Tracheotomy and Decannulation Rates in a Level 3 Neonatal Intensive Care Unit: A 12-Year Study

2006 ◽  
Vol 116 (1) ◽  
pp. 136-139 ◽  
Author(s):  
James D. Sidman ◽  
Abraham Jaguan ◽  
Robert J. Couser
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Level 3

MRSA Outbreak: Level 3 Neonatal Intensive Care Unit

2007 ◽  
Vol 35 (5) ◽  
pp. E127
Author(s):  
C. Kaplan ◽  
N. Ramiro ◽  
D. Guerami ◽  
J. Wrobel
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Level 3

Association of Resident Duty Hour Restrictions, Level of Trainee, and Number of Available Residents with Mortality in the Neonatal Intensive Care Unit

2018 ◽  
Vol 35 (09) ◽  
pp. 911-918 ◽  
Author(s):  
Karin Clement ◽  
Guy Lacroix ◽  
Sylvie Bélanger ◽  
Anne-Sophie Julien ◽  
Bruno Piedboeuf ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Hospital Mortality ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Early Mortality ◽  
Hours Worked ◽  
Pediatric Residents ◽  
Level 3 ◽  
Resident Duty

Objective This article assesses the effect of reducing consecutive hours worked by residents from 24 to 16 hours on yearly total hours worked per resident in the neonatal intensive care unit (NICU) and evaluates the association of resident duty hour reform, level of trainee, and the number of residents present at admission with mortality in the NICU. Study Design This is a 6-year retrospective cohort study including all pediatric residents working in a Level 3 NICU (N = 185) and infants admitted to the NICU (N = 8,159). Adjusted odds ratios (aOR) were estimated for mortality with respect to Epoch (2008–2011 [24-hour shifts] versus 2011–2014 [16-hour shifts]), level of trainee, and the number of residents present at admission. Results The reduction in maximum consecutive hours worked was associated with a significant reduction of the median yearly total hours worked per resident in the NICU (381 hour vs. 276 hour, p < 0.01). Early mortality rate was 1.2% (50/4,107) before the resident duty hour reform and 0.8% (33/4,052) after the reform (aOR, 0.57; 95% confidence interval [CI], 0.33–0.98). Neither level of trainee (aOR, 1.22; 95% CI, 0.71–2.10; junior vs. senior) nor the number of residents present at admission (aOR, 2.08; 95% CI, 0.43–10.02, 5–8 residents vs. 0–2 residents) were associated with early mortality. Resident duty hour reform was not associated with hospital mortality (aOR, 0.73; 95% CI, 0.50–1.07; after vs. before resident duty hour reform). Conclusion Resident duty hour restrictions were associated with a reduction in the number of yearly hours worked by residents in the NICU as well as a significant decrease in adjusted odds of early mortality but not of hospital mortality in admitted neonates.

scholarly journals Introduction of microsystems in a level 3 neonatal intensive care unit—an interprofessional approach

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Salhab el Helou ◽  
Samira Samiee-Zafarghandy ◽  
Gerhard Fusch ◽  
Muzafar Gani Abdul Wahab ◽  
Lynda Aliberti ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Level 3

Mindfulness Training among Parents with Preterm Neonates in the Neonatal Intensive Care Unit: A Pilot Study

2019 ◽  
Vol 36 (14) ◽  
pp. 1514-1520 ◽  
Author(s):  
Alyssa Marshall ◽  
Úrsula Guillén ◽  
Amy Mackley ◽  
Wendy Sturtz
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Training Session ◽  
Mindfulness Practice ◽  
Preterm Neonates ◽  
Practice Experience ◽  
Level 3 ◽  
Management Techniques

Objective To evaluate the feasibility of a mindfulness-based training session (MBTS) for parents of neonates born at ≤32 weeks' gestation in a level 3 neonatal intensive care unit (NICU). Study Design Within 14 days of admission, parents completed the Parental Stressor Scale: Neonatal Intensive Care Unit Questionnaire (PSS:NICU), Cognitive and Affective Mindfulness Scale (CAMS-R), and a survey on stress management techniques. Parents then participated in a MBTS with instruction in mindfulness-based practices and were asked to practice the techniques during the NICU stay. At discharge, parents repeated the surveys to evaluate their mindfulness-based practice experience. Results Of the 98 parents approached, 51 consented to participate (52%). Of these, 28 completed MBTS, initial, and discharge surveys. One parent had previously practiced mindfulness. The majority of parents (79%) reported that mindfulness practice was helpful, and 71% stated that they would continue their practice after NICU discharge. There was no difference in PSS:NICU or CAMS-R at discharge. Conclusion An MBTS was feasible to provide to parents in our NICU. Parents practiced the mindfulness-based techniques and reported benefit from their mindfulness-based practice. Future studies are needed to evaluate if an MBTS is a valuable resource for NICU parents' coping.

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