Neonatal network : NN
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Neonatal network : NN · Nov 2011
ReviewCongenital central hypoventilation syndrome and the PHOX2B gene mutation.
Congenital central hypoventilation syndrome (CCHS) is a rare syndrome of dysfunction of the autonomic nervous system characterized by a decreased response to hypercarbia. It is a disorder in which affected individuals fail to breathe during sleep despite progressive hypercapnia and hypoxia. Infants simply fall asleep and quit breathing. ⋯ It has been linked with tumors of neural crest origin, segmental aganglionosis of the colon, and diffuse autonomic dysregulation but can occur alone. Discovery of the genetic link between the paired-like homeobox 2B (PHOX2B) genetic mutations and CCHS represents a breakthrough in the diagnosis of CCHS, association of mutated alleles with disease severity, and clues to the pathophysiology responsible for the disorder. Early genetic screening and intervention can provide the families of these infants with hope for achieving a normal life.
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Neonatal network : NN · May 2011
The effect of three nursing interventions on thermoregulation in low birth weight infants.
The primary aim of this study was to evaluate the use of three nursing interventions--occlusive wrap, chemical mattress, and regulation of delivery room temperature--singly and in combination in consecutive years on thermoregulation in six groups of low birth weight infants. ⋯ For each of the three interventions, the percentage having a normal NICU admission temperature in each intervention group exceeded the control group percentage, but the increase was not significant. Use of each intervention--occlusive wrap alone, occlusive wrap in addition to chemical mattress, and occlusive wrap in addition to chemical mattress and increased delivery room temperature--appeared to influence thermoregulation positively.
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The Circle of Caring Model serves as a guide that superimposes nursing and medical practice models. This transformative template was formulated for advanced practice nursing in all health care settings, including neonatal care. This article proposes an extension of this model specific to neonatal transport. It also shows how the Circle of Caring Model for Neonatal Transport functions within the framework of a hypothetical patient case.