Current Issue : January - March Volume : 2016 Issue Number : 1 Articles : 9 Articles
Background\n\nPericardial effusion and cardiac tamponade are rare but life-threatening complications of percutaneosuly inserted central line (PICL) use in extremely low birth weight (ELBW) neonates, with an incidence reported between 0.07% and 2% of PICLs placement. Timely diagnosis and pericardiocentesis has been proven to be life-saving.\n\nCase presentation\n\nThe patient was a 620 g birth weight neonate who presented with sudden cardiac instability 18 days after the insertion of a PICL and in spite of a presumed satisfactory position of the catheter tip.\n\nThe transthoracic echocardiography demonstrated severe pericardial effusion with evidence of cardiac tamponade.\n\nSuccessful urgent subxiphoid pericardiocentesis was performed; totally 2 ml of whitish fluid was collected, which resulted consistent to the composition of the hyperosmolar TPN solution infused.\n\nConclusion\n\nCardiac tamponade should be considered in any newborn with a peripherally inserted central catheter who presents with cardiorespiratory instability (bradycardia, cyanosis and metabolic acidosis), even when lines are believed to be placed correctly....
Premature infant is an infant who was born before the end of 37th weeks of pregnancy. Approximately\n9.6% of infants are premature and they can be at risk for hospitalization. This study has\ndone for evaluation of awareness and knowledge of parents about problems of premature infants\nin Neonatal Intensive Care Unit (NICU). This was a descriptive study with 160 parents whose premature\ninfants were admitted to NICU (Tehran-Iran, 2009-2011). Data were collected by a questionnaire\nfor evaluation of awareness and knowledge of parents about problems of prematurity,\nand then analyzed by using descriptive analytic statistical methods and SPSS software. Based on\nthe results, there was a significant relation between age and the total score of questionnaire (P =\n0.022, R = 0.18). Mothers had higher awareness and knowledge than fathers (P < 0.05). The most\nawareness in parents was about doing of hygienic principle when they entered to NICU and about\nthe importance of regularly and continuous attendance in ward. Awareness and knowledge of parents\nabout problems of their premature infant were related to their age and being a mother or father.\nParents had little knowledge about some NICU principles and premature infant�s needs and care....
Introduction\nThe high-risk newborns may require long periods of hospitalization until they reach clinical stability for hospital discharge. Avoiding babies to be in only one body position may be an effective way to cause respiratory and neuro-psycho-motor benefits, comfort and preventing pressure ulcers.\n\nObjectives\nThis study investigated the impact of physiotherapy/nursing integration in update on body positioning of the newborn in the Neonatal Intensive Care Unit.\n\nMethods\nA questionnaire was administered to nurses and nursing technicians of the neonatal unit of Maternity School of UFRJ and nurses of the Advanced Course in Neonatal Nursing from the same institution. Two classes were taught by the physical therapist of the sector and the questions answered before and after these lessons. It was also a brief characterization of professional participants of the study. We used the Student's t test to compare the correct answers before (PRE) and after (POST) the classes, considering p < 0.05.\n\nResults\nThere was a significant increase in the degree of knowledge of nurses and nursing technicians when compared the responses before (nurses: 68.8%; technicians: 70.1%) and after classes (nurses: 78.4 %; technicians: 88.9%). The nurses were less than five years of graduated (45%) and little time of professional experience in neonatology (60%). Forty-seven percent of technicians had less than five years of training and 82% had less than 10 years of experience.\n\nConclusion\nThe use of training by the nursing staff was significant, showing the importance of multidisciplinary approach and the integration of knowledge in the search for a humanized and effective care....
There is documented correlation between parental substance abuse, child\nmaltreatment, and poor outcomes. In two health districts in Sydney, Australia (Site A and B),\nspecialised clinics were established to provide comprehensive assessments for infants of\nsubstance abusing mothers (ISAM). We aimed to determine whether there was a difference\nin outcomes between infants who attended clinic versus those who did not; and to identify\ndifferences in the pathways to care between sites. We analysed child protection reports and\navailable health markers of all ISAM referrals in 2011. We held stakeholder meetings with\nservices involved with ISAM in both sites; to describe service components; strengths and\nweaknesses of pathways. Fifty-five per cent (11/20) attended clinic in Site A; 80% (25/31)\nin Site B. Three-quarters of ISAM had at least one referral to child welfare; child\nprotection service involvement was more common in those who attended. Immunisation\nstatus was lower than the national Australian average; approximately half were seen by\ncommunity nursing services. Gaps in services, lack of database, and differences in\npathways between sites were identified. Attending clinics correlates with child protection\nservice involvement and may afford health protection. Transparent communication, service\nintegration, and shared learning can improve outcomes for this vulnerable group....
This review is focusing on the experiences and needs of parents with infants within NICU regarding Kangaroo Care. Ten studies with qualitative\ndesigns were included. Kangaroo Care was overall experienced as positive; giving parents the opportunity to get to know their babies and (re-)\nconstruct their parenting role. Parents need potential barriers like communication, support, environment and physical needs to be facilitated in a\nway that they contribute to a positive experience....
Under-five children form a bulk number of demographic force. They are the future of the nation. Nearly 177 million babies are malnourished around the world. Malnutrition is responsible for nearly 45% of deaths in under-five children. Mothers can play vital role to save these babies. A descriptive study was conducted to assess the knowledge of mothers regarding malnutrition among children (0-5 years) of Malerkotla, Punjab. A total of 100 mothers were selected with purposive sampling technique. Self structured questionnaire was implemented to assess the knowledge of mothers regarding malnutrition among children (0-5 years). Results showed that 92% of mothers had good knowledge, 7% of mothers had average knowledge and only 1% had very good knowledge regarding malnutrition among children (0-5 years). The knowledge of mothers regarding malnutrition among children (0-5 years) showed statistical no significant relationship with selected variables i.e. age, religion, type of family, education, occupation and family income at p<0.05 level of significance. The study concluded that mothers had good knowledge regarding malnutrition among children (0-5 years)....
Objectives: The aims of this study were to assess\ncliniciansââ?¬â?¢ views and experiences of providing\nimmediate neonatal care at birth beside the mother,\nand of using a mobile trolley designed to facilitate this\nbedside care.\nDesign: Qualitative interview study with\nsemistructured interviews.\nResults: The results were analysed using thematic\nanalysis.\nSetting: A large UK maternity unit.\nParticipants: Clinicians (n=20) from a range of\ndisciplines who were present when the trolley was\nused to provide neonatal care at birth at the bedside.\nFive clinicians provided/observed advanced\nresuscitation by the bedside.\nResults: Five themes were identified: (1) Parentsââ?¬â?¢\ninvolvement, which included ââ?¬Ë?Contact and involvementââ?¬â?¢,\nââ?¬Ë?Positive emotions for parentsââ?¬â?¢ and ââ?¬Ë?Staff\ncommunicationââ?¬â?¢; (2) Reservations about neonatal care\nat birth beside the mother, which included ââ?¬Ë?Impact on\ncliniciansââ?¬â?¢ and ââ?¬Ë?Impact on parentsââ?¬â?¢; (3) Practical\nchallenges in providing neonatal care at the bedside,\nwhich included ââ?¬Ë?Cord lengthââ?¬â?¢ and ââ?¬Ë?Caesarean sectionââ?¬â?¢;\n(4) Comparison of the trolley with usual resuscitation\nequipment and (5) Training and integration of bedside\ncare into clinical routine, which included ââ?¬Ë?Teething\nproblemsââ?¬â?¢ and ââ?¬Ë?Trainingââ?¬â?¢.\nConclusions: Overall, most clinicians were positive\nabout providing immediate neonatal care at the\nmaternal bedside, particularly in terms of the cliniciansââ?¬â?¢\nperceptions of the parentsââ?¬â?¢ experience. Clinicians also\nperceived that their close proximity to parents\nimproved communication. However, there was some\nconcern about performing more intensive interventions\nin front of parents. Providing immediate neonatal care\nand resuscitation at the bedside requires staff training\nand support....
Israel is experiencing a shortage of both physicians and nurses in a number of specialties, including neonatal\nintensive care. Inadequate hospital staffing and high patient demand contribute to the blurring of professional\nscope of practice boundaries between nurses and physicians. Striking similarities exist between the situation in\nIsrael and the health services landscape in the United States more than three decades ago. This commentary\nexplores changes related to nursing education, scope of practice legislation and hospital staffing learned through\nthe U.S. experience that have the potential to inform health workforce changes in Israel through better nursing care....
Background: This study was conducted to evaluate the pain perceptions of newborns during the hepatitis B (HBV)\nvaccinations performed in the facilitated tucking position and the classical holding position, respectively.\nMethods: The randomized controlled experimental study was conducted between 1 September 2014 and 30\nDecember 2014 at the neonatal intensive care unit of a Turkish university hospital. One group of infants was held in\nthe facilitated tucking position (the treatment group; n = 30) during HBV vaccination; infants in the other group\nwere held in the classical holding position (the control group; n = 30) during HBV vaccination. The Neonatal Infant\nPain Scale (NIPS) scores of the infants in the treatment and control groups were compared during procedure. Also,\nthe infantsâ�� physiological parameters were compared before, during, and after the procedure. Descriptive statistics, a\nchi-square test, and an independent samples t-test were used to assess the data.\nResults: The mean pain scores of infants vaccinated in the facilitated tucking position (2.83 �± 1.18) were significantly\nstatistically lower than the scores of infants vaccinated in the classical holding position (6.47 �± 1.07) (p <0.05).\nConclusions: The pain perceptions of newborns held in the facilitated tucking position during HBV vaccination were\nlower. The facilitated tucking position, a non-pharmacological method, is recommended as an effective and useful\nmethod for reducing pain during the procedure....
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