ABSTRACT
This questionnaire study was designed to determine how consultant paediatricians perceived the value of extracorporeal membrane oxygenation (ECMO) in the treatment of meconium aspiration syndrome (MAS). A significant number believed that the survival of infants with MAS who received ECMO was lower than reported. Early discussion with an ECMO centre will ensure appropriate timing of referral.
Subject(s)
Attitude of Health Personnel , Extracorporeal Membrane Oxygenation/psychology , Meconium Aspiration Syndrome/therapy , Pediatrics , Humans , Infant, Newborn , Referral and ConsultationABSTRACT
UNLABELLED: A preterm baby born with scaly skin who later developed recurrent infections and was subsequently diagnosed to have Omenn syndrome is presented. CONCLUSION: Any baby with ichthyotic skin and recurrent infections should have immunodeficiency considered in the differential diagnosis.
Subject(s)
Dermatitis, Exfoliative , Infant, Premature , Severe Combined Immunodeficiency , Agammaglobulinemia , Eosinophilia , Failure to Thrive , Female , Humans , Infant, Newborn , Infections , Lymphatic Diseases , Lymphocytosis , SyndromeABSTRACT
We report 35 bronchoscopies performed in 27 post-neonatal subjects weighing less than 10 kg using an Olympus BC3F20 (3.5 mm diameter) bronchoscope. Twenty-three procedures were performed primarily for investigation of airway anatomy and 12 primarily for broncho-alveolar lavage. Mild oxygen desaturation responsive to increased O2 administration was common. Major complications were infrequent with two children developing lower respiratory tract infection and one patient requiring ventilation overnight. The diagnostic yield was high with 76% of studies in children suspected of airway anomalies proving positive. We conclude that bronchoscopy in this age group is well tolerated and identifies a significant number of abnormalities.
Subject(s)
Lung/pathology , Respiratory Tract Diseases/pathology , Body Weight , Bronchography , Bronchoscopy/methods , Child, Preschool , Female , Fiber Optic Technology , Humans , Infant , Male , Therapeutic IrrigationABSTRACT
This article reviews the management and mortality of 53 neonates with meconium ileus and cystic fibrosis treated in one paediatric surgical centre from 1972 to 1990. Forty-four patients (83 per cent) presented with simple meconium ileus and 26 of 40 patients in this group were successfully treated with Gastrografin enemas. Four patients suffered a perforation as a result of the enema (perforation rate 5 per cent). The 1-year survival rate for simple meconium ileus was 81 per cent and for complicated meconium ileus 75 per cent.
Subject(s)
Cystic Fibrosis/complications , Intestinal Obstruction/therapy , Meconium , Enema , Female , Humans , Infant, Newborn , Intestinal Obstruction/etiology , Intestinal Obstruction/surgery , Intestine, Small/surgery , MaleABSTRACT
Using an electronic inhaler timer device (Nebulizer Chronolog), compliance with the prescribed frequency of inhaled prophylactic medication in 14 asthmatic children was measured. Underuse occurred in 55% of study days while overuse occurred in only 2%. Such devices provide an important new tool for investigating inhaled drug compliance.
