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Hemodynamic Precision in the Neonatal Intensive Care Unit using Targeted Neonatal Echocardiography

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Published on: January 27, 2023

[Delivery room intensive care unit].

F Mosca¹, M Colnaghi

¹UO di Neonatologia e Terapia Intensiva Neonatale, Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, Università degli Studi di Milano.

Minerva Pediatrica

|November 25, 2010

Summary

This summary is machine-generated.

Survival rates for extremely preterm infants have not improved in a decade. Implementing neonatal intensive care unit principles in the delivery room may enhance outcomes for these vulnerable newborns.

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Delivery of In Vivo Acute Intermittent Hypoxia in Neonatal Rodents to Prime Subventricular Zone-derived Neural Progenitor Cell Cultures

Published on: November 2, 2015

Area of Science:

Neonatal medicine
Perinatal care
Pediatric critical care

Context:

Survival and morbidity rates for extremely-low-gestational-age-neonates (ELGANs, ≤28 weeks' gestation) have plateaued over the last decade.
Major morbidities like bronchopulmonary dysplasia (BPD) may be influenced by immediate postnatal management.
Current delivery room care for ELGANs lacks specialized protocols, advanced equipment, and objective monitoring.

Purpose:

To highlight the need for improved delivery room management for extremely preterm infants.
To advocate for the integration of neonatal intensive care unit principles into the delivery room setting.
To emphasize the necessity of evidence-based resuscitation strategies for ELGANs.

Summary:

No significant improvements in survival or morbidity for preterm infants (ELGANs) in the past 10 years.
Delivery room management, particularly in the first minutes of life, may impact short- and long-term outcomes.
Current delivery room practices for ELGANs are suboptimal, necessitating a shift towards intensive care principles.

Impact:

Potential to improve survival rates and reduce morbidity in extremely preterm infants.
Encourages the development and implementation of standardized, evidence-based resuscitation protocols for ELGANs.
Promotes further research into gentle resuscitation parameters for vulnerable newborns.