Neonataology – Pubmed Results

CONCLUSION: the construction of such a model has been a real success, because of the determination of decision-makers. However, its translation could be confronted with a low level of commitment from operational staff. Which would require the vigilant passage through a preparation for implementation, taking into account the "player".
Author: Ouafae El Ajroudi
Posted: March 13, 2024, 10:00 am
CONCLUSIONS: hot water proved to be a promising non-pharmacological intervention in relieving pain in infants in different contexts.
Author: Danton Matheus de Souza
Posted: February 29, 2024, 11:00 am
The establishment of sensory systems occurs gradually along a transnatal continuum. During premature birth, hospitalization in neonatology, through its atypical sensory stimulations, can disrupt the development of the baby's still immature brain. To promote harmonious development in children, caregivers and parents must learn to take into account their sensory expectations in order to create the most suitable environment possible for their development.
Author: Claire Zores
Posted: February 16, 2024, 11:00 am
In neonatology and pediatric intensive care units, as in pediatric units, development support care practiced according to the approach of psychologist André Bullinger takes into account sensorimotor and psychological aspects. Considering the quality and quantity of movements, from the antenatal period, allows for individualized and early care. Sensitive periods of sensorimotor development, during which brain plasticity is optimal, are decisive for psychomotor and cognitive development....
Author: Christine Fichtner
Posted: February 16, 2024, 11:00 am
CONCLUSIONS: This rating scale is one of the first rating scales for the evaluation and teaching of the LISA method in simulation. This tool has ample potential for use in clinical practice to evaluate the performance of surfactant administration in preterm neonates.
Author: Hélène Rostoker
Posted: February 14, 2024, 11:00 am
An online survey pertinent to fluid and parenteral nutrition practices in extreme preterm neonates was undertaken with responses from 123 neonatology practitioners across India. The initial fluid rate of 80 mL/kg/day was preferred by 67% neonatologists for 750-1000 g neonates. Half of them increased the fluid rates when weight loss per day was >2%. Practices vary widely across settings and guideline tailor made to clinical conditions is needed.
Author: Arunambika Chinnappan
Posted: February 7, 2024, 11:00 am
Targeted neonatal echocardiography (TNE) involves the use of comprehensive echocardiography to appraise cardiovascular physiology and neonatal hemodynamics to enhance diagnostic and therapeutic precision in the neonatal intensive care unit. Since the last publication of guidelines for TNE in 2011, the field has matured through the development of formalized neonatal hemodynamics fellowships, clinical programs, and the expansion of scientific knowledge to further enhance clinical care. The most...
Author: Patrick J McNamara
Posted: February 3, 2024, 11:00 am
Neonatology has been a rapidly growing specialty, starting in the early 1900s with premature infants displayed in incubator shows, to today with complex disease processes treated in state-of-the-art neonatal intensive care units. Along the way evolving knowledge, medications, and technology provided opportunities to learn from mistakes and misguided treatments. The ability to learn from past mistakes improves our care now and illustrates the need for humility and vigilance in everything we do....
Author: Catherine Lewis Witt
Posted: January 31, 2024, 11:00 am
Health care-associated infections are common in neonatology, but there is no consensus on their definitions. This makes it difficult to compare their incidence or assess the effectiveness of prevention bundles. This is why we think it is very important to achieve a consensus on the definitions and diagnostic criteria for one of the most frequent causes of morbidity in hospitalised neonates. This document aims to standardise the definitions for the most frequent health care-associated infections,...
Author: María Cernada
Posted: January 4, 2024, 11:00 am
CONCLUSION: The diversity of NP practices has a real impact on the quality of the preparations made. A regional collaboration should be envisaged to standardise patient care.
Author: Alizée Bosson
Posted: December 30, 2023, 11:00 am
CONCLUSION: The risk of adverse maternal and neonatal outcomes was significantly higher during the first and third waves, dominated by unsequenced variants and the Delta variant, respectively. Postnatal transmission accounted for most neonatal infections and was more frequent during the Omicron period. However, the paucity of symptoms in infected neonates should lead us not to separate the dyad.
Author: Lorenza Pugni
Posted: December 29, 2023, 11:00 am
CONCLUSION: We propose this survey, called the Neonatology Survey of Interdisciplinary Groups in Healthcare Tool, is a novel method for measurement of hospital unit psychology and culture. Demonstrated improvement where QI efforts were focused and consistency in results in other areas support the validity of this tool. Measuring the human side of change may impact QI efforts.
Author: Emily Whitesel
Posted: December 15, 2023, 11:00 am
Artificial intelligence (AI) offers tremendous potential to transform neonatology through improved diagnostics, personalized treatments, and earlier prevention of complications. However, there are many challenges to address before AI is ready for clinical practice. This review defines key AI concepts and discusses ethical considerations and implicit biases associated with AI. Next we will review literature examples of AI already being explored in neonatology research and we will suggest future...
Author: Brynne A Sullivan
Posted: December 14, 2023, 11:00 am
Safe and effective management of the neonatal airway requires knowledge, teamwork, preparation and experience. At baseline, the neonatal airway can present significant challenges to experienced neonatologists and paediatric anaesthesiologists, and increased difficulty can be due to anatomical abnormalities, physiological instability or increased situational stress. Neonatal airway obstruction is under recognised, and should be considered an emergency until the diagnosis and physiological...
Author: Toby Kane
Posted: November 29, 2023, 11:00 am
Neonates can be cared for in neonatal, pediatric, or cardiac intensive care units, and general and subspecialty pediatric units. Disposition is based on phase of care, gestational and postnatal age, birth weight, specific cardiac or surgical diagnoses, and co-existing medical morbidities. In addition, neonates may transfer between the neonatal intensive care unit (NICU) and other units several times throughout their hospitalization. As such, care for high-risk infants with ongoing neonatal...
Author: Tierney M Morrison
Posted: November 24, 2023, 11:00 am
Neonatology is a field that is currently facing many challenges. These challenges include outdated work models in clinical environments with increasing acuity and patient workloads, physician burnout exacerbated by gender inequity and the recent COVID-19 pandemic, and inappropriate metrics to measure clinical productivity. Academic neonatologists have additional missions that include research, teaching, and scholarly productivity in the setting of an increasing clinical workload and reduced time...
Author: Christine E Bishop
Posted: October 23, 2023, 10:00 am
No abstract
Author: Abhishek Oswal
Posted: October 13, 2023, 10:00 am
中华医学会儿科学分会新生儿学组和中华儿科杂志编辑委员会组织多学科专家,依据我国高危新生儿管理现状与存在问题,共同制订“高危新生儿分类分级管理专家共识(2023)”,总结高危新生儿规范管理5个共性问题以及14个专家推荐建议,强调生命早期对高危新生儿的危险因素分类识别和管理服务的分级标准化建设,明确高危新生儿管理专科建设方向。.
Author: Subspecialty Group of Neonatology, the Society of Pediatrics, Chinese Medical Association
Posted: October 7, 2023, 10:00 am
Communication skills training is a core competency for neonatal-perinatal medicine (NPM) fellows, yet many neonatology fellowship programs do not have formal communication skills curricula. Since the late 1990s, experiential learning that includes role-play and simulation has become the standard for communication training. NPM fellows who receive simulation-based communication skills training report greater comfort with difficult conversations in the NICU. Most communication skills studies in...
Author: Sara Munoz-Blanco
Posted: October 2, 2023, 10:00 am
No abstract
Author: Andi Foley
Posted: October 1, 2023, 10:00 am
Blended learning is a learner-centered educational method that combines online and traditional face-to-face educational strategies. Simulation is a commonly utilized platform for experiential learning and an ideal component of a blended learning curriculum. This section describes blended learning, including its strengths and limitations, educational frameworks, uses within health professions education, best practices, and challenges. Also included is a brief introduction to simulation-based...
Author: Catherine L Chang
Posted: September 25, 2023, 10:00 am
Simulation is a cornerstone of training in neonatal clinical care, allowing learners to practice skills in a safe and controlled environment. Competency-based assessment provides a systematic approach to evaluating technical and behavioral skills observed in the simulation environment to ensure the learner is prepared to safely perform the skill in a clinical setting. Accurate assessment of competency requires the creation of tools with evidence of validity and reliability. There has been...
Author: Taylor Sawyer
Posted: September 25, 2023, 10:00 am
The neonatology literature often refers to medical uncertainty and specifically the challenges of predicting morbidity for extremely premature infants, who can have widely varying outcomes. Less has been written about situations in which diagnoses are simply unknown or unattainable. This case highlights the importance of communication amidst uncertainty from a lack of knowledge about aspects of a patient's condition. Using epidemiologic and clinical reasoning, the authors challenge the...
Author: Giulia Faison
Posted: September 14, 2023, 10:00 am
No abstract
Author: William E Benitz
Posted: September 6, 2023, 10:00 am
To assess success of peripheral arterial line (PAL) placement after implementing a point-of-care ultrasound (POCUS) program in a neonatal intensive care unit. This was a retrospective chart review of infants who underwent successful PAL placement from January 2019 to March 2021. Outcomes included first-attempt success and the number of attempts with and without the use of POCUS. Among 80 PALs, 36% were POCUS-guided. All POCUS-guided lines were placed by providers with < 5 years neonatology...
Author: Reedhi Dasani
Posted: August 24, 2023, 10:00 am
In a 2022 survey, a majority of neonatology program directors reported regular conflict between neonatal-perinatal fellows and frontline providers (FLPs) (i.e., neonatal nurse practitioners (NNPs), neonatal physician assistants (PAs), and neonatal hospitalists). This paper reviews recommendations of a multidisciplinary workgroup for creating a more collaborative unit environment that supports teamwork and education. The self-study framework is a helpful tool to identify specific pressure points...
Author: Krishelle Marc-Aurele
Posted: August 24, 2023, 10:00 am
To understand the future of neonatology, it is important to reflect upon the past and the factors that lead to significant advances in the field. In this article, we explore the evolving landscape of neonatology and the shifting practices in the resuscitation of extremely premature infants, with a particular focus on societal influences that have driven these changes. Using the political policy concept of an Overton Window, we explore how breakthroughs move from unthinkable to acceptable...
Author: Jeanne A Krick
Posted: August 17, 2023, 10:00 am
This narrative review discusses basic principles of the perioperative antibiotic prophylaxis (PAP) in premature and at term newborns and refers to some particularities concerning the indication and dosing issues. Although this is a vulnerable patient population, the spectrum of activity should not be unnecessarily broad and the regular PAP must not be prolonged beyond 24 hours.
Author: Arne Simon
Posted: August 14, 2023, 10:00 am
No abstract
Author: Bethou Adhisivam
Posted: August 7, 2023, 10:00 am
Respecting patient autonomy through the process of soliciting informed consent is a cornerstone of clinical ethics. In pediatrics, until a child becomes an adult or legally emancipated, that ethical tenet takes the form of respect for parental decision-making authority. In instances of respecting religious beliefs, doing so is not always apparent and sometimes the challenge lies not only in the healthcare provider's familiarity of religious restrictions but also their knowledge of medical...
Author: Tara E Ness
Posted: August 3, 2023, 10:00 am
No abstract
Author: Rod W Hunt
Posted: August 1, 2023, 10:00 am
No abstract
Author: Brian K Stansfield
Posted: July 15, 2023, 10:00 am
Although the majority of term infants will breathe spontaneously at birth, the requirement for advanced resuscitation can be unpredictable, as can the precipitous delivery of an extremely preterm infant in a non-tertiary neonatal unit. Infants born in hospitals without a tertiary neonatal intensive care unit have a higher mortality which is a disparity that has been difficult to resolve.Telemedicine, the use of videoconferencing software to connect those at the scene of a resuscitation to a...
Author: Gemma Edwards
Posted: July 12, 2023, 10:00 am
No abstract
Author: Helen Cotton
Posted: June 16, 2023, 10:00 am
CONCLUSIONS: Neonatology competencies have been identified for medical undergraduates. These competencies aim to help students achieve the required skills and enable decision-makers to implement CBME in Syria and similar countries.
Author: Imad Zoukar
Posted: June 8, 2023, 10:00 am
No abstract
Author: Sriya Roychaudhuri
Posted: May 4, 2023, 10:00 am
No abstract
Author: Sarah Louise Williamson
Posted: March 14, 2023, 10:00 am
CONCLUSIONS: The 4-step SDM process for pediatrics appears to be salient and may benefit from further guidance about the interpretation of each step and contextual factors that support a modified approach.
Author: Douglas J Opel
Posted: January 22, 2023, 11:00 am
No abstract
Author: Kristina Chmelova
Posted: December 19, 2022, 11:00 am
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