Search PubMed⌕ Search

Biomedical subjects

N R Roberton

Publications and source records attributed to N R Roberton.

At least 55 records · Page 3Linked to original sources
PubMed1976

Oliguria in the incubating neonate. Emergency aortography and urography in neonates using mobile X-ray equipment.

Neonates in incubators underwent umbilical aortography, excretory urography and suprapubic cysto-urethrography using a mobile X-ray machine in the Premature Baby Unit to define the cause of their oliguria. The techniques were easy to perform without endangering the infants by moving them. The radiological findings in the four neonates investigated contributed significantly to the management of their illnesses.

Anuria↗
PubMed1975

Hypernatraemia as a cause of intracranial haemorrhage.

29 definite intracranial haemorrhages and 4 suspected ones occurred during a 25-month period during which 10 072 live infants were born. There were 4 subdural haemorrhages (all fatal), 4 isolated subarachnoid haemorrhages (2 fatal), and 21 intraventricular haemorrhages (all fatal--2 beyond the neonatal period). There was no evidence of a causal relation between intraventricular haemorrhage and either hypernatraemia or large sodium intakes. There were too few cases of other types of intracranial haemorrhage to draw any aetiological conclusions.

Birth Weight↗
PubMed1975

Massive pulmonary haemorrhage in the newborn infant.

Six cases of massive pulmonary haemorrhage in newborn infants are described. 2 term infants suffered severe birth asphyxia and massive pulmonary haemorrhage presented early (mean 5 hours); in 4 preterm infants massive pulmonary haemorrhage presented late (mean 4 days) while receiving assisted ventilation. All the infants were treated with positive pressure ventilation, vigorous correction of pH, anaemia, and hypovolaemia, and 4 survived the acute condition. We suggest that the early elective use of intermittnet positive pressure ventilation may be effective in controlling the pulmonary haemorrhage.

Asphyxia Neonatorum↗
PubMed1975

Air temperature recordings in infant incubators.

Air temperatures were continuously recorded inside four incubators with proportional heating control and six incubators with on/off heating cycles, during routine use. The air temperatures in the former were constant throughout, with a gradient between the roof and above-mattress air temperature not exceeding 1 degree C. In contrast, the recordings from the latter models showed a regular cyclical oscillation, the duration of the cycle varying from 14 to 44 minutes. Each incubator had a characteristic profile. The roof air temperature could vary by as much as 7-1 degrees C and the above-mattress air temperature by as much as 2-6 degrees C during the cycle. The oscillation persisted in the air temperatures recorded inside an open-ended hemicylindrical heat shield when used inside these incubators, but was markedly reduced inside a closed-ended heat shield, Carbon dioxide concentration did not increase significantly inside the latter.

Body Temperature↗
PubMed1975

Desquamative fibrosing alveolitis unresponsive to steroid or cytotoxic therapy.

A case of desquamative fibrosing alveolitis beginning in early infancy is described. The disease was characterized by tachypnoea, hypoxia relieved by O2, absence of signs in the chest or clubbing, and radiological and physiological evidence of hyperinflation. The diagnosis was made by needle biopsy of the lung. Treatment with steroids and immunosuppression was without effect and the infant died at 9 months. The disease has a high mortality in infancy, only 2 out of 9 reported cases having survived. The difference from the usual course in adults and older children is noted.

Azathioprine↗
PubMed1975

Early neonatal hypocalcaemia.

In our hospital early neonatal hypocalcaemia is now the major cause of low serum calcium in the neonatal period. Over a 2-year period, only 2 cases of hypocalcaemic convulsions were seen in a total of 8700 deliveries, though 51 infants had early neonatal hypocalcaemia. All sick low birth-weight infants should have daily serum calcium estimations carried out. Calcium supplements should be considered if symptoms of hypocalcaemia are present.

Apnea↗
PubMed1975

Frusemide in respiratory distress syndrome.

Savage, M. O., Wilkinson, A. R., Baum, J. D., Roberton, N. R. C. (1975). Archives of Disease in Childhood, 50, 709. Frusemide in respiratory distress syndrome. The effect of frusemide on urinary volume, urinary sodium excretion, and urinary calcium excretion in 7 premature infants with severe respiratory distress syndrome (RDS) has been studied. The results are compared with similar measurements on 13 infants of comparable gestational age and birthweight with less severe RDS who did not receive frusemide. The effect of frusemide on PaO2 and PaCO2 tensions in 5 infants with RDS was also investigated. Frusemide produced a fourfold increase in urinary volume and a tenfold increase in urinary sodium and urinary calcium excretion compared with the untreated group. It caused no improvement in blood gas tensions. The use of this diuretic for the routine management of RDS cannot be recommended.

Calcium↗