Promoting a less invasive transition for preemies
My (first ever) editorial in a scientific paper was published only some days ago in Acta Pædiatrica: http://dx.doi.org/10.1111/apa.13261
I was of course thankful and honoured by the invite and quite nervous writing it :-).
The editorial is a comment on a study published at the same time by Lamberska & al: Premature infants born at less than 25 weeks of gestation may be compromised by currently recommended resuscitation techniques.
In their conclusion, Lamberska et al. suggests that sustained inflation and delayed cord clamping may be effective alternatives when it comes to reducing the high mortality and morbidity among preterm infants born at the very earliest gestational ages.
Several techniques today that provides a less invasive management of the preterm transition and adaption to extra-uterine life, but they are only slowly adopted.
There's a dilemma in medicine, between providing a safe and evidence based care, and applying new approaches and techniques in a expedient way without unnecessary delay. In my own line of research, the slow adaption of delayed cord clamping is obvious, but this has been seen in many other fields, like for example transforming from resuscitation with 100 % oxygen to room air.
The neonatal community, both regarding research and clinical work, stands before a great challenge: in not deferring the best treatment possible to our patients unnecessary long, without tampering on safety issues.
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