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Related Concept Videos

Anatomical Positions01:11

Anatomical Positions

In anatomy, several standard anatomical positions are used as references for describing the position and orientation of different body parts. These positions help provide a common frame of reference when discussing anatomical structures. The anatomical position is the standard reference point for describing the body's position and orientation. In this position:
The body is upright, facing forward, and standing erect.
The feet are parallel and flat on the floor.
The arms are hanging by the...

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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
19:15

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Published on: August 25, 2014

How comfortable is neonatal transport?

Cath Harrison1, Liz McKechnie

  • 1Department of Neonatal Medicine, Leeds Teaching Hospitals Trust, UK. catherine.harrison@leedsth.nhs.uk

Acta Paediatrica (Oslo, Norway : 1992)
|September 15, 2011
PubMed
Summary

Infant road transport causes significant discomfort and stress, as measured by the Premature Infant Pain Profile (PIPP) score. This pain pattern was consistent across all infants, regardless of gestational age or sedation.

Area of Science:

  • Neonatal care
  • Transport medicine
  • Pediatric pain assessment

Background:

  • Limited data exists on infant discomfort during transport.
  • Neonatal transport is a critical but potentially stressful event for infants.

Purpose of the Study:

  • To identify and characterize infant discomfort during road transport.
  • To establish a pattern of discomfort in transported infants.

Main Methods:

  • Prospective cohort study of infants transported by a neonatal service.
  • Utilized the Premature Infant Pain Profile (PIPP) to measure stress.
  • Assessed PIPP scores at five intervals during transport, comparing to baseline.

Main Results:

  • Higher PIPP scores observed during road transport compared to baseline.

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Amplitude-Integrated EEG in Infants at Risk of Hypoxic-Ischemic Encephalopathy: A Feasibility Study in Road and Air Transport in Western Australia
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  • Discomfort peaked during transport across all infants, irrespective of gestational age or sedation.
  • Sedated/ventilated infants showed a blunted, but similar, pattern of increased discomfort.
  • Conclusions:

    • Transporting infants leads to increased discomfort and stress.
    • Further research is needed to develop interventions to mitigate transport-related distress in infants.