https://ogma.newcastle.edu.au/vital/access/ /manager/Index ${session.getAttribute("locale")} 5 'Halving the heel pricks': evaluation of a neonatal jaundice protocol incorporating the use of a transcutaneous bilirubinometer https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:10548 24 h and <8 days of age. The number of Total Serum Bilirubin tests (TSBRs) were compared for the 12 months prior (T1) with a 6-month period and 6 months after protocol introduction (T2). Transcutaneous bilirubin (TcBR) results were also collected in T2. Rates of phototherapy and peak TSBRs at commencement were also compared as measures of safety. Results: Four hundred and twenty-six of the 2197 live births in T1 required one or more TSBRs compared with 119 of the 1169 live births in T2. This represents an odds ratio of 0.47 (95% confidence interval 0.38–0.58) for infants in T2 having ≥1 TSBR compared with T1. There was no difference between the groups for rates of phototherapy (3.8% vs. 3.0%; P = 0.2) nor any difference between the groups for peak SBR during phototherapy (301.9 μmol/L (standard deviation, SD 58) for T1 vs. 303.2 μmol/L (SD 54) for T2; P = 0.45). The estimated cost saving per year is $6966.00. Conclusion: TcBR measurement in conjunction with our protocol significantly reduces painful procedures and costs without increasing the risk of delaying treatment with phototherapy.]]> Sat 24 Mar 2018 08:10:19 AEDT ]]> Ethical issues in preventing mother-to-child transmission of hepatitis B by immunisation https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:17769 Sat 24 Mar 2018 07:57:30 AEDT ]]> Targeted oxygen therapy in special care nurseries: is uniformity a good thing? https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:28483 30% FiO2 for 1 h or more (all ≤ 0.01). This reduction was significant for infants of both gestational age groups. The median duration of oxygen for term/post-term infants was reduced from 12 h pre-protocol to 10 h post-protocol (P= 0.01); however, no significant difference was found for the preterm group (reduced from 11 to 8 h, P= 0.07). Conclusion: Introduction of a uniform oxygen protocol in SCNs for infants ≥33 weeks gestation with respiratory distress reduces the number of infants receiving oxygen and, in term infants, the duration of oxygen exposure.]]> Sat 24 Mar 2018 07:39:36 AEDT ]]> Nasal continuous positive airway pressure for respiratory distress in non-tertiary care centres: what is needed and where to from here? https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:25273 Sat 24 Mar 2018 07:38:17 AEDT ]]> Supraglottic airway devices for administration of surfactant to newborn infants with respiratory distress syndrome: a narrative review https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:39809 Fri 24 Jun 2022 09:07:06 AEST ]]> Lost in Transition: Is Early Respiratory Support in Newborn Infants the Best Option? https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:41768 Fri 12 Aug 2022 11:56:28 AEST ]]>