Story Category: NICU

Upvote Story 5
When music therapist Christine Vaskas works with babies in the neonatal intensive care unit, the effect of her interventions are almost always immediately apparent. In 2013, a study led by Joanne Loewy, the Armstrong Center's director, found that certain live sounds, when provided in a music therapy context, could influence the respiratory and cardiac functions of premature infants. Those interventions could improve feeding behavior, enhance... Read More | Comment
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Combined biomarkers predict risk for 14-day and total mortality among subjects with suspected sepsis. Serum amyloid P and tissue plasminogen activator demonstrated the best discriminatory ability in this cohort. Fourteen-day mortality was 12.9%, and total in-hospital mortality was 29.5%. Serum amyloid P was significantly lower (4/4 timepoints) and tissue plasminogen activator significantly higher (3/4 timepoints) in the 14-day mortality group, and the same pattern held... Read More | Comment
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The multistep extracorporeal membrane oxygenation (ECMO) team training increased staff’ knowledge, technical skills, teamwork, and self-confidence, allowing the successful development of a neonatal respiratory ECMO program. Conventional training was perceived as relevant in the early phase of the program development, while the active learning emerged to be more beneficial to master ECMO knowledge, specific skills, and team performance. A multistep educational program was delivered in... Read More | Comment
Upvote Story 11
The Neonatal Resuscitation Program (NRP) is an educational program jointly sponsored by the American Academy of Pediatrics (AAP) and the American Heart Association (AHA). The course is designed to teach an evidence-based approach to resuscitation of the newborn to hospital staff who care for newborns at the time of delivery. Powerful resource for interactive, simulation-based teaching and learning. Read More | Comment
Upvote Story 20
Co-published with the Association of Women’s Health, Obstetrics & Neonatal Nurses (AWHONN), this comprehensive book on advanced obstetrics practice focuses on the care of childbearing women with complications during pregnancy and the related professional concerns of perinatal professionals caring for them. This substantially revised edition reflects the significant change in this specialty area and the need to collaborate in practice to maximize patient outcomes. All... Read More | Comment
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Fluid overload is common and is associated with substantial morbidity and mortality in critically ill children. Additional research should now ideally focus on interventions aimed to mitigate the potential for harm associated with fluid overload. This systematic review and meta-analysis of 44 studies including 7507 children showed strong and consistent evidence of an association between fluid overload and poor outcomes in critically ill children, including... Read More | Comment
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Patient-ventilator interaction appears to be improved with neurally adjusted ventilatory assist. Analysis of the neural breathing pattern revealed a reduction in central apnea during neurally adjusted ventilatory assist use. Twenty-three infants were studied, with median (range) gestational age at birth 27 weeks (24–41 wk), birth weight 780 g (490–3,610 g), and 7 days old (1–87 d old). Read More | Comment
Upvote Story 9
Dr. Mark Mercurio gives a basic review of some of the fundamental principles and approaches relevant to decision-making in the NICU. Adequate fellowship training in ethics and professionalism is essential so that neonatologists can effectively approach and resolve ethical dilemmas that will inevitably occur. There are four principles, which are classically referred to as the fundamental principles of medical ethics. Read More | Comment
Upvote Story 7
Delirium is associated with a lower likelihood of ICU discharge in preschool-aged children. Benzodiazepine exposure is associated with the development and longer duration of delirium, and lower likelihood of ICU discharge. These findings advocate for future studies targeting modifiable risk factors, such as reduction in benzodiazepine exposure, to mitigate iatrogenic harm in pediatric patients. Daily delirium assessments were completed using the Preschool Confusion Assessment Method... Read More | Comment
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A quality improvement initiative implemented at Washington, D.C.-based Children’s National Health System successfully reduced the number of chest X-rays conducted in the neonatal intensive care unit, decreasing the risk of errors and cutting costs, according to research presented Sept. 15 at the 2017 American Academy of Pediatrics national conference in Chicago. Read More | Comment
Upvote Story 8
Yale University School of Medicine neonatal intensive care unit (NICU) significantly reduced the number of cases of late-onset sepsis, a leading cause of death among pre-term infants, by implementing guidelines designed to eliminate overuse of antibiotics, according to new research published in Infection Control & Hospital Epidemiology. The antibiotic stewardship guidelines reduced variability in treating common infections, improving clinical adherence to best practices. The study... Read More | Comment
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Current pharmacologic treatment of the neonatal abstinence syndrome with morphine is associated with a lengthy duration of therapy and hospitalization. Buprenorphine may be more effective than morphine for this indication. Among infants with the neonatal abstinence syndrome, treatment with sublingual buprenorphine resulted in a shorter duration of treatment and shorter length of hospital stay than treatment with oral morphine, with similar rates of adverse events Read More | Comment
Upvote Story 3
Neonatal simulations cause significant anticipatory and participatory stress. Despite this, trainees' performance score in simulation was over 80%. Simulated death did not impact performance, magnitude of rise in salivary cortisol level, and perceived stress level. Trainees performed better at advanced resuscitation skills (which are rarely needed) compared with basic skills routinely performed in practice. Read More | Comment