NeoReviewsPub Date : 2026-08-01DOI: 10.1542/neo.27-7-036
Parul Cham, Rebecca Vartanian
{"title":"An Overview of Quality Improvement in the Neonatal Intensive Care Unit.","authors":"Parul Cham, Rebecca Vartanian","doi":"10.1542/neo.27-7-036","DOIUrl":"10.1542/neo.27-7-036","url":null,"abstract":"<p><p>In this review, we provide a comprehensive overview of quality improvement (QI) methodologies within the neonatal intensive care unit (NICU), underlining their significance in enhancing health care quality and outcomes. We begin with an exploration into the history and application of QI in health care, with a particular focus on the NICU. We then delve into QI methodologies: the Model for Improvement, Lean, Six Sigma, and Lean Six Sigma. Through examining these models, we underscore the importance of integrating QI practices to strengthen patient safety and clinical outcomes in NICUs and broader health care settings.</p>","PeriodicalId":19465,"journal":{"name":"NeoReviews","volume":"27 8","pages":"e472-e478"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148648552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NeoReviewsPub Date : 2026-08-01DOI: 10.1542/neo.27-8-043
Nicholas M Heitkamp, María V Fraga, Gabriel Altit, Shazia Bhombal
{"title":"Neonatal Point-of-Care Lung Ultrasonography: Techniques and Normal Findings.","authors":"Nicholas M Heitkamp, María V Fraga, Gabriel Altit, Shazia Bhombal","doi":"10.1542/neo.27-8-043","DOIUrl":"10.1542/neo.27-8-043","url":null,"abstract":"<p><p>Point-of-care lung ultrasonography (POC-LUS) has become a routine bedside tool for evaluating respiratory status in many neonatal intensive care units. This article walks neonatologists through the fundamentals of its application-probe selection, system setup, and image acquisition. Lung aeration can be assessed using a 6-zone scanning approach. We review the normal sonographic appearance of the neonatal lung, including lung sliding, A-lines, and the B-lines commonly seen during transitional physiology, and describe how M-mode confirms pleural motion when sliding is equivocal. Common pitfalls in both technique and interpretation are addressed directly. In the hands of a trained neonatologist, POC-LUS brings real physiologic information to the bedside without leaving the room.</p>","PeriodicalId":19465,"journal":{"name":"NeoReviews","volume":"27 8","pages":"e537-e541"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148648876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NeoReviewsPub Date : 2026-08-01DOI: 10.1542/neo.27-7-038
Samal Munidasa, James A Rowe, Jason C Woods, Nara Higano
{"title":"From Structure to Function: Clinical Utility of Advanced Pulmonary Imaging in Infants.","authors":"Samal Munidasa, James A Rowe, Jason C Woods, Nara Higano","doi":"10.1542/neo.27-7-038","DOIUrl":"10.1542/neo.27-7-038","url":null,"abstract":"<p><p>Neonatal lung disease is characterized by heterogeneous structural and functional abnormalities that may be missed by global clinical measures alone. Although chest radiography remains a routine neonatal intensive care unit imaging tool, advances in pulmonary imaging now enable select modalities to provide radiation-free, bedside, and regionally resolved pulmonary assessment. This review summarizes the emerging imaging modalities in neonatal respiratory care, including computed tomography (CT), magnetic resonance imaging (MRI), lung ultrasonography (LUS), and electrical impedance tomography (EIT), highlighting their underlying principles, clinical applications, and limitations. LUS and EIT provide complementary bedside tools for frequent assessment of lung aeration and continuous monitoring of regional ventilation to help guide neonatal respiratory management and treatment. Although CT offers 3D evaluation of parenchymal lung disease, MRI can serve as radiation-free alternative for both structural and functional imaging while assessing disease severity and predicting short-term health outcomes. Together, these techniques support improved characterization of neonatal lung disease and individualized respiratory management.</p>","PeriodicalId":19465,"journal":{"name":"NeoReviews","volume":"27 8","pages":"e496-e510"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148648907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NeoReviewsPub Date : 2026-08-01DOI: 10.1542/neo.27-7-037
Kelly Susey, Melissa Hanin, Anna Dicari, Shira H Cohen, Lauren Todd, Audrey N Miller
{"title":"Optimizing Neurodevelopment in Infants With Severe Bronchopulmonary Dysplasia.","authors":"Kelly Susey, Melissa Hanin, Anna Dicari, Shira H Cohen, Lauren Todd, Audrey N Miller","doi":"10.1542/neo.27-7-037","DOIUrl":"10.1542/neo.27-7-037","url":null,"abstract":"<p><p>Bronchopulmonary dysplasia (BPD) is associated with multiple morbidities, including neurodevelopmental impairment. This association is multifactorial and further complicated by prolonged hospital stays during a critical period of rapid brain growth. Despite the well-established link between neurodevelopmental impairment and BPD, a gap in the literature exists regarding strategies to optimize these outcomes. In this review, we summarize current evidence on neurodevelopmental outcomes in patients with BPD and examine how clinical management may impact these outcomes. We also provide practical recommendations for caring for patients with BPD in the neonatal intensive care unit, emphasizing neurodevelopmental approaches and incorporating the parent perspective.</p>","PeriodicalId":19465,"journal":{"name":"NeoReviews","volume":"27 8","pages":"e479-e495"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148648917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NeoReviewsPub Date : 2026-07-01DOI: 10.1542/neo.27-7-034
Madison Granberry, Chaitanya Panchangam
{"title":"How Would You Manage Fever in a Neonate Who Has Passed CCHD Screening?","authors":"Madison Granberry, Chaitanya Panchangam","doi":"10.1542/neo.27-7-034","DOIUrl":"https://doi.org/10.1542/neo.27-7-034","url":null,"abstract":"","PeriodicalId":19465,"journal":{"name":"NeoReviews","volume":"27 7","pages":"e461-e464"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148361919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NeoReviewsPub Date : 2026-07-01DOI: 10.1542/neo.27-7-030
Kanishk Jha, Parvin Uddin
{"title":"Neonate With Nonimmune Hydrops and Persistent Ascites: A Rare Etiology.","authors":"Kanishk Jha, Parvin Uddin","doi":"10.1542/neo.27-7-030","DOIUrl":"https://doi.org/10.1542/neo.27-7-030","url":null,"abstract":"","PeriodicalId":19465,"journal":{"name":"NeoReviews","volume":"27 7","pages":"e445-e447"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148361881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NeoReviewsPub Date : 2026-07-01DOI: 10.1542/neo.27-7-028
Shenna Bannish, Christina Hermos, Nikita S Kalluri
{"title":"Late-Onset Group B Streptococcus Sepsis Through the Lens of 28-Week-Old Triplets.","authors":"Shenna Bannish, Christina Hermos, Nikita S Kalluri","doi":"10.1542/neo.27-7-028","DOIUrl":"10.1542/neo.27-7-028","url":null,"abstract":"<p><p>Late-onset Group B Streptococcus (GBS) disease in infants presents with a wide range of clinical manifestations and can be challenging to diagnose in preterm infants. This vulnerable population is more likely to acquire late-onset GBS disease and has a significantly higher mortality rate compared with term infants. In this article, we discuss triplets born at 28 weeks' gestation who exhibited multiple complications associated with late-onset GBS disease. We also review the epidemiology, clinical presentation, and management of late-onset GBS through the lens of these infants.</p>","PeriodicalId":19465,"journal":{"name":"NeoReviews","volume":"27 7","pages":"e425-e432"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148361896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NeoReviewsPub Date : 2026-07-01DOI: 10.1542/neo.27-7-035
Michal Yaar, Lori Burton, Linh G Ly, Mehmet N Cizmeci
{"title":"Neurodevelopmental Follow-Up of a Child With Parechovirus Meningitis: Parental Perspective and Physicians' Reflection.","authors":"Michal Yaar, Lori Burton, Linh G Ly, Mehmet N Cizmeci","doi":"10.1542/neo.27-7-035","DOIUrl":"https://doi.org/10.1542/neo.27-7-035","url":null,"abstract":"","PeriodicalId":19465,"journal":{"name":"NeoReviews","volume":"27 7","pages":"e465-e471"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148361868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}