Handling of preterm infants in a neonatal intensive care unit
Fabíola Lima Pereira,Fernanda dos Santos Nogueira de Góes,Luciana Mara Monti Fonseca,Carmen Gracinda Silvan Scochi,Thaíla Corrêa Castral,Adriana Moraes Leite +5 more
TLDR
The results of this study show that preterm infants in the NICU underwent an excessive number of manipulations over the 24-hour period evaluated.Abstract:
While hospitalized in neonatal units, preterm infants undergo various manipulations and procedures that have negative health consequences. The aim of this study was to describe the manipulations that preterm infants are subjected to over a 24-hour period in a neonatal intensive care unit (NICU). An observational, descriptive, exploratory study was conducted with 20 preterm infants who were filmed continuously in a NICU over a 24-hour period from September 2008 to March 2009. Preterm infants were subjected to an average of 768 manipulations and 1341 procedures. The average duration of the manipulations over the 24-hour period was 2 hours and 26 minutes. Each manipulation included an average of 2.2 procedures, most occurring during the morning shift. Individual manipulations accounted for 65.6% of all manipulations, and most manipulations lasted less than a minute. The results of this study show that preterm infants in the NICU underwent an excessive number of manipulations over the 24-hour period evaluated.read more
Citations
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Reducing toxic stress in the neonatal intensive care unit to improve infant outcomes.
Ashley Weber,Tondi M. Harrison +1 more
TL;DR: How the environment of the NICU is a significant source of toxic stress for hospitalized infants is reviewed and recommendations for caregiving practices that could significantly buffer the toxic stress experienced by hospitalized infants are provided.
Measurement of Pain-like Response to Various NICU Stimulants for High-risk Infants Using CRIES, FLACC and PIPP
TL;DR: In this article, the authors examined the pain-like responses to frequent stimulants in the neonatal intensive care unit (NICU) using CRIES, FLACC and PIPP, and the clinical feasibility and validity of using these pain measurements for high-risk infants.
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Part 1: Narrative overview of developmental care interventions for the preterm newborn
Andréane Lavallée,Gwenaëlle De Clifford-Faugère,Cynthia Garcia,Abril Nicole Fernandez Oviedo,Marjolaine Héon,Marilyn Aita +5 more
TL;DR: Findings of a thorough literature review on the latest findings regarding the effectiveness of six developmental care interventions on preterm infant's outcomes such as sleep, stress and neurodevelopment are summarized.
Journal ArticleDOI
Validation of newborn positioning protocol in Intensive Care Unit
Beatriz Rosana Gonçalves de Oliveira Toso,Cláudia Silveira Viera,Jéssica Martins Valter,Silvana Delatore,Grasiely Mazoti Scalabrin Barreto +4 more
TL;DR: In this article, the authors presented the results of this validation in a protocol form, to contribute to the discussion about newborn positioning in NICU and standardization of nursing care related to positioning.
Journal ArticleDOI
Effects of Handling and Environment on Preterm Newborns Sleeping in Incubators
Kelly Cristina Sbampato Calado Orsi,Marta José Avena,Marcia Lurdes de Cacia Pradella-Hallinan,Mavilde da Luz Gonçalves Pedreira,Miriam Harumi Tsunemi,Ariane Ferreira Machado Avelar,Eliana Moreira Pinheiro +6 more
TL;DR: The environmental conditions and care provided to hospitalized preterm newborns did not influence sleep except for high light levels, which increased wakefulness, and nurses in clinical practice should implement strategies to promote and protect sleep by decreasing newborns' exposure to excessive light.
References
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Epidemiology and Treatment of Painful Procedures in Neonates in Intensive Care Units
Ricardo Carbajal,André Rousset,Claude Danan,Sarah Coquery,Paul Nolent,Sarah Ducrocq,Carole Saizou,Alexandre Lapillonne,Michèle Granier,Philippe Durand,Richard Lenclen,A Coursol,Philippe Hubert,Laure de Saint Blanquat,Pierre-Yves Boëlle,Daniel Annequin,Patricia Cimerman,Kanwaljeet J. S. Anand,Gérard Bréart +18 more
TL;DR: During neonatal intensive care in the Paris region, large numbers of painful and stressful procedures were performed, the majority of which were not accompanied by analgesia, whereas mechanical ventilation, noninvasive ventilation and administration of nonspecific concurrent analgesia were associated with lower use of specific preprocedural analgesia.
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Effect of multisensory stimulation on analgesia in term neonates: a randomized controlled trial.
Carlo Valerio Bellieni,Franco Bagnoli,Serafina Perrone,A. Nenci,Duccio Maria Cordelli,Mara Fusi,Simona Ceccarelli,Giuseppe Buonocore +7 more
TL;DR: Sensorial saturation is an effective analgesic technique that potentiates the analgesic effect of oral sugar and can be used for minor painful procedures on newborns.
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Neurodevelopmental care in the NICU.
TL;DR: A great deal of work needs to be done to identify and demonstrate efficacy of specific interventions and changes that humanize the NICU, encourage parental involvement, support infant development and optimize preterm neurodevelopmental outcomes.
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Prior pain induces heightened motor responses during clustered care in preterm infants in the NICU
TL;DR: Prior pain induces heightened biobehavioral reactivity in preterm infants during subsequent tactile procedures, and clustering care is particularly stressful for infants born at earlier GA.
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Altering the NICU and measuring infants' responses
TL;DR: The aim of the study was to measure the impact of a designated Quiet period on the NICU environment and its influence on the infants' physiological and movement responses and to compare with a period of Normal activity.