Prevention and treatment of pain in the neonatal intensive care unit

Ból ◽  
2018 ◽  
Vol 19 (2) ◽  
pp. 21-32
Author(s):  
Hanna Popowicz ◽  
Wioletta Mędrzycka-Dąbrowska ◽  
Katarzyna Kwiecień-Jaguś
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Intensive Care Units ◽  
Neonatal Intensive Care ◽  
Neonatal Intensive Care Units ◽  
Bibliographic Databases ◽  
Care Providers ◽  
Daily Work ◽  
Neonatal Pain

Healing pain as well as preventing it is an indisputable right of every human being. Activities connected with/ related to medical care in the neonatal intensive care unit may be the source of pain. The aim of the study was to characterize the problem of pain in terms of patients of neonatal intensive care units. The work describes not only the perception of neonatal pain but also preventing and therapeutic actions, including pharmacological and non-pharmacological strategies. The last one can be used widely in the daily work of nursing/midwifery staff with neonatal intensive care unit (OITN) patients and their care providers. The study analyzed national and foreign literature on pain therapy in cases of patients of neonatal intensive care units. The available bibliographic databases include Medline, Scopus, PubMed and Google Scholar. The following keywords were used as search criteria: “pain”, “newborn baby”, “neonatal intensive care unit “‘nurse”, “midwives”.

Assessment of Family Needs in Neonatal Intensive Care Units

2010 ◽  
Vol 19 (2) ◽  
pp. 156-163 ◽  
Author(s):  
Cynthia A. Mundy
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Intensive Care Units ◽  
Neonatal Intensive Care ◽  
Neonatal Intensive Care Units ◽  
Family Needs ◽  
Care Providers ◽  
Mothers And Fathers ◽  
Family Centered

Background Limited research has been conducted to assess family needs in neonatal intensive care units. Health care providers often make assumptions about what families need, but these assumptions are unfounded and can lead to inappropriate conclusions. When assessed appropriately, family needs can be incorporated into individualized plans of care, enhancing family-centered care. Objective To assess the needs of parents in neonatal intensive care units, we asked the following 3 questions: What are the most and least important needs of families in a level III neonatal intensive care unit? Do parents’ needs differ at admission and discharge? Do the needs of mothers and fathers differ? Methods Parents were interviewed by using the Neonatal Intensive Care Unit Family Needs Inventory. Participants rated statements as not important (1), slightly important (2), important (3), very important (4), or not applicable (5). Results Fifty-two (93%) of the 56 items were rated as important or very important, and parents rated assurance-type needs highest. Parents at admission rated support needs higher than parents at discharge rated those needs. Needs of mothers and fathers did not differ significantly. Conclusions Identifying the needs of parents in neonatal intensive care units can enhance nursing communication and allow nurses to incorporate parents’ needs into families’ plans of care. The family needs inventory can help identify those needs and allows the integration of individualized nursing care to fulfill those needs, providing a positive family-centered experience in the unit for patients and their families.

Digital Scrapbooking as a Standard of Care in Neonatal Intensive Care Units: Initial Experience

2012 ◽  
Vol 31 (3) ◽  
pp. 162-168 ◽  
Author(s):  
Muhammad T. Subhani ◽  
Ifrah Kanwal
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Intensive Care Units ◽  
Neonatal Intensive Care ◽  
Standard Of Care ◽  
Neonatal Intensive Care Units ◽  
Initial Experience ◽  
Digital Photo ◽  
Ancillary Staff

In this article, we describe a digital photo scrapbooking project as a standard of care for the parents of infants admitted in a neonatal intensive care unit (NICU). Photographs were taken from birth until discharge or expiry at special moments during the infant’s hospitalization and used to create a digital scrapbook with daily notes by the parents. The scrapbook and original photos were provided on a CD at discharge or at expiry. Parents and their families unanimously appreciated the photos and the opportunity to record their thoughts, and considered the CDs as a lifetime treasure. Digital photo journaling could be implemented as a standard of care at other institutions with a commitment from the nursing and ancillary staff of the NICU and labor and delivery department, with possible support from volunteers.

A dynamic performance analysis of passive sunlight control strategies in a neonatal intensive care unit

2016 ◽  
Vol 50 (2) ◽  
pp. 191-204 ◽  
Author(s):  
A Villalba ◽  
JM Monteoliva ◽  
R Rodríguez ◽  
A Pattini
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Intensive Care Units ◽  
Neonatal Intensive Care ◽  
Control Strategies ◽  
Dynamic Performance ◽  
Building Design ◽  
Neonatal Intensive Care Units ◽  
Dynamic Performance Analysis

Neonatal intensive care units are a special lighting design challenge. Although natural light is highly desirable, it should be carefully planned to maximise benefits and minimise the problems associated with uncontrolled sunlight. This paper discusses the performance of different passive sunlight control strategies in a neonatal intensive care unit at the Dr. Humberto Notti Children's Hospital in Mendoza, Argentina, analysing their annual daylight behaviour through dynamic daylight simulations. The aim of this work is to optimise the use of daylight in neonatal intensive care units, considering the special lighting conditions required. Results show that, in this case study, the adequate implementation of solar control systems and the appropriate layout of the space for different uses according to surrounding building design and the characteristics of the local luminous climate can increase the useful daylight illuminance by up to 13%, while avoiding the incidence of direct sunlight at all times.

scholarly journals Diagnostic Errors in the Neonatal Intensive Care Unit: A Case Series

2018 ◽  
Vol 08 (04) ◽  
pp. e379-e383 ◽  
Author(s):  
Grant Shafer ◽  
Gautham Suresh
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Intensive Care Units ◽  
Neonatal Intensive Care ◽  
Case Series ◽  
Diagnostic Errors ◽  
Diagnostic Error ◽  
Neonatal Intensive Care Units ◽  
Diagnostic Process

AbstractDiagnostic errors remain understudied in neonatal intensive care units (NICUs). The few available studies are primarily autopsy-based, and do not evaluate diagnostic errors that did not result in the patient's death. This case series presents 10 examples of nonlethal diagnostic errors in the NICU—classified according to the component of the diagnostic process which led to the error. These cases demonstrate the presence of diagnostic error in the NICU and highlight the need for further research on this important topic.

Risk factors for vancomycin-resistant enteroccocci colonization in infants in neonatal intensive care unit

Open Medicine ◽  
2010 ◽  
Vol 5 (4) ◽  
pp. 499-503
Author(s):  
Ilker Devrim ◽  
Ferah Genel ◽  
Füsun Atlihan ◽  
Erhan Özbek ◽  
Gamze Gülfidan
Keyword(s):  
Risk Factors ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Intensive Care Units ◽  
Active Surveillance ◽  
Antimicrobial Therapy ◽  
Neonatal Intensive Care ◽  
Neonatal Intensive Care Units ◽  
Vancomycin Resistant

AbstractWe aimed to evaluate the risk factors for VRE colonization in neonatal intensive care units. In December 2007, we identified a neonate with VRE infection (urinary tract infection and we performed blood and stool cultures for VRE until the last colonized patient was discharged from our clinic. All the neonates hospitalized in NICU during December 2007 to January 2008. Active surveillance cultures for VRE fecal carriage was carried out in neonatal intensive care unit. Resistance to vancomycin was detected by the E-test method. Epidemiological data was recorded for all patients included in the study and was used for the risk factors. Totally 54 infants in NICU were screened for VRE colonization. Totally 11 infants (20%) were colonized with vancomycin-resistant enterococci. The average duration of all antimicrobial therapy was significantly longer in colonized patients. The infants who were hospitalized for more than 10 days were found to be significantly more colonized with VRE when compared to the infants with shorter hospital stay (p<0.05). There were no statistically significant differences between VRE colonized and non-colonized infants in respect to sex, to third generation cephalosporin usage, glycopeptide usage, presence of prematurity, presence of mechanical ventilation(p> 0.05). The premature infants and the mature infants were under risk of VRE colonization. Longer duration of hospitalization and antimicrobial usage were the prominent risk factors. Since infants in neonatal intensive care units were under risk of infections, periodic active surveillance cultures should be combined with logical antimicrobial therapy.

scholarly journals Chlorhexidine Use in the Neonatal Intensive Care Unit: Results from a National Survey

2010 ◽  
Vol 31 (8) ◽  
pp. 846-849 ◽  
Author(s):  
Pranita D. Tamma ◽  
Susan W. Aucott ◽  
Aaron M. Milstone
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Intensive Care Units ◽  
Prospective Studies ◽  
Neonatal Intensive Care ◽  
Infection Prevention ◽  
Chlorhexidine Gluconate ◽  
Neonatal Intensive Care Units ◽  
Prevention Guidelines

Infection prevention guidelines do not endorse Chlorhexidine gluconate (CHG) use in neonates who are less than 2 months old. A survey of US neonatology program directors revealed that most neonatal intensive care units use CHG, often with some restrictions. Prospective studies are needed to further address concerns regarding the safety of CHG in patients in the neonatal intensive care unit.

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

2018 ◽  
Vol 35 (14) ◽  
pp. 1443-1448 ◽  
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.

scholarly journals RELAÇÃO FAMILIAR NA UNIDADE DE TERAPIA INTENSIVA NEONATAL: REVISÃO INTEGRATIVA

2018 ◽  
Vol 9 (1) ◽  
Author(s):  
Maria Solange Nogueira Dos Santos ◽  
Karla Maria Carneiro Rolim ◽  
Mirna Frota Albuquerque ◽  
Carlon Washington Pinheiro ◽  
Fernanda Jorge Magalhães ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Intensive Care Units ◽  
Neonatal Intensive Care ◽  
Intensive Therapy ◽  
Neonatal Intensive Care Units ◽  
Neonatal Nursing ◽  
Terapia Intensiva ◽  
The Relationship

Objetivo: Identificar a produção do conhecimento, na literatura, acerca das relações familiares do neonato e os profissionais da Enfermagem atuantes na Unidade de Terapia Intensiva Neonatal. Metodologia: Revisão integrativa realizada no período de junho a agosto de 2016, nas bases de dados Scopus, PUBMED/Medline, Ebsco, Lilacs e Scielo. Os descritores foram: Unidades de Terapia Intensiva Neonatal, Enfermagem Neonatal, Relações Mãe-Filho, em português, inglês e espanhol. Como critério de inclusão teve-se: responder a questão norteadora “Qual o conhecimento produzido, na literatura sobre as relações entre pais/filhos e profissionais da saúde na UTIN” e estar disponível eletronicamente na íntegra. A população foi de 101 estudos, sendo selecionada uma amostra de 13 artigos. A análise foi realizada mediante a Teoria Fundamentada em Dados. Resultados: Evidenciou-se duas temáticas que demonstram as frágeis relações familiares e interpessoais da equipe de Enfermagem na complexidade do ambiente da Unidade de Terapia Intensiva Neonatal e a labilidade do vínculo entre profissionais, pais/família/ recém-nascido. Conclusão: Concluiu-se que foi possível identificar as estratégias de humanização para favorecer as relações entre o recém-nascido internado em Unidade de Terapia Intensiva Neonatal e seus familiares. Sugere-se o aprofundamento de tal problemática de modo contribuir com novas pesquisas que possam auxiliar na prática clínica na neonatologia.Descritores: Unidades de Terapia Intensiva Neonatal; Enfermagem Neonatal; Relações Familiares.FAMILY RELATIONSHIP IN NEONATAL INTENSIVE THERAPY UNIT: INTEGRATIVE REVIEWObjective: Analyze the production of knowledge about the relationship between parents -children and nursing professionals in Neonatal Intensive Care Unit. Methodology: Integrative Review that occurred in the period from June to August of 2016, in the databases Scopus, PUBMED/Medline, Ebsco, Lilacs and Scielo. The descriptors were: Neonatal Intensive Care Units AND Neonatal Nursing AND mother-child Relationships, in Portuguese, English and Spanish. What knowledge is produced in the literature on the relationship between parents / children and health professionals in the NICU? The sample was of 13 articles in which they used the Theory based on data, such as search method of analysis. Results: Two themes have come to attention demonstrating the fragile family and interpersonal relationships with the nursing staff on the complexity of the environment of the Neonatal Intensive Care Unit and the liability of the bond between professionals, parents/family/newborn. Conclusion: In conclusion, that it was possible to identify the strategies of humanization in order to facilitate the relationships between the newborn admitted to Neonatal Intensive Care Unit and their families. It is suggested the deepening of such problems in order to contribute with new research that may assist in clinical practice in neonatology.Descriptors: Neonatal Intensive Care Units; Neonatal Nursing; Mother-son relationships.RELACIÓN FAMILIAR EN LA UNIDAD DE TERAPIA INTENSIVA NEONATAL: REVISIÓN INTEGRATIVAObjetivo: Analizar la producción del conocimiento acerca de las relaciones entre padres-hijos y profesionales de la Enfermería en la Unidad de Terapia Intensiva Neonatal. Metodología: Revisión integrativa que ocurrió en el período comprendido entre junio y agosto de 2016 en las bases de datos Scopus, PUBMED / Medline, Ebsco, Lilacs y Scielo. Los descriptores fueron: Unidades de Terapia Intensiva Neonatal AND Enfermería Neonatal AND Relaciones Madre-Hijo, en portugués, inglés y español. ¿Cuál es el conocimiento producido en la literatura sobre las relaciones entre padres / hijos y profesionales de la salud en la UTIN? La muestra fue de 13 artículos en que se utilizó la Teoría Fundamentada en Datos, como método de análisis de la investigación. Resultados: Se evidenció dos temáticas que demuestran las frágiles relaciones familiares e interpersonal del equipo de Enfermería en la complejidad del ambiente de la Unidad de Terapia Intensiva Neonatal y la labilidad del vínculo entre profesionales, padres / familia / recién nacido. Conclusión: Se concluyó que fue posible identificar las estrategias de humanización para favorecer las relaciones entre el recién nacido internado en Unidad de Terapia Intensiva Neonatal y sus familiares. Se sugiere la profundización de tal problemática de modo contribuir con nuevas investigaciones que puedan auxiliar en la práctica clínica en la neonatología.Descriptores: Unidades de Cuidado Intensivo Neonatal; Enfermería Neonatal; Relaciones Madre-Hijo.

Current Practices of Antiseptic Use in Canadian Neonatal Intensive Care Units

2018 ◽  
Vol 36 (02) ◽  
pp. 141-147 ◽  
Author(s):  
Helen McCord ◽  
Elise Fieldhouse ◽  
Walid El-Naggar
Keyword(s):  
Intensive Care ◽  
Adverse Effects ◽  
Intensive Care Units ◽  
Health Care Providers ◽  
Neonatal Intensive Care ◽  
Chlorhexidine Gluconate ◽  
Neonatal Intensive Care Units ◽  
Care Providers ◽  
Level Ii ◽  
Canadian Provinces

Objective This article assesses the degree of variability in the current practice of skin antiseptics used in Canadian neonatal intensive care units (NICUs) and different experiences related to each antiseptic used. Methods An anonymous survey was distributed to a clinical representative of each of the 124 Canadian level II and level III NICUs. Results One hundred and two respondents (82.2%), representing all Canadian provinces, completed the survey. Chlorhexidine gluconate with/without alcohol was the antiseptic most used (96%) and the antiseptic with the highest reported adverse effects (68% reported skin burns/breakdown). Other antiseptics used include povidone-iodine (35%) and isopropyl alcohol (22%). Specific guidelines for antiseptic use were available in only 50% of the units with many NICUs lacking gestational and/or chronological age restrictions. Only 23% of responders believed that there was awareness among health care providers of the adverse effects of antiseptics used. Less than half (43%) were completely satisfied with the antiseptics used in their units. Conclusion Chlorhexidine gluconate is the most commonly used antiseptic in Canadian NICUs. The high number of associated adverse effects and the lack of guidelines regulating antiseptic use are of concern. Large clinical trials are urgently needed to guide practice and improve the safety of antiseptics.

Sign in / Sign up

Export Citation Format

Share Document