eLetters

462 e-Letters

published between 2013 and 2016

  • Authors' reply to Dr Ahmed
    Lynne Marriott

    Dear Editor

    We thank Dr Ahmed for his kind comments about our study.[1] We are happy to provide the additional clarification he requests.

    Firstly, we included 9 babies with a birth weight less than 1.0 kg and 14 babies of gestational age less than 28 weeks in the study, equally distributed between the intervention and control groups. We agree that it would be interesting to repeat the research in an extremely...

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  • Response to Prof. Shah's Letter
    George M. Morley

    Dear Editor,

    Professor Shah has submitted a comprehensive and well-documented response that agrees and disagrees with my letters. With clarification of a few points, I find that we may be very close to complete agreement, and to major improvement in neonatal outcome.

    Regarding the definition of “asphyxia,” for want of a better, I use the term to describe the sum total of pathologies produced by compressi...

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  • Neonatal long lines and pericardial effusions: a differance between silicone and polyurethane?
    Antoine Bedu

    Dear Editor

    We read with interest the articles of Menon and Beardsall et al.[1,2] especially as we recently experienced in a very low birth weight baby a pericardial effusion case related to a neonatal long line. This percutaneous long line was a polyurethane one and it was not surprising for us as the Agence Francaise de Sécurité Sanitaire des Produits de Santé (AFSSPS) (“French Agency for Health Products an...

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  • Recording of central venous line tips post insertion
    Edna NK Asumang

    Dear Editor,

    I read with interest the publication of the audit on the use of central venous lines(CVL) by DW Cartwright.

    He reported that 58.6% of the catheters were postioned in the right atrium, but there was no breakdown of where the other 41.8% tips were located. Probably this was because he was interested in only catheters in the right atrium. I would have liked to know as well if this information was i...

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  • Author's Reply
    Ayala Maayan-Metzger

    Dear Editor

    We welcome the comment by Hassib Narchi on our paper.[1]

    We (and our statistical advisor) think we did analyze our data properly, but it is possible that methods description was lacking. Matching a control new born to each of the study babies was only for the purpose of creating a gestational age balanced control group. From that point on, we compared the statistics of the two groups rather than...

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  • Inadvertent overdosing of neonates due to dead space of syringe hub and needle
    Vikas Bhambhani

    Dear Editor,

    Chappell and Newman [1] have asked for urgent initiatives needed to ensure the manufacture of neonatal targeted products to reduce the risks associated with intravenous drug administration. We endorse their view and report a little recognized problem with use of adult formulations in neonatal nurseries

    This investigation was conducted after we noticed symptoms of Digoxin overdose (brady-arrhythmia)...

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  • Catheter material
    Gopi Menon

    Dear Editor

    It is interesting to hear of the French experience of long lines reported by Bedu et al.[1]

    It is difficult to come to conclusions about real differences in incidence of pericardial effusion (PCE) with different catheter types with just one adverse event in each group in the AFSSPS survey.[2] The results of this survey may hide other factors, including type of unit (amount of experien...

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  • Neonatal coagulopathy: is the liver OK?
    Nedim Hadzic

    Dear Editor,

    I have read with interest a systematic and well-referenced review of causes of neonatal coagulation disorders in recent Archives [1]. However, amongst non-haematological causes of the coagulopathies the author has failed to mention a small, but significant subgroup of patients with neonatal liver failure (NLF).

    This condition could often be difficult to diagnose due to presence of jaundice (ea...

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  • Fever must be differentiated from hyperthermia
    A. Sahib M El-Radhi

    Dear Editor

    I read with interest the paper by Maayan-Metzger et al.[1]

    Unfortunately the term "fever" in the article is equated with "hyperthermia". They write:
    "fever... is related primarily to dehydration, breast feeding, infection.."
    Dehydration is one the common causes of hyperthermia, that is non-interleukin peripherily-mediated elevation of body temperatu...

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  • Reply to : Septic infants: Pandora box reopens
    Dror Mandel

    Dear Editor

    We appreciate the interest of Dr Gupta and his thoughtful comments.[1]

    1. Primary disease of the neonates included in the study: Our original submission to the journal included a complete table describing in many more details the patient population. At the request of the reviewers/editors to shorten the paper, we removed the table which is now attached at the end of this letter.

    2. Antibiot...

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