scholarly journals Anesthesia and long-term outcomes after neonatal intensive care

2013 ◽  
Vol 24 (1) ◽  
pp. 60-67 ◽  
Author(s):  
Neil Marlow
Keyword(s):  
Intensive Care ◽  
Neonatal Intensive Care ◽  
Long Term Outcomes

scholarly journals Neonatal – Perinatal Medicine Fellowship Training in Long-Term Outcomes of Neonatal Intensive Care Unit Graduates

2005 ◽  
Vol 25 (6) ◽  
pp. 423-425 ◽  
Author(s):  
Raye-Ann deRegnier ◽  
Roberta Ballard ◽  
T Michael O'Shea ◽  
Robert Piecuch ◽  
Michele Walsh ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Fellowship Training ◽  
Long Term Outcomes ◽  
Perinatal Medicine

scholarly journals A team approach to the introduction of safe early mobilisation in an adult critical care unit

2018 ◽  
Vol 7 (4) ◽  
pp. e000339 ◽  
Author(s):  
Sanjiv Chohan ◽  
Sara Ash ◽  
Lorraine Senior
Keyword(s):  
Critical Care ◽  
Intensive Care ◽  
Staff Development ◽  
Critical Care Unit ◽  
Average Length ◽  
Team Approach ◽  
Early Mobilisation ◽  
Long Term Outcomes ◽  
Average Length Of Stay

Delirium and intensive care unit acquired weakness are common in patients requiring critical care and associated with higher mortality and poor long-term outcomes. Early mobilisation has been shown to reduce the duration of both conditions and is recommended as part of a strategy of rehabilitation of critically ill patients starting during their stay in intensive care. Our aim was to achieve 95% reliability with a standardised mobilisation process. Multidisciplinary involvement through the use of regular focus groups lead to the development of a standardised process of sitting a ventilated or non-ventilated patient at the side of the bed for a set period of time, which was called the daily dangle. Team learning from Plan, Do, Study, Act (PDSA)cycles, as well as feedback from both staff and patients, allowed us to develop the process and achieve a median 87% reliability. Delirium rates fell from 54.1% to 28.8%. There was no change in average length of stay, and no adverse events. Ownership by the staff, development of the process by staff, iterative testing and learning, and designs for reliability were the factors behind the successful adoption of a new and challenging process. Particular changes which drove reliability were standardisation of the criteria for a dangle, standardisation of the dangle itself and a reminder included on the daily goals checklist.

scholarly journals Short- and long-term outcomes of very low birth weight infants in Korea: Korean Neonatal Network update in 2019

2020 ◽  
Vol 63 (8) ◽  
pp. 284-290 ◽  
Author(s):  
Jang Hoon Lee ◽  
YoungAh Youn ◽  
Yun Sil Chang ◽  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Neonatal Intensive Care ◽  
Very Low Birth Weight ◽  
Annual Reports ◽  
Long Term Outcomes ◽  
Post Discharge ◽  
Low Birth Weight Infants ◽  
Korean Society

Korea currently has the world’s lowest birth rate but a rapidly inreasing number of preterm infants. The Korean Neonatal Network (KNN), launched by the Korean Society of Neonatology under the support of Korea Centers for Disease Control, has collected population-based data for very low birth weight infants (VLBWIs) born in Korea since 2013. In terms of the short-term outcomes of VLBWIs born from 2013 to 2016 registered in the KNN, the survival rate of all VLBWIs was 86%. Respiratory distress syndrome and bronchopulmonary dysplasia were observed in 78% and 30% of all VLBWIs, respectively. Necrotizing enterocolitis occurred in 7%, while 8% of the VLBWIs needed therapy for retinopathy of prematurity in the neonatal intensive care unit (NICU). Sepsis occurred in 21% during their NICU stay. Intraventricular hemorrhage (grade ≥III) was diagnosed in 10%. In terms of the long-term outcomes for VLBWIs born from 2013 to 2014 registered in the KNN, the post-discharge mortality rate was approximately 1.2%–1.5%, mainly owing to their underlying illness. Nearly half of the VLBWIs were readmitted to the hospital at least once in their first 1–2 years of life, mostly as a result of respiratory diseases. The overall prevalence of cerebral palsy was 6.2%–6.6% in Korea. Bilateral blindness was reported in 0.2%–0.3% of VLBWIs, while bilateral hearing loss was found in 0.8%–1.9%. Since its establishment, the KNN has published annual reports and papers that facilitate the improvement of VLBWI outcome and the formulation of essential healthcare policies in Korea.

Individualized Developmental Care in the Neonatal Intensive Care Nursery

2008 ◽  
Vol 17 (3) ◽  
pp. 84-93
Author(s):  
Kathleen A. VandenBerg ◽  
Erin Sundseth Ross
Keyword(s):  
Intensive Care ◽  
Neonatal Intensive Care ◽  
Advanced Practice ◽  
Developmental Care ◽  
Medical Interventions ◽  
Speech Language Pathologist ◽  
Developmentally Supportive Care ◽  
Intensive Care Nursery ◽  
Infant Brain Development

Abstract Advances in medical care have improved the success of medical interventions in treating high-risk and premature infants, but long-term developmental outcomes are less positive. The neonatal intensive care unit (NICU) setting influences infant brain development and organization, as well as the parent-infant relationship. One advanced-practice role for a speech-language pathologist (SLP) is that of a newborn developmental specialist (NDS). The NDS working in the NICU understands the influence of medical, environmental, and caregiving interactions on the neurologic and neurobehavioral organization of the infant. The NICU setting advanced practice skills are grounded in an individualized, developmentally supportive care model, such as the Newborn Individualized Developmental Care and Assessment Program (NIDCAP). Neurodevelopmental assessment focuses on the competence of the infant. The developmental assessment and intervention strategies are individualized to support the infant's own goal strivings. In this framework, interactions with infants become modified to increase competence and organization. The SLP working in the NICU is in a unique position to facilitate communication between the infant and the parent, as well as between the infant and professional caregivers. The SLP can help the parent interpret and respond appropriately to the infant's communication by focusing on non-verbal stress and stability cues, and by planning all interactions with a goal of co-regulation. Interactions with infants and families in this Model in the NICU have beneficial lifelong implications.

Improving long-term outcomes after discharge from intensive care unit

2012 ◽  
Vol 40 (2) ◽  
pp. 502-509 ◽  
Author(s):  
Dale M. Needham ◽  
Judy Davidson ◽  
Henry Cohen ◽  
Ramona O. Hopkins ◽  
Craig Weinert ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Long Term Outcomes

scholarly journals Short- and long-term outcomes of AL amyloidosis patients admitted into intensive care units

2016 ◽  
Vol 174 (6) ◽  
pp. 868-875 ◽  
Author(s):  
Damien Guinault ◽  
Emmanuel Canet ◽  
Antoine Huart ◽  
Arnaud Jaccard ◽  
David Ribes ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Al Amyloidosis ◽  
Long Term Outcomes ◽  
Short And Long Term

Pre and Perinatal Growth and Development: Implications of Music Benefits for Premature Infants

1998 ◽  
Vol os-31 (1) ◽  
pp. 1-13 ◽  
Author(s):  
Jayne M. Standley
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Music Education ◽  
Neonatal Intensive Care Unit ◽  
Premature Infant ◽  
Neonatal Intensive Care ◽  
Neurological Development ◽  
Nutritive Sucking ◽  
Term Newborns

This article summarizes the current scientific knowledge on foetal and newborn neurological development and related research on beneficial uses of music with the premature infant. As technology and science advance, the survival rate of earlier and earlier premature birth increases with long-term implications for these children having impaired neurological development, delayed growth, and need for special education. Research in the neonatal intensive care unit has focused on uses of music to reduce stress, to promote homeostasis and weight gain, to reinforce non-nutritive sucking, to enhance developmental maturation, and to shorten length of hospitalization. Further, it is theorized that music benefits documented for full term newborns may also apply to the premature infant, i.e., lullabies promote language development; familiar music is recognized, reinforcing, and comforting; and infants orient to and avidly attend to music more so than other auditory stimuli. This burgeoning area of research provides exciting possibilities for the practice of music therapy in the neonatal intensive care unit and for music education in early childhood.

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