Abstract:
:Apnea of prematurity (AOP) is frequently managed with nasal continuous positive airway pressure (NCPAP). Nasal cannula (NC) are used at low flows (<0.5 L/min) to deliver supplemental oxygen to neonates. A number of centers use high-flow nasal cannula (HFNC) in the management of AOP without measuring the positive distending pressure (PDP) generated. Objective. To determine the NC flow required to generate PDP equal to that provided by NCPAP at 6 cm H(2)O and to assess the effectiveness of HFNC as compared NCPAP in the management of AOP. Method. Forty premature infants, gestation 28.7 +/- 0.4 weeks (mean +/- standard error of mean), postconceptual age at study 30.3 +/- 0.6 weeks, birth weight 1256 +/- 66 g, study weight 1260 +/- 63 g who were being managed with conventional NCPAP for at least 24 hours for clinically significant apnea of prematurity, were enrolled in a trial of ventilator-generated conventional NCPAP versus infant NC at flows of up to 2.5 L/min. End expiratory esophageal pressure was measured on NCPAP and on NC, and the gas flow on NC was adjusted to generate an end expiratory esophageal pressure equal to that measured on NCPAP. Two 6-hour periods were continuously recorded and the data were stored on computer. Results. The flow required to generate a comparable PDP with NC varied with the infant's weight and was represented by the equation: flow (L/min) = 0.92 + 0.68x, x = weight in kg, R = 0.72. There was no difference in the frequency and duration of apnea, bradycardia or desaturation per recording between the 2 systems. Conclusion. NC at flows of 1 to 2.5 L/min can deliver PDP in premature neonates. HFNC is as effective as NCPAP in the management of AOP.
journal_name
Pediatricsjournal_title
Pediatricsauthors
Sreenan C,Lemke RP,Hudson-Mason A,Osiovich Hdoi
10.1542/peds.107.5.1081subject
Has Abstractpub_date
2001-05-01 00:00:00pages
1081-3issue
5eissn
0031-4005issn
1098-4275journal_volume
107pub_type
临床试验,杂志文章相关文献
PEDIATRICS文献大全abstract:OBJECTIVE:The purpose of this work was to evaluate whether education about zinc supplements and provision of zinc supplements to caregivers is effective in the treatment of acute diarrhea and whether this strategy adversely affects the use of oral rehydration salts. PATIENTS AND METHODS:Six clusters of 30,000 people e...
journal_title:Pediatrics
pub_type: 杂志文章,随机对照试验
doi:10.1542/peds.2007-1939
更新日期:2008-05-01 00:00:00
abstract:OBJECTIVE:To compare perinatal outcomes among the managed care organizations (MCOs) providing care to beneficiaries enrolled in TennCare, Tennessee's capitated Medicaid managed care program. DESIGN:Retrospective cohort analysis. SUBJECTS:Infants born in Tennessee during 1995 to women enrolled in TennCare. PRIMARY OU...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.104.3.525
更新日期:1999-09-01 00:00:00
abstract:CONTEXT:Intussusception is the most common cause of intestinal obstruction in young children, and delayed diagnosis may lead to bowel perforation. OBJECTIVE:To determine predictive clinical criteria and develop a decision tree to risk-stratify children with possible intussusception. DESIGN/METHODS:This is a prospecti...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2010-2432
更新日期:2011-02-01 00:00:00
abstract::Several nutritional surveys have shown that African-American children have lower mean hematocrit and hemoglobin values than white children. While the high prevalence of both alpha and beta thalassemias in African-American children can partly account for the lower hematologic values, the remaining differences cannot be...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1993-04-01 00:00:00
abstract:OBJECTIVES:Medication reconciliation errors on hospital admission can lead to significant patient harm. A pediatric intermediate care unit initiated a quality improvement project and aimed to reduce errors in admission medication reconciliation by 50% in 12 months. METHODS:From August 2017 to December 2018, a multidis...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2019-2464
更新日期:2020-12-01 00:00:00
abstract::Fatal lead encephalopathy has disappeared and blood lead concentrations have decreased in US children, but approximately 25% still live in housing with deteriorated lead-based paint and are at risk of lead exposure with resulting cognitive impairment and other sequelae. Evidence continues to accrue that commonly encou...
journal_title:Pediatrics
pub_type: 指南,杂志文章,实务指引
doi:10.1542/peds.2005-1947
更新日期:2005-10-01 00:00:00
abstract:OBJECTIVES:This article reports on the progress made in addressing pediatric medical device needs through the establishment of the Pediatric Device Consortia Grant Program. Pediatric practitioners should be aware of both the imperative for well-studied devices for children and the existence of recently created resource...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2012-1534
更新日期:2013-05-01 00:00:00
abstract:OBJECTIVE:To compare early nondrinkers, experimenters, and drinkers on the prevalence of problem behaviors at grades 7 and 12 and at age 23 (N = 6338, 4265, and 3369, respectively). METHODS:Results are based on longitudinal self-report data from individuals who were originally recruited from 30 California and Oregon s...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.111.5.949
更新日期:2003-05-01 00:00:00
abstract::A caregiver may fail to recognize or respond to a child's medical needs for a variety of reasons. An effective response by a health care professional to medical neglect requires a comprehensive assessment of the child's needs, the parents' resources, the parents' efforts to provide for the needs of the child, and opti...
journal_title:Pediatrics
pub_type: 杂志文章,评审
doi:10.1542/peds.2007-2903
更新日期:2007-12-01 00:00:00
abstract:OBJECTIVES:Adolescents with justice system involvement have high rates of physical and behavioral health disorders and are potentially high users of costly health care services. We examined emergency department (ED) and hospital use among a national sample of adolescents with various levels of justice involvement. MET...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2017-1144
更新日期:2017-11-01 00:00:00
abstract::: media-1vid110.1542/5799875103001PEDS-VA_2017-3616Video Abstract OBJECTIVES: Noncigarette tobacco products may confer a risk of marijuana use similar to combustible cigarettes. We examined whether adolescent electronic cigarette (e-cigarette), hookah, or combustible cigarette use is associated with initiating and cur...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2017-3616
更新日期:2018-09-01 00:00:00
abstract::Venous thrombosis can complicate inflammatory bowel diseases, both in adult and pediatric patients, and a few adult cases of thrombotic storm, ie, thrombosis at multiple sites occurring over a period of a few days to a few weeks, have been described. However, venous thrombosis as the first manifestation of an inflamma...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2012-2365
更新日期:2013-04-01 00:00:00
abstract::Nineteen children with rheumatic diseases refractory to standard treatment were given repeated large "pulses" of corticosteroid therapy. The pulses consisted of four repeated doses of 500 mg of hydrocortisone given intravenously over 20 to 30 minutes at six-hour intervals or of single intravenous injections of 30 mg/k...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1980-05-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:The Value in Inpatient Pediatrics Network sponsored the Improving Care in Community Acquired Pneumonia collaborative with the goal of increasing evidence-based management of children hospitalized with community acquired pneumonia (CAP). Project aims included: increasing use of narrow-spectrum ...
journal_title:Pediatrics
pub_type: 杂志文章,多中心研究
doi:10.1542/peds.2016-1411
更新日期:2017-03-01 00:00:00
abstract:OBJECTIVE:To examine whether the Safe Environment for Every Kid (SEEK) model of enhanced primary care would improve the attitudes, knowledge, comfort, competence, and behavior of child health care professionals (HPs) regarding addressing major risk factors for child maltreatment (CM). METHODS:In a cluster randomized c...
journal_title:Pediatrics
pub_type: 杂志文章,随机对照试验
doi:10.1542/peds.2010-1845
更新日期:2011-04-01 00:00:00
abstract::To test the commonly held premise that prematurity is a risk factor for problems of behavior and social interaction, as well as cognitive and physical development, temperament and behavior of children born preterm and full-term control subjects were compared at five separate time periods from infancy through early sch...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1991-06-01 00:00:00
abstract::Heart rate and blood pressure changes following 0.5% tropicamide and 2.5% phenylephrine hydrochloride were evaluated in seven ill preterm infants (birth weight, 910 to 2,060 gm; gestational age, 26 to 36 weeks) during the first day of life. Each infant was monitored continuously for 30 minutes before and for 75 minute...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1981-08-01 00:00:00
abstract:OBJECTIVE:We examined the association between type of child care, participation in different types of child care in the year before kindergarten and the likelihood of obesity at the start of kindergarten. METHODS:Using a nationally representative sample of 15 691 first-time kindergartners from the Early Childhood Long...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2007-2233
更新日期:2008-08-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Inpatient pediatric mental health is a priority topic for national quality measurement and improvement, but nationally representative data on the patients admitted or their diagnoses are lacking. Our objectives were: to describe pediatric mental health hospitalizations at general medical facil...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2013-3165
更新日期:2014-04-01 00:00:00
abstract::An infant has a massive intracranial hemorrhage. She is neurologically devastated and ventilator-dependent. The prognosis for pulmonary or neurologic recovery is bleak. The physicians and parents face a choice: withdraw the ventilator and allow her to die or perform a tracheotomy? The parents cling to hope for recover...
journal_title:Pediatrics
pub_type: 杂志文章,评审
doi:10.1542/peds.2016-2585
更新日期:2016-12-01 00:00:00
abstract::The American Academy of Pediatrics recently released its new Technical Report and Policy Statement on male circumcision, concluding that current evidence indicates that the health benefits of newborn male circumcision outweigh the risks. The technical report is based on the scrutiny of a large number of complex scient...
journal_title:Pediatrics
pub_type: 评论,杂志文章
doi:10.1542/peds.2012-2896
更新日期:2013-04-01 00:00:00
abstract:OBJECTIVE:To examine the relationship between annual provider (hospital and surgeon) volume of pediatric cardiac surgery and in-hospital mortality. DESIGN:Population-based retrospective cohort study using a clinical database. SETTING:The 16 acute care hospitals in New York with certificate of need approval to perform...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.101.6.963
更新日期:1998-06-01 00:00:00
abstract:OBJECTIVE:More than 25 million children in the United States are dependent on federal and state medical insurance programs for their health care needs. In California, 3.25 million children depend on Medi-Cal for their health insurance. In Southern California alone, the figure is as high as 1.81 million. However, 9.30 m...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2004-0210
更新日期:2004-11-01 00:00:00
abstract:BACKGROUND:Children with sickle cell anemia (SCA) are at increased risk for invasive pneumococcal disease; antibiotic prophylaxis significantly reduces this risk. We calculated the proportion of children with SCA who received ≥300 days of antibiotic prophylaxis and identified predictors of such receipt. METHODS:Childr...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2017-2182
更新日期:2018-03-01 00:00:00
abstract:BACKGROUND:The relation between smoke exposure in early life, the prenatal period in particular, and the vascular development of young children is largely unknown. METHODS:Data from the birth cohort participating in the WHISTLER-Cardio study were used to relate the smoking of parents during pregnancy to subsequent vas...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2011-0249
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVE:To review systematically and to summarize the existing literature regarding performance of rapid diagnostic tests for urinary tract infection (UTI) in children. DESIGN:Systematic review and meta-analysis. METHODS:Published articles reporting the performance of urine dipstick tests (leukocyte esterase [LE] a...
journal_title:Pediatrics
pub_type: 杂志文章,meta分析
doi:10.1542/peds.104.5.e54
更新日期:1999-11-01 00:00:00
abstract:BACKGROUND:There has been a gradual decrease in the proportion of children covered by private health insurance in Colorado and the United States with a commensurate increase in those with public insurance or having no insurance which may impact access to care and outcomes. OBJECTIVE:The purpose of this work was to det...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2006-0162
更新日期:2006-08-01 00:00:00
abstract:OBJECTIVES:Patent ductus arteriosus (PDA) remains a challenging issue in very low birth weight (VLBW) infants, and its management varies widely. Our aim in this study was to document the natural course of ductus arteriosus in a cohort of VLBW infants who underwent conservative PDA management with no medical or surgical...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2016-4258
更新日期:2017-08-01 00:00:00
abstract::Some functions of an electronic health record system are much more important in providing pediatric care than in adult care. Pediatricians commonly complain about the absence of these "pediatric functions" when they are not available in electronic health record systems. To stimulate electronic health record system ven...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2006-3527
更新日期:2007-03-01 00:00:00
abstract::Between June 1979 and June 1989, 54 children with urolithiasis were evaluated and treated at the Johns Hopkins Children's Center. The most common symptoms were flank or abdominal pain (58%) and gross hematuria (28%). In 46 children (86%), stones were secondary to a preexisting condition and in only 8 (14%) no apparent...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1991-04-01 00:00:00