Response to Gray et al. (2021) Comment on ‘Mothers' voices and white noise on premature infants' physiological reactions in a neonatal intensive care unit: A multi-arm randomised controlled trial’

2021 ◽  
pp. 104049
Author(s):  
LIAO Jinhua ◽  
LIU Guihua ◽  
XIE Namei ◽  
WANG Shuo ◽  
WU Taohong ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Randomised Controlled Trial ◽  
Neonatal Intensive Care Unit ◽  
White Noise ◽  
Premature Infants ◽  
Neonatal Intensive Care ◽  
Controlled Trial ◽  
Randomised Controlled ◽  
Physiological Reactions

Parental stress management using relaxation techniques in a neonatal intensive care unit: A randomised controlled trial

2016 ◽  
Vol 32 ◽  
pp. 20-28 ◽  
Author(s):  
Catherine Fotiou ◽  
Petros V. Vlastarakos ◽  
Chrysa Bakoula ◽  
Konstantinos Papagaroufalis ◽  
George Bakoyannis ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Randomised Controlled Trial ◽  
Neonatal Intensive Care Unit ◽  
Stress Management ◽  
Parental Stress ◽  
Neonatal Intensive Care ◽  
Controlled Trial ◽  
Relaxation Techniques ◽  
Randomised Controlled

scholarly journals Therapeutic hypothermia for neonatal hypoxic-ischaemic encephalopathy in India (THIN study): a randomised controlled trial

2019 ◽  
Vol 105 (4) ◽  
pp. 405-411 ◽  
Author(s):  
Karoline Aker ◽  
Ragnhild Støen ◽  
Live Eikenes ◽  
Miriam Martinez-Biarge ◽  
Ingeborg Nakken ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Diffusion Tensor Imaging ◽  
Randomised Controlled Trial ◽  
Standard Care ◽  
Neonatal Intensive Care ◽  
Primary Outcome ◽  
Diffusion Tensor ◽  
Controlled Trial ◽  
Randomised Controlled

ObjectiveTo evaluate the neuroprotective effect of therapeutic hypothermia (TH) induced by phase changing material (PCM) on MRI biomarkers in infants with hypoxic-ischaemic encephalopathy (HIE) in a low-resource setting.DesignOpen-label randomised controlled trial.SettingOne neonatal intensive care unit in a tertiary care centre in India.Patients50 term/near-term infants admitted within 5 hours after birth with predefined physiological criteria and signs of moderate/severe HIE.InterventionsStandard care (n=25) or standard care plus 72 hours of hypothermia (33.5°C±0.5°C, n=25) induced by PCM.Main outcome measuresPrimary outcome was fractional anisotropy (FA) in the posterior limb of the internal capsule (PLIC) on neonatal diffusion tensor imaging analysed according to intention to treat.ResultsPrimary outcome was available for 22 infants (44%, 11 in each group). Diffusion tensor imaging showed significantly higher FA in the cooled than the non-cooled infants in left PLIC and several white matter tracts. After adjusting for sex, birth weight and gestational age, the mean difference in PLIC FA between groups was 0.026 (95% CI 0.004 to 0.048, p=0.023). Conventional MRI was available for 46 infants and demonstrated significantly less moderate/severe abnormalities in the cooled (n=2, 9%) than in the non-cooled (n=10, 43%) infants. There was no difference in adverse events between groups.ConclusionsThis study confirmed that TH induced by PCM reduced brain injury detected on MRI in infants with moderate HIE in a neonatal intensive care unit in India. Future research should focus on optimal supportive treatment during hypothermia rather than looking at efficacy of TH in low-resource settings.Trial registration numberCTRI/2013/05/003693.

scholarly journals Using a behavior analytics approach to change nursing care of extremely premature infants: A pilot study

2018 ◽  
Vol 9 (5) ◽  
pp. 14
Author(s):  
Jenn Gonya ◽  
Jessica Niski ◽  
Nicole Cistone
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pilot Study ◽  
Neonatal Intensive Care Unit ◽  
Premature Infant ◽  
Premature Infants ◽  
Nursing Care ◽  
Neonatal Intensive Care ◽  
Extremely Premature Infant

The neonatal intensive care unit (NICU) is, inherently, a trauma environment for the extremely premature infant. This trauma is often exacerbated by nurse caregiving practices that can be modified and still remain effective. Our study explored how behavior analytics could be used to implement an intervention known as Care by Cues and how the intervention might, ultimately, impact infant physiologic stability.

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