Abstract:
Aim:To investigate the implementation of amplitude-integrated electroencephalography (aEEG) as bedside monitoring tool of cerebral function in tertiary Canadian Neonatal Intensive Care Units (NICU) over the past decade. Methods:Longitudinal study consisting of online surveys of neonatologists on the use of aEEG in 2009 and 2018. Results:The response rate to the survey was 72 of 149 (49%) in 2009 and 18 of 30 (60%) in 2018, respectively. aEEG has been implemented in almost all (2009: 62.5%; 2018: 94%) tertiary Canadian NICUs. Two-thirds (2009: 67%; 2018: 71%) of the respondents considered information from aEEG tracing helpful in clinical practice. The main indications for aEEG were term neonates with hypoxic ischemic encephalopathy (2009 and 2018: 76%) and seizure detection/surveillance (2009: 88%; 2018: 94%). Teaching on aEEG has been implemented for neonatologists (2018: 100%) and health care providers (2018: 50%) in tertiary Canadian NICUs but there is a lack of standardization of training. Use of aEEG in preterm neonates (2009: 37%, 2018: 33%) and application of aEEG in research (18% reported occasional use) is less common. Conclusion:aEEG is well established in tertiary Canadian NICUs to monitor cerebral function and detect seizure activity. There is a need to develop formalized aEEG training programs and methods to assess competence. Further implementation of aEEG in preterm neonates and research is desirable.
journal_name
Paediatr Child Healthjournal_title
Paediatrics & child healthauthors
Grass B,Crosdale B,Keyzers M,Deshpande P,Hahn C,Ly LG,McNamara PJdoi
10.1093/pch/pxz091subject
Has Abstractpub_date
2019-10-10 00:00:00pages
511-517issue
8eissn
1205-7088issn
1918-1485pii
pxz091journal_volume
25pub_type
杂志文章abstract:Objective:To evaluate the relative incidence of cardiogenic and septic shock in term neonates and identify findings that help differentiate the two entities. Study Design:We conducted a retrospective chart review of term neonates presenting to British Columbia Children's Hospital (BCCH) with decompensated shock of an ...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxz078
更新日期:2019-06-24 00:00:00
abstract::This practice point summarizes the use of antiviral drugs to manage influenza illness in children and youth for the 2012/2013 season. It excerpts a recently published, full-length update of Canadian recommendations for clinicians on the use of antiviral drugs for the prevention and treatment of influenza, with a focus...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:
更新日期:2013-03-01 00:00:00
abstract::The management of patients with headaches is a major component of every paediatric practice. In a nationally representative sample of Canadian adolescents, it was found that 26.6% of those 12 to 13 years of age and 31.2% of those 14 to 15 years of age reported that they experienced headaches at least once per week.The...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/14.1.24
更新日期:2009-01-01 00:00:00
abstract::Although acute and subacute lead toxicity requiring active treatment is rare in Canada, paediatricians need to be aware of new evidence linking lower lead levels to neurodevelopmental deficits. Health Canada has identified potential exposures occurring prenatally, in infancy and during early childhood from food and wa...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxz080
更新日期:2019-07-01 00:00:00
abstract::The incidence of early-onset group B streptococcal (GBS) sepsis in the neonatal population has decreased substantially since the introduction of maternal intrapartum antibiotic prophylaxis and routine prenatal screening. However, these strategies have not reduced the incidence of late-onset GBS infections. Additional ...
journal_title:Paediatrics & child health
pub_type:
doi:10.1093/pch/16.6.e48
更新日期:2011-06-01 00:00:00
abstract::Hydrogenation of fat products is used in the food industry to extend their shelf life. Trans fats are the result of partial hydrogenation of unsaturated fat. Trans fats increase low-density lipoprotein cholesterol and decrease high-density lipoprotein cholesterol, thus increasing the risk of cardiovascular disease. Ca...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/15.6.373
更新日期:2010-07-01 00:00:00
abstract:BACKGROUND:Health care professionals (HCPs) may be involved in counselling women after an antenatal diagnosis of various fetal anomalies. Many pregnant women consider termination of pregnancy (TOP) after antenatal diagnosis of various fetal anomalies. Little is known, however, about the attitudes of HCPs regarding TOP ...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/17.8.e86
更新日期:2012-10-01 00:00:00
abstract::In the face of negative media attention, community members and Elders from the First Nation community of Maskwacis identified the importance of promoting community strengths and reframing perceptions of their community. Two research questions were addressed: (1) How do youth in Maskwacis view their community strengths...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxx178
更新日期:2018-07-01 00:00:00
abstract::A 1992 meta-analysis did not find enough evidence to recommend one method of umbilical cord care as the 'best'. However, certain agents were deemed acceptable including triple dye, silver sulfadiazine and antibiotic ointments. In this paper, the authors sought to discover whether there was now evidence to support one ...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/4.2.105
更新日期:1999-03-01 00:00:00
abstract::In the present longitudinal study, the physical growth and health of 36 early-deprived postinstitutionalized Romanian orphans (ROs; 17 boys) adopted by Canadian families are documented. Data were collected for each child at three time points: at 11 months postadoption, at 4.5 years of age and at 10.5 years of age. Dat...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:
更新日期:2006-02-01 00:00:00
abstract::Clinical trials in paediatric cancer continue to be a key factor in progress toward better treatment and prognosis. Paediatricians and family physicians may be asked by patients and families for their advice regarding participation in such trials. The significant advances in the success of treatment of paediatric canc...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:
更新日期:2006-03-01 00:00:00
abstract::The New England Journal of Medicine recently featured an original research article, 'Contemporary Hormonal Contraception and the Risk of Breast Cancer'. (Source: Mørch LS, Skovlund CW, Hannaford PC, Iversen L, Fielding S, Lidegaard Ø. Contemporary hormonal contraception and the risk of breast cancer. N Engl J Med 2017...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxy169
更新日期:2019-07-01 00:00:00
abstract::In the past three decades, rapidly changing demographic characteristics have been witnessed in western society. Concurrently, numerous culture-related studies have attested to the disparity in health services among different ethnic groups. Reports have shown contributing factors that can render main stream services in...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/9.9.627
更新日期:2004-11-01 00:00:00
abstract::Concerns about vaccine safety make some parents hesitant about immunization. Health care providers are pivotal in helping parents understand that Canada is a leader in vaccine safety. The present practice point provides an update on the eight components of Canada's vaccine safety system: (1) an evidence-based pre-lice...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxx102
更新日期:2017-07-01 00:00:00
abstract::Family physicians, paediatricians, nurse practitioners and all primary health care providers are well-positioned in the health care system to provide identification and intervention for developmental delay in early childhood. This can be accomplished through the promotion of healthy child development by supporting chi...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/13.10.845
更新日期:2008-12-01 00:00:00
abstract::Mitigating the harmful effects of adverse social conditions is critical to promoting optimal health and development throughout the life course. Many Canadians worry over food access or struggle with household food insecurity. Public policy positions breastfeeding as a step toward eradicating poverty. Breastfeeding ful...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxx067
更新日期:2017-07-01 00:00:00
abstract::Persistent fetal circulation (PFC), also known as persistent pulmonary hypertension of the newborn, is defined as postnatal persistence of right-to-left ductal or atrial shunting, or both in the presence of elevated right ventricular pressure. It is a relatively rare condition that is usually seen in newborns with res...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/6.10.744
更新日期:2001-12-01 00:00:00
abstract:OBJECTIVE:To assess, in the newborn, the efficacy of a standard taping treatment used in children for two selected congenital toe abnormalities (curly/varus/underlapping toes and overlapping toes), and compare the outcome with the available world literature. METHODS:All children referred by their family physician betw...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/12.9.755
更新日期:2007-11-01 00:00:00
abstract::While terms such as 'essential' and 'nonessential' used amidst the COVID-19 pandemic may serve a practical purpose, they also pose a risk of obstructing our view of the harmful indirect health consequences of this crisis. SARS-CoV-2 cases and deaths in children are minimal compared to adults, but the pandemic impacts ...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxaa077
更新日期:2020-08-01 00:00:00
abstract::Parents of children with type 1 diabetes commonly worry about the ability of school personnel to respond to their child's diabetes needs, and may feel anxious about the health, safety and inclusion of their child in school. Physicians may be confronted by parents' fears, anxieties and apprehension, and need to know ho...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/10.1.25
更新日期:2005-01-01 00:00:00
abstract::In Canada, the National Advisory Committee on Immunization systematically reviews the evidence for the effectiveness and safety of new and old vaccines, and sets a 'minimum' recommended schedule. However, in contrast to other industrialized countries where single, harmonized countrywide immunization schedules are de r...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:
更新日期:2011-01-01 00:00:00
abstract:OBJECTIVE:To determine the current prevalence of smoking among First Nations youth living on reserve within the Saskatoon Tribal Council, and to determine the independent risk indicators associated with smoking among First Nations youth. METHODS:Students in grades 5 to 8 attending school within the Saskatoon Tribal Co...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/16.10.e71
更新日期:2011-12-01 00:00:00
abstract:BACKGROUND:Current recommendations suggest that routine screening for hypoglycemia should be performed in all term newborns with a birth weight (BW) below the 10th percentile. The impact of updated growth curves on the incidence of hypoglycemia in small-for-gestational-age (SGA) newborns has not been evaluated. OBJECT...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/15.5.271
更新日期:2010-05-01 00:00:00
abstract::There have been publically expressed concerns about the costs and allocation of neonatal and perinatal health care resources in Canada and elsewhere for the past 15 years. This paper reports information from a symposium held during the 1996 Canadian Paediatric Society (CPS) annual meeting sponsored by the CPS Section ...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/4.1.51
更新日期:1999-01-01 00:00:00
abstract::[This corrects the article on p. 12 in vol. 20, PMID: 25722635.]. ...
journal_title:Paediatrics & child health
pub_type: 已发布勘误
doi:
更新日期:2015-04-01 00:00:00
abstract:Background:Hyperbilirubinemia is a common neonatal condition requiring timely management to prevent acute bilirubin encephalopathy. Management protocols allow nonphysicians to initiate designated actions prior to physician assessment. Objective:To assess the effectiveness of a nurse-initiated neonatal jaundice managem...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxx056
更新日期:2017-08-01 00:00:00
abstract:BACKGROUND:Child abuse and neglect (CAN) represents an international public health and societal problem, the extent and nature of which are inadequately understood. Child and youth protection programs (CYPPs), based in 16 Canadian paediatric academic health science centres, identify, manage, treat and prevent cases of ...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:
更新日期:2007-03-01 00:00:00
abstract::Hyperbilirubinemia is very common and usually benign in the term newborn infant and the late preterm infant at 35 and 36 completed weeks' gestation. Critical hyperbilirubinemia is uncommon but has the potential for causing long-term neurological impairment. Early discharge of the healthy newborn infant, particularly t...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/12.5.401
更新日期:2007-05-01 00:00:00
abstract::Medically unexplained symptoms in young people can present a challenge for primary care physicians to manage. Despite the prevalence of this clinical problem, physicians feel ill-equipped to deal with it. Families may attribute symptoms to an organic cause, despite the absence of identified pathology, and often resist...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:
更新日期:2008-07-01 00:00:00
abstract::Nontyphoidal Salmonella (NTS) infections are primarily transmitted by contaminated food or water or contact with carrier animals (particularly reptiles), and present with diarrhea. Antibiotics do not decrease the severity or duration of diarrhea and may increase the incidence of NTS carriage, so they should only be us...
journal_title:Paediatrics & child health
pub_type: 杂志文章,评审
doi:10.1093/pch/pxy199
更新日期:2019-02-01 00:00:00