Seminars in perinatology最新文献

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Corrigendum to "Mechanical ventilation in special populations" [Seminars in Perinatology, 48(2), 2024, 151888]. “特殊人群的机械通气”的勘误表[围产学研讨会,48(2),2024,151888]。
IF 3.2 3区 医学
Seminars in perinatology Pub Date : 2025-01-02 DOI: 10.1016/j.semperi.2024.152022
Huayan Zhang, Martin Keszler
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引用次数: 0
Physiological basis of non-invasive ventilation in the newborn. 新生儿无创通气的生理基础。
IF 3.2 3区 医学
Seminars in perinatology Pub Date : 2024-12-31 DOI: 10.1016/j.semperi.2024.152023
Theodore Dassios
{"title":"Physiological basis of non-invasive ventilation in the newborn.","authors":"Theodore Dassios","doi":"10.1016/j.semperi.2024.152023","DOIUrl":"https://doi.org/10.1016/j.semperi.2024.152023","url":null,"abstract":"<p><p>Non-invasive ventilation (NIV) is a form of respiratory support provided primarily to preterm born infants in an effort to avoid any endotracheal intubation or as a weaning step following invasive ventilation. In the context of the respiratory distress syndrome of the newborn, NIV could target and partially reverse specific pathophysiological phenomena, by improving alveolar recruitment and establishing adequate functional residual capacity. It can also assist in minimizing lung injury by avoiding excessive pressure delivery, which can be harmful for the developing lung. Non-invasive ventilation can unload the respiratory muscles and decrease the work of breathing as reported by studies that compare the measured work of breathing at increasing levels of non-invasive support. NIV can also be beneficial in moderating the frequency and intensity of apnea of prematurity. Unintended physiological effects of NIV include gaseous distension of the gastrointestinal tract and increased incidence of air-leak complications. During NIV there is also a lack of direct access to the trachea for suctioning and pulmonary toiletry. Insufficient non-invasive respiratory support could be associated with inadequate oxygenation and ventilation, insufficient gas exchange and atelectotrauma. Excessive provision of non-invasive support could be inefficient or harmful, as overdistention can be associated with decreased compliance of the respiratory system, impaired gas exchange and abnormal diaphragmatic function. An individualized physiological approach could, thus, aim to optimize the beneficial effects of non-invasive ventilation while avoiding inadequate or excessive levels of support.</p>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":" ","pages":"152023"},"PeriodicalIF":3.2,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142966952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparisons of management approaches in neonatal opioid withdrawal syndrome: The eat, sleep, console approach vs. the Finnegan approach. 新生儿阿片类药物戒断综合征管理方法的比较:吃、睡、安慰法与芬尼根法。
IF 3.2 3区 医学
Seminars in perinatology Pub Date : 2024-12-18 DOI: 10.1016/j.semperi.2024.152021
Kia Johnson, Adam Berkwitt, Lyubina Yankova, Rachel Osborn
{"title":"Comparisons of management approaches in neonatal opioid withdrawal syndrome: The eat, sleep, console approach vs. the Finnegan approach.","authors":"Kia Johnson, Adam Berkwitt, Lyubina Yankova, Rachel Osborn","doi":"10.1016/j.semperi.2024.152021","DOIUrl":"https://doi.org/10.1016/j.semperi.2024.152021","url":null,"abstract":"<p><p>Increased incidence of Neonatal Opioid Withdrawal Syndrome has prompted innovation in assessment and management approaches. The Finnegan Approach and the Eat, Sleep, Console are the two most commonly described approaches, though they differ substantially. The goals of this review article are to describe and compare these approaches and published outcomes, including areas of uncertainty that may inform future directions.</p>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":" ","pages":"152021"},"PeriodicalIF":3.2,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142907365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Introduction. 介绍。
IF 3.2 3区 医学
Seminars in perinatology Pub Date : 2024-12-16 DOI: 10.1016/j.semperi.2024.152019
Dr Matthew Grossman
{"title":"Introduction.","authors":"Dr Matthew Grossman","doi":"10.1016/j.semperi.2024.152019","DOIUrl":"https://doi.org/10.1016/j.semperi.2024.152019","url":null,"abstract":"","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":" ","pages":"152019"},"PeriodicalIF":3.2,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142897131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Non-pharmacologic and pharmacologic care of the neonate with opioid withdrawal syndrome. 阿片类戒断综合征新生儿的非药物与药物护理。
IF 3.2 3区 医学
Seminars in perinatology Pub Date : 2024-12-15 DOI: 10.1016/j.semperi.2024.152020
Kimberly Spence, Sarah Milota
{"title":"Non-pharmacologic and pharmacologic care of the neonate with opioid withdrawal syndrome.","authors":"Kimberly Spence, Sarah Milota","doi":"10.1016/j.semperi.2024.152020","DOIUrl":"https://doi.org/10.1016/j.semperi.2024.152020","url":null,"abstract":"<p><p>There has been a significant paradigm shift in the management of infants with NOWS to emphasizing the role of non-pharmacologic care centered on the mother-infant dyad. By promoting bonding through rooming-in, breast-feeding and skin-to skin contact in a low stimulation environment, short and long-term outcomes have dramatically improved, resulting in reduced length of stay and need for pharmacologic treatment of the newborn. This shift in care also empowers the mother and promotes bonding and attachment, providing a solid foundation for a safe discharge. When non-pharmacological treatments are not sufficient to control the infant's withdrawal symptoms then medications can be used as an adjunct, to the minimum extent necessary and should never be used in isolation of non-pharmacological interventions. Quality improvement efforts should focus on optimizing and standardizing both non-pharmacologic and pharmacologic care to best serve this population.</p>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":" ","pages":"152020"},"PeriodicalIF":3.2,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Beyond a simple cause and effect relationship: Exploring the long-term outcomes of children prenatally exposed to opioids and other substances. 超越简单的因果关系:探索儿童在产前接触阿片类药物和其他物质的长期后果。
IF 3.2 3区 医学
Seminars in perinatology Pub Date : 2024-12-07 DOI: 10.1016/j.semperi.2024.152010
Ekaterina Burduli, Hendrée E Jones
{"title":"Beyond a simple cause and effect relationship: Exploring the long-term outcomes of children prenatally exposed to opioids and other substances.","authors":"Ekaterina Burduli, Hendrée E Jones","doi":"10.1016/j.semperi.2024.152010","DOIUrl":"https://doi.org/10.1016/j.semperi.2024.152010","url":null,"abstract":"<p><p>The long-term outcomes of children exposed to opioids and other substances in utero, specifically those diagnosed with Neonatal Abstinence Syndrome (NAS), present a complex interaction of different factors. First, NAS and its clinical presentation will be defined, then summarized will be an overview of NAS prevalence, recent trends, and significance of NAS in the context of the rising synthetic opioid and polysubstance use. Highlighted will also be the identified risk factors for NAS, especially regarding the role of environmental and psychosocial stressors during pregnancy. Finally, reviewed will be the existing NAS literature, including its gaps and limitations, and suggested recommendations for future research and policy considerations for improving care for children and families impacted by NAS.</p>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":" ","pages":"152010"},"PeriodicalIF":3.2,"publicationDate":"2024-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142795067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Addressing stigma for families affected by opioid use disorder. 解决受阿片类药物使用障碍影响的家庭的耻辱问题。
IF 3.2 3区 医学
Seminars in perinatology Pub Date : 2024-12-05 DOI: 10.1016/j.semperi.2024.152018
Nichole Nidey, Grace Gerdts, Michelle Kavouras, Davida M Schiff
{"title":"Addressing stigma for families affected by opioid use disorder.","authors":"Nichole Nidey, Grace Gerdts, Michelle Kavouras, Davida M Schiff","doi":"10.1016/j.semperi.2024.152018","DOIUrl":"https://doi.org/10.1016/j.semperi.2024.152018","url":null,"abstract":"<p><p>Pregnant and parenting people with opioid use disorder commonly experience stigma, or the enactment of negative attitudes, beliefs, and stereotypes, during their pregnancy and at delivery. We will describe four different domains of stigma: self, interpersonal, structural, and policy, and discuss how they intersect to amplify the experiences of shame, anxiety, isolation, lack of trust for birthing people and parents that can contribute to the avoidance of prenatal care and substance use treatment which can impact pregnancy and infant health outcomes. We will review a case example where stigma contributed to poor care, review preferred person-first language to use when talking to and about families impacted by opioid use disorder, and describe emerging interventions to address and mitigate the effects of stigma in the perinatal setting.</p>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":" ","pages":"152018"},"PeriodicalIF":3.2,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Post-resuscitation care in the NICU 新生儿重症监护室的复苏后护理。
IF 3.2 3区 医学
Seminars in perinatology Pub Date : 2024-12-01 DOI: 10.1016/j.semperi.2024.151993
Mary Haggerty , Monika Bajaj , Girija Natarajan , Anne Ades
{"title":"Post-resuscitation care in the NICU","authors":"Mary Haggerty ,&nbsp;Monika Bajaj ,&nbsp;Girija Natarajan ,&nbsp;Anne Ades","doi":"10.1016/j.semperi.2024.151993","DOIUrl":"10.1016/j.semperi.2024.151993","url":null,"abstract":"<div><div>Post-cardiac arrest syndrome is a unique pathophysiologic condition that is well-described in adult and pediatric populations. Early, goal-directed care after cardiac arrest can mitigate ongoing injury, improve clinical outcomes, and prevent re-arrest. There is a paucity of evidence about post-cardiac arrest care in the NICU, however, pediatric principles and guidelines can be applied in the NICU in the appropriate clinical context.</div></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"48 8","pages":"Article 151993"},"PeriodicalIF":3.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142474244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hemodynamic instability in the transitional period after birth 出生后过渡时期的血流动力学不稳定。
IF 3.2 3区 医学
Seminars in perinatology Pub Date : 2024-12-01 DOI: 10.1016/j.semperi.2024.151986
Sharada Gowda , Molly K Ball , Satyan Lakshminrusimha , Danielle R Rios , Patrick J McNamara
{"title":"Hemodynamic instability in the transitional period after birth","authors":"Sharada Gowda ,&nbsp;Molly K Ball ,&nbsp;Satyan Lakshminrusimha ,&nbsp;Danielle R Rios ,&nbsp;Patrick J McNamara","doi":"10.1016/j.semperi.2024.151986","DOIUrl":"10.1016/j.semperi.2024.151986","url":null,"abstract":"<div><div>It is not uncommon for a patient to experience hemodynamic instability following birth. This is due to the fact that the transitional period requires dramatic cardiorespiratory changes. When it goes well, improved lung compliance and successful transition to the postnatal circulation is seen. However, it is highly beneficial that clinicians have a solid understanding of all of the required changes, the unique aspects of the neonatal myocardium, and the influence of cardiovascular disease on normal adaptive mechanisms. In this manuscript, we will review the physiology of the normal postnatal circulatory adaptation, the unique characteristics of the neonatal myocardium and how it behaves in states of altered loading conditions, and the impact of hemodynamic disease states on health and wellbeing during the immediate postnatal time-period.</div></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"48 8","pages":"Article 151986"},"PeriodicalIF":3.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142507462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Special considerations for the stabilization and resuscitation of patients with cardiac disease in the Neonatal Intensive Care Unit 新生儿重症监护室心脏病患者的稳定和复苏特别注意事项。
IF 3.2 3区 医学
Seminars in perinatology Pub Date : 2024-12-01 DOI: 10.1016/j.semperi.2024.151989
Beth Ann Johnson , Jennifer Shepherd , Shazia Bhombal , Noorjahan Ali , Chloe Joynt
{"title":"Special considerations for the stabilization and resuscitation of patients with cardiac disease in the Neonatal Intensive Care Unit","authors":"Beth Ann Johnson ,&nbsp;Jennifer Shepherd ,&nbsp;Shazia Bhombal ,&nbsp;Noorjahan Ali ,&nbsp;Chloe Joynt","doi":"10.1016/j.semperi.2024.151989","DOIUrl":"10.1016/j.semperi.2024.151989","url":null,"abstract":"<div><div>Effective resuscitation of neonates with congenital heart disease (CHD) depends on comprehensive planning, thorough understanding of physiology, vigilant monitoring, and interdisciplinary collaboration to achieve the best outcomes. Neonatal heart disease can affect cardiac structure, rhythm, or ventricular function, and may be either congenital or acquired. Critical congenital heart disease (CCHD) can result in inadequate pulmonary blood flow, impaired intracardiac mixing, airway obstruction, or insufficient cardiac output. Tailored resuscitation strategies are important as early as the delivery room, where some CHD lesions may cause immediate cardiovascular instability during the transition from fetal to postnatal circulation. Premature infants with CHD are at higher risk due to their small size and the complications associated with prematurity, affecting both CHD management and overall clinical stability. Addressing both cardiac and non-cardiac causes of decompensation requires a precise understanding of each patient's unique physiology and trajectory from delivery through postintervention intensive care.</div></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"48 8","pages":"Article 151989"},"PeriodicalIF":3.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142547239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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