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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
{"title":"Resuscitation education for NICU providers: Current practice and recommendations for NRP and PALS in the NICU","authors":"Elizabeth Schierholz ,&nbsp;Elizabeth A. Wetzel ,&nbsp;Alyssa R. Thomas ,&nbsp;Beena D. Kamath-Rayne ,&nbsp;Danielle J.W. Reed","doi":"10.1016/j.semperi.2024.151991","DOIUrl":"10.1016/j.semperi.2024.151991","url":null,"abstract":"<div><div>The Neonatal Resuscitation Program (NRP) is the most used resuscitation algorithm for infants requiring resuscitation in the neonatal intensive care unit (NICU). The population of infants cared for in the NICU is varied and complex with resuscitation needs that may extend beyond the NRP algorithm. To provide resuscitation care that addresses these needs, institutions may choose to incorporate algorithms from the Pediatric Advanced Life Support or a “hybrid” approach that includes NRP. Limited evidence exists to support one algorithm or approach over another. In this article, we identify potential gaps in the application of using NRP or PALS in the NICU population, present select patient decompensations and discuss the resuscitation management approach using the NRP or PALS algorithms. Challenges associated with NICU resuscitation education will be explored as well as approaches to overcome some of the identified resuscitation education obstacles.</div></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"48 8","pages":"Article 151991"},"PeriodicalIF":3.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142474245","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
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
{"title":"Resuscitation strategies for surgical patients in the neonatal intensive care unit","authors":"Mona Khattab ,&nbsp;Darby Donnelly ,&nbsp;Amanda Blizzard ,&nbsp;Shilpi Chabra ,&nbsp;Elmer David ,&nbsp;Katherine A Stumpf ,&nbsp;Sujir Pritha Nayak","doi":"10.1016/j.semperi.2024.151988","DOIUrl":"10.1016/j.semperi.2024.151988","url":null,"abstract":"<div><div>Resuscitation of an infant with surgical complications includes both perioperative and post-operative management. In most cases this requires a multidisciplinary approach to achieve the best outcomes. Challenges include immediate expert management at infant delivery with the use of protocolized care, available anesthesia expertise, close monitoring of electrolytes with prompt attention to fluid status, and meticulous pain management. In this review, we will address contemporary research and ongoing challenges associated with resuscitation. We will make recommendations for effective resuscitation of this vulnerable and unique population from premature infant to term infant with complex surgical needs.</div></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"48 8","pages":"Article 151988"},"PeriodicalIF":3.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142507464","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
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 ,&nbsp;Hannah Hightower ,&nbsp;Cecilie Halling ,&nbsp;Shamaila Gill ,&nbsp;Namrita Odackal ,&nbsp;Rebecca Shay ,&nbsp;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
{"title":"Beyond the delivery room: Resuscitation in the neonatal intensive care unit","authors":"Noorjahan Ali ,&nbsp;Taylor Sawyer","doi":"10.1016/j.semperi.2024.151984","DOIUrl":"10.1016/j.semperi.2024.151984","url":null,"abstract":"<div><div>Cardiopulmonary resuscitation is a critical component of neonatal care. While the basic principles of resuscitation are consistent across different settings, the specific challenges and resources available in the delivery room and the Neonatal Intensive Care Unit (NICU) vary significantly. Understanding the differences between these settings is essential for optimizing resuscitation outcomes. This article explores four key areas of difference—environment and equipment, team composition and roles, care protocols and practices, and patient population and condition—and how they impact neonatal resuscitation efforts. By examining these differences, healthcare neonatal care teams can better prepare for the specific resuscitation needs in each setting, ultimately improving neonatal survival and long-term health outcomes.</div></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"48 8","pages":"Article 151984"},"PeriodicalIF":3.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142507461","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
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
{"title":"CMQCC obstetric sepsis toolkit update: A patient-centered approach to quality improvement","authors":"Elliott K. Main ,&nbsp;Ruhi Nath ,&nbsp;Melissa E. Bauer","doi":"10.1016/j.semperi.2024.151976","DOIUrl":"10.1016/j.semperi.2024.151976","url":null,"abstract":"<div><div>Obstetric sepsis is a leading cause of maternal mortality and severe maternal morbidity in the United States. However, it is uncommon, and diagnosis and treatment are often delayed. This report summarizes recent work to develop a patient-centered approach for the care of patients with obstetric sepsis. To support patients, educational materials to identify warning signs paired with advocacy tips are important. Following an adverse event, outlines and checklists for patient support are provided. These tools have been developed to address a variety of obstetric conditions and have utility beyond sepsis. On the clinical side, new data to establish a standardized approach to screening and diagnosis is covered in detail. This “two-step” approach has been supported by national obstetric organizations and has similarities to the algorithm used to screen neonates for term early onset sepsis. In addition, the approach for implementation of a sepsis care bundle by the California/Michigan Obstetric Sepsis Quality Collaborative is discussed.</div></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"48 7","pages":"Article 151976"},"PeriodicalIF":3.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142366457","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
Sepsis in obstetric care for the emergency clinician: A review 产科护理中的败血症，急诊科医生：综述。
IF 3.2 3区 医学
Seminars in perinatology Pub Date : 2024-11-01 DOI: 10.1016/j.semperi.2024.151980
Anna Stacy , Puloma Bishnu , Rachel E. Solnick
{"title":"Sepsis in obstetric care for the emergency clinician: A review","authors":"Anna Stacy ,&nbsp;Puloma Bishnu ,&nbsp;Rachel E. Solnick","doi":"10.1016/j.semperi.2024.151980","DOIUrl":"10.1016/j.semperi.2024.151980","url":null,"abstract":"<div><div>Sepsis remains a leading cause of mortality among pregnant and recently pregnant patients, rendering it a subject of vital importance to emergency clinicians in the US. However, death by sepsis has been found to be largely preventable with prompt and appropriate intervention. This narrative review provides a summary of the physiologic, epidemiologic, and systemic factors specific to obstetric sepsis that contribute to delays in diagnosis and treatment. Additionally, it provides a framework for emergency department providers to approach infection identification, antimicrobial selection, and appropriate resuscitation prior to disposition.</div></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"48 7","pages":"Article 151980"},"PeriodicalIF":3.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142353328","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 “Quality improvement efforts directed at optimal umbilical cord management in delivery room” [Seminars in Perinatology. 8/3 (year 2024) 151905] 产房脐带管理质量改进工作 "的更正[围产医学研讨会。8/3（2024 年）151905]。
IF 3.2 3区 医学
Seminars in perinatology Pub Date : 2024-11-01 DOI: 10.1016/j.semperi.2024.151983
Priya Jegatheesan , Henry C. Lee , Andrea Jelks , Dongli Song
{"title":"Corrigendum to “Quality improvement efforts directed at optimal umbilical cord management in delivery room” [Seminars in Perinatology. 8/3 (year 2024) 151905]","authors":"Priya Jegatheesan ,&nbsp;Henry C. Lee ,&nbsp;Andrea Jelks ,&nbsp;Dongli Song","doi":"10.1016/j.semperi.2024.151983","DOIUrl":"10.1016/j.semperi.2024.151983","url":null,"abstract":"","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"48 7","pages":"Article 151983"},"PeriodicalIF":3.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142366458","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
Long-term sequelae and management following obstetric sepsis 产科败血症的长期后遗症和处理方法。
IF 3.2 3区 医学
Seminars in perinatology Pub Date : 2024-11-01 DOI: 10.1016/j.semperi.2024.151981
Anna K Daoud , Corrina Oxford-Horrey
{"title":"Long-term sequelae and management following obstetric sepsis","authors":"Anna K Daoud ,&nbsp;Corrina Oxford-Horrey","doi":"10.1016/j.semperi.2024.151981","DOIUrl":"10.1016/j.semperi.2024.151981","url":null,"abstract":"<div><div>The long-term consequences of obstetric sepsis have been a growing area of concern requiring attention. This narrative review summarizes the existing literature on the long-term sequelae of sepsis, with a focus on the antepartum and postpartum periods. In this article, we discuss risk factors for and epidemiology of post-sepsis syndrome (PSS) and related long-term medical conditions. We include recommendations for screening for PSS and management strategies involving multidisciplinary teams. PSS and other long-term medical and psychological sequelae of sepsis impact individuals and their communities greatly, including the obstetric population. There is a need for improved identification, management, and coordination of care for long-term complications of sepsis. Gaps in the literature for future study include identifying specific needs of the obstetric population in the weeks, months, and years following a sepsis event.</div></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"48 7","pages":"Article 151981"},"PeriodicalIF":3.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142294952","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
Obstetric sepsis: Clinical pearls for diagnosis and management 产妇败血症：诊断和管理的临床珍珠。
IF 3.2 3区 医学
Seminars in perinatology Pub Date : 2024-11-01 DOI: 10.1016/j.semperi.2024.151975
Faranak Behnia , Chasey I. Omere , Corey C. Clifford , Luis D. Pacheco
{"title":"Obstetric sepsis: Clinical pearls for diagnosis and management","authors":"Faranak Behnia ,&nbsp;Chasey I. Omere ,&nbsp;Corey C. Clifford ,&nbsp;Luis D. Pacheco","doi":"10.1016/j.semperi.2024.151975","DOIUrl":"10.1016/j.semperi.2024.151975","url":null,"abstract":"<div><div>Sepsis is a leading cause of maternal morbidity and mortality worldwide. Early recognition and treatment improve outcomes. Multiple sepsis diagnostic screening tools are available and may be used in clinical practice; however, early thorough bedside evaluation of the patient is fundamental. Obstetricians should be able to recognize sepsis and promptly initiate potentially life-saving treatments, such as fluid resuscitation, vasopressors, broad-spectrum antibiotics, and early source control. It is recommended that obstetrical care, including delivery timing, not be altered solely due to the diagnosis of sepsis.</div></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"48 7","pages":"Article 151975"},"PeriodicalIF":3.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142353324","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
Physiologic changes of pregnancy and considerations for screening and diagnosis of sepsis 妊娠期的生理变化以及筛查和诊断败血症的注意事项。
IF 3.2 3区 医学
Seminars in perinatology Pub Date : 2024-11-01 DOI: 10.1016/j.semperi.2024.151973
James Conwell , Mariam Ayyash , Harjot K. Singh , Dena Goffman , Benjamin L. Ranard
{"title":"Physiologic changes of pregnancy and considerations for screening and diagnosis of sepsis","authors":"James Conwell ,&nbsp;Mariam Ayyash ,&nbsp;Harjot K. Singh ,&nbsp;Dena Goffman ,&nbsp;Benjamin L. Ranard","doi":"10.1016/j.semperi.2024.151973","DOIUrl":"10.1016/j.semperi.2024.151973","url":null,"abstract":"<div><div>Obstetric sepsis is a significant cause of morbidity and mortality in pregnant people worldwide. Initial evaluation and timely intervention are crucial to improving outcomes for birthing persons and their newborns. While many of the therapies and interventions for peripartum sepsis are consistent with the general population, there are considerations unique to pregnancy. Stabilization of the septic pregnant or immediately postpartum patient requires an understanding of the physiologic changes of pregnancy, hemodynamic changes during labor, and infections specific to pregnancy. We will review the interaction between pregnant physiology and sepsis pathophysiology, and how this can guide screening and diagnosis.</div></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"48 7","pages":"Article 151973"},"PeriodicalIF":3.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142353326","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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