Download or read book Respiratory Management of Extremely Preterm Infants written by Hasan Özkan and published by Frontiers Media SA. This book was released on 2021-11-12 with total page 116 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Respiratory Management of Newborns written by Hany Aly and published by BoD – Books on Demand. This book was released on 2016-08-31 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this book, you'll learn multiple new aspects of respiratory management of the newborn. For example, ventilator management of infants with unusually severe bronchopulmonary dysplasia and infants with omphalocele is discussed, as well as positioning of endotracheal tube in extremely low birth weight infants, noninvasive respiratory support, utilization of a protocol-driven respiratory management, and more. This book includes a chapter on noninvasive respiratory function monitoring during chest compression, analyzing the efficacy and quality of chest compression and exhaled carbon dioxide. It also provides an overview on new trends in the management of fetal and transitioning lungs in infants delivered prematurely. Lastly, the book includes a chapter on neonatal encephalopathy treated with hypothermia along with mechanical ventilation. The interaction of cooling with respiration and the strategies to optimize oxygenation and ventilation in asphyxiated newborns are discussed.

Download or read book ANALYSIS OF THE USE OF MECHANICAL VENTILATION IN THE EXTREMELY PRETERM INFANTS IN OUR UNIT written by Lorena Bermu00fadez Barrezueta and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: INTRODUCTIONThe use of prenatal corticosteroids, the management with CPAP from the beginning of resuscitation and the administration of surfactant together with less aggressive ventilator therapies, offer better results from the respiratory point of view in the extremely premature infants.The aim of our study is to analyze respiratory management in very premature infants, born before 32 weeks gestational age (GA) during the last eight years.MATERIAL AND METHODSWe performed a retrospective, cohorts study, including premature infants born before 32 weeks GA admitted to the NICU of a tertiary hospital between 2010 and 2017. The analyzed variables were invasive mechanical ventilation (IMV), non-invasive mechanical ventilation (NIV), high-flow nasal cannula therapy (HFNC), administration of surfactant and need for respiratory support at 36 weeks of corrected gestation.A descriptive and Kruskall-Wallis analysis was performed.RESULTSWe analyzed 205 preterm infants less than 32 weeks GA admitted into NICU.Demographic data are shown in Table 1. 44.5% of the patients were managed only with NIV.We observed a trend to decrease the days of IMV with a significant increase of NIV and HFNC in the group of preterm infants from 26-27 weeks GA (p 0.034) (Figure 1). In 24-25 GA group, an increase in the days of non-invasive respiratory support (NIV+HFNC) was seen (p 0.031) (Figure 2).CONCLUSIONS: The improvement of NIV devices, have allowed an increase in respiratory support in very low preterm infants, as well as in our subgroup of 26-27 weeks GA a reduction of the days of mechanical ventilation.

Download or read book Preterm Birth written by Institute of Medicine and published by National Academies Press. This book was released on 2007-05-23 with total page 791 pages. Available in PDF, EPUB and Kindle. Book excerpt: The increasing prevalence of preterm birth in the United States is a complex public health problem that requires multifaceted solutions. Preterm birth is a cluster of problems with a set of overlapping factors of influence. Its causes may include individual-level behavioral and psychosocial factors, sociodemographic and neighborhood characteristics, environmental exposure, medical conditions, infertility treatments, and biological factors. Many of these factors co-occur, particularly in those who are socioeconomically disadvantaged or who are members of racial and ethnic minority groups. While advances in perinatal and neonatal care have improved survival for preterm infants, those infants who do survive have a greater risk than infants born at term for developmental disabilities, health problems, and poor growth. The birth of a preterm infant can also bring considerable emotional and economic costs to families and have implications for public-sector services, such as health insurance, educational, and other social support systems. Preterm Birth assesses the problem with respect to both its causes and outcomes. This book addresses the need for research involving clinical, basic, behavioral, and social science disciplines. By defining and addressing the health and economic consequences of premature birth, this book will be of particular interest to health care professionals, public health officials, policy makers, professional associations and clinical, basic, behavioral, and social science researchers.

Download or read book The Effect of Respiratory Management on Neurodevelopmental Outcome in Preterm Infants written by Roos Jeannette Sipkje Vliegenthart and published by . This book was released on 2018 with total page 165 pages. Available in PDF, EPUB and Kindle. Book excerpt: There is growing evidence that invasive mechanical ventilation in preterm infants induces long-term pulmonary morbidity such as bronchopulmonary dysplasia as well as neurodevelopmental sequelae. Therefore, this thesis aims to assess the effect of a restricted respiratory management policy on neurodevelopmental outcome in preterm infants. Based on this thesis, several conclusions can be drawn. First, this thesis demonstrates that the implementation of a non-invasive respiratory support policy is feasible and might be associated with improved neurodevelopmental outcome even in extremely preterm infants. This is supported by our finding that – in this new era of non-invasive respiratory management – every additional day of invasive mechanical ventilation is associated with an increased risk of adverse neurodevelopmental outcome at two years of age. Second, bronchopulmonary dysplasia is associated with an adverse neurodevelopmental outcome at two and five years of age. In addition, increasing severity results in an increased risk of NDI. Similar to the general population, the correlation between two and five years neurodevelopmental outcome is only fair, emphasizing the importance of following up this high-risk population to at least 5 years of age. Finally, there is only limited evidence supporting the use of a higher dose of caffeine and doxapram in the treatment of apnea of prematurity.

Download or read book Surfactant Replacement Therapy written by Donald L. Shapiro and published by Alan R. Liss. This book was released on 1989 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Respiratory Outcomes in Preterm Infants written by Anna Maria Hibbs and published by Humana Press. This book was released on 2017-01-20 with total page 238 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book presents pulmonary outcomes of prematurity, from their emergence in infancy through to their consequences in adulthood. With an increasing number of preterm births and more infants surviving, there is now a larger population of adults with lung disease originating in infancy requiring specialized care. Looking at the whole group of preterm infants, not just those with bronchopulmonary dysplasia, this text covers a wide spectrum of pulmonary outcomes, including: pulmonary hypertension, wheezing, and alterations in sleep. The chapter authors focus on critically appraising what is and is not known about each outcome and suggest key questions that still need to be answered. Respiratory Outcomes in Preterm Infants: Sequelae from Infancy through Adulthood is an ideal reference for the multidisciplinary group that cares for these preterm infants and the adults they become, including: neonatologists, pediatric pulmonologists, pediatricians, adult pulmonologists, primary care physicians, nurses, and fellows.

Download or read book Respiratory Support Strategies in the Prevention and Treatment of Bronchopulmonary Dysplasia written by Huayan Zhang and published by Frontiers Media SA. This book was released on 2023-07-26 with total page 124 pages. Available in PDF, EPUB and Kindle. Book excerpt: Infant chronic lung disease (CLD), or bronchopulmonary dysplasia (BPD), one of the most common complications of prematurity, carries consequences of high mortality and morbidity. Lengthy hospitalizations, frequent readmissions, chronic cardiopulmonary impairment, poor growth, and long-term neurodevelopmental impairment are common in these patients. As a result, it is a disease with high social-economic impact, both to the health care system and society. Over the past few decades, advances in neonatal intensive care have led to improved survival of extremely premature infants world-wide, especially in low and middle-income countries (LMICs). This increased survival has also led to a larger number of infants with extremely immature lungs that are prone to abnormal lung development and lung injury. Consequently, the incidence of BPD has not decreased. Although respiratory support is a mainstay therapy for premature infants with acute or chronic respiratory insufficiency, there is currently a lack of strong evidence-based respiratory support strategies both in the prevention of BPD and treatment of infants with established BPD. Over the years, there has been a series of advancements in the respiratory management of premature infants, including but not limited to: less invasive methods of pulmonary surfactant delivery, multiple modalities of non-invasive respiratory support, neonatal-specific ventilators with better synchronization and monitoring capabilities, use of permissive hypercapnia to minimize the level of ventilation support, and international agreement on the oxygen saturation target. However, there have been controversies in the safety and efficacy of some of these treatments, and much more needs to be learned in how to best apply some of these therapies, especially in infants with evolving BPD and established BPD, as well as in resource-limited settings. This Research Topic will focus on respiratory support strategies in the prevention and treatment of BPD. We welcome both experimental and clinical research articles exploring the impacts of respiratory support on pulmonary mechanics, lung injury, lung growth and overall health in premature infants both during their early postnatal days and after they are diagnosed with BPD. This article collection will explore, but is not limited to, the following thematic areas: 1. Delivery room respiratory management in the prevention of BPD 2. Use of non-invasive respiratory support in premature infants with respiratory distress syndrome (RDS), evolving BPD or established BPD 3. Mechanical ventilation strategies in intubated premature infants with RDS, evolving BPD or established BPD 4. Neurally Adjusted Ventilatory Assist (NAVA) use in the prevention or treatment of BPD 5. Cardio-pulmonary interaction during respiratory support in preterm infants 6. Effects of different respiratory support modalities on pulmonary mechanics, lung injury and BPD-associated pulmonary hypertension 7. Impact of respiratory support on the growth and development of premature infants 8. Nursing care of premature infants on invasive or non-invasive respiratory support 9. Tracheostomy and long-term ventilation for infants with BPD 10. Post-discharge respiratory support management and respiratory follow up for infants with BPD 11. Impact of infection (bacterial or viral: including but not limited to gram negative oranisms, RSV, influenza, COVID-19, and others) on respiratory function in infants with BPD 12. Adjunctive therapies in addition to respiratory support in BPD prevention or in the treatment of BPD 13. Utility of bedside imaging (e.g. lung ultrasound, bronchoscopy, electric impedance tomography, etc.) in the selection and adjustment of respiratory support 14. Respiratory support-related quality improvement in the prevention or management of BPD 15. Family and staff education to care for premature infants with respiratory support.

Download or read book Goldsmith s Assisted Ventilation of the Neonate written by Martin Keszler and published by Elsevier Health Sciences. This book was released on 2021-12-24 with total page 769 pages. Available in PDF, EPUB and Kindle. Book excerpt: A must-have reference for the entire NICU, Goldsmith’s Assisted Ventilation of the Neonate, 7th Edition, is the only fully comprehensive, evidence-based guide to all aspects of this fast-changing field. Easy to use and multidisciplinary in scope, this trusted reference provides authoritative guidance on contemporary management of neonatal respiratory diseases, with an emphasis on evidence-based pharmacologic and technologic advances that improve outcomes and quality of life in newborns. It’s an outstanding resource for neonatologists and NICU professionals to acquire new knowledge and techniques in this critical area of neonatal care. Covers all aspects of both basic and advanced respiratory management of neonates: general principles and concepts; assessment, diagnosis and monitoring methods; therapeutic respiratory interventions; adjunctive interventions; and special situations and outcomes. Provides updated content on rapidly changing technology and guidelines for assisted ventilation, with up-to-date descriptions of bedside methodologies and the rationale for providing all types of ventilator care in infants. Contains new chapters on respiratory gas conditioning, diagnosis and management of PPHN, care of the infant with CDH, gaps in knowledge, and future directions. Includes significant updates on cardiovascular assessment and management, as well as complications of respiratory support. Provides extensive, full-color visual support with photographs, drawings, charts and diagrams, and radiographic images throughout. Features more than 30 appendices that help you quickly find normal values, assessment charts, ICU flow charts, procedure steps and other useful, printable forms.

Download or read book Advances in Respiratory Management An Issue of Clinics in Perinatology E Book written by Manuel Sanchez Luna and published by Elsevier Health Sciences. This book was released on 2021-11-16 with total page 233 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this issue of Clinics in Perinatology, guest editor Manuel Sanchez Luna brings his considerable expertise to the topic of Respiratory Management. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field; Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews.

Download or read book Effective Care of the Newborn Infant written by John C. Sinclair and published by . This book was released on 1992 with total page 714 pages. Available in PDF, EPUB and Kindle. Book excerpt: This companion volume to the highly acclaimed Effective Care in Pregnancy and Childbirth (OUP 1989, edited by Iain Chalmers et al.) evaluates the care of newborn infants. Medical research has produced an explosion of new knowledge concerning the causes, diagnosis, prognosis, treatment and prevention of diseases of the newborn infant. As the pace of therapeutic innovation quickens, there is an increasing need for efficient access to information concerning the probable effects of therapy. This book meets the urgent demand for a systematic summary of the best available evidence concerning the expected outcomes of therapeutic decisions in neonatology. This revolutionary work consists fundamentally of quantitative reviews of randomized trials of alternative courses of action. It contains some 2000 new analyses of data from the clinical trials literature, representing the vast majority of randomized trials in neonatology. The result is the first systematic review of evidence from randomized clinical trials in this field and an explicit dissection of the research data supporting, or in some cases not supporting, clinical management of the newborn. This book will interest pediatricians, especially neonatologists; obstetricians, especially maternal-fetal medicine specialists; family practitioners; and epidemiologists.

Download or read book Neonatal Cardiology written by Michael Artman and published by McGraw Hill Professional. This book was released on 2002-02-05 with total page 292 pages. Available in PDF, EPUB and Kindle. Book excerpt: * Provides a sound background in the basic mechanisms of congenital heart disease * Includes guidelines for evaluating newborns with suspected heart disease * Offers advice on treatment and drug therapy guidelines

Download or read book Pediatric and Neonatal Mechanical Ventilation written by Peter C. Rimensberger and published by Springer. This book was released on 2014-11-12 with total page 1584 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by outstanding authorities from all over the world, this comprehensive new textbook on pediatric and neonatal ventilation puts the focus on the effective delivery of respiratory support to children, infants and newborns. In the early chapters, developmental issues concerning the respiratory system are considered, physiological and mechanical principles are introduced and airway management and conventional and alternative ventilation techniques are discussed. Thereafter, the rational use of mechanical ventilation in various pediatric and neonatal pathologies is explained, with the emphasis on a practical step-by-step approach. Respiratory monitoring and safety issues in ventilated patients are considered in detail, and many other topics of interest to the bedside clinician are covered, including the ethics of withdrawal of respiratory support and educational issues. Throughout, the text is complemented by numerous illustrations and key information is clearly summarized in tables and lists.

Download or read book Improving Outcomes of Extremely Premature Infants Through Infant driven Care written by Jenn Gonya and published by . This book was released on 2018 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt: Extremely preterm infants (gestational age ? 27 completed weeks) represent one of the highest risk categories for death and neurodevelopmental impairment. Purposeful, evidence-based health management and developmentally appropriate care practices make a significant difference in the outcomes of these patients. This book describes a set of guidelines that have been established for the specific care of extremely premature infants and discusses the ways in which the implementation of these guidelines in the neonatal intensive care unit setting ensures an approach that addresses both the medical and developmental needs of this highly vulnerable population. Content includes management of respiratory, skin, cardiovascular, fluids/nutrition, and neurological issues as well as appropriate methodologies for pain control, laboratory studies, and infection control. Special emphasis is also placed on the role of the family, the practices of skin-to-skin care and breastfeeding, and nursing care based on infant cues. The evidence and rationale behind each guideline is provided as well as specific information to assist in care planning.

Download or read book Advances in Respiratory Care of the Newborn An Issue of Clinics in Perinatology E Book written by Judy L. Aschner and published by Elsevier Health Sciences. This book was released on 2012-09-28 with total page 342 pages. Available in PDF, EPUB and Kindle. Book excerpt: Top authors were selected to write clinical review articles devoted to Advances in Respiratory Care of the Newborn. Articles are devoted to: Effects of chorioamnionitis on lung function and growth; Delivery room respiratory management of the term and preterm infant; CPAP or INSURE for initial respiratory support; Which CPAP is best?; Non-invasive respiratory support; Volume limited and volume targeted ventilation; Weaning from mechanical ventilation; Predictors of bronchopulmonary dysplasia; Brain Injury in Chronically Ventilated Preterm Neonates: Collateral Damage Related to Ventilation Strategy; The Pulmonary Circulation in Respiratory Failure; Novel methods for assessment of right heart structure and function in pulmonary hypertension; Control of oxygenation; Non-invasive monitoring by photoplethysmography; Cell-based strategies to reconstitute lung function in infants with severe bronchopulmonary dysplasia; Permissive Hypercapnea; Prevention of BPD with Nitric Oxide; and Aero-digestive pulmonary disorders in the neonate.

Download or read book Inhaled Nitric Oxide in Preterm Infants written by U. S. Department of Health and Human Services and published by Createspace Independent Pub. This book was released on 2013-05-09 with total page 310 pages. Available in PDF, EPUB and Kindle. Book excerpt: Neonatal lung disease is the most common complication of preterm delivery, and results in significant morbidity and mortality. Preterm infants suffer from both acute and chronic respiratory failure as a result of anatomic and biochemical disruption of lung function, lung inflammation and oxidative stress, nutritional deficiencies, and arrest of tracheobronchial and pulmonary vascular growth. Treatment for acute respiratory failure often contributes to evolving bronchopulmonary dysplasia (BPD) and chronic respiratory failure, due to barotrauma and oxygen toxicity from prolonged respiratory support, deficient nutrition, as well as immaturity of lung growth, vascular development and immunologic defenses. Pulmonary hypertension may occur in association with acute and/or chronic respiratory failure. Multiple etiologies make finding an effective treatment for respiratory failure in preterm infants challenging. Disorders related to prematurity and respiratory distress are among the leading causes of infant mortality in the U.S. Treatment options for respiratory failure in preterm infants include a variety of modalities. Prenatal steroids, antibiotics, exogenous surfactant replacement, tidal volume ventilation, conventional ventilation, continuous positive airway pressure, high flow oxygen administration, and high frequency ventilation are all used as therapeutic modalities. Treatment of preterm infants with inhaled nitric oxide (iNO) as a rescue therapy for refractory hypoxemic respiratory failure is an extension of the relative success of the treatment of term and near term infants with iNO. Inhaled NO has demonstrated efficacy in improving oxygenation and reducing the need for extracorporeal membrane oxygenation (ECMO) in late preterm infants born after 34 weeks gestation and full term infants with respiratory failure, with no evidence of long term benefits. Despite the approved use of iNO in full term and late preterm infants, the developmentally distinct mechanisms of respiratory failure and differing cardiovascular, pulmonary, and pharmacokinetic characteristics of more immature infants require systematic study of the short and long term outcomes for preterm infants treated with iNO to prevent or treat respiratory failure. The Cochrane review acknowledged very limited data on long term outcomes of preterm infants treated with iNO. If iNO is beneficial, the number need to treat would be very large. Papers published or presented from 2007 to present report conflicting results as to whether, in preterm infants, iNO has beneficial, adverse, or no effects on long term neurodevelopmental and pulmonary outcomes. Despite the ongoing controversy, iNO continues to be used for hypoxemic respiratory failure in preterm infants less than 34 weeks gestation even with potential harm to the developing lungs and brain. There is an urgent need to weigh the current evidence as to whether iNO is a safe and effective treatment in preterm infants. We sought to identify and synthesize evidence addressing the following questions: 1. Does inhaled nitric oxide (iNO) therapy increase survival and/or reduce the occurrence or severity of bronchopulmonary dysplasia (BPD) among premature infants who receive respiratory support? 2. Are there short term risks of iNO therapy among premature infants who receive respiratory support? 3. Are there effects of iNO therapy on long term pulmonary and/or neurodevelopmental outcomes among premature infants who receive respiratory support? 4. Does the effect of iNO therapy on BPD and/or death or neurodevelopmental impairment vary across subpopulations of premature infants? 5. Does the effect of iNO therapy on BPD and/or death or neurodevelopmental impairment vary by timing of initiation, mode of delivery, dose and duration, or concurrent therapies?

Download or read book Perinatal Intensive Care written by Silvio Aladjem and published by . This book was released on 1977 with total page 472 pages. Available in PDF, EPUB and Kindle. Book excerpt: