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Updated: May 9, 2026

Transcutaneous Microcirculatory Imaging in Preterm Neonates

Transcutaneous Microcirculatory Imaging in Preterm Neonates

Published on: December 31, 2015

Quality improvement initiative to decrease severe intraventricular hemorrhage rates in preterm infants by

Samantha D Peltola¹, Uduak S Akpan², Dmitry Tumin²

¹College of Nursing, University of South Alabama, Mobile, AL, USA. samanthadpeltola@gmail.com.

Journal of Perinatology : Official Journal of the California Perinatal Association

|March 28, 2025

Summary

This summary is machine-generated.

Severe Intraventricular Hemorrhage (sIVH) rates in preterm infants were significantly reduced in the Neonatal Intensive Care Unit (NICU) through targeted interventions. A standardized prevention bundle successfully lowered sIVH incidence to 9.3%.

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Last Updated: May 9, 2026

Transcutaneous Microcirculatory Imaging in Preterm Neonates

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Published on: December 31, 2015

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

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Published on: January 27, 2023

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn

Published on: April 7, 2023

Area of Science:

Neonatal Medicine
Pediatric Neurology
Clinical Quality Improvement

Background:

Severe Intraventricular Hemorrhage (sIVH) is a significant complication in preterm infants.
Achieving a target incidence of 10% for sIVH in Neonatal Intensive Care Units (NICUs) requires effective interventions.

Purpose of the Study:

To decrease the incidence of severe Intraventricular Hemorrhage (sIVH) in preterm infants to 10% within eight months.
To implement and evaluate targeted interventions aimed at preventing sIVH in a Neonatal Intensive Care Unit (NICU) population.

Main Methods:

Study population included infants born less than 30 gestational weeks.
Interventions focused on the first 72 hours of life, emphasizing minimized cerebral blood flow disturbance and minimal stimulation.
Data collected via electronic medical records from September 2023 to April 2024.

Main Results:

The incidence of severe Intraventricular Hemorrhage (sIVH, grade III-IV) decreased from 24.4% at baseline to 9.3% during the intervention period.
Head-of-bed elevation rates increased, with evaluation of associated pedal/pelvic edema.

Conclusions:

Standardization of care through a severe Intraventricular Hemorrhage (sIVH) prevention bundle was key to project success.
The implemented bundle effectively reduced sIVH rates in preterm infants, meeting the study's objective.