Caffeine therapy for very preterm infants in Australia and New Zealand

Large variations in dosages. Ripe for RCT for optimal dose

Bi-national surveys 🇦🇺🇳🇿
Kate Hodgson Brett J. Manley 🤷🏼‍♂️
fn.bmj.com/content/early/…

🆕 ADC Podcast 📻

Are term breech babies who undergo successful external cephalic version still at increased risk of developmental dysplasia of the hip?

▶️ Apple: podcasts.apple.com/us/podcast/you…
▶️ Spotify: open.spotify.com/episode/3liSDO…
▶️ Web: adcbmj.podbean.com/e/you-spin-me-…

What is associated with school absences in adolescents?
📱Excessive internet use

Protective effects are:
🛌 longer sleep
🏃 higher physical activity
👫 Trusting parental relationship

Silja Kosola ☮️🇺🇦
Cross-sectional, population-based study 🇫🇮
adc.bmj.com/content/early/…

Images in paediatrics

This is Chevron nail in a 6 month old
Should you be worried?

(Parental consent obtained)

Read all about it
adc.bmj.com/content/early/…

Respiratory outcomes and survival after unplanned extubation in NICU

Reintubation rates:
Green=planned
Orange=unplanned

Unplanned extubation very undesired - 4% leads to CPR required

Prospective cohort SEPREVEN trial 🇫🇷
fn.bmj.com/content/early/…

Images in neonatal medicine

Ever seen bilateral congenital knee dislocation?
1 in 100 000 deliveries

Catriona McKay
fn.bmj.com/content/early/…

Aminoglycoside administration in paediatrics

Which way is better?
IV injection or infusion

Literature suggest both acceptable
ep.bmj.com/content/early/…

Editorial
Advancing the conversation around blended diets for gastrostomy-fed children

Lower symptom burden in recent study
But carers/parents spend 50% more time
Not funded by NHS

Do families need more support?

Mark Beattie
adc.bmj.com/content/early/…

Viewpoint
What is the role of oral corticosteroids in the treatment of acute preschool wheeze

Half of all <6y had episode
Many phenotypes, many heterogenous studies

RCTs so far failed to provide robust evidence to clarify clinical practice

Shaun O'Hagan
adc.bmj.com/content/early/…

Maternal and infant outcomes in women with sickle cell disease

Compared to non-SCD mothers:
🚺Mothers greater mortality
🚼Infant similar morbidity/mortality

Single centre matched cohort study 🇬🇧
fn.bmj.com/content/early/…

How can we tackle obesity while preventing obesity stigma?

Be careful - health professionals can inadvertently contribute to stigma

Review
adc.bmj.com/content/early/…

Disease severity impacts perceived quality of life in congenital diaphragmatic hernia

Prospective observational study
Carolina Michel Pramod Puligandla NeoCardioLab - Gabriel Altit
adc.bmj.com/content/early/…

Global child health

Cost of childhood severe pneumonia management in selected public inpatient care facilities in Bangladesh 🇧🇩

Mean cost per patient US$48
More in urban tertiary-level facilities

Marufa Sultana
adc.bmj.com/content/early/…

It's possible to de-label most paediatric inpatients with presumed allergies to beta-lactams using a robust pathway

Quality improvement study 🇨🇦
Jacqueline Wong Adelle Atkinson Kat Timberlake, PharmD, FCSHP
adc.bmj.com/content/early/…

Characteristics of children and adolescents referred to specialist gender services

Globally
⬆️Number of referrals recently
⬆️Birth-registered females referred

Systematic review
adc.bmj.com/content/early/…

Editorial
Holistic approach to gender questioning children and young people

Personal reflection from Camilla Kingdon president of RCPCH
adc.bmj.com/content/early/…

Interventions to suppress puberty in adolescents experiencing gender dysphoria or incongruence

Lack of high-quality research to draw conclusions about impact on gender dysphoria, mental and psychosocial health or cognitive development

Systematic review
adc.bmj.com/content/early/…

Is empiric antibiotic selection associated with clinical outcomes in hospitalised children with severe orbital infections?

Broad-spectrum
⬆️LOS
↔️ Need for surgery

Retrospective multicentre cohort study 🇨🇦
Peter J Gill
adc.bmj.com/content/early/…

Review
Parasitic infections: what do paediatricians need to know?

Sara A. Eisen
adc.bmj.com/content/early/…

Letter
Importance of using the correct statistics

Right stats for right study
Know your Bland-Altman plot vs Pearson’s correlation coefficient
fn.bmj.com/content/early/…