Journal ArticleDOI
Late-onset circulatory collapse of prematurity
TLDR
The current increase in LCC in Japan suggests that the principal trigger is related to recent trends in neonatal medicine and/or newly introduced treatments for preterm infants, but the pathophysiology has not been fully elucidated.Abstract:
Late-onset circulatory collapse (LCC) is a refractory hypotension occurring after the early neonatal period (>day 7), in very low-birthweight infants. Typically, infants stabilized within the early neonatal period develop sudden onset of circulatory collapse after the early neonatal period. The underlying pathophysiology of LCC is considered to be relative adrenal insufficiency, which is well known in Japan, but is not widely accepted in North America or Europe. The current increase in LCC in Japan suggests that the principal trigger is related to recent trends in neonatal medicine and/or newly introduced treatments for preterm infants, but the pathophysiology has not been fully elucidated. In this review, based on current knowledge regarding LCC, the pathophysiology is discussed.read more
Citations
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Journal ArticleDOI
An Immature Science: Intensive Care for Infants Born at ≤23 Weeks of Gestation
Matthew A. Rysavy,Katrin Mehler,André Oberthür,Johan Ågren,Satoshi Kusuda,Patrick J. McNamara,Regan E. Giesinger,Angela Kribs,Erik Normann,Susan J. Carlson,Jonathan M. Klein,Carl H. Backes,Edward F. Bell +12 more
Journal ArticleDOI
Non-invasive neurally adjusted ventilatory assist versus nasal intermittent positive-pressure ventilation in preterm infants born before 30 weeks’ gestation
Kousuke Yonehara,Ryo Ogawa,Yoshiya Kamei,Arata Oda,Masayo Kokubo,Takehiko Hiroma,Tomohiko Nakamura +6 more
TL;DR: Non‐invasive neurally adjusted ventilatory assist (NIV‐NAVA), a mode of non-invasive ventilation controlled by diaphragmatic electrical activity, may be superior to other NIV as a respiratory support after extubation in preterm infants, but no report has compared NIV‐ NAVA with other Niv methods.
Journal ArticleDOI
Neonatal factors related to center variation in the incidence of late-onset circulatory collapse in extremely preterm infants.
TL;DR: PVL, ROP, HFOV use and RBC transfusion were found to be correlated with the center variation in the incidence of LCC, and the cause of the cause was examined using the standardized incidence ratios (SIRs) and individual factors.
Journal ArticleDOI
Late-Onset Circulatory Collapse and Risk of Cerebral Palsy in Extremely Preterm Infants.
Kazuaki Yasuoka,Hirosuke Inoue,Naoki Egami,Masayuki Ochiai,Koichi Tanaka,Toru Sawano,Hiroaki Kurata,Masako Ichiyama,Junko Fujiyoshi,Yuki Matsushita,Yasunari Sakai,Shouichi Ohga +11 more
TL;DR: Late-onset circulatory collapse may be a relatively common event occurring in extremely preterm infants and an independent risk factor for CP at 3 years of age.
Journal ArticleDOI
A nationwide survey on tracheostomy for very-low-birth-weight infants in Japan.
Hiroaki Kurata,Masayuki Ochiai,Hirosuke Inoue,Masako Ichiyama,Kazuaki Yasuoka,Junko Fujiyoshi,Yuki Matsushita,Satoshi Honjo,Yasunari Sakai,Shouichi Ohga +9 more
TL;DR: The epidemiology and risk factors in VLBWIs with tracheostomy after birth in Japan with prolonged respiratory problems during the perinatal period are clarified.
References
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Early surfactant administration with brief ventilation vs. selective surfactant and continued mechanical ventilation for preterm infants with or at risk for respiratory distress syndrome.
TL;DR: Two treatment strategies in preterm infants with, or at risk for, RDS are compared: early surfactant administration with brief mechanical ventilation (less than one hour) followed by extubation, vs later, selective surfactants administration, continued mechanical ventilation andextubation from low respiratory support.
Journal ArticleDOI
Prophylaxis of early adrenal insufficiency to prevent bronchopulmonary dysplasia: a multicenter trial.
Kristi L. Watterberg,Jeffrey S. Gerdes,Cynthia H. Cole,Susan W. Aucott,Elizabeth H. Thilo,Mark C. Mammel,Mark C. Mammel,Robert J. Couser,Jeffery S. Garland,Henry J. Rozycki,Corinne L. Leach,Conra Backstrom,Michele L. Shaffer +12 more
TL;DR: Low-dose hydrocortisone therapy for prophylaxis of early adrenal insufficiency did not improve survival without BPD in the overall study population; however, treatment of chorioamnionitis-exposed infants significantly decreased mortality and improved survivalWithout BPD.
Journal ArticleDOI
Effects of thyroxine supplementation on neurologic development in infants born at less than 30 weeks' gestation
A. G. van Wassenaer,J. H. Kok,J. J. M. De Vijlder,Judy M. Briët,Bert J. Smit,Pieter Tamminga,A.L. van Baar,Friedo W. Dekker,T. Vulsma +8 more
TL;DR: In infants born before 30 weeks' gestation, thyroxine supplementation does not improve the developmental outcome at 24 months, and neither mental nor psychomotor scores differed significantly between study groups at any time.