Tag: NICU

Robotic Approach to Paraesophageal Hernia Repair Results in Low Long-Term Recurrence Rate and Beneficial Patient-Centered Outcomes 1. The use of robotic techniques to repair paraesophageal hernias resulted in low rates of recurrence and had positive patient outcomes at five years. Evidence Rating Level: 3 (Average) Since the advent of laparoscopic surgery in...

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...

1. A multicenter randomized control trial concluded that n-3 polyunsaturated fatty acid supplementation in pregnancy did not change the risk of preterm delivery or the risk of post-term induction or cesarean section. 2. The safety profile of n-3 polyunsaturated fatty acid supplementation in pregnancy was similar to control. Evidence Rating Level:...

1. A multicenter randomized control trial concluded that n-3 polyunsaturated fatty acid supplementation in pregnancy did not change the risk of preterm delivery or the risk of post-term induction or cesarean section. 2. The safety profile of n-3 polyunsaturated fatty acid supplementation in pregnancy was similar to control. Evidence Rating...

1. Extremely preterm infants born in non-tertiary hospitals in England had an increased risk of death, and transfer in the first 48 hours postnatally was associated with increased risk of severe brain injury relative to infants born in tertiary neonatal care. Evidence Rating Level: 2 (Good) Extremely preterm infants born at...

Gender differences in Twitter use and influence among health policy and health services researchers 1. Women’s voices on common social media platforms appear less influential and have less reach than their male counterparts in the health policy and health service research arena, suggesting that social media may re-enforce known gender...

1. Differences in scores for quality of care in neonatal intensive care units (NICU) were most pronounced when stratifying for race and/or ethnicity, as opposed to adjusting scores for race and ethnicity. 2. When stratifying for race and/or ethnicity, white infants had higher quality of care scores than Hispanic...

1. Stochastic resonance (SR) stimulation is a novel, noninvasive, nonpharmacologic method of delivering subarousal vibration to infants via specialized mattresses. 2. The use of SR stimulation decreased rates of apnea of prematurity, oxygen desaturation, and some aspects of bradycardia in preterm infants. Statement Rundown: Apnea of prematurity is a common problem...

1. Wearing nonsterile gloves after hand washing resulted in fewer instances of gram-positive bloodstream infections and possible central line associated bloodstream infections in neonatal intensive care unit (NICU) patients when compared to hand washing alone.  2. Although there was a trend towards fewer instances of late-onset infections, which was the...

Image: PD 1. Among 4797 PICC lines examined, the risk of central line associated blood stream infections (CLABSIs) in neonates increased over the first 2 weeks after peripherally inserted central catheter (PICC) placement, and then remained elevated, but steady until removal. 2. Gram-negative CLABSIs occurred more frequently in long-term (> 50...