Relevant bibliographies by topics / Neonatal intensive care units

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  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers
  6. Reports

Academic literature on the topic 'Neonatal intensive care units'

Author: Grafiati
Published: 4 June 2021
Last updated: 8 February 2025

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Journal articles on the topic "Neonatal intensive care units"

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Azzizadeh Forouzi, Mansooreh, Marjan Banazadeh, Jila Soltan Ahmadi, and Farideh Razban. "Barriers of Palliative Care in Neonatal Intensive Care Units." American Journal of Hospice and Palliative Medicine® 34, no. 3 (July 11, 2016): 205–11. http://dx.doi.org/10.1177/1049909115616597.

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Objective: Neonatal nurses face numerous barriers in providing end-of-life (EOL) care for neonates and their families. Addressing neonatal nurses’ attitudes could provide insight into barriers that impede neonatal palliative care (NPC). This study thus conducted to examine neonatal nurses’ attitude toward barriers in providing NPC in Southeast Iran. Method: In this cross-sectional study, a translated modified version of Neonatal Palliative Care Attitude Scale was used to examine attitudes of 70 nurses toward barriers of palliative care in 3 neonatal intensive care units in Southeast Iran. Results: Findings indicated that overall 42.63% of nurses were strongly agreed or agreed with the proposed barriers in NPC. Among all categories, the highest and the lowest scores belonged to the categories of “insufficient resources” (3.42 ± 0.65) and “inappropriate personal and social attitudes” (2.33 ± 0.48), respectively. Neonatal nurses who had less education and study regarding NPC reported the presence of more barriers to NPC in the categories of “inappropriate organizational culture” and/or “inadequate nursing proficiency.” Also, younger nurses had more positive attitudes toward the category of inappropriate organizational culture as being a barrier to provision of NPC (4.62). Conclusion: The findings suggest that developing a context-based instrument is required to represent the barrier more precisely. Neonatal palliative care can be improved by establishing a special environment to focus on infants’ EOL care. This establishment requires standard palliative care guidelines and adequate NPC-trained nurses.
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Tufano, M., A.Verrico, M. Esposito, S. Maddaluno, S. Rinaldi, S. Minichiello, F. Cirillo, P. Vajro, and R. Iorio. "Neonatal cholestasis in neonatal intensive care units." Digestive and Liver Disease 40, no. 10 (October 2008): A71—A72. http://dx.doi.org/10.1016/j.dld.2008.07.226.

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Csoma, Zsanett Renáta, Péter Doró, Gyula Tálosi, Tamás Machay, and Miklós Szabó. "Neonatal skin care in tertiary Neonatal Intensive Care Units in Hungary." Orvosi Hetilap 155, no. 28 (July 2014): 1102–7. http://dx.doi.org/10.1556/oh.2014.29910.

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Introduction: Skin physiology of neonates and preterm infants and evidence-based skin care are not well explored for health care providers. Aim: The aim of our present study was to investigate the skin care methods of the tertiary Neonatal Intensive Care Units in Hungary. Method: A standardized questionnaire was distributed among the 22 tertiary Neonatal Intensive Care Units with questions regarding skin care methods, bathing, emollition, skin disinfection, umbilical cord care, treatment of diaper dermatitis, and use of adhesive tapes. Results: The skin care methods of the centres were similar in several aspects, but there were significant differences between the applied skin care and disinfectant products. Conclusions: The results of this survey facilitate the establishment of a standardized skin care protocol for tertiary Neonatal Intensive Care Units with the cooperation of dermatologists, neonatologists and pharmacists. Orv. Hetil., 2014, 155(28), 1102–1107.
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Castillo, María del Carmen López, Estela Pérez Ruiz, Pilar Caro Aguilera, Enrique Salguero García, and Javier Pérez Frías. "Bronchoscopies in neonatal intensive care units." Archivos de Bronconeumología (English Edition) 56, no. 2 (February 2020): 119–21. http://dx.doi.org/10.1016/j.arbr.2019.09.003.

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Rodriguez, Dolors, Benito Almirante, Benjamin J. Park, Manuel Cuenca-Estrella, Ana M. Planes, Ferran Sanchez, Amadeu Gene, et al. "Candidemia in Neonatal Intensive Care Units." Pediatric Infectious Disease Journal 25, no. 3 (March 2006): 224–29. http://dx.doi.org/10.1097/01.inf.0000202127.43695.06.

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Aranha, V. P., A. Chahal, and A. K. Bhardwaj. "Neonatal aquatic physiotherapy in neonatal intensive care units: A scoping review." Journal of Neonatal-Perinatal Medicine 15, no. 2 (April 12, 2022): 229–35. http://dx.doi.org/10.3233/npm-210858.

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BACKGROUND: Therapeutic benefits of neonates undergoing neonatal aquatic physiotherapy (NAPT) are evident from the available literature. However complied report on NAPT is not yet available. Hence, we have mapped the available interventions to treat neonates admitted in neonatal intensive care units (NICUs) using NAPT in a scoping review. METHOD: Six databases which includes, MEDLINE/PubMed, SCOPUS, PEDro, CINHAL, EBSCO and Cochrane were searched with predefined keywords specific to or related to NAPT interventions from 1983 to August, 2020 for the full-text English language articles. RESULTS: A total of 6163 relevant articles were identified from the search process. After duplicates were removed, 6146 articles were screened for inclusion, leaving 809 articles assessed for eligibility criteria. Six (n = 6) articles met all criteria and were included in the final qualitative synthesis. CONCLUSION: NAPT may be an effective intervention to normalize the muscle tone, to promote active movements, postural organization, improves sleep pattern and quality, promotes the thermal and cardiorespiratory adaptations, and moreover reduces neonatal pain among the neonates admitted in NICUs.
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Yadav, Dhirendra Prasad, Vivek Kumar, and Manoj Kumar Gupta. "Discharge Against Medical Advice Among Neonates Admitted to the Neonatal Intensive Care Unit of a Tertiary Care Hospital." Nepal Medical College Journal 26, no. 2 (July 1, 2024): 157–61. http://dx.doi.org/10.3126/nmcj.v26i2.67213.

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Discharge against medical advice is a condition where patient leaves the hospital against physician’s advice and is a serious public health issue, especially among neonates and a challenge faced commonly by physicians. It is a risk factor that can lead to adverse events like mortality and readmissions in neonatal units. To decrease neonatal mortality rate, it is necessary to investigate the causes leading to self-discharge. This study aimed to find out prevalence and reasons for discharge against medical advice among neonates admitted to neonatal intensive care units of a tertiary care hospital. A descriptive cross-sectional study was conducted among neonates admitted to the Neonatal Intensive Care Units who were discharge against medical advice (DAMA) from 15th March 2022 to 14th March 2023 after obtaining ethical approval from the Institutional Review Committee (Reference number: F-NMC/544/078-079). Neonatal demographic information and reason for self discharged were recorded. A convenience sampling method was used among neonates who met eligibility criteria. Data were presented as frequency with percentage. A point estimate with 95% confidence interval was calculated. Out of 910 neonates admitted to NICU, 86 (9.4%; 95% CI:7.62-11.53) were discharged against medical advice. Among these, 72 (83.7%) were outborn neonates and 51 (59.3%) male. The most common morbidity was sepsis 53 (61.6%). The common reasons for parents to take DAMA was poor financial condition 72 (83.7%). The prevalence of discharge against medical advice among neonates admitted in the neonatal intensive care units was similar to other studies done in similar settings.
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Chance, Graham W. "Regionalized Care Established by Neonatal Intensive Care Units." Pediatric Annals 24, no. 10 (October 1, 1995): 519–28. http://dx.doi.org/10.3928/0090-4481-19951001-07.

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Lake, Eileen T., Douglas Staiger, Erika Miles Edwards, Jessica G. Smith, and Jeannette A. Rogowski. "Nursing Care Disparities in Neonatal Intensive Care Units." Health Services Research 53 (September 14, 2017): 3007–26. http://dx.doi.org/10.1111/1475-6773.12762.

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Tume, Lyvonne N., Kerry Woolfall, Barbara Arch, Louise Roper, Elizabeth Deja, Ashley P. Jones, Lynne Latten, et al. "Routine gastric residual volume measurement to guide enteral feeding in mechanically ventilated infants and children: the GASTRIC feasibility study." Health Technology Assessment 24, no. 23 (May 2020): 1–120. http://dx.doi.org/10.3310/hta24230.

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Background The routine measurement of gastric residual volume to guide the initiation and delivery of enteral feeding is widespread in paediatric intensive care and neonatal units, but has little underlying evidence to support it. Objective To answer the question: is a trial of no gastric residual volume measurement feasible in UK paediatric intensive care units and neonatal units? Design A mixed-methods study involving five linked work packages in two parallel arms: neonatal units and paediatric intensive care units. Work package 1: a survey of units to establish current UK practice. Work package 2: qualitative interviews with health-care professionals and caregivers of children admitted to either setting. Work package 3: a modified two-round e-Delphi survey to investigate health-care professionals’ opinions on trial design issues and to obtain consensus on outcomes. Work package 4: examination of national databases to determine the potential eligible populations. Work package 5: two consensus meetings of health-care professionals and parents to review the data and agree consensus on outcomes that had not reached consensus in the e-Delphi study. Participants and setting Parents of children with experience of ventilation and tube feeding in both neonatal units and paediatric intensive care units, and health-care professionals working in neonatal units and paediatric intensive care units. Results Baseline surveys showed that the practice of gastric residual volume measurement was very common (96% in paediatric intensive care units and 65% in neonatal units). Ninety per cent of parents from both neonatal units and paediatric intensive care units supported a future trial, while highlighting concerns around possible delays in detecting complications. Health-care professionals also indicated that a trial was feasible, with 84% of staff willing to participate in a trial. Concerns expressed by junior nurses about the intervention arm of not measuring gastric residual volumes were addressed by developing a simple flow chart and education package. The trial design survey and e-Delphi study gained consensus on 12 paediatric intensive care unit and nine neonatal unit outcome measures, and identified acceptable inclusion and exclusion criteria. Given the differences in physiology, disease processes, environments, staffing and outcomes of interest, two different trials are required in the two settings. Database analyses subsequently showed that trials were feasible in both settings in terms of patient numbers. Of 16,222 children who met the inclusion criteria in paediatric intensive care units, 12,629 stayed for > 3 days. In neonatal units, 15,375 neonates < 32 weeks of age met the inclusion criteria. Finally, the two consensus meetings demonstrated ‘buy-in’ from the wider UK neonatal communities and paediatric intensive care units, and enabled us to discuss and vote on the outcomes that did not achieve consensus in the e-Delphi study. Conclusions and future work Two separate UK trials (one in neonatal units and one in paediatric intensive care units) are feasible to conduct, but they cannot be combined as a result of differences in outcome measures and treatment protocols, reflecting the distinctness of the two specialties. Trial registration Current Controlled Trials ISRCTN42110505. Funding This project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 24, No. 23. See the NIHR Journals Library website for further project information.
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Dissertations / Theses on the topic "Neonatal intensive care units"

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Vetcho, Siriporn. "Family-Centred Care Within Thai Neonatal Intensive Care." Thesis, Griffith University, 2022. http://hdl.handle.net/10072/417298.

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Background: Neonates who require specialized care and life-saving therapies in neonatal intensive care units (NICUs) and neonatal special care units (NSCUs) can be exposed to separation from their parents and families. Consequently, establishing a parental-neonate bond can be difficult. However, addressing this problem of separation through involving parents and families in neonatal care to improve parent-professional collaboration can result in positive outcomes for neonates and their families. Family-centred care (FCC) has developed over decades and is broadly recommended as an ideal model of care in daily clinical practice in NICUs. However, FCC implementation is challenging at individual, organizational, cultural, and healthcare system levels. In particular, developing countries are challenged by the lack of material resources, infrastructure, and staff shortages. In Thailand, the practical incorporation of FCC into daily clinical practice in neonatal care units is difficult, and it has not been sustainably achieved. Furthermore, there has been minimal research reporting on the development, implementation, and evaluation of FCC in the neonatal critical care context within Thailand. Aim and Objectives: The aim of this PhD study has been to develop, implement and evaluate innovation to facilitate FCC by improving respect, collaboration, and support in a Thai NICU. It had three objectives, each representing a distinct phase in the study: (1) to identify perceptions, current practices and FCC strategies; (2) to develop and implement an innovation to facilitate FCC by improving respect, collaboration, and support in a Thai NICU; and (3) to evaluate the FCC innovation developed in Phase 2. Methods and Results Design: The multistage, mixed-methods study design applied the Participatory Intervention Model (PIM) to guide the innovation’s development, implementation, and evaluation to facilitate FCC by improving respect, collaboration, and support in a Thai NICU. Setting and context: This study was conducted in a tertiary care hospital in southern Thailand (February 2020-January 2021). Ethics approval was obtained from the Research Ethics Committee of Hatyai Hospital and Griffith University. Phase 1: Identification of perceptions, current practices, and FCC strategies Phase 1 was planned to include data collection over 3 months. Due to the COVID-19 pandemic, it was reduced to 2 months during the very early stages of the pandemic (February to March 2020). This phase consisted of two parts, including surveys and interviews with parents and the interdisciplinary professionals. Participants: Participants consisted of two groups: parents of neonates (all gestational ages with no life-threatening or life-limiting diagnosis) who had an expected NICU stay of at least 72 hours and visited the study NICU at least once, and interdisciplinary professionals with a permanent position for at least 1 year in the study unit. Part A: Survey of parents and interdisciplinary professionals Surveys of parents and interdisciplinary professionals were conducted using the validated Perceptions of Family Centred Care – Parent (PFCC-P) and Perceptions of Family Centred Care – Staff (PFCC-S) instruments which were translated into Thai. Sample size: Sample size was based on availability of parents and interdisciplinary professionals over the planned 3-month Phase 1 period. Recruiting parent participants in Phase 1 was prior/during the very early stages of the COVID-19 pandemic and needed to be stopped prior to pre-determined sample size of 100 parents due to visitor restriction (n = 85). Eighty-five parents and 20 interdisciplinary professionals completed the surveys. Data analysis: Demographic characteristics of parents, interdisciplinary professionals, and neonates are reported using descriptive statistics. The subscale scores for parents and interdisciplinary professionals were not normally distributed, so medians were calculated for each of the three sub-scales (respect, collaboration, and support). Parents’ and interdisciplinary professionals’ perceptions of FCC (PFCC-P & PFCC-S) were compared using the Mann-Whitney U test to examine differences in medians in the preimplementation phase because they were unpaired groups. Part B: Semi-structured interviews with parents and interdisciplinary professionals Face-to-face, semi-structured, individual interviews were planned to gain information from extended family members and parents and interdisciplinary professionals; however, given the visitation restrictions, only parents and interdisciplinary professionals were recruited to participate (during the first half of February 2020). Sample size: The sample size was determined when data saturation was identified. Eight interdisciplinary professionals and nine parents participated in face-to-face interviews. Data analysis: Thematic analysis was used to analyse the transcribed Thai language interviews. Results: The survey results across the median of three subscales demonstrated that parents and interdisciplinary professionals’ perceptions on the FCC strategies in current practice were 2-3/4 (Interquartile range [IQR] 1.7-3.8) and 3-4/4 (2.85-3.55), respectively. Considering the median subscale scores, the interdisciplinary professionals had significantly higher subscale scores for respect (median 3.00 (95% CI, 2.91-3.24) vs 2.50 (2.37-2.81)), collaboration (median 3.22 (3.10-3.37) vs 2.33 (1.9-2.62)), and support (median 3.20 (3.03-3.39) vs 2.60 (2.03-2.61)) (all p ≤ 0.001). The interview findings highlighted that the interdisciplinary professionals in this study accepted that the three critical elements of FCC (respect, collaboration, and support) were necessary to be implemented into clinical practice. However, they believed that in reality it was not easy in the Thai NICUs context. This finding identified that the challenge to promote parent-healthcare professional partnerships was associated with the structure and processes of the healthcare delivery system. In addition, the individuality of families' readiness and healthcare providers' perceptions of parents’ involvement as obstacles to providing care were found to be challenges to current practices of FCC. Phase 2: Development and implementation of innovation to facilitate FCC This phase was achieved by two different methods: strategy development working group and implementation of the FCC innovation. Strategy development working group: The development of FCC innovations by the strategy development working group (June to August 2020) was based on Phase 1 findings and the reported integrative literature review. In addition, the FCC innovations were considered within the policies and practices of the NICU in the context of COVID- 19 in Thailand. The development working group members were key and high-level stakeholders in the NICU. Educational activities for the healthcare professional team to incorporate the FCC innovations into their clinical practice in NICU were provided. Implementation of the FCC innovation: The FCC innovations were then implemented over 2 months (September to October 2020), during a period of restrictions on parents and staff arising from COVID-19. Results: The working group identified the gaps in the three key elements (respect, collaboration, and support) to providing FCC in a Thai NICU through the analysis of Phase 1’s results in consort with the findings from the integrative review. A preliminary protocol for the FCC innovations and implementation plan were developed consistent with the challenges associated with COVID-19 in Thailand. FCC practice innovations associated with improving communication were established, including changes and updates to the material within the parent booklet with specific material related to COVID- 19, neonatal updates at bedside or conducted via telephone calls, interdisciplinary family meeting for complex care situations, structured communication checklists, and documentation templates. In addition, although visiting restrictions were limiting, parents were provided with more flexibility as to when they could visit based on individual circumstances. The majority of the healthcare providers in this setting (80%) attended the educational activities to incorporate the FCC innovations into their clinical practice in the NICU. The FCC innovations were incorporated into daily NICU practice by nurses in cooperation with other healthcare providers and ancillary support staff during the pandemic. Phase 3: Evaluation of the FCC innovation Phase 3 (post-implementation) was conducted over 3 months (November 2020-January 2021), and it focused on evaluating the FCC innovations. This phase repeated the collection of data from the validated PFCC-P and PFCC-S surveys of parents and interdisciplinary professionals' perceptions, as per Phase 1, to assess respect, collaboration, and support changes after implementing the FCC innovations in the Thai NICU during the pandemic. Sample size: One hundred parents and 20 interdisciplinary professionals completed the surveys. Data analysis: As per Phase 1 for demographic characteristics. The Mann-Whitney U test was used to analyse parents' perceptions of the items of the PFCC-P pre- and postimplementation given they were two independent groups. Wilcoxon signed-rank test was used to compare the perceptions of the interdisciplinary professionals pre- and postimplementation using the PFCC-S given they were matched samples. Results: The participants consisted of 83 pairs of parents (i.e., mother and/or father of neonate participated) (35 pre; 48 post), which represented 102 neonates (50 pre; 52 post). There were 185 parents; 85 pre-implementation and 100 post-implementation. For the NICU health care team, 20 participated. The median scores of parents' perceptions post-implementation significantly improved for respect (2.50 to 3.50; 95%CI, 3.02-3.53), collaboration (2.33 to 3.33; 2.90- 3.40), support (2.60 to 3.60; 2.84-3.62), and the overall score (2.50 to 3.43) (p < 0.001, 95%CI 2.93-3.51). There was an absolute difference of at least 0.3 in the pre- and postimplementation scores for three subscales and overall score, where 0.3 corresponds to 10% of the rating scale. Comparatively, interdisciplinary professionals' perception of FCC did not significantly change pre- and post-implementation for respect ([median] 3.00 to 2.92; 95%CI, 2.87-3.16), collaboration (3.22 to 3.33; 3.16-3.47), support (3.20 to 3.20; 2.96-3.28) and overall (3.15 to 3.20; 95%CI, 3.10-3.25). Conclusions:Results from this study indicate that incorporating FCC innovations in the NICU appeared to be successful, despite the challenges of COVID-19. The key finding was that the innovations incorporated in the NICU were primarily based on communication strategies, a simple means to support, collaborate with, and respect parents that required low investment within the complex situation arising from COVID-19. These innovations were essential to engage collaborative working between parents and healthcare providers to promote parents as partners in a neonatal critical care team. To successfully implement FCC innovations in different settings, further innovations associated with communication methods need to target the specifics of individuals involved, healthcare settings, and available resources.
Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Nursing & Midwifery
Griffith Health
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Leighton, P. H. "Monitoring blood stream infection in neonatal intensive care units." Thesis, University College London (University of London), 2011. http://discovery.ucl.ac.uk/1302069/.

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Comparisons of the incidence of blood stream infection (BSI) between neonatal intensive care units (NICUs) can promote sharing of potentially better practices for infection control. Comparisons should take into account differences in babies’ vulnerability and the invasive procedures which can introduce infection. I carried out a systematic review of methods reported in the literature, or used by regional monitoring systems, for comparing the incidence of BSI among NICUs. I found substantial variation, especially in the risk factors used to adjust incidence estimates. The use of routinely recorded administrative data would minimize and accelerate staff workload for BSI monitoring. I investigated which risk factors recorded in routine data should be adjusted for when comparing BSI incidence between NICUs. I linked microbiology laboratory records with administrative records collected over four years for three London NICUs. I analysed rates of BSI using various methods, including Poisson regression and logistic regression assuming a matched case control design. With both approaches, National Health Service level of care was the strongest predictor for BSI incidence. Using Poisson regression models, the rate ratio for BSI, adjusted for birth weight, inborn/outborn status and postnatal age, was 3.15 (95% confidence interval (CI) 2.01, 4.94) for intensive care and 6.58 (95% CI 4.18, 10.36) for high dependency care, relative to special care. The case control study gave slightly larger estimates of effect than the Poisson regression models. Total parenteral nutrition was significantly associated with BSI incidence but explained less of the variance among babies than level of care. Using the results from the risk adjustment model, I demonstrated how routine data can be integrated into a method for prospective, risk adjusted monitoring. This method involved standardised infection ratios and a sequential probability ratio test. The method can evaluate changes in BSI rates over time and between NICUs. It could also be used to quantify improvements following infection control interventions.
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Ndango, Immaculate Nyonka. "Parents’ perception of nursing support in neonatal intensive care units in private hospitals in the Western Cape." University of the Western Cape, 2018. http://hdl.handle.net/11394/6867.

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Magister Curationis - MCur
Parents undergo negative experiences that include parental anxiety, depression, and posttraumatic stress when their new-born babies are hospitalised in neonatal intensive care unit. During this stressful period, parents need assistance from staff in order to cope. A quantitative, descriptive survey design was used to describe parents’ perception of nursing support during their baby’s admission in neonatal intensive care units (NICU) at three selected private hospitals in the city of Cape Town in the Western Cape Province. A structured existing 21- item Likert type questionnaire, the Nurse-Parent Support Tool (NPST) was used to collect data from an all-inclusive sample of 85 parents with a response rate of 78.8% (n=67). The purpose of the questionnaire was to determine their perception of information giving and communication by nurses; emotionally supportive behaviours by nurses; care given support or instrumental support and to identify parents’ perception of esteem or appraisal support while in the NICU environment. The data was analysed using Statistical Package for Social Sciences (SPSS) version 24. The findings of this study suggested that the overall mean score for parents’ perception of nursing support was high 4.6 (±0.5) out of a possible of 5. There was no significant difference in the overall mean perceived support score between the different facilities. No significant differences were found in terms of all the demographics characteristics with regard to perceptions of the support that was received, thus indicating that there was no relationship between the demographic variables and perception of support. The findings suggested that though high parental support was reported, the area of involving parents in the care of their babies i.e. letting them decide whether to stay or leave during procedures need improvement.
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Cruz, M. D., A. M. Fernandes, and CR Oliveira. "CO75 - Epidemiology of procedural pain in neonatal intensive care units of Portugal." Bachelor's thesis, Secção de Neonatologia da Sociedade Portuguesa de Pediatria, 2015. http://hdl.handle.net/10174/17193.

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A neonatologia é uma subespecialidade da pediatria relativamente nova iniciando-se como uma área altamente tecnológica e que tende a ser cada vez menos invasiva. Foram vários os avanços que permitiram uma redução da mortalidade do recém-nascido prematuro: o transporte in utero, os corticóides prenatais, o "milagre" do surfactante, cuidados regionalizados (de que Portugal é um bom exemplo), ... Com a evolução dos tempos a preocupação dos neonatologistas "transferiu-se" da mortalidade para a morbilidade, os cuidados passaram de centrados no doente a centrados na família, a ventilação tornou-se não invasiva, a maior importância da nutrição, sono, redução da infecção, luz, ruído e dor, variáveis conjuntas influenciando o neurodesenvolvimento.
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Chen, Meng. "Massive data processing and explainable machine learning in neonatal intensive care units." Electronic Thesis or Diss., Université de Rennes (2023-....), 2024. http://www.theses.fr/2024URENS063.

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Les nouveaux-nés prématurés sont vulnérables à des complications comme l’hyperbilirubinémie néonatale et le sepsis tardif (LOS), posant des défis importants dans les unités de soins intensifs néonatals (USIN). Malgré les avancées en matière de soins, la détection précoce et la gestion efficace de ces affections restent complexes. Cette thèse, basée sur l’étude CARESS-Premi (NCT01611740), vise à développer des techniques avancées de traitement des données et des modèles interprétables d’apprentissage automatique afin d’améliorer la prise de décision en USIN, via des systèmes de surveillance non invasifs, continus et en temps réel. Les principales contributions comprennent : (i) une chaîne optimisée de traitement des signaux pour l’analyse ECG en conditions réelles, adaptée aux USIN; (ii) un modèle mathématique patient-spécifique pour la caractérisation de la dynamique postnatale de la bilirubine, avec des paramètres comme biomarqueurs potentiels pour détecter les comorbidités associées ; (iii) une estimation non invasive de la bilirubine utilisant des modèles d’apprentissage automatique à effets mixtes intégrant l’analyse de la variabilité de la fréquence cardiaque (HRV) et des informations physiologiques ; (iv) des modèles pour la détection précoce du LOS via l’analyse de la HRV ; (v) la conception, le déploiement et l’évaluation préliminaire d’un système d’aide à la décision clinique (CDSS) on-the-edge, intégrant du traitement des signaux en quasi-temps réel et des modèles d’inférence dans un contexte USIN. Ces résultats démontrent le potentiel du traitement avancé des signaux physiologiques combiné à l’apprentissage automatique pour optimiser les soins néonatals
Preterm infants are highly vulnerable to complications such as neonatal hyperbilirubinemia and late-onset sepsis (LOS), which pose significant challenges in Neonatal Intensive Care Units (NICU). Despite advancements in neonatal care, early detection and effective management of these conditions remain difficult. Based on the CARESS-Premi project (NCT01611740), the dissertation aims to develop advanced data processing techniques and interpretable machine learning (ML) models to enhance NICU decision-making and neonatal outcomes, by leveraging non-invasive, continuous and real-time monitoring systems. The main contributions include: (i) an optimized automatic signal processing pipeline for real-life ECG analysis tailored to NICU; (ii) a patient-specific mathematical model for postnatal bilirubin dynamics characterization in preterm infants, with model parameters serving as potential biomarkers for detecting associated comorbidities; (iii) the knowledge-based non-invasive bilirubin estimation using mixed-effects ML integrating heart rate variability (HRV) analysis and physiological insights; (iv) ML models for LOS early detection using HRV analysis, proving timely alerts before clinical suspicion; (v) the design, deployment and preliminary evaluation of an on-the-edge clinical decision support system (CDSS) integrating quasi-real-time signal processing and ML models in a NICU setting. These results demonstrate the potential of combining advanced physiological signal processing with ML to optimize neonatal care
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Stadd, Karen. "Initiating Kangaroo Care in the Neonatal Intensive Care Unit." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5267.

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Kangaroo care (KC) is a cost-efficient method to increase infant-parent bonding and neonatal health outcomes worldwide. Despite evidence supporting KC in critically ill infants, nursing perceptions regarding patient safety and interrupted work flow continued to impede practice in the local high-tech neonatal intensive care unit (NICU). Their current policy failed to address the 2-person transfer method recommended for safe practice. In addition, both staff and parents lacked training and education regarding the benefits and feasibility of KC. This doctoral project aimed to decrease practice barriers and promote earlier and more frequent KC by developing and integrating an evidence-based clinical pathway within a multifaceted champion-based simulated educational training program for NICU staff and parents. Published outcomes and generated organizational data for program synthesis connected the gap in practice. Kolcaba's comfort theory served as the guiding framework to ensure a partnership in care. This quasi-experimental quantitative study used the generalized liner model for data analysis. Study findings indicated that KC occurred 2.4 more times after the intervention compared to before (p = 0.001). Descriptive data revealed that KC episodes for intubated patients nearly doubled after implementation (11.1% from 6.2%). Post-survey scores for nursing knowledge and comfort level also improved after the intervention. Although earlier KC practice was non-conclusive (p = 0.082), future trials should control groups for day of life since admission. Disseminating the KC pathway can have a positive social change on family-centered care by increasing NICU nurses' knowledge, comfort, and adoption of this evidence-based practice as an expected routine standard of care.
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Perehudoff, Barbara Elaine. "Parents' perceptions of environmental stressors in the special care nursery." Thesis, University of British Columbia, 1987. http://hdl.handle.net/2429/26134.

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This descriptive comparative and correlational study was designed to determine the degree of environmental stress perceived by mothers and fathers during the first week of their infant's admission to a Special Care Nursery (SCN) and to determine the differences in their perceptions. In addition, the variables of gestational age, birth weight and paternal attitude toward caregiving were investigated for their relationship to the perceived degree of environmental stress. A convenience sample of 31 sets of parents was selected from a tertiary level SCN in a large urban children's hospital. Both parents completed the Neonatal Intensive Care Unit Parental Stress Scale and an information sheet; fathers also completed the Paternal Attitude Scale. Overall, mothers and fathers perceived the SCN environment as a low source of stress. Mothers were moderately stressed by their altered parental role. In addition, mothers were significantly more stressed by the environmental aspects of SCN and the total SCN experience than were fathers. Environmental stress arising from staff communications and relations was significantly negatively related to birth weight and gestational age. No significant relationship was found between paternal attitude toward care giving and the fathers' perception of environmental stress.
Applied Science, Faculty of
Nursing, School of
Graduate
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Lawhon, Gretchen. "Facilitation of parenting within the newborn intensive care unit /." Thesis, Connect to this title online; UW restricted, 1994. http://hdl.handle.net/1773/7195.

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Thernström, Blomqvist Ylva. "Kangaroo Mother Care : Parents’ experiences and patterns of application in two Swedish neonatal intensive care units." Doctoral thesis, Uppsala universitet, Pediatrik, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-180047.

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Kangaroo Mother Care (KMC) is an alternative model of care that prevents parent-infant separation when preterm infants need neonatal intensive care by skin-to-skin contact between infants and their parents. KMC is also a strategy that involves parents in their infants’ care and enables them to assume the responsibility for the care. Furthermore, KMC promotes parent-infant bonding and attachment. The overall aim of this thesis was to gain a deeper understanding and knowledge about parents’ capacity, willingness, and experiences of KMC and to which extent parents choose to use KMC throughout their infants' hospital stay. These studies were conducted in the NICUs at two Swedish university hospitals (NICU A and NICU B). Mothers of infants cared for at NICU A (n=17) answered a questionnaire about their experiences of KMC (Paper I). Twenty parents of infants cared for at NICU A recorded the duration of each KMC session during a period of 24 hours and the identity the KMC provider (Paper II). Seven fathers were interviewed about their experiences of KMC (Paper III) and 76 mothers and 74 fathers completed a questionnaire about what facilitated or rendered it difficult to perform KMC (Paper IV). The time of initiation of KMC and duration in minutes, and the identity of the KMC providers was recorded continuously during the infants’ (n=104) hospital stay: 83 mothers and 80 fathers also completed a questionnaire during their infants’ hospital stay (Paper V). This thesis provides new knowledge about parents’ practice of KMC, also continuously day and night, in a high tech NICU in an affluent society, with good resources for infant care in an incubator by trained staff. The accuracy of parents’ records of KMC were comparable to nurses’ records. The results indicate that parents want to be together with their infant in the NICU and be actively involved in the infants’ care. Although parents may experience KMC as exhausting and uncomfortable, they still prefer KMC to conventional neonatal intensive care as it supports their parental role. Early initiation of KMC after birth appears to result in a longer total duration of KMC during the infants’ hospital stay.
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Lammers, Joyce. "Physical Therapists’ Beliefs about Preparation to Work in Special Care Nurseries and Neonatal Intensive Care Units." Diss., NSUWorks, 2018. https://nsuworks.nova.edu/hpd_pt_stuetd/65.

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BACKGROUND: Physical therapists (PTs) may care for full-term or premature newborns in all levels of hospital nurseries. There is some endorsement in the published physical therapy literature for restricting practice in the nursery setting to only those PTs with specialized training.1-4 PURPOSE: The purpose of this study was to understand the experiences of becoming and being a physical therapist in a special care nursery (SCN) or neonatal intensive care unit (NICU) from the therapists’ perspective. METHODS: The participants were physical therapists who have practiced in a SCN or NICU in the United States. A phenomenological approach was used and data was collected through interviews. The constant comparative method was used to analyze the data and identify common themes to describe therapists’ beliefs about becoming and being a physical therapist in a hospital nursery. RESULTS: These four themes include: 1) Never Alone, which reflects the unique collaborative culture of the NICU; 2) Families First, which speaks to the need to focus on the family, avoid judgment, and facilitate their involvement in the care of their child; 3) Take a Deep Breath, which reflects the need to be mindful and cautious because of the potential to do harm due to the extreme fragility of the infant; and 4) Know What You Don’t Know, which reflects the depth and breadth of knowledge necessary to work in the NICU/SCN. CONCLUSIONS: This project was the first to systematically research practicing therapist’s beliefs and perspectives regarding PT practice in the SCN and NICU. It is evident that current practice does not align with the adopted statements from APTA and APPT, as well as other professional associations. Much evidence draws attention to the fragility of premature neonates, yet our PT practice and education does not appropriately address these concerns.
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Books on the topic "Neonatal intensive care units"

1

Goetzman, Boyd W. Neonatal intensive care handbook. 2nd ed. St. Louis: Mosby Year Book, 1991.

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T, Campbell Patricia, ed. Obstetric and neonatal intensive care. Philadelphia: Saunders, 2004.

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W, Goetzman Boyd, ed. Neonatal intensive care manual. Chicago: Year Book Medical Publishers, 1985.

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Mesman, Jessica. Uncertainty in medical innovation: Experienced pioneers in neonatal care. New York: Palgrave Macmillan, 2008.

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D, Vidyasagar, and Sarnaik A. P, eds. Neonatal and pediatric intensive care. Littleton, Mass: PSG Pub. Co., 1985.

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C, Harris Chandice, Snowden Fraser, and Northwestern State University of Louisiana. College of Nursing., eds. Bioethical frontiers in perinatal intensive care. Natchitoches, La: Northwestern State University Press, Northwestern State University, 1985.

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Sherman, Streeter Nan, ed. High-risk neonatal care. Rockville, Md: Aspen Publishers, 1986.

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Wyly, M. Virginai. Stress and coping in the neonatal intensive care unit. Tucson, Arizona: Communication Skill Builders, 1990.

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Jean, Lancaster, ed. High-risk newborn infants: The basis for intensive nursing care. 4th ed. St. Louis: Mosby, 1986.

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1956-, Zaichkin Jeanette, ed. Newborn intensive care: What every parent needs to know. Petaluma, Calif: NICU Ink Book Publishers, 1996.

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Book chapters on the topic "Neonatal intensive care units"

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Cahill, Susan M., and Patricia Bowyer. "The Neonatal Intensive Care Unit." In Cases in Pediatric Occupational Therapy, 1–24. New York: Routledge, 2024. http://dx.doi.org/10.4324/9781003522867-1.

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Wozniak, Phillip S. "Respiratory Viruses in the Neonatal Intensive Care Unit." In Neonatal Infections, 57–63. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-90038-4_6.

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Petros, A. J., V. Damjanovic, A. Pigna, and J. Farias. "Infection on the Neonatal and Pediatric Intensive Care Units." In Infection Control in the Intensive Care Unit, 415–28. Milano: Springer Milan, 2005. http://dx.doi.org/10.1007/88-470-0361-x_18.

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McMann, David, Peter Scully, and Chiamaka Aneji. "Infection Control in Neonatal and Pediatric Intensive Care Units." In Infection Prevention in the Intensive Care Setting, 125–40. Cham: Springer International Publishing, 2024. http://dx.doi.org/10.1007/978-3-031-67062-6_8.

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Kassab, Manal, and Shereen M. Hamadneh. "Developmental Care Practices at Neonatal Intensive Care Units in Developing Countries." In Handbook of Healthcare in the Arab World, 1–16. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-74365-3_146-1.

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Kassab, Manal, and Shereen M. Hamadneh. "Developmental Care Practices at Neonatal Intensive Care Units in Developing Countries." In Handbook of Healthcare in the Arab World, 2573–88. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-36811-1_146.

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Mirza, Hussnain S., Gregory Logsdon, and James Padbury. "Ultrasound in the Neonatal Intensive Care Unit." In Ultrasound in the Intensive Care Unit, 355–77. New York, NY: Springer New York, 2015. http://dx.doi.org/10.1007/978-1-4939-1723-5_16.

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El-Dib, Mohamed. "Near-Infrared Spectroscopy (NIRS)." In Neonatal Brain Injury, 281–97. Cham: Springer Nature Switzerland, 2024. https://doi.org/10.1007/978-3-031-55972-3_17.

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AbstractNear-infrared spectroscopy (NIRS) is a non-invasive technique that can measure tissue oxygen saturation in organs such as the brain, kidney, and intestine. By monitoring changes in the attenuation of near-infrared light passing through the brain, NIRS can provide cerebral regional oxygen saturation measurements (CrSO2). NIRS has been used in neonatal intensive care units (NICUs) for various indications, including monitoring extremely premature infants and neonates with encephalopathy, congenital heart disease (CHD), anemia, respiratory support, and CNS injuries. Factors such as device type, sensor position, head position, and care procedures can affect NIRS measurements. NIRS has demonstrated potential in reducing cerebral hypoxia and predicting outcomes in neonatal encephalopathy and CHD. It is also being used in anesthesia and surgery settings. Proper training and monitoring are necessary to minimize complications associated with NIRS monitoring. NIRS provides valuable insights into cerebral perfusion and oxygenation, aiding in personalized care and neuroprotection in newborns.
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O’Reilly, M., and Georg M. Schmölzer. "Humidification in Neonatal-Pediatric Critical Care: Invasive Ventilation." In Humidification in the Intensive Care Unit, 197–99. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-23953-3_21.

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MacGregor, Robert M., and Baddr A. Shakhsheer. "Death by Neurologic Criteria in Neonatal and Pediatric Intensive Care Units." In Difficult Decisions in Surgery: An Evidence-Based Approach, 447–59. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-84625-1_32.

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Conference papers on the topic "Neonatal intensive care units"

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Kim, Ka Hyun, Jin Cheol Park, Gyu-Young Kim, Jae-Young Maeng, Jae-Bin Sung, and Jae-Woo Kim. "Predicting Endotracheal Intubation Needs in Neonatal Intensive Care Unit: A Multimodal Approach." In 2024 International Technical Conference on Circuits/Systems, Computers, and Communications (ITC-CSCC), 1–7. IEEE, 2024. http://dx.doi.org/10.1109/itc-cscc62988.2024.10628132.

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Migliorelli, Lucia, Annalisa Cenci, Michele Bernardini, Luca Romeo, Sara Moccia, and Primo Zingaretti. "A Cloud-Based Healthcare Infrastructure for Neonatal Intensive-Care Units." In ASME 2019 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. American Society of Mechanical Engineers, 2019. http://dx.doi.org/10.1115/detc2019-97526.

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Abstract Intensive medical attention of preterm babies is crucial to avoid short-term and long-term complications. Within neonatal intensive care units (NICUs), cribs are equipped with electronic devices aimed at: monitoring, administering drugs and supporting clinician in making diagnosis and offer treatments. To manage this huge data flux, a cloud-based healthcare infrastructure that allows data collection from different devices (i.e., patient monitors, bilirubinometers, and transcutaneous bilirubinometers), storage, processing and transferring will be presented. Communication protocols were designed to enable the communication and data transfer between the three different devices and a unique database and an easy to use graphical user interface (GUI) was implemented. The infrastructure is currently used in the “Women’s and Children’s Hospital G.Salesi” in Ancona (Italy), supporting clinicians and health opertators in their daily activities.
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Chen, Wei, Son Tung Nguyen, Roland Coops, Sidarto Bambang Oetomo, and Loe Feijs. "Wireless transmission design for health monitoring at neonatal intensive care units." In 2009 2nd International Symposium on Applied Sciences in Biomedical and Communication Technologies (ISABEL). IEEE, 2009. http://dx.doi.org/10.1109/isabel.2009.5373671.

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Savasci, Duygu, and Murat Ceylan. "Thermal image analysis for neonatal intensive care units (First evaluation results)." In 2018 26th Signal Processing and Communications Applications Conference (SIU). IEEE, 2018. http://dx.doi.org/10.1109/siu.2018.8404831.

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Drayton, M. "The neonatal intensive care unit and technology." In IEE Colloquium on Technology in Medicine: Has Practice Met the Promise? IEE, 1996. http://dx.doi.org/10.1049/ic:19961020.

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Olmi, Benedetta, Claudia Manfredi, Lorenzo Frassineti, Carlo Dani, Silvia Lori, Giovanna Bertini, Simonetta Gabbanini, and Antonio Lanata. "Aggregate Channel Features for newborn face detection in Neonatal Intensive Care Units." In 2022 44th Annual International Conference of the IEEE Engineering in Medicine & Biology Society (EMBC). IEEE, 2022. http://dx.doi.org/10.1109/embc48229.2022.9871399.

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Gaspar, M., S. Yohasenan, F. Haslbeck, D. Bassler, V. Kurtcuoglu, and T. Restin. "Acoustic environment at a neonatal intensive care unit." In 29. Deutscher Kongress für Perinatale Medizin. Deutsche Gesellschaft für Perinatale Medizin (DGPM) – „Hinterm Horizont geht's weiter, zusammen sind wir stark“. Georg Thieme Verlag KG, 2019. http://dx.doi.org/10.1055/s-0039-3401240.

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Kovács, Lajos. "Bronchological examinations in the Neonatal Intensive Care Unit." In ERS International Congress 2019 abstracts. European Respiratory Society, 2019. http://dx.doi.org/10.1183/13993003.congress-2019.pa1056.

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Terrell, Mary J., Wesley Jackson, Matthew Laughon, Dennis Leung, Rachel G. Greenberg, Kanecia Zimmerman, and Reese Clark. "Gabapentin Use in the Neonatal Intensive Care Unit." In AAP National Conference & Exhibition Meeting Abstracts. American Academy of Pediatrics, 2021. http://dx.doi.org/10.1542/peds.147.3_meetingabstract.702.

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Cabon, Sandie, Bertille Met-Montot, Fabienne Poree, Olivier Rosec, Antoine Simon, and Guy Carrault. "Automatic Extraction of Spontaneous Cries of Preterm Newborns in Neonatal Intensive Care Units." In 2020 28th European Signal Processing Conference (EUSIPCO). IEEE, 2021. http://dx.doi.org/10.23919/eusipco47968.2020.9287590.

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Reports on the topic "Neonatal intensive care units"

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Vawter, Katelyn, Megan Ortiz, and Bobby Bellflower. Food Insecurity Screening of Families in a Level III Neonatal Intensive Care Unit. University of Tennessee Health Science Center, April 2024. http://dx.doi.org/10.21007/con.dnp.2024.0083.

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Bullard, Paulina, Emma Gadberry, Siham Sherif, Virginia Strawn, Courtney Travis, and Delaney Weller. Effects of Sensory Intervention on Neurological Development in the Neonatal Intensive Care Unit: A Critically Appraised Topic. University of Tennessee Health Science Center, May 2022. http://dx.doi.org/10.21007/chp.mot2.2022.0018.

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Patton, Amy, Kylie Dunavan, Kyla Key, Steffani Takahashi, Kathryn Tenner, and Megan Wilson. Reducing Stress, Anxiety, and Depression for NICU Parents. University of Tennessee Health Science Center, May 2021. http://dx.doi.org/10.21007/chp.mot2.2021.0012.

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This project aims to appraise evidence of the effectiveness of various practices on reducing stress, anxiety, and depression among parents of infants in the neonatal intensive care unit (NICU). The project contains six research articles from both national and international journals. Study designs include one meta-analysis, one randomized controlled trial, one small scale randomized controlled trial, one prospective phase lag cohort study, on pretest-posttest study, and one mixed-methods pretest-posttest study. Recommendations for effective interventions were based on best evidence discovered through quality appraisal and study outcomes. All interventions, except for educational programs and Kangaroo Care, resulted in a statistically significant reduction of either stress, anxiety, and/ or depression. Family centered care and mindfulness-based intervention reduced all barriers of interest. There is strong and high-quality evidence for the effect of Cognitive Behavioral Therapy on depression, moderate evidence for the effect of activity-based group therapy on anxiety, and promising evidence for the effect of HUG Your Baby on stress.
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Baker, Laurence, and Ciaran Phibbs. Managed Care, Technology Adoption, and Health Care: The Adoption of Neonatal Intensive Care. Cambridge, MA: National Bureau of Economic Research, September 2000. http://dx.doi.org/10.3386/w7883.

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Balk, Ethan M., Kristin J. Konnyu, Wangnan Cao, Monika Reddy Bhuma, Valery A. Danilack, Gaelen P. Adam, Kristen A. Matteson, and Alex Friedman Peahl. Schedule of Visits and Televisits for Routine Antenatal Care: A Systematic Review. Agency for Healthcare Research and Quality (AHRQ), June 2022. http://dx.doi.org/10.23970/ahrqepccer257.

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Background. The American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine plan a new evidence-based joint consensus statement to address the preferred visit schedule and the use of televisits for routine antenatal care. This systematic review will support the consensus statement. Methods. We searched PubMed®, Cochrane databases, Embase®, CINAHL®, ClinicalTrials.gov, PsycINFO®, and SocINDEX from inception through February 12, 2022. We included comparative studies from high-income countries that evaluated the frequency of scheduled routine antenatal visits or the inclusion of routine televisits, and qualitative studies addressing these two topics. We evaluated strength of evidence for 15 outcomes prioritized by stakeholders. Results. Ten studies evaluated scheduled number of routine visits and seven studies evaluated televisits. Nine qualitative studies also addressed these topics. Studies evaluated a wide range of reduced and traditional visit schedules and approaches to incorporating televisits. In comparisons of fewer to standard number of scheduled antenatal visits, moderate strength evidence did not find differences for gestational age at birth (4 studies), being small for gestational age (3 studies), Apgar score (5 studies), or neonatal intensive care unit (NICU) admissions (5 studies). Low strength evidence did not find differences in maternal anxiety (3 studies), preterm births (3 studies), and low birth weight (4 studies). Qualitative studies suggest that providers believe fewer routine visits may be more convenient for patients and may free up clinic time to provide additional care for patients with high-risk pregnancies, but both patients and providers had concerns about potential lesser care with fewer visits. In comparisons of hybrid (televisits and in-person) versus in-person only visits, low strength evidence did not find differences in preterm births (4 studies) or NICU admissions (3 studies), but did suggest greater satisfaction with hybrid visits (2 studies). Qualitative studies suggested patients and providers were open to reduced schedules and televisits for routine antenatal care, but importantly, patients and providers had concerns about quality of care, and providers and clinic leadership had suggestions on how to best implement practice changes. Conclusion. The evidence base is relatively sparse, with insufficient evidence for numerous prioritized outcomes. Studies were heterogeneous in the care models employed. Where there was sufficient evidence to make conclusions, studies did not find significant differences in harms to mother or baby between alternative models, but evidence suggested greater satisfaction with care with hybrid visits. Qualitative evidence suggests diverse barriers and facilitators to uptake of reduced visit schedules or televisits for routine antenatal care. Given the shortcomings of the evidence base, considerations other than proof of differences in outcomes may need to be considered regarding implications for clinical practice. New studies are needed to evaluate prioritized outcomes and potential differential effects among different populations or settings.
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Liu, Jijie, and Jie Wang. Efficacy of EWINDOW for prevention of delirium at intensive care units: A protocol for systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, December 2021. http://dx.doi.org/10.37766/inplasy2021.12.0116.

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Sun, Chenxi, Zhihua Yin, and Zhigang Cui. Effects of early mobilization on the prognosis of critically ill patients in the intensive care units: a meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, May 2024. http://dx.doi.org/10.37766/inplasy2024.5.0026.

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Horon, Isabelle. Characteristics of Mothers Admitted to Intensive Care Units During Hospitalization for Delivery of a Live Born Infant: United States, 2020-2022. Hyattsville, MD: National Center for Health Statistics (U.S.), December 2023. http://dx.doi.org/10.15620/cdc:134500.

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Alhazmi, Mohammed, Adel Alshabasy, Ibrahim Abushoshah, Shujaa Alotaibi, and Albaraa Algithmi. Early Mobilization Practices in Intensive Care Units in Saudi Arabia: Implementation, Challenges, and Perspectives of Healthcare Providers: A Scoping Review protocol. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, November 2024. http://dx.doi.org/10.37766/inplasy2024.11.0102.

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Ding, Huaze, Yiling Dong, Kaiyue Zhang, Jiayu Bai, and Chenpan Xu. Comparison of dexmedetomidine versus propofol in mechanically ventilated patients with sepsis: A meta-analysis of randomized controlled trials. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, April 2022. http://dx.doi.org/10.37766/inplasy2022.4.0103.

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Review question / Objective: The aim of the present study was to evaluate the effects of dexmedetomidine compared with propofol in mechanically ventilated patients with sepsis. Condition being studied: Sepsis, which is defined as life-threatening organ dysfunction caused by a dysregulated host response to infection, contributes the highest mortality to intensive care units (ICU) worldwide . Because of the high incidence of respiratory failure in sepsis care, mechanical ventilation is always adopted to give life support and minimize lung injury . And sedation is a necessary component of sepsis care who suffers from mechanical ventilation. The Society of Critical Care Medicine suggested using either propofol or dexmedetomidine for sedation in mechanically ventilated adults. However, it remained unknown whether patients with sepsis requiring mechanical ventilation will benefit from sedation with dexmedetomidine.
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