BMJ

Implementation and evaluation of the sbar tool in the communication between medical staff in obstetrics

Background A key feature in patient safety is clear communication. In recent years the SBAR tool (situation, background, assessment and recommendation) has been advocated as a means of standardising ...
BMJ

Echocardiographic assessment of patent ductus arteriosus shunt flow pattern in premature infants

a Department of Neonatology, Tokyo Metropolitan Tsukiji Maternity Hospital, Tokyo, Japan, b Department of Pediatrics, Faculty of Medicine, University of Tokyo, Tokyo, Japan Dr Bai-Horng Su, Division ...
BMJ

Making sense of the evidence: designing randomised controlled trials for preterm infants with high-shunt volume patent ductus arteriosus

Management of the patent ductus arteriosus (PDA) in preterm infants remains controversial. Randomised controlled trials (RCTs) have shown that administering pharmacotherapy, predominantly ibuprofen, a ...
BMJ

Preterm infants: immunity and immunisation

Preterm birth affects around 7–8% of pregnancies in the UK. There are immunological consequences of preterm birth, epidemiological differences in infectious diseases in the preterm population and ...
BMJ

Neonatal stroke active surveillance BPSU study in the UK and the Republic of Ireland with a meta-analysis of national surveillance studies

Objective Assess the incidence, presentation, management and short-term outcomes of neonatal stroke in the UK and Ireland (ROI). Design Active surveillance (British Paediatric Surveillance Unit) study ...
BMJ

Association of maternal diabetes mellitus with preterm infant outcomes: a systematic review and meta-analysis

Correspondence to Dr Abdul Razak, Division of Neonatology, Department of Pediatrics, Princess Nourah Bint Abdulrahman University, Riyadh, 11671, Saudi Arabia; aabdulkhader{at}pnu.edu.sa; ...
BMJ

Development and initial validation of the EDIN scale, a new tool for assessing prolonged pain in preterm infants

OBJECTIVE To develop and validate a scale suitable for use in clinical practice as a tool for assessing prolonged pain in premature infants. METHODS Pain indicators identified by observation of ...
BMJ

Learning the right lessons from the SUPPORT study controversy

Ten years ago, there was well-known and widespread practice variation in the levels of oxygen that neonatologists provided to premature babies.1 Neonatal intensive care units (NICUs) targeted oxygen ...
BMJ

Early hypophosphataemia and refeeding syndrome in extremely low birthweight babies and outcomes to 2 years of age: secondary cohort analysis from the ProVIDe trial

Objective To investigate in extremely low birthweight (ELBW; <1000 g) babies the associations between refeeding syndrome (serum phosphate <1.4 mmol·L-1 and serum total calcium>2.8 mmol·L-1) and ...
BMJ

Switch from intravenous-to-oral antibiotics in neonatal probable and proven early-onset infection: a prospective population-based real-life multicentre cohort study

Objective To evaluate the implementation of switch from intravenous-to-oral antibiotic therapy with amoxicillin in neonates with early-onset infection (EOI). Design, setting and patients A ...
BMJ

Glucose monitoring in neonates: need for accurate and non-invasive methods

1 Division of Neonatology, Department of Pediatrics, School of Medicine, University of Maryland, Baltimore, Baltimore, Maryland, USA 2 Department of Chemical, Biochemical and Environmental Engineering ...