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Highlights from this issue

See page F583 Spina bifida and fetal surgery Avoiding some dreadful pun on the ‘cutting edge’ of medicine is difficult in the case of the review by Joyeux et al, who have provided us with a state-of-the-art overview of developments in fetal surgery to correct spina bifida in utero. The main downside... Full description

Journal Title: Archives of disease in childhood. Fetal and neonatal edition 2018-11, Vol.103 (6), p.F499-F499
Main Author: Ward Platt, Martin
Format: Electronic Article Electronic Article
Language: English
Subjects:
Publisher: London: BMJ Publishing Group LTD
ID: ISSN: 1359-2998
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title: Highlights from this issue
format: Article
creator:
  • Ward Platt, Martin
subjects:
  • Caffeine
  • Physiology
  • Spina bifida
  • Stem cells
  • Surgery
  • Systematic review
ispartof: Archives of disease in childhood. Fetal and neonatal edition, 2018-11, Vol.103 (6), p.F499-F499
description: See page F583 Spina bifida and fetal surgery Avoiding some dreadful pun on the ‘cutting edge’ of medicine is difficult in the case of the review by Joyeux et al, who have provided us with a state-of-the-art overview of developments in fetal surgery to correct spina bifida in utero. The main downsides are premature labour for the fetus, and (depending on the exact technique) long term damage to the maternal uterus; techniques using hysteroscopy or minimal hysterotomy seem obvious candidates for trying to lessen the morbidities but urgently need randomised trials. The Caffeine for Apnoea of Prematurity (CAP) trial (N Engl J Med. 2006;354:2112–21), which used a loading dose of 20 mg/kg of caffeine citrate and maintenance dose 5 mg/kg, has become the touchstone for the use of caffeine in preterm babies because of its unambiguous benefits at the doses tested.
language: eng
source:
identifier: ISSN: 1359-2998
fulltext: no_fulltext
issn:
  • 1359-2998
  • 1468-2052
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descriptionSee page F583 Spina bifida and fetal surgery Avoiding some dreadful pun on the ‘cutting edge’ of medicine is difficult in the case of the review by Joyeux et al, who have provided us with a state-of-the-art overview of developments in fetal surgery to correct spina bifida in utero. The main downsides are premature labour for the fetus, and (depending on the exact technique) long term damage to the maternal uterus; techniques using hysteroscopy or minimal hysterotomy seem obvious candidates for trying to lessen the morbidities but urgently need randomised trials. The Caffeine for Apnoea of Prematurity (CAP) trial (N Engl J Med. 2006;354:2112–21), which used a loading dose of 20 mg/kg of caffeine citrate and maintenance dose 5 mg/kg, has become the touchstone for the use of caffeine in preterm babies because of its unambiguous benefits at the doses tested.
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abstractSee page F583 Spina bifida and fetal surgery Avoiding some dreadful pun on the ‘cutting edge’ of medicine is difficult in the case of the review by Joyeux et al, who have provided us with a state-of-the-art overview of developments in fetal surgery to correct spina bifida in utero. The main downsides are premature labour for the fetus, and (depending on the exact technique) long term damage to the maternal uterus; techniques using hysteroscopy or minimal hysterotomy seem obvious candidates for trying to lessen the morbidities but urgently need randomised trials. The Caffeine for Apnoea of Prematurity (CAP) trial (N Engl J Med. 2006;354:2112–21), which used a loading dose of 20 mg/kg of caffeine citrate and maintenance dose 5 mg/kg, has become the touchstone for the use of caffeine in preterm babies because of its unambiguous benefits at the doses tested.
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