Management of an Extremely Premature Infant in the Out-of-Hospital Environment

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.

Download Full-text

Implementation of a multidisciplinary guideline-driven approach to the care of the extremely premature infant improved hospital outcomes

Acta Paediatrica ◽

10.1111/j.1651-2227.2009.01563.x ◽

2009 ◽

Cited By ~ 3

Author(s):

CA Nankervis ◽

EM Martin ◽

ML Crane ◽

KS Samson ◽

SE Welty ◽

...

Keyword(s):

Premature Infant ◽

Hospital Outcomes ◽

Extremely Premature Infant

Download Full-text

Percutaneous Catheter Evacuation of a Pneumatocele in an Extremely Premature Infant with Respiratory Failure

Journal of Perinatology ◽

10.1038/sj.jp.7210964 ◽

2003 ◽

Vol 23 (6) ◽

pp. 516-518 ◽

Cited By ~ 10

Author(s):

Alan M Fujii ◽

Steven Moulton

Keyword(s):

Respiratory Failure ◽

Premature Infant ◽

Percutaneous Catheter ◽

Extremely Premature Infant

Download Full-text

The Meaning of Extremely Premature Infant Behavior

Phenomenology of the Newborn ◽

10.4324/9781351045674-4 ◽

2018 ◽

pp. 43-55

Author(s):

Michael van Manen

Keyword(s):

Premature Infant ◽

Infant Behavior ◽

Extremely Premature Infant

Download Full-text

Clinical Innovations Near the Boundary of Viability—The Artificial Womb

Ethics and Research with Children ◽

10.1093/med-psych/9780190647254.003.0015 ◽

2018 ◽

pp. 264-284

Author(s):

Ryan M. Antiel ◽

Alan W. Flake

Keyword(s):

Premature Infant ◽

Infant Death ◽

Normal Development ◽

Clinical Success ◽

Premature Neonate ◽

Postnatal Life ◽

Ethical Challenges ◽

Extreme Prematurity ◽

The Difference ◽

Extremely Premature Infant

Extreme prematurity is the leading cause of infant death and morbidity. And, despite advances in neonatal medicine and surgery, the rate of prematurity has risen. The urgent need for a better way to support the extremely premature infant led to the development of an extrauterine system to better bridge the transition from fetal to postnatal life. The goal of this “artificial womb” is to maintain prenatal physiology in the extremely premature neonate to support normal development and reduce the complications associated with prematurity. This chapter discusses the development and applications of the artificial womb, as well as the limitations of this technology. It explores three current ethical challenges: ectogenesis, the boundary of viability, and the difference between physiological and clinical success.

Download Full-text