Letter To The Editor

PEDIATRICS ◽  
1996 ◽  
Vol 97 (4) ◽  
pp. 603-603
Author(s):  
Ricki F. Goldstein

The purpose of this study1 was not to identify any single variable that, by itself, could predict neurologic or developmental outcome in premature infants. Rather, it was to further investigate the previously published finding that acidosis was one of the factors in the newborn period that was influential in predicting poor motor performance and neurologic outcome at 2 years in very low birth weight infants.2 As stated in the introduction, we sought to determine whether it was the metabolic or respiratory component of acidosis that was associated with poor outcome.

Author(s):  
Anitha Madayi ◽  
Luming Shi ◽  
Yanan Zhu ◽  
Lourdes Mary Daniel ◽  
Asila Alia Noordin ◽  
...  

Author(s):  
A. V. Migali ◽  
K. A. Kazakova ◽  
Yu. S. Akoyev ◽  
V. M. Studenikin ◽  
M. A. Varichkina ◽  
...  

Innovative technologies in the reanimation and intensive therapy permitted to improve the survival of premature infants, including those with extremely low birth weight infants. There are considered various issues of practical medical care for very-low-birth weight infants in the first three years of life. The special attention is given to patients with bronchopulmonary dysplasia (BPD). There is briefly presented the own authors’ experience of the observation for premature infants in conditions of a multidisciplinary team care approach. There were described such important aspects of the mentioned category of patients as neurodietology/nutritional rehabilitation, compliance with aseptic environmental conditions, the correction of visual and hearing impairment, treatment of neurological deficit, especially neuropharmacology, treatment of paroxysmal disorders and epilepsy.


2016 ◽  
Vol 19 (1) ◽  
pp. 45-52 ◽  
Author(s):  
Robin B. Knobel-Dail ◽  
David T. Tanaka ◽  
Diane Holditch-Davis ◽  
John White

Background: Our program of research focuses on thermal and circulatory stability in extremely premature infants. In prior studies, we found that infants have long periods of time in which foot temperature (FT) is higher than central temperature. We thus wanted to determine whether blood flow in the foot is increased when FT is elevated. Perfusion index (PI) can be used as a clinical indicator of peripheral perfusion, but reports on use of PI in premature infants are lacking. We employed exploratory methodology to examine foot perfusion and temperature in very low birth weight infants. Aims: For premature infants after birth: (1) describe foot PI values for the first 2 weeks of life and (2) describe the relationship of longitudinal FT and PI. Study Design: Case study design with longitudinal FT and PI in 17 infants born at <29 weeks’ gestation with birth weight < 1,200 g for 2 weeks after birth. Results: Infants averaged 851 g at birth and were 24–29 weeks’ gestational age. The mean PI across all infants for 14 days was 1.04, SD = 0.79. Using a repeated measures multilevel model approach confirmed that FT and PI were positively related in these infants. Conclusions: These findings demonstrate that perfusion is increased in the periphery in extremely premature infants when FT is increased. PI measures can be used as a trend for peripheral perfusion, and these values increase over the first 2 weeks of life in infants weighing more than 750 g.


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