Tag: neonatal intensive care

1. Breastfeeding was recommended as a first-line neonatal analgesic for procedures done in non-tertiary care in Kenya. 2. When breastfeeding is unavailable, expressed breastmilk was recommended as a first-line analgesic, with oral sugar as a second-line analgesic. Evidence Rating Level: 1 (Excellent) Study Rundown: In low and middle income countries (LMICs), painful...
Neonatal intensive care unit (NICU) medical staff who were exposed to maternal expressions of gratitude had higher scores in procedural and therapeutic planning and prosocial behaviors in response to neonatal medical emergency scenarios when compared to medical staff who were exposed to neutral maternal statements. Evidence Rating: Level 1...
1. Advance practitioners and neonatal fellows had the highest rates of neonatal tracheal intubation (TI) attempts in the neonatal intensive care unit (NICU) and delivery room (DR), while residents had fewer attempts. There was a significant association between the degree of training held by the intubator and the success...
1. Survival of neonates born at 22 weeks’ gestation ranged from 1.8 to 22.3% using all live births as the denominator, and this variation declined when incorporating births categorized as stillborn or liveborn surviving beyond 12 hours of life. Evidence Rating Level: 4 (Below Average) Study Rundown: Gestation-specific survival rates...
1. In this randomized controlled trial, the frequency of prolonged desaturation during neonatal, nonemergent intubation was similar between atropine plus propofol compared to atropine plus atracurium and sufentanil. 2. The process of intubation with atropine-propofol took longer than intubation with atropine-atracurium-sufentanil. Evidence Rating Level: 1 (Excellent) Study Rundown: Neonates requiring nonemergent intubation...
1. Among extremely preterm infants, low-dose hydrocortisone was not associated with adverse neurodevelopmental outcomes at 2 years of age. Evidence Rating Level: 1 (Excellent) Study Rundown: Close to 15 million preterm neonates are born every year and many of these children suffer from significant complications. Glucocorticoids have been utilized as a...
1. Between 2008 and 2014, rates of pharmacologic treatment or pharmacologic plus surgical ligation of patent ductus arteriosus (PDA) in very low birth weight (VLBW) infants decreased, while percent of infants not treated or treated with ligation alone increased. 2. Incidence of PDA diagnosis in very low birth weight infants...
1. Periviable infants born from 2008-2011 survived to 18-22 months corrected age at a higher rate than those born from 2000-2003. 2. Rates of reaching 18-22 months corrected age without neurodevelopmental impairment were higher for periviable infants born during 2008-2011 compared to those born from 2000-2003. Evidence Rating: 2 (Good) Study Rundown:...
1. Based on this prospective cohort study, use of antenatal steroids (ANS) was linked to improved mortality and neurologic outcomes, and lower rates of necrotizing enterocolitis and bronchopulmonary dysplasia in extremely premature infants. 2. Outcomes demonstrated a dose-response relationship with a complete course of ANS linked to better outcomes than...
1. Preterm infants receiving primary respiratory support had treatment failure at a significantly higher rate when treated with nasal high-flow therapy as compared with continuous positive airway pressure (CPAP). 2. Adverse events observed in both treatment groups were generally similar, though preterm infants treated with nasal high-flow therapy experienced a...