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Critical Care Nursing Clinics of North America

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https://www.readbyqxmd.com/read/30447818/neonatal-nursing-clinical-concepts-and-practice-implications
#1
EDITORIAL
Beth C Diehl
No abstract text is available yet for this article.
December 2018: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/30447817/erratum
#2
(no author information available yet)
No abstract text is available yet for this article.
December 2018: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/30447816/neonatal-transport-current-trends-and-practices
#3
REVIEW
Beth C Diehl
Since the inception of organized neonatal transport in the 1940s, advances in clinical care and technology have made the neonatal intensive care unit even more mobile in terms of care delivery. There currently exists an emphasis on quality metrics and simulation-based training for transport team members to achieve high levels of individual and team competence. Emerging therapies such as active cooling for neuroprotective hypothermia and high-frequency ventilation provide evidence-based care in the transport environment to enhance clinical outcomes...
December 2018: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/30447815/neonatal-abstinence-syndrome-an-uncontrollable-epidemic
#4
REVIEW
Nancy J MacMullen, Linda F Samson
There is an uncontrollable epidemic of drug abuse, with the misuse of opioids the most alarming. Along with the increase in opioid abuse, there exists a concomitant upsurge in the number of neonates experiencing neonatal abstinence syndrome (NAS) due to the effects of the mother's withdrawal from the drug. Neonates experiencing NAS exhibit various nervous system, gastrointestinal, and respiratory untoward symptoms. Diagnosis is determined by taking an accurate maternal history and assessment of clinical signs and symptoms...
December 2018: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/30447814/neuroprotective-care-of-extremely-preterm-infants-in-the-first-72-hours-after-birth
#5
REVIEW
Leslie Altimier, Raylene Phillips
Birth at extremely low gestational ages presents a significant threat to infants' survival, health, development, and future well-being. After birth, a critical period of brain development must continue outside the womb. Neuro-supportive and neuroprotective family centered developmental care for and standardized care practices for extremely preterm infants have been shown to improve outcomes. Neuroprotective interventions must include a focus on the emotional connections of infants and their families. Being in skin-to-skin contact with the mother is the developmentally expected environment for all mammals and is especially important for supporting physiologic stability and neurodevelopment of preterm infants...
December 2018: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/30447813/neonatal-pain-perceptions-and-current-practice
#6
REVIEW
Mallory Perry, Zewen Tan, Jie Chen, Tessa Weidig, Wanli Xu, Xiaomei S Cong
Neonates may experience more than 300 painful procedures throughout their hospitalizations. Prior to 1980, there was a longstanding misconception that neonates do not experience pain. Current studies demonstrate that not only do neonates experience pain but also, due to their immature nervous systems, they are hypersensitive to painful stimuli. Poorly treated pain may lead to negative long-term consequences. Proper assessment of neonate pain is vital. The use of nonpharmacologic treatments may be beneficial in alleviating neonate pain...
December 2018: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/30447812/neonatal-resuscitation-neonatal-resuscitation-program-7th-edition-practice-integration
#7
REVIEW
Jeanette G Zaichkin
The Neonatal Resuscitation Program meets the education and training needs of health care professionals in the United States who manage newborns in hospitals. The Neonatal Resuscitation Program 7th edition materials were required for use on January 1, 2017. The Neonatal Resuscitation Program focuses on optimal resuscitation readiness and effective communication. This article briefly describes the preparation and principles of newborn resuscitation and selected components of the Neonatal Resuscitation Program Flow Diagram...
December 2018: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/30447811/modes-of-neonatal-ventilation-breathe-deeply
#8
REVIEW
Shawn Hughes
The art and science of neonatal ventilation continue to evolve with advances in technology and as a result of evidenced based research. Although some historically administered therapies remain such as nasal continuous positive airway pressure, newer therapies have emerged in the neonatal intensive care unit such as pressure regulated volume control and neurally adjusted ventilatory assist. The challenge for clinicians continues to be which mode will support the patient's medical diagnosis with minimal barotrauma or lung injury...
December 2018: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/30447810/neonatal-encephalopathy-current-management-and-future-trends
#9
REVIEW
Elizabeth A Schump
It is well-documented in the literature that infants who suffer from hypoxic ischemic encephalopathy are at high risk for neurologic sequelae or even death. With the addition of therapeutic hypothermia into the treatment regimen for neonatal hypoxic ischemic encephalopathy, newborns afflicted with hypoxic ischemic encephalopathy were given the opportunity for a better outcome. Questions linger as to the most optimal treatment strategy of therapeutic hypothermia for these newborns. The goal of this article is to discuss current management strategies, as well as future trends, for infants with hypoxic ischemic encephalopathy...
December 2018: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/30447809/fetal-surgery-and-delayed-cord-clamping-neonatal-implications
#10
REVIEW
Karen M Frank
Advances made in the last several decades in the care of the fetus and newborn have had a significant impact on morbidity and mortality. Delayed umbilical cord clamping in the preterm newborn results in fewer transfusions for anemia, decreased intraventricular hemorrhage, and decreased necrotizing enterocolitis. Because of advances made in fetal ultrasound diagnosis and technological advances, fetal surgeries to treat congenital diaphragmatic hernia, myelomeningocele, twin-to-twin transfusion syndrome, fetal lower urinary tract obstructions, amniotic band syndrome, and congenital cystic adenoid malformation or congenital pulmonary airway malformations have improved the quality of life and survival for these patients...
December 2018: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/30447808/big-data-in-neonatal-health-care-big-reach-big-reward
#11
REVIEW
Lynn E Bayne
Analog-to-digital data conversion has created massive amounts of historical and real-time health care data. Costs associated with neonatal health issues are high. Big data use in the neonatal intensive care unit has the potential to facilitate earlier detection of clinical deterioration, expedite application of efficient clinical decision-making algorithms based on real-time and historical data mining, and yield significant cost-savings.
December 2018: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/30447807/neonatal-hypoglycemia-is-there-a-sweet-spot
#12
REVIEW
Mary L Puchalski, Terri L Russell, Kristine A Karlsen
Hypoglycemia is one of the most common neonatal problems. Despite increasing evidence that hypoglycemia is linked to neurologic impairment, knowledge regarding the specific value or duration of hypoglycemia that results in injury to the brain remains unclear. Current published statements/guidelines focused on preventing clinically significant hypoglycemia are conflicting and continue to be based on low evidence. This article reviews transitional events leading to extrauterine euglycemia, risk factors contributing to transient or persistent hypoglycemia, and common treatment approaches...
December 2018: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/30447806/standardized-feeding-protocols-to-reduce-risk-of-necrotizing-enterocolitis-in-fragile-infants-born-premature-or-with-congenital-heart-disease-implementation-science-needed
#13
REVIEW
Sheila M Gephart, Emily F Moore, Emory Fry
Although a unit-adopted standardized feeding protocol (SFP) for neonates is standard of care, implementation strategies for SFPs vary across neonatal and pediatric intensive care. Besides improving growth and reducing feeding interruptions, SFPs reduce risk for necrotizing enterocolitis in infants with heart disease or born premature. The purpose of this article is to bridge the gap between recommended and actual care using SFPs.
December 2018: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/30447805/increased-nursing-participation-in-multidisciplinary-rounds-to-enhance-communication-patient-safety-and-parent-satisfaction
#14
REVIEW
Karen Dittman, Stephanie Hughes
Effective communication among health care team members is a mainstay of patient safety, especially in a neonatal ICU (NICU), given small errors can have serious and life-threating consequences. Ineffective communication with families of hospitalized children can lead to decreased satisfaction and trust in the health care team. To enhance communication, the NICU nursing staff at the Johns Hopkins Children's Center spearheaded an initiative to create an enhanced nursing role in multidisciplinary patient rounds...
December 2018: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/30447804/the-late-preterm-a-population-at-risk
#15
REVIEW
Julie E Williams, Yvette Pugh
Late preterm infants (LPIs) are born between 34 0/7 and 36 6/7 weeks' gestation and account for 72% of all preterm births in the United States. Born as much as 6 weeks early, the LPI misses the critical growth and development specific to the third trimester. The loss of this critical period leaves the LPI physiologically and metabolically immature and prone to various morbidities. Common morbidities include respiratory complications, feeding difficulty, hypoglycemia, temperature instability, hyperbilirubinemia, and neurodevelopmental delays...
December 2018: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/30286947/etomidate-as-an-induction-agent-in-sepsis
#16
REVIEW
Raymond J Devlin, David Kalil
Sepsis is a life-threatening response to infection often times requiring endotracheal intubation in critically ill patients. Etomidate is routinely used as an intravenous induction agent to provide sedation and amnesia before placing an endotracheal tube. Although etomidate has many favorable qualities, there is a major concern regarding the predictable adrenal insufficiency that follows its use. Controversy continues to this day as to whether etomidate should be avoided in the setting of sepsis or septic shock...
September 2018: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/30098747/sepsis-special-considerations-management-and-treatment-for-diverse-patient-populations
#17
EDITORIAL
Jennifer B Martin, Jennifer E Badeaux
No abstract text is available yet for this article.
September 2018: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/30098746/sepsis-in-the-burn-patient
#18
REVIEW
Jennifer Manning
Sepsis is the leading cause of death in burn patients. Interventions are challenging owing to a lack of specific guidelines. All burn types involve a risk for complications. Interventions should include care of the burn, medication administration, continuous monitoring for infection development, infection prevention measures, and (if necessary) treatment of sepsis. Sepsis in burn patients is different from the unburned population. Efforts are needed to develop more accurate diagnostic strategies and guidelines to trigger rapid treatment via specific sepsis bundles...
September 2018: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/30098745/sepsis-in-the-obstetric-client
#19
REVIEW
Marie Adorno
Maternal sepsis is the third most common direct cause of maternal mortality following maternal hemorrhage and maternal hypertension. Undetected and poorly managed maternal infections can lead to sepsis, death, or disability for the mother and an increased likelihood of early neonatal infection and other adverse outcomes. When caring for obstetric patients, it is important to identify the stages of antepartum, intrapartum, and postpartum care. Sepsis occurs at any stage of obstetric care.
September 2018: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/30098744/early-identification-and-management-of-the-septic-patient-in-the-emergency-department
#20
REVIEW
Jessica Landry, Leanne H Fowler
Sepsis and septic shock affect millions of people around the globe and kills more than 1 in 4 patients worldwide. Emergency departments (EDs) nationwide have implemented evidence-based protocols to facilitate the early detection and treatment of patients with sepsis. Despite these efforts, patients present to the ED undifferentiated and can often have an unclear source of infection. The latest literature provides refined definitions and clinical criteria for sepsis identification and indicates that early detection combined with the appropriate early management improves the septic patients' morbidity and mortality rates...
September 2018: Critical Care Nursing Clinics of North America
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