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Bührer C. Kühlung von Neugeborenen nach perinataler Asphyxie. Geburtshilfe Frauenheilkd 2011. [DOI: 10.1055/s-0031-1292722] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022] Open
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Roehr CC, Hansmann G, Hoehn T, Bührer C. The 2010 Guidelines on Neonatal Resuscitation (AHA, ERC, ILCOR): similarities and differences--what progress has been made since 2005? KLINISCHE PADIATRIE 2011; 223:299-307. [PMID: 21815128 DOI: 10.1055/s-0031-1280750] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
In 2010, the American Heart Association (AHA), the European Resuscitation Council (ERC) and the International Liaison Committee on Resuscitation (ILCOR) issued new guidelines on newborn resuscitation. The new recommendations include: (1) pulse-oximetry for patient assessment during newborn resuscitation; (2) to start resuscitation of term infants with an FiO (2) of 0.21; (3) cardio-respiratory resuscitation with a 3:1 chest compression/inflation ratio for a heart rate <60 beats/min; (4) regarding infants born from meconium stained amniotic fluid: no recommendation is given to suction the upper airways at the perineum (when the head is born), but it is recommended to inspect the oropharynx and trachea for obstruction and suction the lower airway before inflations are given when the infant is depressed; (5) for birth asphyxia in term or near term infants, to induce hypothermia (33.5-34.5°C) within 6 h after birth. AHA, ERC and ILCOR used nearly identical literature for their evidence evaluation process. While the AHA and ILCOR guidelines are almost identical, the ERC guidelines differ slightly from the latter with regards to (i) promoting sustained inflations at birth, (ii) promoting a wider range in applied inflations during resuscitation, and (iii) to suction the airways in infants born from meconium stained amniotic fluid, before inflations are given.
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Berns M, Bührer C. Erratum zu: Hyperbilirubinämie des Neugeborenen. Monatsschr Kinderheilkd 2011. [DOI: 10.1007/s00112-010-2360-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Kleinwechter H, Bührer C, Hösli I, Hunger-Battefeld W, Kainer F, Kautzky-Willer A, Pawlowski B, Schäfer-Graf U, Schunck K, Somville T, Sorger M. Diabetes und Schwangerschaft. DIABETOL STOFFWECHS 2010. [DOI: 10.1055/s-0030-1262638] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Guthmann F, Kluthe C, Bührer C. Probiotics for Prevention of Necrotising Enterocolitis: An Updated Meta-analysis. KLINISCHE PADIATRIE 2010; 222:284-90. [DOI: 10.1055/s-0030-1254113] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Czernik C, Rhode S, Metze B, Schmitz L, Bührer C. Linksventrikuläre echokardiographische Parameter bei hypotrophen und eutrophen Frühgeborenen ≤32 SSW. KLINISCHE PADIATRIE 2010. [DOI: 10.1055/s-0030-1261368] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Garten L, Kusztrich A, Hüseman D, Bührer C. Hämolytisch-urämisches Syndrom nach Clostridium difficile Kolitis bei einem extrem untergewichtigen Frühgeborenen. KLINISCHE PADIATRIE 2010. [DOI: 10.1055/s-0030-1261486] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Wellmann S, Truss M, Bruder E, Tornillo L, Zelmer A, Bucher HU, Bührer C. Das kälteinduzierbare RNA-bindende Protein RBM3 schützt vor Zelltod. KLINISCHE PADIATRIE 2010. [DOI: 10.1055/s-0030-1261564] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Maier-Weidmann M, Pohl-Schickinger A, Bernuth HV, Reier B, Schunck KU, Belohradsky-Sawalle J, Renner E, Wahn V, Bührer C. Persistierende Staphylodermie als neonatale Erstmanifestation eines Hyper-IgE-Syndroms. KLINISCHE PADIATRIE 2010. [DOI: 10.1055/s-0030-1261578] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Cremer M, Szekessy D, Kluthe C, Hammer H, Weimann A, Bührer C, Dame C. Immature Platelet Fraction bei Neugeborenen mit Sepsis oder NEC. KLINISCHE PADIATRIE 2010. [DOI: 10.1055/s-0030-1261479] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Cremer M, Sola-Visner M, Josephson C, Roll S, Yilmaz Z, Bührer C, Dame C. Wann würden Sie transfundieren? Ein internationaler Vergleich des Transfusionsverhaltens bei neonataler Thrombozytopenie. KLINISCHE PADIATRIE 2010. [DOI: 10.1055/s-0030-1261339] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Hoyer AC, Czernik C, Weschke B, Bührer C. Neonatale Hyperekplexie (Stiff Baby-Syndrom). KLINISCHE PADIATRIE 2010. [DOI: 10.1055/s-0030-1261597] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Wellmann S, Benzing J, Admaty D, Cippa G, Creutzfeldt R, Beinder E, Szinnai G, Lapaire O, Morgenthaler N, Haagen U, Bührer C, Bucher HU. Hohe Vasopressin/Copeptin-Spiegel im Nabelschnurblut nach Spontangeburt und Geburtsazidose. KLINISCHE PADIATRIE 2010. [DOI: 10.1055/s-0030-1261389] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Mahmoud RA, Proquitte H, Fawzy N, Hadhood SE, Bührer C, Schmalisch G. Extent and incidence of endotracheal tube leakage in ventilated neonates. KLINISCHE PADIATRIE 2010. [DOI: 10.1055/s-0030-1261496] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Benzing J, Wellmann S, Szinnai G, Hegi L, Admaty D, Cippa G, Beinder E, Morgenthaler N, Haagen U, Bucher HU, Bührer C, Lapaire O. Mitregionales Pro-Atriales Natriuretisches Peptid (MRpro-ANP) während der postnatalen und postpartalen Adaptation. KLINISCHE PADIATRIE 2010. [DOI: 10.1055/s-0030-1261561] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Bührer C, Metze B, Walch E, Grimmer I. Wie prädiktiv sind neurologische Auffälligkeiten mit 6 und 12 Monaten für ein später diagnostiziertes psychomotorisches Entwicklungsdefizit? KLINISCHE PADIATRIE 2010. [DOI: 10.1055/s-0030-1261367] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Grimmer I, Metze BC, Walch E, Scholz T, Bührer C. Predicting neurodevelopmental impairment in preterm infants by standardized neurological assessments at 6 and 12 months corrected age. Acta Paediatr 2010; 99:526-30. [PMID: 20055777 DOI: 10.1111/j.1651-2227.2009.01649.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
AIM Neurodevelopmental impairment in very preterm infants can be reasonably diagnosed by 18-24 months corrected age, whereas the predictive value of earlier assessments is debated. We hypothesized that neurological findings at 6 and 12 months indicative of subsequent cerebral palsy predict 18-24 months' neurodevelopmental impairment. METHODS Neurodevelopmental examinations (Griffiths scales) at 20 months of age in 561 preterm infants (birth weight <1 500 g) were compared with results of standardized neurological examinations (Early Motor Pattern Profile; EMPP) and Griffiths scales at 6 (n = 451) and 12 months (n = 496) corrected age. RESULTS Griffiths developmental quotients at 20 months were weakly but significantly related to EMPP scores at 6 (R(s) = 0.328) and 12 months (R(s) = 0.493). Areas under receiver operator characteristic curves for the EMPP to predict neurodevelopmental impairment (Griffiths scores <or=75) at 20 months were 0.772 (0.890) at 6 (12) months, compared to 0.915 (0.962) for Griffiths scores. By contrast, EMPP and Griffiths scores had equal power to predict unability to walk unaided at 2 years of age (EMPP 6/12 months: 0.946/0.983; Griffiths 6/12 months: 0.935/0.985). CONCLUSION Neurological examinations with the EMPP at 6 and 12 months corrected age are of limited value to predict neurodevelopmental impairment at 20 months.
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Guthmann F, Kluthe C, Bührer C. Probiotika für Frühgeborene (<1500g)? Eine aktuelle Metaanalyse. Z Geburtshilfe Neonatol 2010. [DOI: 10.1055/s-0030-1248805] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Degenhardt P, Schröder T, Bührer C. Langzeitanalyse des akuten Abdomens beim very low birth weight infant unter besonderer Berücksichtigung von Op-Alter, Risikofaktoren und Patientenoutcome. Z Geburtshilfe Neonatol 2010. [DOI: 10.1055/s-0030-1248807] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Kleinwechter H, Bührer C, Hösli I, Hunger-Battefeld W, Kainer F, Kautzky-Willer A, Pawlowski B, Schäfer-Graf U, Schunck K, Somville T, Sorger M. Diabetes und Schwangerschaft. DIABETOL STOFFWECHS 2009. [DOI: 10.1055/s-0029-1224584] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Cignacco E, Denhaerynck K, Nelle M, Bührer C, Engberg S. Variability in pain response to a non-pharmacological intervention across repeated routine pain exposure in preterm infants: a feasibility study. Acta Paediatr 2009; 98:842-6. [PMID: 19183121 DOI: 10.1111/j.1651-2227.2008.01203.x] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
AIM To explore the variability in pain response in preterm infants across time who received sucrose during routine heel stick. METHOD Single group, exploratory repeated measures design. SETTING Two tertiary level neonatal intensive care units (NICU) in Switzerland. SUBJECTS Nine preterm infants born between 28 2/7 and 31 4/7 weeks of gestation during their first 14 days of life. MEASUREMENTS Pain was assessed by the Bernese Pain Scale for Neonates (BPSN), the Premature Infant Pain Profile (PIPP) and the Visual Analogue Scale (VAS). Salivary cortisol was analysed. RESULTS 72-94% of the variability was within-subject variability, indicating inconsistency of pain responses across the 5 heel sticks. Interrater agreement was highest during heel sticks 1-3 and decreased during heel stick 4 and 5, indicating a possible alteration of pain patterns. No significant differences in the amount of cortisol could be detected before and after the heel sticks (p = 0.55), indicating no stress-induced peak after the painful intervention. However, a general gradual decrease of cortisol levels across time could be detected. CONCLUSION A high variability in pain response among preterm neonates across time could be described. Consistency of cortisol levels before and after the heel sticks could indicate the effectiveness of sucrose across time.
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Garten L, Deindl P, Schmalisch G, Metze B, Bührer C. Komplexe Beurteilungsskalen für neonatales Unbehagen: Gibt es einfachere Alternativen? Z Geburtshilfe Neonatol 2009. [DOI: 10.1055/s-0029-1222709] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Guthmann F, Bührer C. Probiotika zur Prävention der Nekrotisierenden Enterokolitis (NEC): Eine aktualisierte Metaanalyse. Z Geburtshilfe Neonatol 2009. [DOI: 10.1055/s-0029-1222766] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Polley O, Krings G, Spors B, Czernik C, Bührer C, Berger F. Komplexes Scimitar-Syndrom mit Ösophagusatresie im Vergleich zur einfachen Form –2 Fallberichte. Z Geburtshilfe Neonatol 2009. [DOI: 10.1055/s-0029-1223066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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