701 e-Letters

  • Foot length and neonatal intubation
    Stephen W Hancock

    Dear Editor

    We were interested to read Embleton et al's study in which they presented a well researched argument for using foot length as a predictor of nasotracheal tube length in neonates [1]. While we do not doubt the accuracy of this method we question some of the intubation techniques described, particularly in an emergency situation.

    It is generally recommended that emergency intubation should be or...

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  • Re: Detection of inborn errors of metabolism in the newborn
    Jane Hawdon

    Dear Editor,

    We enjoyed the useful and practical article about inborn errors of metabolism (IEM). However, we are concerned about the sentence at the bottom of page 205 - "The likelihood of a metabolic disorder is very high in the presence of ketonuria, as neonates otherwise do not readily produce ketones."

    We, and others, have studied large numbers of babies who are normal and have no IEM, and found high...

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  • Re: Birth order and RDS : Some controversy in the literature
    Doug Hacking

    Dear Sir,

    We noted with interest Noar et al's letter of 20th July 2001 describing their as yet unpublished work on outcomes of infants from multiple gestation pregnancies. We look forward to seeing the data and methods of analysis on which their conclusions were based.

    We discussed Nielsen et al's work in our paper where we noted that 'the sample size and analytical approach may explain discrepancies...

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  • Birth order and RDS : Some controversy in the literature
    N Naor

    I read with interest the article by D Hacking et al.
    In their article they stress the significantly increased risk of RDS in the second twin. Our experience presented in the study 'Comparative outcome study between triplet and singleton preterm newborns' [1], differ from their findings. Birth order of the triplets did not influence the incidence or severity of Respiratory distress syndrome(RDS), Tr...

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  • STOP-ROP and pulmonary complications
    Richard Nicholl
    Dear Editor,

    The assertion is made that "babies in the recent STOP-ROP trial who were given enough supplemental oxygen to maintain a saturation of 96-99% (to see if this reduced the severity of the retinopathy they had already developed) developed significantly more pulmonary problems than those only given enough oxygen to maintain a saturation of 89-94%". It is worth noting that: the STOP-ROP study was under powered (8...

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  • Extra-thoracic complications of central lines
    Nilesh M Mehta

    Dear Editor, We read the article by Reece et al [1] and followed the subsequent correspondence with interest. In light of the recent review commissioned by The Chief Medical Officer for England, physicians must be aware of potential complications of peripherally inserted central catheters (PICC).[2] While the true incidence of such events will only be known with prospective data collection, retrospective studies s...

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  • Image inversion
    Ian Bernard
    Dear Editor,

    Long lines are commonplace but putting them in the appropriate place is not so common. The article [1] advocates the use of contrast to position long lines. In a e-letter, Dr Yadav [2] argues against the use of contrast medium until safety is validated. We, at Glan Clwyd Hospital, have found that using the picture archiving and communication system (PACS), line tips are simpler to identify. We use software MedVi...

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  • Treatment of dysmotility in preterm infant: Erythromycin or early feeding?
    M Yadav

    Dear Editor

    I read with interest the trial by Ng PC et al [1].

    In their trial enteral feed was started at median age of more than five days in both the groups. Full enteral feeding was attained in their placebo group by day 33. Their sample size was based on their previous data showing a mean age of 35 days (SD 18.4) when similar group of infants achieved full enteral feeding.

    Very low bir...

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  • Follow up of Bereaved Parents
    Madeleine White

    Dear Editor,

    I read with interest the paper by McHaffie [1] et al on the follow up of bereaved parents after treatment withdrawal from newborns. They comment how they could find no evidence in the literature to support the recommendations for timing of follow up given by the Stillbirth and Neonatal Death Society and how bereavement care is largely an "intuitive response". I wish to offer the following comments:...

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  • Haemoglobinopathy as a cause of nucleated red cells in the fetus and neonate
    Carol Barton

    Dear Editor,

    We are interested in the article by Hermansen [1] on the causes of peripheral nucleated red blood cells in newborn children and would add another differential diagnosis to this finding.

    In the last decade, we have discovered two families affected by haemoglobin disorders where the diagnosis was suspected by the presence of high numbers of nucleated red cells in neonatal blood tests. In neith...

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