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Guidelines for Elective Pediatric Fiberoptic Intubation
11:19

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

[Pediatrics]

C J Fischer1, E Giannoni, A C Truttmann

  • 1Service de néonatologie, Département médico-chirurgical de pédiatrie, Hôpital de l'enfance, CHUV et Université de Lausanne.

Revue Medicale Suisse
|February 7, 2012
PubMed

Insights

Prophylactic probiotics may reduce necrotizing enterocolitis (NEC) in preterm infants, though breast milk remains key. The McCarthy score aids bacterial infection risk assessment in febrile infants, and growth velocity changes warrant investigation.

Area of Science:

  • Neonatology
  • Pediatric Gastroenterology
  • Infectious Disease

Context:

  • Preliminary studies indicate probiotics may prevent necrotizing enterocolitis (NEC) in preterm infants.
  • Breast milk feeding is the primary method for NEC prevention.
  • The McCarthy clinical score is a valuable tool for assessing bacterial infection risk in febrile infants, especially post-vaccination.
  • New WHO growth charts are used in Switzerland to account for demographic variations.

Purpose:

  • To review current evidence and practices in neonatal care, including NEC prevention, hemangioma treatment, infection risk assessment, and growth monitoring.

Summary:

  • Prophylactic probiotics show promise in reducing NEC incidence in preterm infants.
  • Propranolol is effective for treating various hemangiomas.
  • The McCarthy score offers a reliable and economical alternative to laboratory tests for predicting bacterial infection risk.
  • Monitoring growth velocity is crucial for identifying potential health issues in infants.

Impact:

  • Highlights the evolving landscape of neonatal care, emphasizing evidence-based practices and updated clinical tools.
  • Suggests potential adjunctive therapies for NEC and hemangiomas.
  • Underscores the importance of accurate diagnostic tools and growth surveillance in pediatric health.

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