Clinical Case Database / Category: Teaching and Training
Neonatal resuscitation and intensive care
Publication details
Dr Francesca Garrard MB, BS, BSc, AICSM, Dr Sanjay Rathi DNB (Paed), MRCPCH, DCH, Dr Ziju Elanjikal Dipl. Med.
Foundation Years Journal, volume 4, issue 10, p.17 (123Doc Education, London, January 2011)
Abstract
Neonatal resuscitation and intensive care is based on a systematic approach. In this article, an atypical case of neonatal respiratory distress highlights fundamental transferable lessons applicable to all foundation trainees. Although neonatology is a complex speciality, knowledge of the key differences between adults and neonates will help to reinforce resuscitation principals and the important points of clinical assessment. An increased focus on respiratory distress and causes of neonatal sepsis, will allow juniors to manage many problems effectively. Finally, in paediatrics it is of increased importance to consider and involve the family.
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Authors
Dr Francesca Garrard MB, BS, BSc, AICSM
Womens' and Childrens' Directorate
The Great Western Hospital, Marlborough Road
Swindon, Wiltshire, SN3 6BB
Dr Sanjay Rathi DNB (Paed), MRCPCH, DCH
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Dr Ziju Elanjikal Dipl. Med.
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References
1. European Resuscitation Council. (2006) European paediatric life support. 2nd ed. London: Resuscitation Council (UK).
2. Richard S. (2005) Newborn Life Support. [Online] [Cited 20 Feb 2010]. Available from: URL: http://www.resus.org.uk/pages/nls.pdf.
3. Apgar V. (1853) A proposal for a new method of evaluation of the newborn infant. [Online] [cited 2010 Feb 20]. Available from: URL: http://apgar.net/ virginia/Apgar_Paper.html
4. Bush A. (2009) Prenatal presentation and postnatal management of congenital thoracic malformations. Early Human Development, 85: 679–684.
5. Basu S, Kumar A, Gupta AK. (2009) Complications associated with neonatal resuscitation. Resuscitation, 80: 4–5, 80.
6. Robinson PD, Cooper P, Ranganathan SC. (2009) Evidence-based management of paediatric primary spontaneous pneumothorax. Paediatric Respiratory Reviews, 10: 110–117.
7. O'Lone E, Elphick HE, Robinson PJ. (2008) Spontaneous pneumothorax in children: when is invasive treatment indicated? Pediatric Pulmonology, 43: 41–46.
8. Alter SJ. (1997) Spontaneous pneumothorax in infants: a 10 year review. Pediatric Emergency Care, 13(6): 401–403.
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About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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