Section on Neonatal-Perinatal Medicine Program最新文献

{"title":"An Innovative, Objective Tool for Assessing and Managing Narcotic Withdrawal in Newborn Infants","authors":"Jennifer Hammond, D. Garey, J. Isler, D. Bateman, R. Sahni","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.678-A","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.678-A","url":null,"abstract":"","PeriodicalId":275302,"journal":{"name":"Section on Neonatal-Perinatal Medicine Program","volume":"122 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116545377","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}

{"title":"Continuous Chest Compressions with Asynchronous Ventilations Increase Cerebral Blood Flow and Oxygen Delivery in the Perinatal Asphyxiated Cardiac Arrest Lamb Model","authors":"Payam Vali, Peggy Chen, Ziad Alhassen, Amy L. Lesneski, Morgan E Hardie, Deepika Sankaran, S. Lakshminrusimha","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.688","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.688","url":null,"abstract":"","PeriodicalId":275302,"journal":{"name":"Section on Neonatal-Perinatal Medicine Program","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132650984","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}

{"title":"Simulation As A Tool For COVID -19 Preparedness In Neonatal Intensive Care Unit","authors":"Vilmaris Quiñones Cardona, S. Joshi, Swetha Madhavarapu, Ogechukwu R. Menkiti","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.731","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.731","url":null,"abstract":"Background: Recent emergence of COVID-19, a disease caused by the novel coronavirus SARS-CoV-2, has posed unprecedented challenges to various aspects of the healthcare system The complexity and acuity of NICU patients, along with extreme precautions needed to safeguard patients, families and healthcare workers (HCWs) from COVID-19 has motivated creative thinking and multidisciplinary collaboration We present the use of simulation to design, test and implement safety guidelines for COVID-19 preparedness in the NICU Objective: We hypothesize that a simulation-based intervention can be used to design, test and effectively implement practice guidelines for personal and team safety while caring for suspected or positive COVID-19 neonates Method: To examine operational issues and practicality of local infection control COVID-19 recommendations in the NICU workflow, we developed high fidelity in situ simulations with goal of assessing HCWs use of personal protective equipment (PPE) and to conduct cardiopulmonary resuscitation while observing strict droplet and airborne precautions A three-part simulation was designed to assess from (Table Presented) identification of COVID-19 exposure through transportation to negative pressure room and culminating in performance of emergent procedures in a level IV NICU at St Christopher's Hospital for Children Donning and doffing of PPE was evaluated amongst other safety procedures Debriefing included identification of failure modes, causes and actions to reduce the failure occurrence based on modified failure mode effect analysis (FMEA) Pre and post simulation surveys were administered to participants to elicit comfort level in managing a COVID-19 exposed neonate A COVID-19 exposure process-checklist was generated from this feedback We re-evaluated the comfort level of the providers after real-life code events in COVID-19 exposed neonates with post-experience surveys Results: Fifty-four survey responses were collected Participants included physicians (36%), nurses (18%), respiratory therapists (13%) and advanced practitioners (6%) Comfort level of providers in terms of general care of COVID-19 exposed neonates, donning and doffing PPE along with team dynamics in high acuity code was significantly higher after simulation This comfort level was maintained after a real-life code event (Table 1) In actual patient event, those who participated in simulation reported improvement in team dynamics during code events During debrief, participants suggested possible failures and actions to reduce failure occurrence (Table 2) Conclusion: Simulation based education was a useful tool to effectively test, identify potential failures and modify COVID-19 guidelines to enhance safety in the NICU High fidelity simulation improved comfort level and safety practices among HCWs which were maintained in real life emergent events","PeriodicalId":275302,"journal":{"name":"Section on Neonatal-Perinatal Medicine Program","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132315984","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}

{"title":"Prevention of Sepsis By Inhalation Nitrogen Oxide","authors":"M. G. Pukhtinskaya, V. Estrin","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.723","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.723","url":null,"abstract":"","PeriodicalId":275302,"journal":{"name":"Section on Neonatal-Perinatal Medicine Program","volume":"100 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132774218","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}

{"title":"Assessing 3 Bronchopulmonary Dysplasia Definitions: Associations between Room Air Challenge Results and Respiratory Outcomes","authors":"Samia Aleem, Barbara T. Do, M. Gantz, A. Hibbs, E. Jensen, C. Cotten, William F Malcolm, M. Walsh, R. Greenberg","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.681","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.681","url":null,"abstract":"Background: The Neonatal Research Network (NRN) has used 3 definitions for bronchopulmonary dysplasia (BPD): 1) a clinical definition based on supplemental oxygen at 36 weeks postmenstrual age (PMA) (clinBPD), 2) a physiologic definition inclusive of a room air challenge (RAC) at 36 weeks (physBPD), and 3) a pragmatic definition based on any respiratory support at 36 weeks (pragBPD). PragBPD has been shown to be strongly correlated …","PeriodicalId":275302,"journal":{"name":"Section on Neonatal-Perinatal Medicine Program","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114880115","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}

{"title":"Multidisciplinary Prenatal Consultation during the COVID-19 Pandemic: A Preferred Model for Many Providers","authors":"K. V. Leeuwen, Erica M. Weidler, L. Goncalves, J. Felts, A. Schmidt, Wayne J. Franklin, C. Lindblade, Gregory C. Martin, A. Patil","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.716","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.716","url":null,"abstract":"Purpose: Comprehensive fetal care centers address congenital anomalies by first performing advanced fetal imaging (e g ultrasound, echocardiography, fetal magnetic resonance imaging (MRI)) and later discussing those findings, the prognosis, pregnancy management, need for fetal intervention, delivery plan and postnatal management in a multi-disciplinary format This team approach to counseling can be logistically challenging due to the difficulty in assembling multiple providers from varied specialties on short notice To reduce exposure during the COVID-19 pandemic, the Centers for Medicare & Medicaid Services (CMS) broadened access to telehealth services We assessed provider satisfaction with the rapid transition from in-person prenatal visits to multidisciplinary consultations via telehealth as an adaptive response to the pandemic Methods: Patients who were referred to a busy fetal care center during the first six weeks of the pandemic were connected to the appropriate pediatric subspecialists by videoconference Some patients underwent advanced fetal imaging and a telehealth consultation with radiology and other appropriate subspecialists took place immediately after imaging was complete In other instances, imaging occurred and a telehealth visit with all applicable subspecialties took place in the patient's home at a later time During multidisciplinary meetings, the images were reviewed with all participants via screen sharing In some cases, providers met to review images prior to admitting the patient to the video call Provider type is listed in Table 1 Provider satisfaction with the telehealth paradigm was assessed by convenience sampling using an electronic survey Results: 22 surveys were administered and 18 providers responded for a response rate of 82% Table 2 shows the overall satisfaction with connectivity and with the format compared to in-person visits 89% of providers were highly satisfied with the telehealth format 72% of providers would prefer the multidisciplinary telehealth format to an in-person visit for future visits after COVID-19 restrictions are lifted 22% of providers would leave the choice to the patient's family One provider preferred in-person visits Other providers stated that they find inperson visits better for comforting the patient and for the ability to draw pictures or show educational materials Conclusion: Providers were overwhelmingly in support of multidisciplinary telehealth conferences for prenatal consultations This study shows that a multidisciplinary telehealth visit can be done with a high degree of satisfaction for providers Specific benefits included the ability to review images together as a team, to review the delivery plan and to provide care coordination across specialties Further studies are needed to better analyze the multidisciplinary approach to telehealth visits for prenatal care","PeriodicalId":275302,"journal":{"name":"Section on Neonatal-Perinatal Medicine Program","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125725048","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}

{"title":"Trends in Tracheostomy Placement and Resource Use in Preterm Infants with Bronchopulmonary Dysplasia in the United States, 2008 - 2017","authors":"F. Dapaah‐Siakwan, P. Bhatt, K. Donda, N. A. Adjetey, Christfelly N. Opoku-Agyemang, A. Agyekum, Nimitariyie Princewill, M. Ayensu, Leonita R. Bray, Priyank Yagnik","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.745","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.745","url":null,"abstract":"","PeriodicalId":275302,"journal":{"name":"Section on Neonatal-Perinatal Medicine Program","volume":"151 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124362491","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}

{"title":"A Randomized Controlled Trial: How Do Flipped Classrooms and Traditional Didactics Compare for Knowledge Acquisition and Retention among Neonatal-Perinatal Medicine Fellows?","authors":"R. Dadiz, M. Gray, Eric Zucker, S. Izatt, M. Gillam-Krakauer, Melissa M. Carbajal, L. Johnston, Alison J Falck, E. Bonachea, Margarita M. Vasquez, H. Karpen, Allison H. Payne, P. Chess, AnnaMarie Arias-Shah, Carly Gisondo, Matthew Huber, H. French","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.761","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.761","url":null,"abstract":"","PeriodicalId":275302,"journal":{"name":"Section on Neonatal-Perinatal Medicine Program","volume":"280 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121074191","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}

{"title":"Variation Of Ductus Arteriosus Treatment In Very Low Birth Weight Infants","authors":"K. Runte, J. Flyer, Erika M. Edwards, R. Soll, J. Horbar, S. Yeager","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.750","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.750","url":null,"abstract":"","PeriodicalId":275302,"journal":{"name":"Section on Neonatal-Perinatal Medicine Program","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121311802","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}

{"title":"Impact of Standardized Instructional Method on Learner Perceptions, Preferences, and Classroom Experience in a National GME Curriculum","authors":"M. Gillam-Krakauer, R. Dadiz, Carly Gisondo, E. Bonachea, H. French, Margarita M. Vasquez, P. Chess, L. Johnston, Allison H. Payne, S. Izatt, H. Karpen, Melissa M. Carbajal, AnnaMarie Arias-Shah, Alison J Falck, Eric Zucker, M. Gray","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.709","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.709","url":null,"abstract":"","PeriodicalId":275302,"journal":{"name":"Section on Neonatal-Perinatal Medicine Program","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126629087","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}