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Minimising neonatal brain injury: how research in the past five years has changed my clinical practice

Abstract

With improving neonatal survival for extremely premature babies, the challenge for neonatology is to improve outcome of surviving babies. This review concentrates on best evidence emerging in recent years on prevention of brain damage by early administration of drugs as well as avoidance of induced brain damage by hyperventilation and dexamethasone therapy given postnatally for chronic lung disease.

  • CLD, chronic lung disease
  • IVH, intraventricular haemorrhage
  • PaCO2, arterial carbon dioxide tension
  • PVL, periventricular leucomalacia
  • RCT, randomised controlled trial
  • TIPP, The Injury Prevention Program

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    BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health