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	Podcast:		empem.org » EMPEM Podcast Feed
	Episode:		Neonatal Hypoglycaemia
	Category:		Science & Medicine
	Duration:		00:35:49
	Publish Date:		2010-11-18 07:41:37
	Description:		To bolus, or Not to bolus… that is the question. Actually, there are a few more questions too… How low is too low? What are the causes of neonatal hypoglycaemia? Any advances in research? Some neonatologists believe that a bolus of intravenous dextrose when treating hypoglycaemia is to be avoided at all costs. Others say a bolus is OK, provided that an ongoing infusion at an adequate rate to maintain euglycaemia is instituted without delay. Outline of this PEMcast Controversies in Neonatal Hypoglycaemia Including: definition when to treat asymptomatic hypoglycaemia how to treat …with reference to a few papers and clinical practice guidelines. Background: [KB] 1999 Stanley (NEJM) – causes of hypoglycaemia [CP] 2000 Cornblath (Pediatrics) – controversies with definition [SF] 2004 McGowan (NeoReviews.org) – how low is too low? Current Guidelines: [CP] RCH Melbourne [SF] Starship Children’s Hospital [KB] KEMH Last few years: [SF ]2006 Rozance (Biology of the Neonate) – predicting adverse outcomes [CP] 2008 Burns (Pediatrics) – patterns of brain injury [SR] 2010 Straussman – current state of play Discussion: [al] Is our (local) guideline reflective of current evidence / knowledge? [CP / SR] Summary & Conclusions
	Total Play:		0

Neonatal Hypoglycaemia