eLetters

151 e-Letters

published between 2005 and 2008

  • effects of morphine on plasma adrenaline/noradrenaline concentrations in newborns
    Rachna S Ram

    Dear Editor,

    This article is indeed quite interesting.

    I presented this article at our weekly Journal Club in our hospital's paediatrics department and everyone was more interested in the clinical outcomes (Table 3) of the morphine and placebo treated infants than the association with epinephrine and norepinephrine. However, we could not find P-values for these results and were not able to conlcude how si...

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  • Neonatal non invasive ventilation: different acronyms for different techniques.
    Claudio Migliori

    Dear editor,

    We read with much interest the paper of Owen et al on neonatal nasal intermittent positive pressure ventilation1. We are very thankful to the Authors for the citation of our work on BiPAP in preterm infants. However, we would like to point up that nasal (or nasopharyngeal) inspiratory positive pressure ventilation (NIPPV and NP-SIMV) is quite different from nasal bilevel (or biphasic) positive airway p...

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  • Risks of conservative management of patent ductus arteriosus in preterm infants
    Eleanor J Molloy

    Dear Editor,

    We read with interest the recent article by Vanhaesebrouck S et al describing the conservative management of preterm infants with a patent ductus arteriosus (PDA). We would be interested in the duration of the fluid restriction and the impact on infant growth and kcal/kg/day. From our calculations, expressed human milk with the addition of human milk fortifier (e.g. Nutriprem: approx 85kcals plus 2.3g...

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  • Adjustment of ventilation for treatment of patent ductus arteriosus
    Bai-Horng Su

    Dear Editor,

    An interesting aspect is that the combination of adjustment of ventilation and fluid restriction achieved an overall ductal closure rate of 100%. There is no evidence for any effect of differing ventilation modalities upon the incidence of PDA.

    Both inspiratory time and positive end expiratory pressure (PEEP) can affect the mean airway pressure during mechanical ventilation. But mean airwa...

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  • Variation in practice among paediatric consultants when referring unexpected neonatal deaths to coro
    Anil K Garg

    Dear Editor,

    Thank you to Dr Chonat and colleagues for looking at an important facet of neonatal care. We are concerned about the, frequently used term, in Case 2 “delivered …. after failed forceps”. This phrase could imply ‘incompetence’ on part of attending doctor. An alternative phrase “delivered …….after attempted forceps” implies that all babies cannot always be delivered by ‘forceps’ and does not cast doubt o...

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  • Complication rates
    Matthew Babirecki

    Dear Editor,

    I found this article interesting but found the data presented in Table 2 regarding complication rates to be confusing. An n value of 30 is given for the conservative treatment group. However only 10 babies were "treated" for their PDA, 20 babies did not have a PDA. Therefore is it correct to compare percentage rates with studies of babies who did have a PDA?

    2% of this group had a grade 3 IV...

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  • Initiation and maintaining of lactation among preterm infants' mothers
    Barbara Królak-Olejnik

    Dear Editor,

    Breastfeeding is the optimal method of infant feeding. The American Academy of Pediatrics extended its recommendation of breastfeeding to include premature and other high-risk infants either by direct breastfeeding or using expressed mother's milk. Low birth weight infants represent a vulnerable population at increased risk of neonatal and neurodevelopmental impairments that are far less likely to rec...

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  • Fetal growth and time analysis
    Carlos A Grandi

    Dear Editor,

    In our country (1),comparing local neonatal standards with a fractional growth curve using Mongelli’s formula, at the 10th percentile level (used to define small for gestational age –SGA-), neonatal-derived fetal growth standards of the preterm period (27th - 34th weeks) were significantly lower than the estimated fractional curve and with the Hadlock’s fetal ultrasonographic standards, confirming th...

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  • Investing in human milk
    Anthony JB Emmerson

    Dear Editor,

    The short commentary by Williams et al. is correctly labelled a perspective since it gives only one point of view about a complex subject. The systematic review by Boyd et al. in the same journal provides a carefully balanced overview of the evidence available and recommends further research on the effects of fortified or supplemental breast milk. The real issue however is encapsulated in the title of W...

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  • Discontinuation of neonatal resuscitation in term babies
    Rollo D Clifford

    Dear Editor,

    Sam Richmond (1) helpfully re-iterates current advice that discontinuation of appropriate resuscitation at 10 minutes in the absence of signs of life is justifiable due to the poor prognosis (both for survival and neuro-developmental outcome). A more difficult issue, on which there seem to be no guidelines, is the situation of the baby who shows no signs of life other than return of cardiac output. If...

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