发布求助
文献互助 智能选刊 最新文献

Seminars in Fetal & Neonatal Medicine最新文献

筛选
英文 中文
The neonatal airway 新生儿气道。
IF 3 3区 医学
Seminars in Fetal & Neonatal Medicine Pub Date : 2023-10-01 DOI: 10.1016/j.siny.2023.101483
Toby Kane , David G. Tingay , Anastasia Pellicano , Stefano Sabato
{"title":"The neonatal airway","authors":"Toby Kane ,&nbsp;David G. Tingay ,&nbsp;Anastasia Pellicano ,&nbsp;Stefano Sabato","doi":"10.1016/j.siny.2023.101483","DOIUrl":"10.1016/j.siny.2023.101483","url":null,"abstract":"<div><p>Safe and effective management of the neonatal airway requires knowledge, teamwork, preparation and experience. At baseline, the neonatal airway can present significant challenges to experienced neonatologists and paediatric anaesthesiologists, and increased difficulty can be due to anatomical abnormalities, physiological instability or increased situational stress. Neonatal airway obstruction is under recognised, and should be considered an emergency until the diagnosis and physiological implications are understood. When multiple types of difficulties are present or there are multiple levels of anatomical obstruction, the challenge increases exponentially. In these situations, preparation, multi-disciplinary teamwork and a consistent hospital-wide approach will help to reduce errors and morbidity.</p></div>","PeriodicalId":49547,"journal":{"name":"Seminars in Fetal & Neonatal Medicine","volume":"28 5","pages":"Article 101483"},"PeriodicalIF":3.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1744165X23000598/pdfft?md5=e94da26f7bd94accc4279dcee34b5dfc&pid=1-s2.0-S1744165X23000598-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138463967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
The history of neonatal intubation 新生儿插管史。
IF 3 3区 医学
Seminars in Fetal & Neonatal Medicine Pub Date : 2023-10-01 DOI: 10.1016/j.siny.2023.101481
Lucy E. Geraghty , Eoin Ó. Curraín , Lisa K. McCarthy , Colm P.F. O'Donnell
{"title":"The history of neonatal intubation","authors":"Lucy E. Geraghty ,&nbsp;Eoin Ó. Curraín ,&nbsp;Lisa K. McCarthy ,&nbsp;Colm P.F. O'Donnell","doi":"10.1016/j.siny.2023.101481","DOIUrl":"10.1016/j.siny.2023.101481","url":null,"abstract":"<div><p><span>Interest in ‘resurrecting’ the lifeless by supporting breathing has been described since ancient times. For centuries, methods of resuscitating animals, then humans and specifically the ‘lifeless’ neonate were debated and discussed. Over time, with experimentation and worldwide collaboration, endotracheal tubes and laryngoscopes specific to the newborn were created and their use refined. This historical work has meant that today, the neonatal community focuses on refining the science and the art of </span>intubation for the benefit of the newborn; who, where, when and how to intubate, with what devices and medications, bringing about significant change in the area of neonatal intubation.</p><p><span>Recent work has focused on alternatives to neonatal intubation as the risks of endotracheal intubation and </span>mechanical ventilation<span> have become clearer. Appreciating the history of neonatal intubation and its (somewhat cyclical) changes over time can show us how far we've come and how far we can still go in the resuscitation and respiratory support of newborns.</span></p></div>","PeriodicalId":49547,"journal":{"name":"Seminars in Fetal & Neonatal Medicine","volume":"28 5","pages":"Article 101481"},"PeriodicalIF":3.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138463966","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: 1
Introduction to neonatal intubation and extubation 新生儿插管和拔管简介。
IF 3 3区 医学
Seminars in Fetal & Neonatal Medicine Pub Date : 2023-10-01 DOI: 10.1016/j.siny.2023.101492
Kate A. Hodgson , Peter G. Davis
{"title":"Introduction to neonatal intubation and extubation","authors":"Kate A. Hodgson ,&nbsp;Peter G. Davis","doi":"10.1016/j.siny.2023.101492","DOIUrl":"10.1016/j.siny.2023.101492","url":null,"abstract":"","PeriodicalId":49547,"journal":{"name":"Seminars in Fetal & Neonatal Medicine","volume":"28 5","pages":"Article 101492"},"PeriodicalIF":3.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138441544","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
Optimal timing of extubation in preterm infants 早产儿拔管的最佳时机。
IF 3 3区 医学
Seminars in Fetal & Neonatal Medicine Pub Date : 2023-10-01 DOI: 10.1016/j.siny.2023.101489
Wissam Shalish , Guilherme M. Sant’Anna
{"title":"Optimal timing of extubation in preterm infants","authors":"Wissam Shalish ,&nbsp;Guilherme M. Sant’Anna","doi":"10.1016/j.siny.2023.101489","DOIUrl":"10.1016/j.siny.2023.101489","url":null,"abstract":"<div><p><span><span>In neonatal intensive care, </span>endotracheal intubation is usually performed as an urgent or semi-urgent procedure in infants with critical or unstable conditions related to progressive respiratory failure. </span>Extubation<span><span> is not. Patients undergoing extubation are typically stable, with improved respiratory function. The key elements to facilitating extubation are to recognize improvement in respiratory status, promote weaning of </span>mechanical ventilation, and accurately identify readiness for removal of the endotracheal tube. Therefore, extubation should be a planned and well-organized procedure. In this review, we will appraise the evidence for existing predictors of extubation readiness and provide patient-specific, pathophysiology-derived strategies to optimize the timing and success of extubation in neonates, with a focus on extremely preterm infants.</span></p></div>","PeriodicalId":49547,"journal":{"name":"Seminars in Fetal & Neonatal Medicine","volume":"28 5","pages":"Article 101489"},"PeriodicalIF":3.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138300515","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: 1
The difficult neonatal airway 新生儿气道困难。
IF 3 3区 医学
Seminars in Fetal & Neonatal Medicine Pub Date : 2023-10-01 DOI: 10.1016/j.siny.2023.101484
Taylor Sawyer , Nicole Yamada , Rachel Umoren
{"title":"The difficult neonatal airway","authors":"Taylor Sawyer ,&nbsp;Nicole Yamada ,&nbsp;Rachel Umoren","doi":"10.1016/j.siny.2023.101484","DOIUrl":"10.1016/j.siny.2023.101484","url":null,"abstract":"<div><p><span><span>Airway management is one of the most crucial aspects of </span>neonatal care. The occurrence of a </span>difficult airway<span> is more common in neonates than in any other age group, and any neonatal intubation<span> can develop into a difficult airway scenario. Understanding the intricacies of the difficult neonatal airway is paramount for healthcare professionals involved in the care of newborns. This chapter explores the multifaceted aspects of the difficult neonatal airway. We begin with a review of the definition and incidence of difficult airway in the neonate. Then, we explore factors contributing to a difficult neonatal airway. We next examine diagnostic considerations specific to the difficult neonatal airway, including prenatal imaging. Finally, we review management strategies. The importance of a multidisciplinary team approach and the role of communication and collaboration in achieving optimal outcomes are emphasized.</span></span></p></div>","PeriodicalId":49547,"journal":{"name":"Seminars in Fetal & Neonatal Medicine","volume":"28 5","pages":"Article 101484"},"PeriodicalIF":3.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138435321","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
Palliative care for NICU survivors with chronic critical illness NICU慢性危重疾病幸存者的姑息治疗
IF 3 3区 医学
Seminars in Fetal & Neonatal Medicine Pub Date : 2023-08-01 DOI: 10.1016/j.siny.2023.101446
Renee D. Boss
{"title":"Palliative care for NICU survivors with chronic critical illness","authors":"Renee D. Boss","doi":"10.1016/j.siny.2023.101446","DOIUrl":"10.1016/j.siny.2023.101446","url":null,"abstract":"<div><p><span><span>The sickest of NICU<span> survivors develop chronic critical illness (CCI). Most infants with CCI will leave the NICU using chronic </span></span>medical technology and will experience repeated rehospitalizations. The unique issues for these NICU graduates— escalating chronic medical technologies, fractured post-NICU healthcare, gaps in home health services, and family strain—are common and predictable. This means that raising family and NICU team awareness of these issues, and putting plans in place to address them, should occur for every NICU infant with CCI. </span>Pediatric palliative care<span> is one resource that can be engaged within the NICU to support the child and family through NICU discharge and beyond. This review examines what is known about the unique needs of infants who leave the NICU with CCI and the role that NICU-initiated palliative care<span> involvement can play for these patients, families, clinicians, and the health care system.</span></span></p></div>","PeriodicalId":49547,"journal":{"name":"Seminars in Fetal & Neonatal Medicine","volume":"28 4","pages":"Article 101446"},"PeriodicalIF":3.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10156167","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
Spiritual and cultural influences on end-of-life care and decision-making in NICU 精神和文化对新生儿重症监护室临终关怀和决策的影响。
IF 3 3区 医学
Seminars in Fetal & Neonatal Medicine Pub Date : 2023-08-01 DOI: 10.1016/j.siny.2023.101437
Pak C. Ng, Genevieve P.G. Fung
{"title":"Spiritual and cultural influences on end-of-life care and decision-making in NICU","authors":"Pak C. Ng,&nbsp;Genevieve P.G. Fung","doi":"10.1016/j.siny.2023.101437","DOIUrl":"10.1016/j.siny.2023.101437","url":null,"abstract":"<div><p>Understanding and respecting the spiritual beliefs, ethnic roots, cultural norms and customs of individual families is essential for neonatologists to provide clinically appropriate and humane end-of-life care. This review describes the religious/philosophical principles, cultural-related practices/rituals, and traditions in end-of-life care in major spiritual groups of today's multi-cultural, multi-faith societies. The spiritual groups include Christians, Muslims, Jewish Judaism believers and Asian religious/philosophy followers such as Buddhists, Hindus, Taoists, Confucianism devotees and ancestral worshippers. It is vital to understand that substantial variation in views and practices may exist even within the same religion and culture in different geographic locations. Ethical views and cultural practices are not static elements in life but behave in a fluidic and dynamic manner that could change with time. Interestingly, an evolving pattern has been observed in some Asian and Middle East countries that more parents and/or religious groups are beginning to accept a form of redirection of care most compatible with their spiritual belief and culture. Thus, every family must be assessed and counseled individually for end-of-life decision-making. Also, every effort should be made to comply with parents' requests and to treat infants/parents of different religions and cultures with utmost dignity so that they have no regret for their irreversible decisions.</p></div>","PeriodicalId":49547,"journal":{"name":"Seminars in Fetal & Neonatal Medicine","volume":"28 4","pages":"Article 101437"},"PeriodicalIF":3.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10136808","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: 1
Unmasking grief: Reflections on the complicated relationship between moral distress and grief 揭露悲伤：对道德痛苦和悲伤之间复杂关系的思考。
IF 3 3区 医学
Seminars in Fetal & Neonatal Medicine Pub Date : 2023-08-01 DOI: 10.1016/j.siny.2023.101445
Lucia D. Wocial , Ann Hannan
{"title":"Unmasking grief: Reflections on the complicated relationship between moral distress and grief","authors":"Lucia D. Wocial ,&nbsp;Ann Hannan","doi":"10.1016/j.siny.2023.101445","DOIUrl":"10.1016/j.siny.2023.101445","url":null,"abstract":"<div><p><span>Perinatal loss often occurs in the context of discovery of a medical condition that presents patients and healthcare providers (HCPs) with difficult choices. Treatment choices are influenced by </span>medical technology, however inescapable prognostic uncertainty, coupled with shared decision-making can lead to ethical dilemmas (Graf et al., 2023) [1]. When patients experience perinatal loss HCPs must grapple with their own emotions. Their sense of grief arises from their empathic connection with patients, bearing witness to their grief. This grief may compound HCP moral distress. Moral distress has an element of emotion, however it is more than distress in tragic situations. Moral distress is linked to HCPs feeling responsible to take action (Dudzinski, 2016) [2]. In situations of perinatal loss, it is essential to acknowledge the grief and explore how it influences the experience of moral distress. This article will reflect on the impact of HCP grief in ethically complex situation of perinatal loss.</p></div>","PeriodicalId":49547,"journal":{"name":"Seminars in Fetal & Neonatal Medicine","volume":"28 4","pages":"Article 101445"},"PeriodicalIF":3.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10141894","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
End of life care in the setting of extreme prematurity – practical challenges and ethical controversies 极端早产环境下的临终关怀——实践挑战与伦理争议
IF 3 3区 医学
Seminars in Fetal & Neonatal Medicine Pub Date : 2023-08-01 DOI: 10.1016/j.siny.2023.101442
Dominic JC. Wilkinson , Sophie Bertaud
{"title":"End of life care in the setting of extreme prematurity – practical challenges and ethical controversies","authors":"Dominic JC. Wilkinson ,&nbsp;Sophie Bertaud","doi":"10.1016/j.siny.2023.101442","DOIUrl":"10.1016/j.siny.2023.101442","url":null,"abstract":"<div><p>While the underlying principles are the same, there are differences in practice in end of life decisions and care for extremely preterm infants compared with other newborns and older children. In this paper, we review end of life care for extremely preterm infants in the delivery room and in the neonatal intensive care unit. We identify potential justifications for differences in the end of life care in this population as well as practical and ethical challenges.</p></div>","PeriodicalId":49547,"journal":{"name":"Seminars in Fetal & Neonatal Medicine","volume":"28 4","pages":"Article 101442"},"PeriodicalIF":3.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10518855","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
Operationalizing neonatal palliative care 实施新生儿姑息治疗
IF 3 3区 医学
Seminars in Fetal & Neonatal Medicine Pub Date : 2023-08-01 DOI: 10.1016/j.siny.2023.101474
Renee D. Boss, Mark R. Mercurio
{"title":"Operationalizing neonatal palliative care","authors":"Renee D. Boss,&nbsp;Mark R. Mercurio","doi":"10.1016/j.siny.2023.101474","DOIUrl":"10.1016/j.siny.2023.101474","url":null,"abstract":"","PeriodicalId":49547,"journal":{"name":"Seminars in Fetal & Neonatal Medicine","volume":"28 4","pages":"Article 101474"},"PeriodicalIF":3.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10223113","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
首页 上一页 下一页 尾页
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整，为了账户安全，请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们：info@booksci.cn Book学术提供免费学术资源搜索服务，方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号：604180095
Book学术官方微信