Tag: neonatology

1. The Apgar score evaluates initial infant condition after delivery and helps direct need for any resuscitative measures. This joint policy from the American Academy of Pediatric (AAP) and the American College of Obstetricians and Gynecologists (ACOG) is a reminder that, on an individual level, the Apgar score does...
1. In this study, many infants who failed otoacoustic emission (OAE) screening but subsequently passed auditory brainstem response (ABR) screening were ultimately diagnosed with hearing loss Evidence Rating Level: 2 (Good)    Study Rundown: For prompt hearing loss detection, many countries now mandate newborn hearing screening. Most use a 2-stage system...
1. Choosing Wisely is a campaign by the American Board of Internal Medicine Foundation encouraging physicians and patients to promote high-value, cost-conscious care. 2. This national survey concluded on 5 practice parameters in newborn medicine that can help increase value in care delivered. Evidence Rating Level: 1 (Excellent) Study Rundown: In 2011,...
1. With the implementation of a distinct and unique naming system in neonatal intensive care units (NICU), potential wrong-patient errors were reduced by a total of 36.3%. 2. The greatest reductions in errors were seen among orders placed by house staff (interns, residents, and fellows) and in orders placed on...
Premature infants who were delivered by cesarean section and underwent umbilical cord milking had greater systemic blood flow, hemoglobin levels, and urine output than those who received a delayed cord clamping. Evidence Rating Level: 1 (Excellent)  Study Rundown: Current recommendations endorse a delay in umbilical cord clamping (DCC) for all preterm...
1. This retrospective cohort of 220 full-term, low birth weight infants had a car seat tolerance screening failure incidence of 4.8%. Maternal opiate use was associated with car seat tolerance screen failure. 2. Gender, race, delivery mode, single vs. multiple gestation, birth weight, birth gestational age, Apgar score, and positive...
1. When comparing glycerin suppository or enemas to placebo in premature infants, there was no significant difference in terms of mortality, initiation of enteral feeding, or rectal bleeding. 2. There was a non-significant trend towards increasing rates of necrotizing enterocolitis (NEC) in infants receiving glycerin suppository or enema compared to...
1. In a mathematical model, an equal number of cases of congenital heart disease (CCHDs) were detected and missed by universal pulse-oximetry screening. 2. The model predicted that prevalence of prenatal detection did not have a significant impact on the overall number of diagnosed cases. Study Rundown: The use of pulse-oximetry...
1. Antibiotic use across 127 neonatal intensive care units (NICU) in California varied 40-fold, ranging from 2.4% to 97.1% of patient-days, with a median of 24.5% of patient-days. 2. Variations in antibiotic use were not linked to rates of proven infection, NEC, mortality, proportion of live births admitted to the...
1. Only 23% of pediatric and medicine-pediatric residents studied achieved competency in neonatal intubation during their residency years. 2. Using Bayesian statistics, competency was defined as 75% likelihood of achieving successful intubation on next attempt, and translated into 4 previous cumulative successful intubations. Evidence Rating Level: 1 (Excellent)     Study Rundown:...