Monthly Archives: December 2017

Infusing TPN in babies too rapidly poses risk of severe harm and death

A Patient Safety Alert was issued on the 27 September warning of the risk of severe harm and death from infusing total parenteral nutrition (TPN, also known as PN) too rapidly in babies. Three incidents reported through the StEIS (Strategic … Continue reading

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Rainbow Trust neonatal care: caring for families who have a child with a life threatening or terminal illness

Rainbow Trust Children’s Charity is an England-wide charity that works with families who have a child with a life threatening or terminal illness. It employs family support workers who work with individual families offering tailor-made emotional and practical support. Families … Continue reading

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The use of ECMO to treat infection in paediatric patients

The use of extracorporeal membrane oxygenation (ECMO) in term babies with severe but potentially reversible respiratory failure results in significantly improved survival without increased risk of severe disability. This article describes a case series of children referred for sepsis to … Continue reading

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Improving the early detection of cleft palate in the UK

In September 2017 the Royal College of Paediatrics and Child Health (RCPCH) launched its eLearning module Cleft Palate: Examination in the Newborn. Its aim is to improve the early identification of cleft palate which, despite a seemingly obvious appearance, is … Continue reading

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Glucose Gel as a Treatment Strategy for Transient Neonatal Hypoglycemia

Transient asymptomatic neonatal hypoglycemia (TANH) is common as infants transition from their mother’s energy stores to their own. There is little evidence supporting the blood glucose threshold that indicates a need for treatment although sustained hypoglycemia has been correlated with … Continue reading

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Congenital Infantile Fibrosarcoma in the Premature Infant

Congenital infantile fibrosarcoma (CIF) is rare and represents less than 1% of all childhood cancers. It is a tumor that originates in the connective fibrous tissue found at the ends of long bones and then spreads to other surrounding soft … Continue reading

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Nursing Care of Infants With a Ventriculoperitoneal Shunt

Infants with congenital or posthemorrhagic hydrocephalus may require a ventriculoperitoneal (VP) shunt to divert the flow of cerebrospinal fluid, thus preventing increase in intracranial pressure. Knowledge on various aspects of caring for a child with a VP shunt will enable … Continue reading

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