Ib: the first case in Taiwan.

    abstract：:Glycogen storage disease (GSD) type Ib is caused by the deficiency of glucose-6-phosphate translocase activity. The elder brother of the proband died at age 20 months, and GSD Ia, a disease caused by the deficiency of glucose-6-phosphatase, was the diagnosis. Theproband developed hypoglycemia shortly after birth. Diet...

    journal_title：Pediatrics and neonatology

    pub_type： 杂志文章

    doi：10.1016/S1875-9572(09)60048-6

    authors： Hsiao HJ,Chang HH,Hwu WL,Lam CW,Lee NC,Chien YH

    更新日期：2009-06-01 00:00:00

  • Relationship between perinatal and neonatal indices and intelligence quotient in very low birth weight infants at the age of 6 or 8 years.

    abstract：BACKGROUND:The majority of children born with very low birth weight (VLBW; < 1500g) enter mainstream schools. They experience significant neurodevelopmental disabilities during childhood. The specific aims of our study were to evaluate the neonatal outcomes of VLBW infants and whether they would influence intelligence ...

    journal_title：Pediatrics and neonatology

    pub_type： 杂志文章

    doi：10.1016/S1875-9572(08)60005-4

    authors： Mu SC,Lin CH,Chen YL,Chang CH,Tsou KI

    更新日期：2008-04-01 00:00:00

  • Clinical manifestations in infants with symptomatic meconium peritonitis.

    abstract：BACKGROUND:Meconium peritonitis (MP) develops when bowel perforation occurs in utero or soon after birth, resulting in leakage of meconium into the peritoneal cavity. The clinical features are often variable and prenatal ultrasonography plays an important role in prenatal diagnosis. METHODS:We conducted a retrospectiv...

    journal_title：Pediatrics and neonatology

    pub_type： 杂志文章

    doi：10.1016/s1875-9572(09)60034-6

    authors： Tsai MH,Chu SM,Lien R,Huan HR,Luo CC

    更新日期：2009-04-01 00:00:00

  • Immunoglobulin Concentrations in Plasma and Saliva During the Neonatal Period.

    abstract：BACKGROUND:Screening for infectious diseases in newborns using immunoglobulin (Ig)A-, IgM-, and IgE-specific antibodies is expensive and impractical. To determine if total levels of these Igs can be used for screening purposes, thus simplifying the process, their basic levels in the 1(st) month of extrauterine life nee...

    journal_title：Pediatrics and neonatology

    pub_type： 杂志文章

    doi：10.1016/j.pedneo.2015.06.005

    authors： Pineda-Martínez S,Hernández-Islas JL,Escobedo-Torres MP,Paredes-Alonzo IE,López-Candiani C,Correa D,Vela-Amieva M

    更新日期：2016-06-01 00:00:00

  • Pediatric critical care--a new frontier.

    abstract：:Pediatric intensive care is now a subspecialty of pediatric medicine. Different pathologic and physiologic processes occur in pediatric patients who require intensive care. Thus, the faculty and staffing requirement differ in many aspects from those of adult intensive care units (ICUs). In Taiwan, pediatric intensive ...

    journal_title：Pediatrics and neonatology

    pub_type： 杂志文章,评审

    doi：10.1016/S1875-9572(09)60061-9

    authors： Lin CC,Hsieh KS

    更新日期：2009-10-01 00:00:00

  • Use of Fomepizole in Pediatric Methanol Exposure: The First Case Report in Taiwan and a Literature Review.

    abstract：:Methanol poisoning is rare in the pediatric population, but a delay in diagnosis and intervention may cause severe morbidity and mortality. The current therapy for methanol poisoning is ethanol or fomepizole, which acts as a competitive inhibitor of hepatic alcohol dehydrogenase to inhibit the production of toxic meta...

    journal_title：Pediatrics and neonatology

    pub_type： 杂志文章,评审

    doi：10.1016/j.pedneo.2013.08.009

    authors： Chen TH,Kuo CH,Huang CT,Wang WL

    更新日期：2016-08-01 00:00:00