Seminars in perinatology最新文献_第5页

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 , Jennifer Shepherd , Shazia Bhombal , Noorjahan Ali , 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

Corrigendum to “A systematic review of community-based interventions to address perinatal mental health” [Seminars in Perinatology, 48(6), 2024, 151945] 围产期心理学研讨会，48（6），2024，151945]的更正。

IF 3.2 3区医学

Seminars in perinatology Pub Date : 2024-12-01 DOI: 10.1053/j.semperi.2024.151994

Jihye Kim Scroggins , Sarah E. Harkins , Sevonna Brown , Victoria St. Clair , Guramrit K. LeBron , Veronica Barcelona

引用次数: 0

Artificial intelligence and informatics in neonatal resuscitation 新生儿复苏中的人工智能和信息学。

IF 3.2 3区医学

Seminars in perinatology Pub Date : 2024-12-01 DOI: 10.1016/j.semperi.2024.151992

Regine M Fortunov , Erwin Cabacungan , James S Barry , Jawahar Jagarapu

{"title":"Artificial intelligence and informatics in neonatal resuscitation","authors":"Regine M Fortunov , Erwin Cabacungan , James S Barry , Jawahar Jagarapu","doi":"10.1016/j.semperi.2024.151992","DOIUrl":"10.1016/j.semperi.2024.151992","url":null,"abstract":"<div><div>Neonatal intensive care unit resuscitative care continually evolves and increasingly relies on data. Data driven precision resuscitation care can be enabled by leveraging informatics tools and artificial intelligence. Despite technological advancements, these data are often underutilized due to suboptimal data capture, aggregation, and low adoption of artificial intelligence and analytic tools. This review describes the fundamentals and explores the evidence behind informatics and artificial intelligence tools supporting neonatal intensive care unit resuscitative care, training and education. Key findings include the need for effective interface design for accurate data capture followed by storage and translation to wisdom using analytics and artificial intelligence tools. This review addresses the issues of data privacy, bias, liability and ethical frameworks when adopting these tools. While these emerging technologies hold great promise to improve resuscitation, further study of these applications in neonatal population and awareness of informatics and artificial intelligence principles among clinicians is imperative.</div></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"48 8","pages":"Article 151992"},"PeriodicalIF":3.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142564054","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

Principles of resuscitation for infants with severe bronchopulmonary dysplasia 严重支气管肺发育不良婴儿的复苏原则。

IF 3.2 3区医学

Seminars in perinatology Pub Date : 2024-12-01 DOI: 10.1016/j.semperi.2024.151990

Summer Elshenawy , Monique R. Radman-Harrison , Philip T. Levy , Satyan Lakshminrusimha , Taylor L. Sawyer , Brenda H. Law

{"title":"Principles of resuscitation for infants with severe bronchopulmonary dysplasia","authors":"Summer Elshenawy , Monique R. Radman-Harrison , Philip T. Levy , Satyan Lakshminrusimha , Taylor L. Sawyer , Brenda H. Law","doi":"10.1016/j.semperi.2024.151990","DOIUrl":"10.1016/j.semperi.2024.151990","url":null,"abstract":"<div><div>Severe bronchopulmonary dysplasia (sBPD) requiring invasive mechanical ventilation is a heterogeneous disease process that contributes to morbidity and mortality in infants. As the most common lung disease of prematurity, sBPD has a multitude of overlapping cardiac, airway, pulmonary vascular, and infectious phenotypic presentations that progress through four different phases of care. Premature infants with sBPD are at a high risk of acute decompensation and subsequent cardiopulmonary arrest. A comprehensive determination of the complex phenotypes that contribute to the clinical presentation will help clinicians decipher the phase of care, identify cardiopulmonary compromise earlier and guide targeted therapeutic intervention during acute episodes of deterioration. The approach to resuscitation of premature infants with sBPD undergoing an acute decompensation differs from general neonatal and pediatric resuscitation practices. This review summarizes the phenotypes of sBPD, the phases of care, the common triggers of acute exacerbations, and the principles of resuscitation of a deteriorating infant with sBPD. We offer a framework for sBPD resuscitation with a focus on prevention, assessment, and post-resuscitative care.</div></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"48 8","pages":"Article 151990"},"PeriodicalIF":3.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569317","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

Metabolic emergencies in the NICU 新生儿重症监护室的代谢紧急情况。

IF 3.2 3区医学

Seminars in perinatology Pub Date : 2024-12-01 DOI: 10.1016/j.semperi.2024.151987

Ruby Gupta , Swosti Joshi , Asya Asghar , Megan M. Gray

引用次数: 0

Resuscitation education for NICU providers: Current practice and recommendations for NRP and PALS in the NICU 为新生儿重症监护室的医护人员提供复苏教育：新生儿重症监护室 NRP 和 PALS 的当前实践和建议。

IF 3.2 3区医学

Seminars in perinatology Pub Date : 2024-12-01 DOI: 10.1016/j.semperi.2024.151991

Elizabeth Schierholz , Elizabeth A. Wetzel , Alyssa R. Thomas , Beena D. Kamath-Rayne , Danielle J.W. Reed

引用次数: 0

Resuscitation strategies for surgical patients in the neonatal intensive care unit 新生儿重症监护室手术患者的复苏策略。

IF 3.2 3区医学

Seminars in perinatology Pub Date : 2024-12-01 DOI: 10.1016/j.semperi.2024.151988

Mona Khattab , Darby Donnelly , Amanda Blizzard , Shilpi Chabra , Elmer David , Katherine A Stumpf , Sujir Pritha Nayak

引用次数: 0

Acute respiratory compromise in the NICU 新生儿重症监护室的急性呼吸衰竭。

IF 3.2 3区医学

Seminars in perinatology Pub Date : 2024-12-01 DOI: 10.1016/j.semperi.2024.151985

Rakesh Rao , Hannah Hightower , Cecilie Halling , Shamaila Gill , Namrita Odackal , Rebecca Shay , Georg M. Schmölzer

{"title":"Acute respiratory compromise in the NICU","authors":"Rakesh Rao , Hannah Hightower , Cecilie Halling , Shamaila Gill , Namrita Odackal , Rebecca Shay , Georg M. Schmölzer","doi":"10.1016/j.semperi.2024.151985","DOIUrl":"10.1016/j.semperi.2024.151985","url":null,"abstract":"<div><div>Acute respiratory compromise (ARC) is a significant and frequent emergency in the Neonatal Intensive Care Unit (NICU), characterized by absent, agonal, or inadequate respiration that necessitates an immediate response. The primary etiologies of ARC in neonates can be categorized into upper and lower airway issues, disordered control of breathing, and lung tissue disease. ARC events are particularly dangerous as they compromise oxygen delivery and carbon dioxide removal, potentially leading to cardiopulmonary arrest. Approximately 1 % of NICU admissions experience cardiopulmonary arrest, and ARC is the primary cause of most events. This article provides a comprehensive review of the etiologies of ARC, including anatomical abnormalities, syndromic disorders, airway obstruction, and pulmonary diseases such as bronchopulmonary dysplasia and pneumonia. Management strategies include the use of continuous positive airway pressure, positive pressure ventilation, and advanced interventions like extracorporeal membrane oxygenation (ECMO) in cases of severe respiratory distress. Additionally, quality improvement initiatives aimed at reducing incidents such as unplanned extubations (UE) are discussed, along with emergency responses to ARC, which often require multidisciplinary collaboration and advanced airway management. The article emphasizes the importance of preparedness, training, and structured emergency protocols to ARC in the NICU to optimize patient care.</div></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"48 8","pages":"Article 151985"},"PeriodicalIF":3.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142474242","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 the delivery room: Resuscitation in the neonatal intensive care unit 产房之外：新生儿重症监护室的复苏。

IF 3.2 3区医学

Seminars in perinatology Pub Date : 2024-12-01 DOI: 10.1016/j.semperi.2024.151984

Noorjahan Ali , Taylor Sawyer

引用次数: 0

CMQCC obstetric sepsis toolkit update: A patient-centered approach to quality improvement CMQCC 产科败血症工具包更新：以患者为中心的质量改进方法。

IF 3.2 3区医学

Seminars in perinatology Pub Date : 2024-11-01 DOI: 10.1016/j.semperi.2024.151976

Elliott K. Main , Ruhi Nath , Melissa E. Bauer

引用次数: 0