Oxygen During Postnatal Stabilization
KEY POINTS 1. There is a precisely controlled sequence of circulatory and respiratory changes at birth that leads to the establishment of adult-type circulation and airborne respiration. 2. Despite the…
PEDIATRICS
Golden Hour and Thermoregulation
KEY POINTS 1. The first 60 minutes after birth constitutes a Golden Hour for a newborn infant, when appropriate clinical management can improve long-term outcomes. 2. The physiologic transition from…
Placental Transfusion in the Newborn
KEY POINTS 1. Delayed cord clamping (DCC) is a very powerful yet simple, no-cost intervention practice that can transform the lives of children and mothers around the world. 2. DCC…
Radiation Safety in Premature and Critically-Ill Neonates
KEY POINTS 1. Digital radiography is a frequently used imaging technique in neonatal intensive care units (NICUs), with many infants having multiple radiographs during their stays. 2. High-energy photons in…
Neonatal Transport
KEY POINTS 1. Transport is not a benign event for the neonate, the family, and the transport team. 2. Transport is a significant transition in care and has risk and…
Safe Use of Health Information Technology
KEY POINTS 1. Information technology (IT) can improve healthcare in its (1) efficiency in terms of economical achievement of goals, (2) effectiveness by improving the capacity to do so, and…
NICU Environment for Parents and Staff
KEY POINTS 1. The admission of a premature or critically ill infant to a neonatal intensive care unit (NICU) is a stressful event for parents. 2. Parents in the NICU…
Design of Neonatal Intensive Care Units
KEY POINTS 1. Historically, neonatal intensive care units (NICUs) have been designed as open-bay units with multiple patient beds in a room. However, the trend has shifted toward designing units…
Exam questions and answers
This chapter contains 50 questions in the style and format of the MRCPCH AKP examination. A single exam paper would contain 60 questions and take 150 minutes (2½ hours) to…
Evidence-based paediatrics
After reading this chapter you should be able to: • apply evidence-based medicine to clinical practice • interpret a research paper or systematic review appropriately Evidence-based paediatrics requires the paediatrician…
