One-Year Outcome of Auditory-Tactile-Visual-Vestibular Intervention in the Neonatal Intensive Care Unit: Effects of Severe Prematurity and Central Nervous System Injury

2001 ◽  
Vol 16 (07) ◽  
pp. 493 ◽  
Author(s):  
Michael N. Nelson ◽  
Rosemary C. White-Traut ◽  
Ushanalini Vasan ◽  
Jean Silvestri ◽  
Elizabeth Comiskey ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Central Nervous System ◽  
Nervous System ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Central Nervous System Injury ◽  
One Year

Is It a New Syndrome or Due to Overstimulation in the ICU?

PEDIATRICS ◽  
1990 ◽  
Vol 86 (2) ◽  
pp. 324-324
Author(s):  
JEAN GARDNER COLE
Keyword(s):  
Intensive Care Unit ◽  
Central Nervous System ◽  
Nervous System ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Preterm Infants ◽  
Neonatal Intensive Care ◽  
Recent Article ◽  
Supportive Environment ◽  
The Central Nervous System

To the Editor.— A recent article by Perlman and Volpe in Pediatrics1 described a new syndrome of movement disorder in infants with severe bronchopulmonary dysplasia. I should like to take issue with these findings and feel that what Perlman and Volpe are describing is actually infants responding behaviorally to an overstimulating environment. This "new syndrome" is, I feel, what Als calls "the consequence of a mismatch of extrauterine environment and the capacity of the central nervous system of the fetal neonate which is adapted for an intrauterine existence"2 to deal with the onslaught of stimulation which it encounters in the noisy, chaotic environment of the average Neonatal Intensive Care Unit. The behaviors described in the article are seen routinely in preterm infants responding behaviorally to overstimulation.3 These behaviors become learned maladaptive responses to stress. They can be prevented or ameliorated by the provision of a more supportive environment, one which recognizes early signs of behavioral disorganization and responds by reducing the cause of the overstimulation, be it auditory, visual, tactile, or kinesthetic.4-6

scholarly journals Respiratory compliance of newborns after birth and their short-term outcomes

2017 ◽  
Vol 4 (2) ◽  
pp. 620
Author(s):  
Pramila Verma ◽  
Ashish Kalraiya
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Respiratory Support ◽  
Short Term ◽  
Term Outcome ◽  
Short Term Outcome ◽  
High Flow Oxygen ◽  
One Year

Background: Worldwide approximately one million babies die per year due to asphyxia out of which about one third (approximately 3 lakhs) is contributed by our country. The objective of this study was to determine the requirement of respiratory support in newborn babies and their short-term outcomes.Methods: This retrospective observational study was conducted over one year at PCMS and RC Bhopal. Babies who were delivered in PCMS and required respiratory support at birth were enrolled in the study. The medical records of all these babies for resuscitation measures, requirement of respiratory support after hospitalization to the neonatal intensive care unit and their short-term outcome were recorded on a pre-designed study proforma.Results: During post-resuscitation care in neonatal intensive care unit, 55.5% (30/54) babies required respiratory support. Among them 7.4% (4/54) were supplemented with oxygen for a few hrs, 22.2% (12/54) required positive end expiratory pressure and put on high flow oxygen and air mixture for 24-48 hours. While 25.9% (14/54) newborns required mechanical ventilation for 3-7 days and then switched over to CPAP for the next 24-48 hrs. Out of 54 babies eight babies expired while ten babies went against medical advice. Remaining 36 babies were discharged, of which five babies developed hypoxic ishchaemic encephalopathy.Conclusions: It is evident from the present study that half of the resuscitated babies further required respiratory support in the NICU. We also concluded that three fourth of the newborns were discharged and had normal short term outcome.

scholarly journals Premature Personhoods In A Neonatal Intensive Care Unit In Aotearoa New Zealand

2021 ◽  
Author(s):  
◽  
Zoe Poppelwell
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
New Zealand ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Participant Observation ◽  
Ethnographic Fieldwork ◽  
Ethnographic Interviews ◽  
Aotearoa New Zealand ◽  
One Year

<p>The Neonatal Intensive Care Unit (NICU) provides medical care for some of the most unwell newborns, including those born premature. Infants born prior to 28 completed weeks gestation, classified as extremely premature, often require long admissions and close management. These infants, and those who care for them, occupy a unique position of flux. The extremely premature body is not only a locus for clinical dialogue on the reach of biomedicine, but also for wider debates over the personhood of those born at the edge of viability. This thesis is an ethnographic account of some of the ways in which neonatal personhood was strategically articulated in the NICU at various points of the infant’s stay. These articulations, neither contingent nor dependent on the infant’s clinical position, illustrate a multiplicity of relational personhoods that exist alongside, and sometimes at tension with, individualised dynamics of care and emotion between infants, parents, and staff. I conducted over one year of ethnographic fieldwork, including six months of intensive participant observation at a single urban unit, and over 50 ethnographic interviews across New Zealand with a variety of individuals, such as NICU parents and staff. A portion of this thesis is also comprised of autoethnographic vignettes that account for my own neonatal journey and position in the field.</p>

scholarly journals Profile of congenital malformations in a tertiary care level neonatal intensive care unit

2017 ◽  
Vol 4 (5) ◽  
pp. 1634
Author(s):  
Hima Bindu Tirumani ◽  
Shafia Khatija
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Congenital Malformations ◽  
Neonatal Intensive Care ◽  
Tertiary Care ◽  
Increased Risk ◽  
Deccan College ◽  
Major Congenital Malformations ◽  
One Year

Background: Congenital malformations are important causes of infant and childhood deaths, chronic illness and disability.Methods: This prospective observational study was conducted over a period of one year in Princess Esra Hospital, a tertiary level neonatal intensive care unit, Deccan College of Medical Sciences, Hyderabad, Telangana, India. All new-borns admitted to the neonatal intensive care unit over a period of 1 year from June 2014 to June 2015 were included in the study.Results: The incidence of congenital malformations (CMF) in the present study is 3%. Among the major congenital malformations, the central nervous system (CNS) and gastrointestinal (GI) malformations were more frequent than others contributing to 28.9% each. The male neonates were more frequently involved than females. Association of low birth and prematurity with increased risk of congenital malformations is also documented.Conclusions: Early prenatal diagnosis and management of common anomalies is strongly recommended.

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