Back Transport of Neonates: Improved Efficiency of Tertiary Nursery Bed Utilization

PEDIATRICS ◽  
1983 ◽  
Vol 71 (6) ◽  
pp. 918-922 ◽  
Author(s):  
August L. Jung ◽  
Carl L. Bose
Keyword(s):  
Intensive Care ◽  
Community Hospitals ◽  
Oxygen Supplementation ◽  
Newborn Intensive Care Unit ◽  
Level Ii ◽  
Hospital Beds ◽  
Critically Ill Neonates ◽  
Newborn Intensive Care ◽  
Level I ◽  
Full Occupancy

Neonatal back transport is defined as the return of previously critically ill neonates from Level III newborn intensive care units to Level II and Level I nurseries for intermediate and/or convalescing care. During 1980, 172 infants (65% of eligible infants) were back transported from a Level III nursery to both Level I and Level II community hospitals. Infants who were returned to Level II hospitals tended to be smaller at the time of transfer, were less frequently nipple fed, and more frequently required oxygen supplementation compared with infants returned to Level I hospitals. Back transport permitted physicians to defer 3,892 days of hospitalization for these infants to community hospitals, an equivalent savings of approximately ten hospital beds at full occupancy. This resulted in a 44% reduction in the need for services in the newborn intensive care unit. Back transport is an efficient means of dealing with overcrowding of Level III nurseries.

Are Surveillance of Resistant Enteric Bacilli and Antimicrobial Usage Among Neonates in a Newborn Intensive Care Unit Useful?

PEDIATRICS ◽  
1981 ◽  
Vol 68 (1) ◽  
pp. 1-4
Author(s):  
Robert D. White ◽  
Timothy R. Townsend ◽  
Maureen A. Stephens ◽  
E. Richard Moxon
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Sepsis ◽  
Antibiotic Use ◽  
Surveillance Data ◽  
Effective Control ◽  
Antimicrobial Usage ◽  
Newborn Intensive Care Unit ◽  
Newborn Intensive Care ◽  
Colonization Rates

From March 1976 through December 1978, the prevalence of ampicillin- and gentamicin-resistant enteric bacilli was monitored in fecal cultures of neonates in an intensive care unit. Substantial fluctuations in colonization rates were observed which did not correlate with the occurrence of sepsis due to these organisms nor with variations in antibiotic use. This experience suggests that the availability of these surveillance data did not result in more effective control of neonatal sepsis due to enteric bacilli.

A method for measurement of oxygen uptake in neonates

1979 ◽  
Vol 46 (6) ◽  
pp. 1200-1204 ◽  
Author(s):  
D. B. Raemer ◽  
D. R. Westenskow ◽  
D. K. Gehmlich ◽  
C. P. Richardson ◽  
W. S. Jordan
Keyword(s):  
Intensive Care ◽  
Oxygen Uptake ◽  
Positive Airway Pressure ◽  
Animal Experiments ◽  
Newborn Infants ◽  
Positive End Expiratory Pressure ◽  
Newborn Intensive Care Unit ◽  
Frequent Use ◽  
Newborn Intensive Care

The frequent use of continuous positive airway pressure and positive end-expiratory pressure in newborn infants with pulmonary disease has prevented the use of conventional methods for measuring oxygen uptake (VO2) in intensive-care units. A feed-back replenishment technique for the determination of the oxygen uptake of these newborn infants has been developed. An instrument utilizing this method has been designed and built permitting continuous VO2 monitoring without interfering in the routine ventilatory therapy of the critically ill infant. Theoretical, bench, and animal experiments using room air as an inspired gas indicate instrument accuracies as a percentage of full scale of 2.4, 2.8, and 7.3, respectively. Preliminary trials on infants demonstrate that the instrument functions satisfactorily in the newborn intensive-care unit.

A computer-generated blood gas display in a newborn intensive care unit

1983 ◽  
Vol 103 (5) ◽  
pp. 825-828 ◽  
Author(s):  
Marcus C. Hermansen ◽  
Paul H. Perlstein ◽  
Harry D. Atherton ◽  
Neil K. Edwards
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Blood Gas ◽  
Newborn Intensive Care Unit ◽  
Newborn Intensive Care

Accidental heparin toxicity in the newborn intensive care unit

1978 ◽  
Vol 92 (1) ◽  
pp. 115-116 ◽  
Author(s):  
Richard L. Schreiner ◽  
Ralph J. Wynn ◽  
Claudia McNulty
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Newborn Intensive Care Unit ◽  
Newborn Intensive Care

scholarly journals Factors associated with interhospital transfer of children with respiratory failure from level II to level I pediatric intensive care units

2015 ◽  
Vol 30 (5) ◽  
pp. 1080-1084 ◽  
Author(s):  
Folafoluwa O. Odetola ◽  
Sarah J. Clark ◽  
James G. Gurney ◽  
Janet E. Donohue ◽  
Achamyeleh Gebremariam ◽  
...  
Keyword(s):  
Intensive Care ◽  
Respiratory Failure ◽  
Intensive Care Units ◽  
Pediatric Intensive Care ◽  
Pediatric Intensive Care Units ◽  
Factors Associated ◽  
Interhospital Transfer ◽  
Level Ii ◽  
Level I

Contaminated Breast Milk: A Source of Klebsiella Bacteremia in a Newborn Intensive Care Unit

1981 ◽  
Vol 3 (4) ◽  
pp. 716-720 ◽  
Author(s):  
L. G. Donowitz ◽  
F. J. Marsik ◽  
K. A. Fisher ◽  
R. P. Wenzel
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Breast Milk ◽  
Newborn Intensive Care Unit ◽  
Newborn Intensive Care

Characteristics and outcomes of inter-hospital transfers from Level II to Level I pediatric intensive care units

2006 ◽  
Vol 7 (6) ◽  
pp. 617
Author(s):  
Folafoluwa O. Odetola ◽  
Thomas P. Shanley ◽  
James G. Gurney ◽  
Sarah J. Clark ◽  
Ronald E. Dechert ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Pediatric Intensive Care ◽  
Pediatric Intensive Care Units ◽  
Level Ii ◽  
Level I

Provider Perspectives on the Acceptability, Appropriateness, and Feasibility of Teleneonatology

2021 ◽  
Author(s):  
Jennifer L. Fang ◽  
Rachel Umoren ◽  
Hilary Whyte ◽  
Jamie Limjoco ◽  
Abhishek Makkar ◽  
...  
Keyword(s):  
Rural Communities ◽  
Neonatal Intensive Care ◽  
Linear Models ◽  
Neonatal Care ◽  
Community Hospitals ◽  
Provider Perspectives ◽  
Level Ii ◽  
Survey Results ◽  
Level I ◽  
Strongly Agree

Objective We aimed to measure provider perspectives on the acceptability, appropriateness, and feasibility of teleneonatology in neonatal intensive care units (NICUs) and community hospitals. Study Design Providers from five academic tertiary NICUs and 27 community hospitals were surveyed using validated implementation measures to assess the acceptability, appropriateness, and feasibility of teleneonatology. For each of the 12 statements, scale values ranged from 1 to 5 (1 = strongly disagree; 5 = strongly agree), with higher scores indicating greater positive perceptions. Survey results were summarized, and differences across respondents assessed using generalized linear models. Results The survey response rate was 56% (203/365). Respondents found teleneonatology to be acceptable, appropriate, and feasible. The percent of respondents who agreed with each of the twelve statements ranged from 88.6 to 99.0%, with mean scores of 4.4 to 4.7 and median scores of 4.0 to 5.0. There was no difference in the acceptability, appropriateness, and feasibility of teleneonatology when analyzed by professional role, years of experience in neonatal care, or years of teleneonatology experience. Respondents from Level I well newborn nurseries had greater positive perceptions of teleneonatology than those from Level II special care nurseries. Conclusion Providers in tertiary NICUs and community hospitals perceive teleneonatology to be highly acceptable, appropriate, and feasible for their practices. The wide acceptance by providers of all roles and levels of experience likely demonstrates a broad receptiveness to telemedicine as a tool to deliver neonatal care, particularly in rural communities where specialists are unavailable. Key Points

Provider Perspectives on the Acceptability, Appropriateness, and Feasibility of Teleneonatology

2021 ◽  
Author(s):  
Jennifer L. Fang ◽  
Rachel A Umoren ◽  
Hilary Whyte ◽  
Jamie Limjoco ◽  
Abhishek Makkar ◽  
...  
Keyword(s):  
Rural Communities ◽  
Neonatal Intensive Care ◽  
Linear Models ◽  
Neonatal Care ◽  
Community Hospitals ◽  
Provider Perspectives ◽  
Level Ii ◽  
Survey Results ◽  
Level I ◽  
Strongly Agree

Objective: We aimed to measure provider perspectives on the acceptability, appropriateness, and feasibility of teleneonatology in neonatal intensive care units (NICU) and community hospitals. Study Design: Providers from five academic tertiary NICUs and 27 community hospitals were surveyed using validated implementation measures to assess the acceptability, appropriateness, and feasibility of teleneonatology. For each of the twelve statements, scale values ranged from 1 to 5 (1=strongly disagree; 5=strongly agree), with higher scores indicating greater positive perceptions. Survey results were summarized, and differences across respondents assessed using generalized linear models. Results: The survey response rate was 56% (203/365). Respondents found teleneonatology to be acceptable, appropriate, and feasible. The percent of respondents who agreed with each of the twelve statements ranged from 88.6-99.0%, with mean scores of 4.4-4.7 and median scores of 4.0-5.0. There was no difference in the acceptability, appropriateness, and feasibility of teleneonatology when analyzed by professional role, years of experience in neonatal care, or years of teleneonatology experience. Respondents from Level I well newborn nurseries had greater positive perceptions of teleneonatology than those from Level II special care nurseries. Conclusion: Providers in tertiary NICUs and community hospitals perceive teleneonatology to be highly acceptable, appropriate, and feasible for their practices. The wide acceptance by providers of all roles and levels of experience likely demonstrates a broad receptiveness to telemedicine as a tool to deliver neonatal care, particularly in rural communities where specialists are unavailable.

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