Preventing Hypothermia in Newborns With Congenital Anomalies in the Delivery Room.

IF 1.6 4区医学 Q2 NURSING

Advances in Neonatal Care Pub Date : 2024-10-01 Epub Date: 2024-08-27 DOI:10.1097/ANC.0000000000001184

Lauren Heimall, Michele Barrila-Yetman, Kia R McCray, Danielle Cestare, Melissa Duran, K Taylor Wild, Anne Ades

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引用次数: 0

Abstract

Background: Thermoregulation interventions in the delivery room have historically focused on preterm infants and studies often exclude term infants or those infants with known congenital anomalies.

Purpose: The purpose of this quality improvement project was to reduce the rate of admission hypothermia in neonates of all gestational ages born with congenital anomalies and admitted to the intensive care unit (ICU).

Methods: Utilizing the Institute for Healthcare Improvement model for improvement, implementation of plan, do study, act cycles focused on standardizing temperatures of the delivery room and resuscitation bed, recommendations for temperature monitoring, trialing polyethylene lined hats, and implementing a delivery room thermoregulation checklist.

Results: Overall, the mean rate of neonates admitted to the ICU hypothermic (<36.5°C) decreased from 27% to 9% over an 8-month period.

Implications for practice and research: The interventions significantly reduced the number of neonates admitted to the ICU with hypothermia. Implementation of thermoregulation bundles should apply to all neonates with congenital anomalies to decrease risks associated with hypothermia.

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在产房预防先天性畸形新生儿体温过低。

背景：产房体温调节干预措施历来侧重于早产儿，研究通常不包括足月儿或已知有先天性异常的婴儿。目的：本质量改进项目旨在降低因先天性异常而入住重症监护室（ICU）的所有胎龄新生儿的入院低体温率：方法：利用美国医疗保健改进研究所的改进模式，实施 "计划、研究、行动 "循环，重点关注产房和复苏床的标准化温度、温度监测建议、聚乙烯内衬帽子的试用以及产房体温调节清单的实施：结果：总体而言，进入重症监护室的新生儿体温过低的平均比率（对实践和研究的意义）明显降低：干预措施大大减少了因体温过低而进入重症监护室的新生儿人数。体温调节捆绑措施应适用于所有患有先天性畸形的新生儿，以降低与低体温相关的风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Advances in Neonatal Care NURSING-

CiteScore

2.60

自引率

5.90%

发文量

101

期刊介绍： Advances in Neonatal Care takes a unique and dynamic approach to the original research and clinical practice articles it publishes. Addressing the practice challenges faced every day—caring for the 40,000-plus low-birth-weight infants in Level II and Level III NICUs each year—the journal promotes evidence-based care and improved outcomes for the tiniest patients and their families. Peer-reviewed editorial includes unique and detailed visual and teaching aids, such as Family Teaching Toolbox, Research to Practice, Cultivating Clinical Expertise, and Online Features. Each issue offers Continuing Education (CE) articles in both print and online formats.