Letter to the Editor

PEDIATRICS ◽  
1983 ◽  
Vol 72 (2) ◽  
pp. 265-265
Author(s):  
George Cassady
Keyword(s):  
Intensive Care ◽  
Neonatal Intensive Care ◽  
High Quality ◽  
Letter To The Editor ◽  
Total Agreement

Robertson and I are in total agreement that a major medical challenge of this decade will be to assure available personnel to provide "high-quality neonatal intensive care" to all babies who need it. We also agree that it is unimportant who provides the care, so long as the quality remains uncompromised. My belief is that critical, objective, and scientific criteria must be used to judge not only what "meds and methods" are used but also what skills and successes the caretakers have.

Letter to the Editor

PEDIATRICS ◽  
1994 ◽  
Vol 93 (6) ◽  
pp. 1025-1025
Author(s):  
N. R.C. Roberton
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Neonatal Intensive Care ◽  
Letter To The Editor ◽  
Full Discussion

No one could be keener than I am on keeping the parents of neonatal intensive care unit patients fully informed. Furthermore, I would be the first to agree that there comes a time in critically ill patients of all ages and all sizes when it is wrong to continue with intensive care, and, like everyone else involved in neonatal intensive care, I have often done so, but only after full discussion with parents, the nurses, and my colleagues.

α-Fetoprotein Normal Values

PEDIATRICS ◽  
1989 ◽  
Vol 83 (4) ◽  
pp. 640-640
Author(s):  
MUSA K. CAGLAR ◽  
J. A.J.M. BAKKEREN ◽  
WIL B. GEVEN
Keyword(s):  
Intensive Care ◽  
Neonatal Intensive Care ◽  
Neonatal Period ◽  
Normal Values ◽  
Term Neonates ◽  
Premature Babies ◽  
Letter To The Editor

We recently read the letter to the editor written by Gale et al. As a result of the remarkable improvements in neonatal intensive care, an increasing number of premature babies are now able to survive beyond the neonatal period. Therefore, there also seems to be a great need to know the normal values of α-fetoprotein in these babies that were not fully mentioned in that article. Goraya et al reported plasma α-fetoprotein levels in premature babies of various gestational ages, including some term neonates.

Nurse Practitioners and the Intensive Care Unit

PEDIATRICS ◽  
1983 ◽  
Vol 72 (2) ◽  
pp. 264-265
Author(s):  
W. J. Robertson
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Nurse Practitioners ◽  
Neonatal Intensive Care ◽  
Common Knowledge ◽  
Neonatal Intensive Care Units ◽  
High Quality ◽  
Remote Locations ◽  
Level Ii

It is common knowledge that Level III neonatal intensive care units are almost always short staffed so far as trained neonatologists are concerned and that the Level II centers, especially if they are in geographically remote locations, often do not have a fully trained neonatologist on staff.1,2 Although the training in neonatology of the newly graduated pediatricians is gradually improving, it is probably fair to say that the delivery of modern, high-quality neonatal intensive care is beyond the capability of the average pediatrician graduated prior to 1970 and certainly if graduated prior to 1960.

scholarly journals Effects of parental involvement in infant care in neonatal intensive care units: a meta-analysis

2018 ◽  
Vol 5 (3) ◽  
pp. 207-215
Author(s):  
Ting-Ting Liu ◽  
Meng-Jie Lei ◽  
Yu-Feng Li ◽  
Ya-Qian Liu ◽  
Li-Na Meng ◽  
...  
Keyword(s):  
Intensive Care ◽  
Weight Gain ◽  
Parental Involvement ◽  
Nosocomial Infection ◽  
Intensive Care Units ◽  
Breast Feeding ◽  
Neonatal Intensive Care ◽  
Meta Analysis ◽  
Neonatal Intensive Care Units ◽  
High Quality

Abstract Objective This meta-analysis aimed to examine the effects of parental involvement in infant care in neonatal intensive care units (NICUs). Methods PubMed, Embase, Cochrane Library, Web of Science, China National Knowledge Infrastructure (CNKI), Wanfang database, and VIP database were searched till November 2017. Randomized controlled trials (RCTs) and controlled clinical trials (CCTs) examining the effect of parental involvement in the NICU were considered for inclusion. Results We included 10 studies (three RCTs, seven CCTs) with a total of 1,851 participants. The meta-analysis demonstrated that there were no statistically significant differences on nosocomial infection between two groups (risk ratio [RR] = 0.90, 95% CI 0.63–1.30, P = 0.58). Compared with no parental involvement groups, parental involvement groups showed more weight gain (mean difference [MD] = 1.47, 95% CI 0.65–2.29, P < 0.05), higher breast-feeding rate (RR = 1.38, 95% C11.25–1.53, P < 0.05), lower readmission rate (RR = 0.35, 95% CI 0.15–0.80, P < 0.05), and higher satisfaction rate (RR = 1.09, 95% CI 1.02–1.16, P< 0.05). Conclusions Parental involvement in the NICU interventions could not increase the rate of nosocomial infection of neonates, but could improve their weight gain, breast-feeding and parental satisfaction and decrease their readmission. However, since the conclusion of this meta-analysis was drawn based on the limited number of high-quality RCTs, more high-quality studies should be conducted in the future to confirm its positive intervention effects.

Letter to the Editor

PEDIATRICS ◽  
1994 ◽  
Vol 93 (6) ◽  
pp. 1024-1024
Author(s):  
Helen Harrison
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Bad News ◽  
Letter To The Editor

We appreciate Dr Cunningham's candor in describing a situation some of us have experienced first-hand. A disinclination to be the bearer (or recipient) of bad news lies behind many communication failures in the neonatal intensive care unit and beyond. It is no excuse for withholding the truth from families. Some parents do react with anger to bad news about their child, at least initially. Others, however, are relieved to have their own perceptions confirmed and to have a diagnosis that can serve as the basis for action to help their child.

The Psychosocial Aspects of Feeding in the Neonatal Intensive Care Unit and Beyond

2019 ◽  
Vol 4 (6) ◽  
pp. 1507-1515
Author(s):  
Lauren L. Madhoun ◽  
Robert Dempster
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Hospital Discharge ◽  
Neonatal Intensive Care ◽  
Oral Feeding ◽  
Medical Attention ◽  
Primary Role ◽  
Speech Language Pathologists ◽  
The Family

Purpose Feeding challenges are common for infants in the neonatal intensive care unit (NICU). While sufficient oral feeding is typically a goal during NICU admission, this can be a long and complicated process for both the infant and the family. Many of the stressors related to feeding persist long after hospital discharge, which results in the parents taking the primary role of navigating the infant's course to ensure continued feeding success. This is in addition to dealing with the psychological impact of having a child requiring increased medical attention and the need to continue to fulfill the demands at home. In this clinical focus article, we examine 3 main areas that impact psychosocial stress among parents with infants in the NICU and following discharge: parenting, feeding, and supports. Implications for speech-language pathologists working with these infants and their families are discussed. A case example is also included to describe the treatment course of an infant and her parents in the NICU and after graduation to demonstrate these points further. Conclusion Speech-language pathologists working with infants in the NICU and following hospital discharge must realize the family context and psychosocial considerations that impact feeding progression. Understanding these factors may improve parental engagement to more effectively tailor treatment approaches to meet the needs of the child and family.

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