scholarly journals Comparison of Neonatal Intubation Practice and Outcomes between the Neonatal Intensive Care Unit and Delivery Room

Neonatology ◽  
2019 ◽  
Vol 117 (1) ◽  
pp. 65-72 ◽  
Author(s):  
Heidi Meredith Herrick ◽  
Kristen M. Glass ◽  
Lindsay C. Johnston ◽  
Neetu Singh ◽  
Justine Shults ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Delivery Room

scholarly journals Characterisation of Textile Embedded Electrodes for Use in a Neonatal Smart Mattress Electrocardiography System

Sensors ◽  
2021 ◽  
Vol 21 (3) ◽  
pp. 999
Author(s):  
Henry Dore ◽  
Rodrigo Aviles-Espinosa ◽  
Zhenhua Luo ◽  
Oana Anton ◽  
Heike Rabe ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Heart Rate ◽  
Intensive Care ◽  
High Resolution ◽  
Neonatal Intensive Care Unit ◽  
Real Time ◽  
Neonatal Intensive Care ◽  
Delivery Room ◽  
Proof Of Concept ◽  
Heart Rate Monitoring

Heart rate monitoring is the predominant quantitative health indicator of a newborn in the delivery room. A rapid and accurate heart rate measurement is vital during the first minutes after birth. Clinical recommendations suggest that electrocardiogram (ECG) monitoring should be widely adopted in the neonatal intensive care unit to reduce infant mortality and improve long term health outcomes in births that require intervention. Novel non-contact electrocardiogram sensors can reduce the time from birth to heart rate reading as well as providing unobtrusive and continuous monitoring during intervention. In this work we report the design and development of a solution to provide high resolution, real time electrocardiogram data to the clinicians within the delivery room using non-contact electric potential sensors embedded in a neonatal intensive care unit mattress. A real-time high-resolution electrocardiogram acquisition solution based on a low power embedded system was developed and textile embedded electrodes were fabricated and characterised. Proof of concept tests were carried out on simulated and human cardiac signals, producing electrocardiograms suitable for the calculation of heart rate having an accuracy within ±1 beat per minute using a test ECG signal, ECG recordings from a human volunteer with a correlation coefficient of ~ 87% proved accurate beat to beat morphology reproduction of the waveform without morphological alterations and a time from application to heart rate display below 6 s. This provides evidence that flexible non-contact textile-based electrodes can be embedded in wearable devices for assisting births through heart rate monitoring and serves as a proof of concept for a complete neonate electrocardiogram monitoring system.

Neural Cowpaths in the NICU

2002 ◽  
Vol 21 (2) ◽  
pp. 61-62 ◽  
Author(s):  
Denise Maguire
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
High Risk ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Delivery Room ◽  
Community Hospitals

When nurses work in the same neonatal intensive care unit for many years, they tend to follow routines. They follow their schedule in a certain way, report to the next shift in a certain way, and proceed with their workload in a certain, predictable way. Because many of us are creatures of habit, the routines of the unit can be comforting. We like to know what to expect. Especially in a busy NICU, often subject to unknowns from the high-risk antepartum unit, the delivery room, and community hospitals, we relish the complacency of that which we can control.

Association of Delivery Room and Neonatal Intensive Care Unit Intubation, and Number of Tracheal Intubation Attempts with Death or Severe Neurological Injury among Preterm Infants

2020 ◽  
Author(s):  
Anthony Debay ◽  
Sharina Patel ◽  
Pia Wintermark ◽  
Martine Claveau ◽  
François Olivier ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Tracheal Intubation ◽  
Neonatal Intensive Care Unit ◽  
Preterm Infants ◽  
Neonatal Intensive Care ◽  
Periventricular Leukomalacia ◽  
Delivery Room ◽  
Neurological Injury ◽  
Multivariable Logistic Regression Analysis

Objective The study aimed to assess the association of tracheal intubation (TI) and where it is performed, and the number of TI attempts with death and/or severe neurological injury (SNI) among preterm infants. Study Design Retrospective cohort study of infants born 23 to 32 weeks, admitted to a single level-3 neonatal intensive care unit (NICU) between 2015 and 2018. Exposures were location of TI (delivery room [DR] vs. NICU) and number of TI attempts (1 vs. >1). Primary outcome was death and/or SNI (intraventricular hemorrhage grade 3–4 and/or periventricular leukomalacia). Multivariable logistic regression analysis was used to assess association between exposures and outcomes and to adjust for confounders. Results Rate of death and/or SNI was 2.5% (6/240) among infants never intubated, 12% (13/105) among NICU TI, 32% (31/97) among DR TI, 20% (17/85) among infants with one TI attempt and 23% (27/117) among infants with >1 TI attempt. Overall, median number of TI attempts was 1 (interquartile range [IQR]: 1–2). Compared with no TI, DR TI (adjusted odds ratio [AOR]: 9.04, 95% confidence interval [CI]: 3.21–28.84) and NICU TI (AOR: 3.42, 95% CI: 1.21–10.61) were associated with higher odds of death and/or SNI. The DR TI was associated with higher odds of death and/or SNI compared with NICU TI (AOR: 2.64, 95% CI: 1.17–6.22). The number of intubation attempts (1 vs. >1) was not associated with death and/or SNI (AOR: 0.95, 95% CI: 0.47–2.03). Conclusion The DR TI is associated with higher odds of death and/or SNI compared with NICU TI, and may help identify higher risk infants. There was no association between the number of TI attempts and death and/or SNI. Key Points

scholarly journals Epidemiological and bacteriological investigation ofSerratia marcescensepidemic in a nursery and in a neonatal intensive care unit

1984 ◽  
Vol 93 (1) ◽  
pp. 67-78 ◽  
Author(s):  
D. Montanaro ◽  
G. M. Grasso ◽  
I. Annino ◽  
N. de Ruggiero ◽  
A. Scarcella ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Case Fatality ◽  
Healthy Infant ◽  
Control Measures ◽  
Delivery Room ◽  
Hygienic Measures ◽  
Bacteriological Investigation

SUMMARYAn epidemic caused bySerratia marcescensthat involved 26 infants admitted to the Neonatal Intensive Care Unit (NICU) and 82 infants admitted to the Nursery of the 2nd Medical School of Naples is reported. Two different biotypes ofS. marcescenswith two completely different epidemiological patterns were identified. The prevalent biotype (A8b trigonelline –) was isolated in the delivery room, in the operating room, in the Nursery and in the NICU from items, healthy infant excreters and affected infants; the second biotype (A3a) was isolated only in the NICU from staff, two healthy infant excreters and two affected infants. Colonization of the throat and the gastrointestinal tract was frequent. Infected and colonized infants were the most important reservoir for serratia in the Nursery and in the NICU particularly for the type strain A3a. A mucus aspiration apparatus contaminated in the delivery room and the contamination of several instruments and items probably had a major role in the initiation and maintenance of the spread of the A8b strain. Mass contamination of the nursery has been related to overcrowding and a lack of the control measures; the transfer of high-risk colonized infants caused spread in the NICU.In the NICU the attack rate was 26%; 69% of infants became ill; the case fatality ratio was 19%. Epidemiological investigation of the infants at risk showed some factors predisposing to infection with serratia. The hygienic measures failed to control the spread of serratia and it was necessary to refuse new admissions to pregnant women in order to decontaminate and re-organize the wards.

End-of-life decisions in delivery room and neonatal intensive care unit

2005 ◽  
Vol 94 (11) ◽  
pp. 1626-1631 ◽  
Author(s):  
Romaine Arlettaz ◽  
Dieto Mieth ◽  
Hans-Ulrich Bucher ◽  
Gabriel Duc ◽  
Jean-Claude Fauchère
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
End Of Life ◽  
Neonatal Intensive Care ◽  
Delivery Room ◽  
End Of Life Decisions ◽  
Life Decisions

1197: Quality of Chest Compressions During Delivery Room and Neonatal Intensive Care Unit Resuscitation

2020 ◽  
Vol 49 (1) ◽  
pp. 601-601
Author(s):  
Henry Ogbeifun ◽  
Mohammed Alhendy ◽  
Lydia Sumbel ◽  
Cody Henderson ◽  
Kelli Brimager ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Delivery Room ◽  
Chest Compressions

scholarly journals The distance between the delivery room and neonatal intensive care unit had no impact on the respiratory management of preterm infants at birth

2017 ◽  
Vol 107 (1) ◽  
pp. 171-172
Author(s):  
Daniele Trevisanuto ◽  
Francesca Rech Morassutti ◽  
Nicoletta Doglioni ◽  
Cristina Contessotto Avilés ◽  
Alfonso Galderisi ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Preterm Infants ◽  
Neonatal Intensive Care ◽  
Delivery Room ◽  
Respiratory Management
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