http://hdl.handle.net/2328/26115 Tue, 21 May 2013 23:00:55 GMT 2013-05-21T23:00:55Z http://hdl.handle.net/2328/26120 Title: Cochrane Review summary: High flow nasal cannula for respiratory support in preterm infants Authors: Burnett, Melissah; Mannix, Trudi Gaye Abstract: In the preterm infant requiring respiratory support for apnoea, respiratory distress syndrome (RDS) or chronic lung disease (CLD), a variety of non-invasive ventilation options are available. Nasal continuous positive airway pressure (CPAP) is commonly used as an alternative to endotracheal intubation and more recently, high flow nasal cannula (HFNC) is being used to deliver positive end-expiratory pressure (PEEP), oxygen, blended oxygen and air. Both methods however may have adverse effects despite being moderately easy to apply and manage. The most significant risks related to nasal CPAP are nasal trauma and distortion of the nares, and for HFNC, mucosal irritation, obstruction, nosocomial infection and possible lung injury from PEEP which is not measured and inconsistent. The aim of this Cochrane Review was to compare the safety and efficacy of HFNC with other forms of non-invasive respiratory support in preterm infants. Sun, 01 Jan 2012 00:00:00 GMT http://hdl.handle.net/2328/26120 2012-01-01T00:00:00Z http://hdl.handle.net/2328/26119 Title: Cochrane Review summary: Preoperative fasting for preventing perioperative complications in children Authors: Mannix, Trudi Gaye; Collins, Carmel Abstract: During general anaesthetic, in adults and children alike, the protective reflexes that prevent lung aspiration of stomach contents are inhibited. Preoperative fasting is thought to reduce the risk of regurgitation and gastric aspiration during surgery. Several professional body guidelines have recommended a more relaxed fasting period than the traditional ‘nil by mouth from the midnight before surgery’ policy. However, practices vary widely due to a lack of confidence in the evidence. The aim of this Cochrane Review was to determine the effects of different fasting regimens (duration, type and volume of permitted intake) and the impact on perioperative complications and patient well being (aspiration, regurgitation, related morbidity, thirst, hunger, pain, comfort, behaviour, nausea and vomiting) in children. The search for this review was updated in 2009. Fri, 01 Jan 2010 00:00:00 GMT http://hdl.handle.net/2328/26119 2010-01-01T00:00:00Z http://hdl.handle.net/2328/26118 Title: Using the Delphi technique to develop standards for neonatal intensive care nursing education Authors: Mannix, Trudi Gaye Abstract: The purpose of this study was to use the Delphi technique to determine the first draft of national standards for neonatal intensive care nursing (NICN) education. The Australian College of Neonatal Nurses (ACNN) endorsed the project, and assisted in the selection of members for a panel of 13 neonatal intensive care nursing and education experts from all states of Australia that conducted NICN education programs. These experts were consulted over a period of seven months using the Delphi technique. The researcher initially developed a set of questions to guide the expert panel. Sat, 01 Jan 2011 00:00:00 GMT http://hdl.handle.net/2328/26118 2011-01-01T00:00:00Z http://hdl.handle.net/2328/26117 Title: Positioning for acute respiratory distress in hospitalised infants and children Authors: Mannix, Trudi Gaye; Collins, Carmel Abstract: An association has been established between prone positioning and sudden infant death syndrome (SIDS) which has lead to the recommendation that young infants be positioned supine. Yet, the prone position has been shown to improve the arterial oxygenation in older infants and children with respiratory distress. Due to structural and physiological immaturity, the respiratory mechanics differ between adults and children, which means that the risks and benefits of positioning in the younger age group may have more clinical significance. Given the SIDS recommendations for supine positioning in young infants and the benefits associated with prone positioning with respiratory distress, a systematic review of the literature was necessary to guide clinical practice in hospitalised infants and children. The aim of this Cochrane Review was to compare the effects of different body positions (prone, supine, lateral, elevated and flat) on infants and children hospitalised with acute respiratory distress. The search for this review was updated in August 2008. Sat, 01 Jan 2011 00:00:00 GMT http://hdl.handle.net/2328/26117 2011-01-01T00:00:00Z