The Evidence Surrounding Recent Technologies Used in Neonatal Intensive Care Units to Assess and Treat Feeding Development in Premature Infants

Neonatal intensive care units are willing to apply environmental enrichment via music for preterm newborns. However, no evidence of an effect of music on preterm brain development has been reported to date. Using resting-state fMRI, we characterized a circuitry of interest consisting of three network modules interconnected by the salience network that displays reduced network coupling in preterm compared with full-term newborns. Interestingly, preterm infants exposed to music in the neonatal intensive care units have significantly increased coupling between brain networks previously shown to be decreased in premature infants: the salience network with the superior frontal, auditory, and sensorimotor networks, and the salience network with the thalamus and precuneus networks. Therefore, music exposure leads to functional brain architectures that are more similar to those of full-term newborns, providing evidence for a beneficial effect of music on the preterm brain.

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Survival after Massive Aminophylline Overdose in a Premature Infant

PEDIATRICS ◽

10.1542/peds.64.2.252 ◽

1979 ◽

Vol 64 (2) ◽

pp. 252-253

Author(s):

David H. Wells ◽

Jerry J. Ferlauto

Keyword(s):

Intensive Care ◽

Case Report ◽

Premature Infant ◽

Intensive Care Units ◽

Premature Infants ◽

Neonatal Intensive Care ◽

Neonatal Intensive Care Units ◽

Baby Girl ◽

Massive Overdose

The use of theophylline preparations for treating apnea in premature infants has gained popularity in many neonatal intensive care units.1,2 Toxocity of aminophylline in premature infants is not well studied. We present a case of severe aminophylline intoxication in a premature infant secondary to a pharmacy error. We call attention to the massive overdose tolerated by this infant and relate how the error was made so that other hospitals might avoid such incidents. CASE REPORT Baby girl C.E. was a 1.2 kg 30 weeks gestation, second born twin of a 23-year-old gravida 1, para 0, abortus 0 Rh negative mother.

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The perception of partnership between parents of premature infants and nurses in neonatal intensive care units

The JBI Database of Systematic Reviews and Implementation Reports ◽

10.11124/jbisrir-2016-003073 ◽

2016 ◽

Vol 14 (9) ◽

pp. 40-46 ◽

Cited By ~ 2

Author(s):

Anne Brødsgaard ◽

Palle Larsen ◽

Janne Weis ◽

Preben U. Pedersen

Keyword(s):

Intensive Care ◽

Intensive Care Units ◽

Premature Infants ◽

Neonatal Intensive Care ◽

Neonatal Intensive Care Units

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Rationale for In-Neonatal Intensive Care Unit Administration of Live, Attenuated Rotavirus Vaccination

American Journal of Perinatology ◽

10.1055/s-0038-1660463 ◽

2018 ◽

Vol 35 (14) ◽

pp. 1443-1448 ◽

Cited By ~ 2

Author(s):

Courtney Briggs-Steinberg ◽

Shetal Shah

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Neonatal Intensive Care Unit ◽

Advisory Committee ◽

Intensive Care Units ◽

Premature Infants ◽

Neonatal Intensive Care ◽

Early Infancy ◽

Neonatal Intensive Care Units ◽

Rotavirus Vaccination

AbstractRotavirus is the most common nonseasonal vaccine preventable illness. Despite increased severity of rotaviral illness in early infancy, most neonatal intensive care units (NICU) do not administer rotavirus vaccination either during the NICU stay at age of eligibility or at discharge as the Advisory Committee on Immunization Practices recommends. In this commentary, we review the rationale for the administration of rotavirus vaccination to premature infants. Further, we outline data supporting vaccine administration at chronologic age while still admitted to the NICU.

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Antibiotic stewardship in premature infants: a systematic review

10.1101/2020.04.10.20060988 ◽

2020 ◽

Author(s):

Polona Rajar ◽

Ola D. Saugstad ◽

Dag Berild ◽

Anirban Dutta ◽

Gorm Greisen ◽

...

Keyword(s):

Intensive Care ◽

Antibiotic Therapy ◽

Intensive Care Units ◽

Antibiotic Treatment ◽

Premature Infants ◽

Antibiotic Stewardship ◽

Neonatal Intensive Care ◽

Preventive Measure ◽

Antibiotic Use ◽

Neonatal Intensive Care Units

ABSTRACTAntibiotic treatment in premature infants is often empirically prescribed, and practice varies widely among otherwise comparable neonatal intensive care units. Unnecessary and prolonged antibiotic treatment is documented in numerous studies. Recent research shows serious side effects and suggests long-term adverse health effects in prematurely born infants exposed to antibiotics in early life. One preventive measure to reduce unnecessary antibiotic exposure is implementation of antibiotic stewardship programs. We reviewed the literature on implemented antibiotic stewardship programs focusing on premature infants. Six academic databases were systematically searched and eleven articles met inclusion criteria. Articles were grouped according to common area of stewardship actions; 1) Focus on reducing initiation of antibiotic therapy, 2) Focus on shortening duration of antibiotic therapy, 3) Various infrastructural stewardship implementations. The studies differed in their cohort composition and measured outcomes. We provide an overview of the reduction in antibiotic use achieved. Antibiotic stewardship programs are effective especially when they use a multifactorial approach and are tailored to premature infants. Implementation of antibiotic stewardship programs targeting premature infants should be considered in all neonatal intensive care units. The Norwegian Research Council (project number 273833) and the Olav Thon Foundation supported the study.

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