Neonatal network : NN
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Pressure-limited, time-cycled ventilation has been the primary mode of ventilation for neonates for several decades. But the realization that volume rather than pressure causes ventilator-induced lung injury has led to the development of new strategies for ventilation. ⋯ Volume-guaranteed ventilation delivers a specific, preset volume of gas, and inspiration ends when it has been delivered. This mode of ventilation requires careful attention to the infant and to ventilator settings.
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Neonatal network : NN · Mar 2003
Comparative StudyIbuprofen: alternative treatment for patent ductus arteriosus.
Patent ductus arteriosus (PDA) is a common problem for premature babies. Indomethacin, traditionally the treatment of choice for PDA closure, varies in effectiveness and can have serious side effects, such as intraventricular cerebral hemorrhage and decreased mesenteric and renal blood flow. ⋯ Their findings have been promising and indicate the need for clinical trials in the U. S.
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To evaluate the effects on thermoregulation of bathing a healthy newborn within the first hour of life compared to bathing four to six hours after birth. ⋯ A flexible bathing time is recommended according to the characteristics and stability of the newborn and to family desires.
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Neonatal network : NN · Sep 2002
Comparative StudyValidation of the Pain Assessment in Neonates (PAIN) scale with the Neonatal Infant Pain Scale (NIPS).
To establish the validity and clinical usefulness of a modified pain assessment scale, the Pain Assessment in Neonates (PAIN) scale. ⋯ The scores for individual items on the PAIN were significantly associated with scores obtained on the NIPS. Overall correlation between the scales was 0.93. These associations suggest that the PAIN is a valid scale for assessment of neonatal pain.
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Neonatal network : NN · Aug 2002
ReviewManaging our first breaths: a reflection on the past several decades of neonatal pulmonary therapy.
Lung disease has been a leading cause of significant morbidity and mortality since neonates first drew breath. Over the past few decades, many treatment options have evolved to aid us in our ability to support neonatal breathing. ⋯ Understanding traditional therapeutic options and knowing what may be on the horizon can help caregivers to better match treatment plans with individual infants. This article reviews advances in mechanical ventilation, adjuvant therapies, and respiratory drugs through the past few decades and speculates on future directions in this field.