Surfactant utilization and short-term outcomes in an era of non-invasive respiratory support in Canadian neonatal intensive care units

2017 ◽  
Vol 37 (9) ◽  
pp. 1017-1023 ◽  
Author(s):  
K Raghuram ◽  
◽  
A Mukerji ◽  
J Young ◽  
W Yee ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Neonatal Intensive Care ◽  
Respiratory Support ◽  
Neonatal Intensive Care Units ◽  
Short Term ◽  
Non Invasive

scholarly journals Utilization pattern of kangaroo mother care after introduction in eight selected neonatal intensive care units in China

2020 ◽  
Author(s):  
Xin Liu ◽  
Zhankui Li ◽  
Xiaohui Chen ◽  
Bei Cao ◽  
Shaojie Yue ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Preterm Infants ◽  
Neonatal Intensive Care ◽  
Intervention Program ◽  
Infant Health ◽  
Kangaroo Mother Care ◽  
Respiratory Support ◽  
Neonatal Intensive Care Units ◽  
Cross Sectional

Abstract Background To understand the feasibility and method of adoption of KMC in the context of China's NICUs. Describe the utilization of kangaroo mother care (KMC) in eight self-selected neonatal intensive care units (NICUs) participating in premature birth and infant’s intervention program. Methods A cross-sectional study of preterm infants discharged from eight NICUs in April 2018 . For infants was collected this included postnatal day and corrected gestational age (GA) at KMC initiation, frequency and duration of KMC provision and whether the infant was receiving respiratory support. A nurse-administered questionnaire on parents’ knowledge and experience of KMC provision was administered to parents providing KMC. Results 135 preterm infants received KMC, 21.2% of all preterm infants discharged. 91.1% of those who received KMC were below 34 weeks GA, 91.1% had a birth weight below 2000g, and 20.7% needed respiratory support at KMC initiation. Average KMC exposure was greater in infants born at GA <28 weeks that babies born at greater GA. Conclusion After advocacy, training and promotion, intermittent KMC was initiated on more immature and high-risk infants, and well-accepted by parents. We suggest to continue to promote parents KMC education enhancing preterm infant health.

scholarly journals Utilization pattern of kangaroo mother care after introduction in eight selected neonatal intensive care units in China

2020 ◽  
Author(s):  
Xin Liu ◽  
Zhankui Li ◽  
Xiaohui Chen ◽  
Bei Cao ◽  
Shaojie Yue ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Preterm Infants ◽  
Neonatal Intensive Care ◽  
Infant Health ◽  
Kangaroo Mother Care ◽  
Respiratory Support ◽  
Neonatal Intensive Care Units ◽  
Cross Sectional ◽  
Parental Experience

Abstract Background: Kangaroo mother care (KMC) is an evidence-based and cost-effective intervention that could prevent severe complications for preterm babies, however it has not been widely adopted in China. In this study, we aim to investigate the feasibility and parental experience of adopting KMC in a Chinese context by studying the implementation of a KMC program in eight self-selected neonatal intensive care units (NICUs).Methods: A cross-sectional study of 135 preterm infants discharged from eight NICUs in April 2018. For infants information was collected on postnatal day and corrected gestational age (GA) at KMC initiation, frequency and duration of KMC provision and whether the infant was receiving respiratory support. A nurse-administered questionnaire on parents’ knowledge and experience of KMC provision was administered to parents providing KMC.Results: 135 preterm infants received KMC, 21.2% of all preterm infants discharged. 91.1% of those who received KMC were below 34 weeks GA, 91.1% had a birth weight below 2000g, and 20.7% needed respiratory support at KMC initiation. Average KMC exposure was greater in infants born at GA <28 weeks that babies born at greater GA. 94.8% of parents that participated in the parental survey indicated that KMC was positively accepted by their family members; 60.4% of the parents claimed that KMC could relieve anxiety, 57.3% claimed it prompted more interactions with medical staff and 69.8% suggested it increased parental confidence in care for their infants.Conclusions: After advocacy, training and promotion, intermittent KMC was initiated on more immature and high-risk infants, and well-accepted by parents. We suggest continuing to promote KMC education to parents and enhancing preterm infant health.

scholarly journals A Cloud-Based Healthcare Infrastructure for Neonatal Intensive-Care Units

2019 ◽  
Author(s):  
Lucia Migliorelli ◽  
Annalisa Cenci ◽  
Michele Bernardini ◽  
Luca Romeo ◽  
Sara Moccia ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Neonatal Intensive Care ◽  
Data Transfer ◽  
Medical Attention ◽  
Neonatal Intensive Care Units ◽  
Short Term ◽  
Huge Data ◽  
Preterm Babies

Abstract Intensive medical attention of preterm babies is crucial to avoid short-term and long-term complications. Within neonatal intensive care units (NICUs), cribs are equipped with electronic devices aimed at: monitoring, administering drugs and supporting clinician in making diagnosis and offer treatments. To manage this huge data flux, a cloud-based healthcare infrastructure that allows data collection from different devices (i.e., patient monitors, bilirubinometers, and transcutaneous bilirubinometers), storage, processing and transferring will be presented. Communication protocols were designed to enable the communication and data transfer between the three different devices and a unique database and an easy to use graphical user interface (GUI) was implemented. The infrastructure is currently used in the “Women’s and Children’s Hospital G.Salesi” in Ancona (Italy), supporting clinicians and health opertators in their daily activities.

Survey of noninvasive respiratory support practices in Canadian neonatal intensive care units

2016 ◽  
Vol 106 (3) ◽  
pp. 387-393 ◽  
Author(s):  
Amit Mukerji ◽  
Prakesh S. Shah ◽  
Sandesh Shivananda ◽  
Wendy Yee ◽  
Brooke Read ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Neonatal Intensive Care ◽  
Respiratory Support ◽  
Neonatal Intensive Care Units ◽  
Support Practices

scholarly journals Utilization pattern of kangaroo mother care after introduction in eight selected neonatal intensive care units in China

2020 ◽  
Author(s):  
Xin Liu ◽  
Zhankui Li ◽  
Xiaohui Chen ◽  
Bei Cao ◽  
Shaojie Yue ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Preterm Infants ◽  
Neonatal Intensive Care ◽  
Intervention Program ◽  
Cross Sectional Study ◽  
Kangaroo Mother Care ◽  
Respiratory Support ◽  
Neonatal Intensive Care Units ◽  
Cross Sectional

Abstract Background To describe the utilization of kangaroo mother care (KMC) in eight self-selected neonatal intensive care units (NICUs) participating in premature birth and infant’s intervention program. Methods A cross-sectional study of preterm infants discharged from eight NICUs in April 2018. For infants was collected this included postnatal day and corrected gestational age (GA) at KMC initiation, frequency and duration of KMC provision and whether the infant was receiving respiratory support. Results 135 preterm infants received KMC, 21.2% of all preterm infants discharged. 91.1% of those who received KMC were below 34 weeks GA, 91.1% had a birth weight below 2000g, and 20.7% needed respiratory support at KMC initiation. Average KMC exposure was greater in infants born at GA <28 weeks that babies born at greater GA. Conclusion After advocacy, training and promotion, intermittent KMC was initiated on more immature and high-risk infants, and well-accepted by medical staff and parents.

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