Outcome of extremely low gestational age newborns after introduction of a revised protocol to assist preterm infants in their transition to extrauterine life

2012 ◽  
Vol 101 (12) ◽  
pp. 1232-1239 ◽  
Author(s):  
Katrin Mehler ◽  
Judith Grimme ◽  
Julia Abele ◽  
Christoph Huenseler ◽  
Bernhard Roth ◽  
...  
Keyword(s):  
Preterm Infants ◽  
Gestational Age ◽  
Extremely Low Gestational Age

scholarly journals Extremely low gestational age infants: Developing a multidisciplinary care bundle

2020 ◽  
Author(s):  
Emanuela Ferretti ◽  
Thierry Daboval ◽  
Nicole Rouvinez-Bouali ◽  
Sarah L Lawrence ◽  
Brigitte Lemyre
Keyword(s):  
Preterm Infants ◽  
Gestational Age ◽  
Multidisciplinary Care ◽  
Care Bundle ◽  
Extremely Preterm ◽  
Extremely Preterm Infants ◽  
Co2 Monitoring ◽  
Multidisciplinary Working ◽  
Timing Of Initiation ◽  
Extremely Low Gestational Age

Abstract Background Clinical experience in managing extremely low gestational age infants, particularly those born <24 weeks’ gestation, is limited in Canada. Our goal was to develop a bedside care bundle for infants born <26 weeks’ gestation, with special considerations for infants of <24 weeks, to harmonize and improve quality of care. Methods We created a multidisciplinary working group with experience in caring for preterm infants, searched the literature from 2000 to 2019 to identify best practices for the care of extremely preterm infants and consulted colleagues across Canada and internationally. Iterative improvements were made following the Plan-Do-Study-Act methodology. Results A care bundle, created in October 2015, was divided into three time periods: initial resuscitation/stabilization, the first 72 hours and days 4 to 7, with each period subdivided in 8 to 12 care themes. Revisions and practice changes were implemented to improve skin integrity, admission temperature, timing of initiation of feeds, reliability of transcutaneous CO2 monitoring and ventilation. Of 127 infants <26 weeks admitted between implementation and end of 2019, 78 survived to discharge (61%). Conclusion It will be important to determine, with ongoing auditing and further evaluation, whether our care bundle led to improvements of short- and long-term outcomes in this population. Our experience may be useful to others caring for extremely low gestational age infants.

scholarly journals Antenatal magnesium sulfate and intestinal morbidities in preterm infants with extremely low gestational age

2021 ◽  
Author(s):  
Seh Hyun Kim ◽  
Yoo-Jin Kim ◽  
Seung Hyun Shin ◽  
Hannah Cho ◽  
Seung Han Shin ◽  
...  
Keyword(s):  
Magnesium Sulfate ◽  
Preterm Infants ◽  
Gestational Age ◽  
Extremely Low Gestational Age

Behaviour at 2 years of age in very preterm infants (gestational age <32 weeks)

2003 ◽  
Vol 92 (5) ◽  
pp. 1-1 ◽  
Author(s):  
GMSJ Stoelhorst ◽  
SE Martens ◽  
M Rijken ◽  
van Zwieten PHT ◽  
AH Zwinderman ◽  
...  
Keyword(s):  
Preterm Infants ◽  
Gestational Age ◽  
Very Preterm Infants ◽  
Very Preterm
Sign in / Sign up

Export Citation Format

Share Document