keyword
https://read.qxmd.com/read/38447639/use-of-intravenous-albumin-a-guideline-from-the-international-collaboration-for-transfusion-medicine-guidelines
#1
Jeannie Callum, Nikolaos J Skubas, Aarti Bathla, Homa Keshavarz, Edward G Clark, Bram Rochwerg, Dean Fergusson, Sesmu Arbous, Seth R Bauer, Louise China, Mark Fung, Rachel Jug, Michael Neill, Cary Paine, Katerina Pavenski, Prakesh S Shah, Susan Robinson, Hua Shan, Zbigniew M Szczepiorkowski, Thierry Thevenot, Bovey Wu, Simon Stanworth, Nadine Shehata
BACKGROUND: Albumin is commonly employed across a wide range of clinical settings to improve hemodynamics, facilitate fluid removal, and manage complications of cirrhosis. The International Collaboration for Transfusion Medicine Guidelines developed guidelines for the use of albumin in patients requiring critical care, undergoing cardiovascular surgery, kidney replacement therapy, or experiencing complications of cirrhosis. METHODS: Co-chairs oversaw the guideline development process and the panel included researchers, clinicians, methodologists, and a patient representative...
March 4, 2024: Chest
https://read.qxmd.com/read/38416200/the-carbon-footprint-of-critical-care-a-systematic-review
#2
Melany Gaetani, Elizabeth Uleryk, Camilla Halgren, Christina Maratta
PURPOSE: The provision of healthcare is a substantial global contributor to greenhouse gas (GHG) emissions. Several medical specialties and national health systems have begun evaluating their carbon emission contributions. The aim of this review is to summarise and describe the carbon footprint resulting from the provision of adult, paediatric and neonatal critical care. METHODS: A systematic search of Embase, Cochrane and Web of Science was performed in January 2023...
February 28, 2024: Intensive Care Medicine
https://read.qxmd.com/read/38232677/training-perinatal-nurses-in-palliative-communication-by-using-scenario-based-simulation-a-quasi-experimental-study
#3
JOURNAL ARTICLE
Hsiao-Wei Chen, Su-Fen Cheng, Yvonne Hsiung, Yu-Hui Chuang, Tsui-Yao Liu, Chien-Lin Kuo
AIM: This study aimed to assess the impact of two educational modules on enhancing the communication confidence, competence and performance of perinatal nurses in the context of palliative care. BACKGROUND: Concerns have arisen regarding the preparedness of perinatal nurses in delivering palliative care, especially in terms of deficiencies in communication skills and negative attitudes toward making life-support decisions for parents facing neonates with terminal conditions...
January 10, 2024: Nurse Education in Practice
https://read.qxmd.com/read/38027260/overnight-staffing-in-canadian-neonatal-and-pediatric-intensive-care-units
#4
JOURNAL ARTICLE
Christina Maratta, Kristen Hutchison, Jessica Nicoll, Sean M Bagshaw, John Granton, Haresh Kirpalani, Henry Thomas Stelfox, Niall Ferguson, Deborah Cook, Christopher S Parshuram, Gregory P Moore
AIM: Infants and children who require specialized medical attention are admitted to neonatal and pediatric intensive care units (ICUs) for continuous and closely supervised care. Overnight in-house physician coverage is frequently considered the ideal staffing model. It remains unclear how often this is achieved in both pediatric and neonatal ICUs in Canada. The aim of this study is to describe overnight in-house physician staffing in Canadian pediatric and level-3 neonatal ICUs (NICUs) in the pre-COVID-19 era...
2023: Frontiers in Pediatrics
https://read.qxmd.com/read/37804539/long-term-healthcare-utilization-and-costs-of-babies-bornafter-assisted-reproductive-technologies-art-a-record-linkage-study-with-10-years-follow-up-in-england
#5
JOURNAL ARTICLE
Xinyang Hua, Oliver Rivero-Arias, Maria A Quigley, Jennifer J Kurinczuk, Claire Carson
STUDY QUESTION: Is the long-term health care utilization of children born after ART more costly to the healthcare system in England than children born to mothers with no fertility problems? SUMMARY ANSWER: Children born after ART had significantly more general practitioner (GP) consultations and higher primary care costs up to 10 years after birth, and significantly higher hospital admission costs in the first year after birth, compared to childrenborn to mothers with no fertility problems...
October 7, 2023: Human Reproduction
https://read.qxmd.com/read/37778883/neonatal-airway-management-training-using-simulation-based-educational-methods-and-technology
#6
JOURNAL ARTICLE
Nadya Yousef, Lamia Soghier
Airway management is a fundamental component of neonatal critical care and requires a high level of skill. Neonatal endotracheal intubation (ETI), bag-mask ventilation, and supraglottic airway management are complex technical skills to acquire and continually maintain. Simulation training has emerged as a leading educational modality to accelerate the acquisition of airway management skills and train interprofessional teams. However, current simulation-based training does not always replicate neonatal airway management needed for patient care with a high level of fidelity...
November 2023: Seminars in Perinatology
https://read.qxmd.com/read/37716810/managing-tetralogy-of-fallot-during-interhospital-transfers
#7
REVIEW
Roger L Layell, Kory A Lane
Pediatric and neonatal critical care providers involved in transport run calls involving patients diagnosed with Tetralogy of Fallot, which can occasionally be a challenge for some providers. Making up around 10% of all congenital heart defects, inevitably makes Tetralogy of Fallot (TOF) the most common of all the cyanotic congenital heart diseases. There are some transport teams that do not have the capability and invasive equipment that a referring hospital may have to manage these high acuity low volume patients...
2023: Air Medical Journal
https://read.qxmd.com/read/37651420/developing-a-south-african-curriculum-for-education-in-neonatal-critical-care-retrieval-an-initial-exploration
#8
JOURNAL ARTICLE
W Williams, E Theron, W Khan, W Stassen
BACKGROUND: Owing to limited or centralised neonatal critical care resources, the interfacility transfer of neonates is inevitable. In many high-income settings, dedicated Critical Care Retrieval Services (CCRS) with additional education and training undertake neonatal critical care retrieval (CCR). In South Africa, however, these transfers are mostly conducted by advanced paramedics with limited education in neonatal care, and this may lead to high adverse event rates. In SA, a shortage of skilled neonatal interfacility transport services has been identified as one of the top ten avoidable causes of under-5 mortality...
2023: PloS One
https://read.qxmd.com/read/37369561/a-study-protocol-for-investigating-the-sonographic-characteristics-of-neonates-with-critical-illness-an-observational-cohort-study
#9
JOURNAL ARTICLE
Tiantian Xiao, Yiyong Fu, Biao Li, Yan Li, Jingyi Zhang, Huaying Li, Xiaofeng Zhou, Linping Zhong, Lin Zhu, Gaoyang Qin, Xin Zou, Xiaolong Zhang, Minsheng Zheng, Pinli Zou, Youning Hu, Xia Chen, Yuan Wang, Nana Wu, Shuqiang Gao, Xuhong Hu, Xiaohong Luo, Rong Ju
BACKGROUND: Haemodynamic instability and hypoxaemia are common and serious threats to the survival of neonates. A growing body of literature indicates that critical care ultrasound has become the optimal evaluation tool for sick neonates. However, few studies have described sonographic characteristics of haemodynamics systematically in the neonates with critical illness. This protocol describes a prospective observational cohort study aimed at (1) characterising the sonographic characteristics of the neonates with critical diseases; and (2) assessing the mortality, significant morbidity, utility of vasoactive medications, fluid resuscitation, duration of ventilation, etc...
June 2023: BMJ Paediatrics Open
https://read.qxmd.com/read/37208430/preceding-risks-and-mortality-outcomes-of-different-neonatal-acute-kidney-injury-in-preterm-infants
#10
JOURNAL ARTICLE
Chih-Chia Chen, Chi-Hsiang Chu, Yung-Chieh Lin, Shan-Tair Wang, Chao-Ching Huang
BACKGROUND: The aim of the study was to examine preceding risks and mortality outcomes of oliguric and non-oliguric acute kidney injury (AKI) in very preterm infants. METHODS: Infants born ≤30 weeks' gestation were included. AKI was diagnosed based on neonatal Kidney Disease: Improving Global Outcomes criteria and was classified as oliguric and non-oliguric according to the urine-output criteria. We used modified Poisson and Cox proportional-hazards models for statistical comparisons...
May 18, 2023: Pediatric Research
https://read.qxmd.com/read/37153839/predictors-of-neonatal-intensive-care-unit-admission-and-adverse-outcomes-related-to-gestational-diabetes
#11
JOURNAL ARTICLE
Abdullah M Al-Shahrani
BACKGROUND: Gestational diabetes mellitus (GDM) is a type of diabetes that manifests itself in pregnant women. It poses a significant risk to the mother's health as well as the health of the infant, including more babies being brought to the neonatal intensive care unit (NICU). It puts both the mother's and the child's health at serious risk, increasing the likelihood that newborns may need to be treated in a neonatal critical care unit. This study aimed to determine the factors that predict GDM-related NICU admission and other adverse newborn outcomes...
May 2023: Curēus
https://read.qxmd.com/read/36949823/knowledge-of-jordanian-women-of-reproductive-age-who-underwent-bariatric-surgery-and-its-effect-on-birth-outcomes-a-cross-sectional-study
#12
JOURNAL ARTICLE
Zainah Assaf, Hana Taha, Immanuel Azaad Moonesar, Firas Obeidat, Eman F Badran, Mazen Al-Nabelsi, Raeda Al Qutob
OBJECTIVES: This study aims at exploring the knowledge of women of reproductive age who underwent bariatric surgery in Jordan regarding its effect on birth outcomes. METHODS: A cross-sectional study was conducted on 183 women (aged 15-49) who had undergone bariatric surgery at the Jordan University Hospital in Amman, Jordan, between 2016 and 2019, using telephone interviews with conveniently selected participants' samples. The survey tool obtained data on women's knowledge and other sociodemographic, obstetric health, and bariatric surgery information...
2023: SAGE Open Medicine
https://read.qxmd.com/read/36827349/birth-asphyxia-related-mortality-in-northwest-ethiopia-a-multi-centre-cohort-study
#13
MULTICENTER STUDY
Daniel Bekele Ketema, Fantu Mamo Aragaw, Fasil Wagnew, Misganaw Mekonnen, Abeba Mengist, Alehegn Aderaw Alamneh, Yihalem Abebe Belay, Getiye Dejenu Kibret, Cheru Tesema Leshargie, Molla Yigzaw Birhanu, Yitbarek Tenaw Hibstie, Belisty Temesgen, Animut Alebel
BACKGROUND: Birth asphyxia is the second leading cause of neonatal death in Ethiopia, next to preterm-associated infections. Understanding the causes of death in asphyxiated newborns will help to design appropriate care. This study identifies predictors of neonatal mortality in asphyxiated newborns in selected hospitals in Northwest Ethiopia. METHODS: An institution-based prospective cohort study of 480 newborns with birth asphyxia was conducted at Debre Markos Comprehensive Specialized Hospital, Shegaw Motta District Hospital, and Injibara General Hospital...
2023: PloS One
https://read.qxmd.com/read/36564163/cumulative-risk-factors-contributing-to-hearing-loss-in-preterm-infants
#14
JOURNAL ARTICLE
Kathy Chant, Maria Bitner-Glindzicz, Neil Marlow
OBJECTIVE: To investigate individual and concomitant risk factors for hearing loss during neonatal care. DESIGN: Case-control study. SETTING: Community. POPULATION: 237 children born <32 weeks of gestation; 57 with hearing loss and 180 with normal hearing born between 2009 and 2013, matched for sex, gestation and year of birth. MAIN OUTCOME MEASURES: Data were abstracted from clinical records for overall risk factors daily for the first 14 days and then weekly until discharge from neonatal care...
September 2023: Archives of Disease in Childhood. Fetal and Neonatal Edition
https://read.qxmd.com/read/36476747/neuromonitoring-in-neonatal-critical-care-part-i-neonatal-encephalopathy-and-neonates-with-possible-seizures
#15
REVIEW
Mohamed El-Dib, Nicholas S Abend, Topun Austin, Geraldine Boylan, Valerie Chock, M Roberta Cilio, Gorm Greisen, Lena Hellström-Westas, Petra Lemmers, Adelina Pellicer, Ronit M Pressler, Arnold Sansevere, Tammy Tsuchida, Sampsa Vanhatalo, Courtney J Wusthoff
The blooming of neonatal neurocritical care over the last decade reflects substantial advances in neuromonitoring and neuroprotection. The most commonly used brain monitoring tools in the neonatal intensive care unit (NICU) are amplitude integrated EEG (aEEG), full multichannel continuous EEG (cEEG), and near-infrared spectroscopy (NIRS). While some published guidelines address individual tools, there is no consensus on consistent, efficient, and beneficial use of these modalities in common NICU scenarios. This work reviews current evidence to assist decision making for best utilization of neuromonitoring modalities in neonates with encephalopathy or with possible seizures...
December 7, 2022: Pediatric Research
https://read.qxmd.com/read/36434203/neuromonitoring-in-neonatal-critical-care-part-ii-extremely-premature-infants-and-critically-ill-neonates
#16
REVIEW
Mohamed El-Dib, Nicholas S Abend, Topun Austin, Geraldine Boylan, Valerie Chock, M Roberta Cilio, Gorm Greisen, Lena Hellström-Westas, Petra Lemmers, Adelina Pellicer, Ronit M Pressler, Arnold Sansevere, Eniko Szakmar, Tammy Tsuchida, Sampsa Vanhatalo, Courtney J Wusthoff
Neonatal intensive care has expanded from cardiorespiratory care to a holistic approach emphasizing brain health. To best understand and monitor brain function and physiology in the neonatal intensive care unit (NICU), the most commonly used tools are amplitude-integrated EEG, full multichannel continuous EEG, and near-infrared spectroscopy. Each of these modalities has unique characteristics and functions. While some of these tools have been the subject of expert consensus statements or guidelines, there is no overarching agreement on the optimal approach to neuromonitoring in the NICU...
July 2023: Pediatric Research
https://read.qxmd.com/read/36338802/racial-disparities-in-donor-human-milk-feedings-a-study-using-electronic-medical-records
#17
JOURNAL ARTICLE
Aunchalee E L Palmquist, Ifeyinwa V Asiodu, Christine Tucker, Kristin P Tully, Diane T Asbill, Angela Malloy, Alison M Stuebe
Introduction: The aim of this study was to evaluate differences in the use of pasteurized donor human milk (PDHM) by maternal race-ethnicity during postpartum hospitalization using electronic medical records (EMRs). Materials and Methods: A retrospective cohort study of all live-born infants at our academic research institution from July 1, 2014, to June 30, 2016, was conducted. EMR data were used to determine whether each infant received mother's own milk (MOM), PDHM, or formula...
2022: Health Equity
https://read.qxmd.com/read/36161483/rapid-genetic-testing-in-pediatric-and-neonatal-critical-care-a-scoping-review-of-emerging-ethical-issues
#18
JOURNAL ARTICLE
Lauren Chad, James Anderson, Diana Cagliero, Robin Z Hayeems, Linh G Ly, Anna Szuto
BACKGROUND: Rapid genome-wide sequencing (rGWS) is being increasingly used to aid in prognostication and decision-making for critically ill newborns and children. Although its feasibility in this fast-paced setting has been described, this new paradigm of inpatient genetic care raises new ethical challenges. OBJECTIVE: A scoping review was performed to (1) identify salient ethical issues in this area of practice; and (2) bring attention to gaps and ethical tensions that warrant more deliberate exploration...
September 26, 2022: Hospital Pediatrics
https://read.qxmd.com/read/36153147/an-integrative-review-regarding-knowledge-and-self-competency-of-pediatric-and-neonatal-critical-care-transport-nurses
#19
JOURNAL ARTICLE
Andrea Campbell, Judy Ascenzi, Deborah W Busch
OBJECTIVE: As the health care setting has become more centralized, there has been an increased need for critically ill neonatal and pediatric patients to be transported to facilities for a higher level of care. These interfacility transports are possible through the utilization of highly specialized teams of health care providers. Unfortunately, there is currently a lack of consistency in training these teams to provide safe care. The purpose of this integrative review was to identify the best practice for improving nursing knowledge and self-competency in critical care neonatal and pediatric interhospital transport...
September 2022: Air Medical Journal
https://read.qxmd.com/read/36054567/impact-of-a-nurse-education-programme-on-oral-feeding-in-a-neonatal-unit
#20
JOURNAL ARTICLE
Anne Beissel, Angélique Denis, Sophie Laborie, Fabienne Pillet, Hélène Gauthier-Moulinier, Sophie Hommey, Lyvonne N Tume, Marine Butin, Sandrine Touzet
BACKGROUND: Premature neonates often experience feeding difficulties during their hospital stay, and evidence-based interventions have been shown to improve feeding outcomes. AIM: This study investigated whether an infant-cue based nurse educational feeding bundle accelerates the achievement of independent oral feeding in neonates in a neonatal intensive care unit. STUDY DESIGN: A quality improvement study with a pre, during and post intervention test design...
August 31, 2022: Nursing in Critical Care
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