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Respiration AND preterm

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https://www.readbyqxmd.com/read/27743509/remote-vital-parameter-monitoring-in-neonatology-robust-unobtrusive-heart-rate-detection-in-a-realistic-clinical-scenario
#1
Nikolai Blanik, Konrad Heimann, Carina Pereira, Michael Paul, Vladimir Blazek, Boudewijn Venema, Thorsten Orlikowsky, Steffen Leonhardt
Vital parameter monitoring of term and preterm infants during incubator care with self-adhesive electrodes or sensors directly positioned on the skin [e.g. photoplethysmography (PPG) for oxygen saturation or electrocardiography (ECG)] is an essential part of daily routine care in neonatal intensive care units. For various reasons, this kind of monitoring contains a lot of stress for the infants. Therefore, there is a need to measure vital parameters (for instance respiration, temperature, pulse, oxygen saturation) without mechanical or conductive contact...
December 1, 2016: Biomedizinische Technik. Biomedical Engineering
https://www.readbyqxmd.com/read/27552522/instruments-for-assessing-readiness-to-commence-suck-feeds-in-preterm-infants-effects-on-time-to-establish-full-oral-feeding-and-duration-of-hospitalisation
#2
REVIEW
Linda Crowe, Anne Chang, Karen Wallace
BACKGROUND: One of the most challenging milestones for preterm infants is the acquisition of safe and efficient feeding skills. The majority of healthy full term infants are born with skills to coordinate their suck, swallow and respiration. However, this is not the case for preterm infants who develop these skills gradually as they transition from tube feeding to suck feeds. For preterm infants the ability to engage in oral feeding behaviour is dependent on many factors. The complexity of factors influencing feeding readiness has led some researchers to investigate the use of an individualised assessment of an infant's abilities...
2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27524526/sideropaenic-anaemia-impact-on-perinatal-outcome-at-tertiary-care-hospital
#3
Shakira Perveen, Tahira Kausar Soomro
OBJECTIVE: To determine association between sideropaenic anaemia among women and adverse perinatal outcome. METHODS: This prospective cohort study was conducted at Civil Hospital a tertiary care hospital in Karachi, from February to August 2011, and comprised pregnant women. The participants were divided into two equal groups: those who had sideropaenic anaemia were in Group A, and those without it were in Group B. Data was collected by random choice (lottery) method...
August 2016: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/27470926/characteristics-of-antigravity-spontaneous-movements-in-preterm-infants-up-to-3-months-of-corrected-age
#4
Saori Miyagishima, Tadayoshi Asaka, Kaori Kamatsuka, Naoki Kozuka, Masaki Kobayashi, Risa Igarashi, Tsukasa Hori, Yuko Yoto, Hiroyuki Tsutsumi
AIMS: We investigated whether spontaneous antigravity limbs movements in very low birth weight preterm infants were insufficient compared to those in term infants. The relationship between the quality of general movements (GMs) and antigravity limbs movements was also examined. METHODS: Preterm infants with very low birth weight without central nervous system disorders nor severe respiration disorders, and healthy term infants were recruited. The infants were set in a supine position...
August 2016: Infant Behavior & Development
https://www.readbyqxmd.com/read/27398056/assessment-of-cardiorespiratory-stability-using-the-infant-car-seat-challenge-before-discharge-in-preterm-infants-37-weeks-gestational-age
#5
Michael R Narvey
Preterm infants younger than 37 weeks corrected gestational age are at increased risk for abnormal control of respiration. The infant car seat challenge has been used as a screening tool to ensure cardiorespiratory stability before discharging preterm infants from many hospitals in Canada. While it is clear that infants placed in a car seat are more likely to experience oxygen desaturation and/or bradycardia than when they are supine, neither positioning predicts an adverse neurodevelopmental outcome or mortality post-discharge...
April 2016: Paediatrics & Child Health
https://www.readbyqxmd.com/read/27345327/endocrine-regulation-of-gut-maturation-in-early-life-in-pigs
#6
REVIEW
T Thymann
After birth, the newborn must adapt to the acute challenges of circulatory changes, active respiration, thermoregulation, microbial colonization, and enteral nutrition. Whereas these processes normally occur without clinical complications in neonates born at term, birth at a preterm state of gestation is associated with high morbidity and mortality. In commercial pig production, perinatal mortality is higher than in any other mammalian species. Asphyxia, hypothermia, hypoglycemia, sepsis, and gut dysmotility, represent some of the most common findings...
July 2016: Domestic Animal Endocrinology
https://www.readbyqxmd.com/read/27315509/prophylactic-nasal-continuous-positive-airway-pressure-for-preventing-morbidity-and-mortality-in-very-preterm-infants
#7
REVIEW
Prema Subramaniam, Jacqueline J Ho, Peter G Davis
BACKGROUND: Cohort studies have suggested that nasal continuous positive airways pressure (CPAP) starting in the immediate postnatal period before the onset of respiratory disease (prophylactic CPAP) may be beneficial in reducing the need for intubation and intermittent positive pressure ventilation (IPPV) and in preventing bronchopulmonary dysplasia (BPD) in preterm or low birth weight infants. OBJECTIVES: To determine if prophylactic nasal CPAP started soon after birth regardless of respiratory status in the very preterm or very low birth weight infant reduces the use of IPPV and the incidence of bronchopulmonary dysplasia (BPD) without adverse effects...
June 14, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27244819/respiratory-decompensation-and-immunization-of-preterm-infants
#8
Edwin Clark Montague, Joseph A Hilinski, Helen O Williams, Courtney E McCracken, Helen T Giannopoulos, Anthony J Piazza
BACKGROUND: Concern for respiratory decompensation after immunization in premature infants, particularly those with bronchopulmonary dysplasia (BPD), may lead to delayed and altered immunization schedules. METHODS: A retrospective cohort of premature infants at <32 weeks' gestational age cared for in a tertiary level 4 NICU and immunized during their hospital stay were evaluated for respiratory decompensation within 72 hours of immunization. Respiratory measurements including change in respiratory support, mean fraction of inspired oxygen, and apnea, bradycardia, and desaturation events were compared between those infants with BPD and those without...
May 2016: Pediatrics
https://www.readbyqxmd.com/read/27158632/cerebral-oximetry-in-preterm-infants-an-agenda-for-research-with-a-clear-clinical-goal
#9
Gorm Greisen, Bjørn Andresen, Anne Mette Plomgaard, Simon Hyttel-Sørensen
Preterm birth constitutes a major cause of death before 5 years of age and it is a major cause of neurodevelopmental impairment across the world. Preterm infants are most unstable during the transition between fetal and newborn life during the first days of life and most brain damage occurs in this period. The brain of the preterm infant is accessible for tissue oximetry by near-infrared spectroscopy. Cerebral oximetry has the potential to improve the long-term outcome by helping to tailor the support of respiration and circulation to the individual infant's needs, but the evidence is still lacking...
July 2016: Neurophotonics
https://www.readbyqxmd.com/read/26975461/the-effects-of-kangaroo-care-in-the-neonatal-intensive-care-unit-on-the-physiological-functions-of-preterm-infants-maternal-infant-attachment-and-maternal-stress
#10
Eun-Sook Cho, Shin-Jeong Kim, Myung Soon Kwon, Haeryun Cho, Eun Hye Kim, Eun Mi Jun, Sunhee Lee
UNLABELLED: This study was conducted to identify the effects of kangaroo care on the physiological functions of preterm infants, maternal-infant attachment, and maternal stress. DESIGN AND METHODS: For this study, a quasi-experiment design was used with a nonequivalent control group, and a pre- and post-test. Data were collected from preterm infants with corrected gestational ages of ≥33weeks who were hospitalized between May and October 2011. Twenty infants were assigned to the experimental group and 20 to the control group...
July 2016: Journal of Pediatric Nursing
https://www.readbyqxmd.com/read/26958688/using-the-automated-fio2-spo2-control-in-neonatal-intensive-care-units-in-poland-a-preliminary-report
#11
Maria Wilińska, Michał Skrzypek, Thomas Bachman, Janusz Swietliński, Marzena Kostuch, Katarzyna Bierla, Małgorzata Czyzewska, Riad Hajdar, Małgorzata Warakomska
AIM: Analysis of the way in which a new method of implementing the automated control of oxygen therapy during respiratory support is applied in newborns with respiratory failure. MATERIAL, METHODS AND RESULTS: The AVEA-CLiO2 ventilator with automated FiO2- SpO2 control was used in our study of 121 newborns conducted between February 2014 and January 2015 in five neonatal intensive care units. A web-based database was used to gather information entered concurrently with using the FiO2- SpO2 control system...
July 2015: Developmental Period Medicine
https://www.readbyqxmd.com/read/26936187/ancillary-therapies-to-enhance-success-of-non-invasive-modes-of-respiratory-support-approaches-to-delivery-room-use-of-surfactant-and-caffeine
#12
REVIEW
Angela Kribs, Helmut Hummler
During recent decades, non-invasive respiratory support has become popular for treating neonates with respiratory failure. Several prospective randomized controlled trials have been performed to compare use of continuous positive airway pressure (CPAP) as primary respiratory support in preterm infants with respiratory distress syndrome (RDS) to endotracheal intubation, mechanical ventilation and surfactant therapy. Systematic reviews of these studies suggest that routine CPAP at delivery is efficacious in decreasing bronchopulmonary dysplasia (BPD), death, or both...
June 2016: Seminars in Fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/26845716/computerized-vital-signs-analysis-and-late-onset-infections-in-extremely-low-gestational-age-infants
#13
Leena Bhattacharya Mithal, Ram Yogev, Hannah Palac, Ilan Gur, Karen K Mestan
AIM: Current clinical and laboratory diagnostics for neonatal infection are inadequate. An infant's systemic inflammatory response may be identified earlier than clinical suspicion by a computerized algorithm (RALIS) incorporating multiple vital signs (VS). We tested the ability of RALIS to detect late onset infection (LOI) earlier than clinically suspected. METHODS: We conducted a retrospective review of infants enrolled in a birth cohort study at Prentice Women's Hospital...
July 1, 2016: Journal of Perinatal Medicine
https://www.readbyqxmd.com/read/26842679/antenatal-betamethasone-for-women-at-risk-for-late-preterm-delivery
#14
RANDOMIZED CONTROLLED TRIAL
Cynthia Gyamfi-Bannerman, Elizabeth A Thom, Sean C Blackwell, Alan T N Tita, Uma M Reddy, George R Saade, Dwight J Rouse, David S McKenna, Erin A S Clark, John M Thorp, Edward K Chien, Alan M Peaceman, Ronald S Gibbs, Geeta K Swamy, Mary E Norton, Brian M Casey, Steve N Caritis, Jorge E Tolosa, Yoram Sorokin, J Peter VanDorsten, Lucky Jain
BACKGROUND: Infants who are born at 34 to 36 weeks of gestation (late preterm) are at greater risk for adverse respiratory and other outcomes than those born at 37 weeks of gestation or later. It is not known whether betamethasone administered to women at risk for late preterm delivery decreases the risks of neonatal morbidities. METHODS: We conducted a multicenter, randomized trial involving women with a singleton pregnancy at 34 weeks 0 days to 36 weeks 5 days of gestation who were at high risk for delivery during the late preterm period (up to 36 weeks 6 days)...
April 7, 2016: New England Journal of Medicine
https://www.readbyqxmd.com/read/26788664/washed-versus-unwashed-red-blood-cells-for-transfusion-for-the-prevention-of-morbidity-and-mortality-in-preterm-infants
#15
REVIEW
Amy K Keir, Dominic Wilkinson, Chad Andersen, Michael J Stark
BACKGROUND: Infants born very preterm often receive multiple red blood cell (RBC) transfusions during their initial hospitalisation. However, there is an increasing awareness of potential adverse effects of RBC transfusions in this vulnerable patient population. Modification of RBCs prior to transfusion, through washing with 0.9% saline, may reduce these adverse effects and reduce the rate of significant morbidity and mortality for preterm infants and improve outcomes for this high-risk group...
2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/26734917/obesity-and-placental-function
#16
Leslie Myatt, Alina Maloyan
An increasing number of women of reproductive age are obese which affects the continuum of pregnancy and is associated with an increased incidence of adverse maternal and fetal outcomes, including preeclampsia, preterm birth, stillbirth, congenital anomalies, and macrosomia. Maternal obesity is associated with an increased incidence of metabolic and cardiovascular disease later in life in the mother and in the offspring who are developmentally programed by the obese pregnancy environment. The placenta transduces and mediates the effect of the adverse maternal environment to the fetus...
January 2016: Seminars in Reproductive Medicine
https://www.readbyqxmd.com/read/26655706/exosomes-from-human-mesenchymal-stem-cells-conduct-aerobic-metabolism-in-term-and-preterm-newborn-infants
#17
Isabella Panfoli, Silvia Ravera, Marina Podestà, Claudia Cossu, Laura Santucci, Martina Bartolucci, Maurizio Bruschi, Daniela Calzia, Federica Sabatini, Matteo Bruschettini, Luca Antonio Ramenghi, Olga Romantsik, Danilo Marimpietri, Vito Pistoia, Gianmarco Ghiggeri, Francesco Frassoni, Giovanni Candiano
Exosomes are secreted nanovesicles that are able to transfer RNA and proteins to target cells. The emerging role of mesenchymal stem cell (MSC) exosomes as promoters of aerobic ATP synthesis restoration in damaged cells, prompted us to assess whether they contain an extramitochondrial aerobic respiration capacity. Exosomes were isolated from culture medium of human MSCs from umbilical cord of ≥37-wk-old newborns or between 28- to 30-wk-old newborns (i.e.,term or preterm infants). Characterization of samples was conducted by cytofluorometry...
April 2016: FASEB Journal: Official Publication of the Federation of American Societies for Experimental Biology
https://www.readbyqxmd.com/read/26611822/prenatal-interventions-for-congenital-diaphragmatic-hernia-for-improving-outcomes
#18
REVIEW
Rosalie M Grivell, Chad Andersen, Jodie M Dodd
BACKGROUND: Congenital diaphragmatic hernia (CDH), is an uncommon but severe condition in which there is a developmental defect in the fetal diaphragm, resulting in liver and bowel migrating to the chest cavity and impairing lung development and function for the neonate. This condition can be diagnosed during pregnancy and as such, is potentially amenable to in-utero prenatal intervention. Neonatal surgical repair is possible, but even with early surgical repair and improving neonatal management, neonatal morbidity and mortality is high...
2015: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/26583943/cardiorespiratory-events-in-preterm-infants-interventions-and-consequences
#19
J M Di Fiore, C F Poets, E Gauda, R J Martin, P MacFarlane
Stabilization of respiration and oxygenation continues to be one of the main challenges in clinical care of the neonate. Despite aggressive respiratory support including mechanical ventilation, continuous positive airway pressure, oxygen and caffeine therapy to reduce apnea and accompanying intermittent hypoxemia, the incidence of intermittent hypoxemia events continues to increase during the first few months of life. Even with improvements in clinical care, standards for oxygen saturation targeting and modes of respiratory support have yet to be identified in this vulnerable infant cohort...
April 2016: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/26583939/cardiorespiratory-events-in-preterm-infants-etiology-and-monitoring-technologies
#20
J M Di Fiore, C F Poets, E Gauda, R J Martin, P MacFarlane
Every year, an estimated 15 million infants are born prematurely (<37 weeks gestation) with premature birth rates ranging from 5 to 18% across 184 countries. Although there are a multitude of reasons for this high rate of preterm birth, once birth occurs, a major challenge of infant care includes the stabilization of respiration and oxygenation. Clinical care of this vulnerable infant population continues to improve, yet there are major areas that have yet to be resolved including the identification of optimal respiratory support modalities and oxygen saturation targets, and reduction of associated short- and long-term morbidities...
March 2016: Journal of Perinatology: Official Journal of the California Perinatal Association
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