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Pulse oximetry, severe retinopathy, and outcome at one year in babies of less than 28 weeks gestation
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  • Published on:
    Oxygen saturation and retinopathy of prematurity - Authors' response
    • Win Tin
    • Other Contributors:
      • "David Milligan, Philippa Pennefather"

    Dear Editor,

    We are happy to make it clear that we have never suggested that hypoxia is "beneficial" to babies with chronic lung disease. Indeed in describing our own practice we said, quite specifically, that "babies who were at least 8 weeks old [and it should be remembered that all our babies were born more than 12 weeks early], and whose retinal vasculature was mature, received liberal oxygen supplementatio...

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    Conflict of Interest:
    None declared.
  • Published on:
    Two sacred cows of neonatal intensive care - Authors' response

    Dear Editor,

    I am glad to have a chance to respond to Dr Roberton's assertion that the care of the babies nursed using oximeter settings of 70-90% was "negligent", since I was responsible for these children, but time and space does not allow a full response. Neither does space allow me to respond to the criticism implicit in your own introductory statement that such care "breaches BAPM guidelines".

    Dr R...

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    Conflict of Interest:
    None declared.
  • Published on:
    Two sacred cows of neonatal intensive care
    Dear Editor,

    I read the descriptive study of Tin at al[1] with considerable interest. In essence it challenges two sacred cows of neonatal intensive care, whether intra-arterial monitoring is necessary, and what is the appropriate PaO2 at which to nurse critically ill babies.

    Arterial Monitoring
    They do not give us accurate details of arterial catheter use. There is a hint that they are used...

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    Conflict of Interest:
    None declared.
  • Published on:
    Oxygen saturation and retinopathy of prematurity
    • Rob Primhak, Senior Lecturer in Respiratory Paediatrics
    Dear Editor,

    The observations of Tin et al have led them to suggest that babies may have better overall outcomes when unit policies aim at oxygen levels of 70-90%, much lower than current practice in most NICUs. While I would support their call for further well-designed research into this question, I have major concerns that this concept of beneficial hypoxia might creep into clinical practice, and even be extended to...

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    Conflict of Interest:
    None declared.