Showing papers by "Yuan Shi published in 2014"

A prospective, randomized, controlled study of NIPPV versus nCPAP in preterm and term infants with respiratory distress syndrome

Abstract: SummaryObjective To evaluate whether nasal intermittent positive pressure ventilation (NIPPV) compared with nasal continuous positive airway pressure (nCPAP) decreases the requirement for endotracheal ventilation in preterm and term infants with respiratory distress syndrome (RDS). Methods This was a single center, randomized, controlled trial. A total of 179 preterm and term infants with RDS were randomized to NIPPV (n = 88) or nCPAP (n = 91). The clinical data of enrolled infants including blood gas analysis, PaO2/FiO2 ratio, incidence of intubation, and complications, if occurred, were recorded. The primary outcome was the need for endotracheal ventilation. The secondary outcome was the measurement of favorable outcome, which was defined as discharged without any respiratory support and feeding well and gaining weight. Analysis followed slightly modified intention to treat principle. Results Significantly less number of infants randomized to NIPPV group required intubation and mechanical ventilation compared with nCPAP group (11.4% vs. 20.9%, P < 0.05). A favorable outcome was more likely in infants randomized to NIPPV (93.2% vs. 84.6%, P < 0.05). In subgroup analysis, NIPPV was associated with reduced need for intubation in preterm (9.9% vs. 19.2%) and term (17.6% vs. 27.8%) infants, but the difference was statistically significant only in preterm infants(P < 0.05). Conclusion Treatment with NIPPV compared with nCPAP decreased the need for endotracheal ventilation and increased favorable outcome in preterm and term infants with RDS. Pediatr Pulmonol. 2014; 49:673–678. © 2013 Wiley Periodicals, Inc.

Nasal Intermittent Positive Pressure Ventilation with Heliox in Premature Infants with Respiratory Distress Syndrome: A Randomized Controlled Trial.

Abstract: Objective To assess the efficacy of nasal intermittent positive pressure ventilation with heliox in preterm infants with respiratory distress syndrome.

Post-Newborn: A New Concept of Period in Early Life

Abstract: Post-newborn infants refer to infants from >28 days to <100 days after birth. During this period, infants are still completely dependent on breast milk or/and formula milk for feeding. Up to now, the concept of post-newborn has not been mentioned in classic textbooks. With the development of perinatal medicine, mortality rate of diseases in neonates such as premature infants, asphyxia, infectious diseases have decreased significantly, and consequently, issues of the quality of life for these survivors have aroused widespread concerns. The post-newborn infants have some important characteristics differing from both newborn infants and infants after the period: (1) different fatal diseases and mortality rate; (2) the diseases inherited from newborn period requiring early and prompt treatments; (3) some peculiar diseases during this period requiring much attention; (4) either similar or different immune function; (5) rapid growth and uneven development of organ systems. Establishment of the new concept of post-newborn will further reveal the nature of life, reduce the mortality rate of infants, and improve the quality of life.

Square paper type electrode positioning method for newborn baby

Abstract: The invention discloses a square paper type electrode positioning method for a newborn baby. The method comprises the steps that firstly, medical paper adhesive tape passes through the center of the top of the head from the nasion portion and adheres to the external occipital protuberance portion, the length of the adhesive tape is measured, and a central point is drawn and serves as a Cz central point; according to the length of the adhesive tape, 40% of the adhesive tape is taken to form square adhesive tape by cutting and the central angle of the square adhesive tape is cut off after the square adhesive tape is folded in half; a cross is drawn and passes through the central point; the adhesive tape passes through the middle of the top of the head from the nasion portion again and adheres to the occipital bone portion; the center of the square adhesive tape is aligned with the central point drawn on the adhesive tape, the angles of the two ends of the cross are an Fz electrode position and a Pz electrode position respectively, and the four corners of the square adhesive tape are an F3 electrode position, an F4 electrode position, a P3 electrode position and a P4 electrode position respectively. The method is simple in operation and capable of saving time and being implemented by all medical staff; the number of steps is small, errors are reduced, and electrode positioning is accurate; the method is suitable for newborn babies with various diseases, accords with the international 10-20 positioning method, enables the electrode positions to be obtained by measurement and effectively solves the problem that electrode positioning of the newborn baby is difficult.