Video Experimental Relacionado
Updated: Jul 14, 2026
19:15
Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Resultado después de la ventilación de presión negativa continua neonatal: evaluación de seguimiento
Katherine Telford1, Lorraine Waters1, Harish Vyas2
1School of Human Development, University of Nottingham, Nottingham, UK.
Lancet (London, England)
|April 4, 2006
Resumen
El seguimiento a largo plazo de los bebés tratados con presión extratorácica negativa continua (CNEP) no mostró un aumento en el riesgo de muerte o discapacidad. Los niños que recibieron CNEP tuvieron un mejor rendimiento en el coeficiente intelectual y las puntuaciones neuropsicológicas en la infancia tardía.
Área de la Ciencia:
- Medicina Neonatal La medicina neonatal es una especialidad de la medicina neonatal.
- Neurología Pediátrica.
- Fisiología de las vías respiratorias.
Sus antecedentes:
- El ensayo anterior de presión extratorácica negativa continua (CNEP) para el síndrome de dificultad respiratoria neonatal planteó preocupaciones.
- Las secuelas a largo plazo del CNEP frente al tratamiento estándar requieren investigación.
Objetivo del estudio:
- Para evaluar el resultado neurológico a largo plazo, la función cognitiva y la discapacidad en niños tratados con CNEP como neonatos.
- Para determinar si el CNEP está asociado con resultados adversos en la niñez tardía.
Principales métodos:
- Evaluación ambulatoria de 133 sobrevivientes (9-15 años) del ensayo aleatorizado original.
- Pruebas estandarizadas neurológicas, cognitivas y de discapacidad administradas por un pediatra y un psicólogo.
- Análisis de 65 pares completos y datos no emparejados, con resultado primario de muerte o discapacidad severa.
Principales resultados:
- No hubo diferencias significativas en el resultado primario (muerte o discapacidad grave) entre el CNEP y los grupos de tratamiento estándar.
- Las puntuaciones de CI completo fueron similares, pero el grupo CNEP mostró un CI de rendimiento significativamente mayor (diferencia media de 6.8 puntos).
- Las pruebas neuropsicológicas revelaron puntuaciones significativamente más altas en la producción del lenguaje y las habilidades visuoespaciales para el grupo CNEP.
Conclusiones:
- El CNEP neonatal no se asocia con peores resultados a largo plazo en la niñez tardía.
- Las pequeñas diferencias en los resultados neonatales adversos no se traducen en desventajas a largo plazo.
- Los estudios futuros de intervenciones neonatales deben dar prioridad a la evaluación de resultados a largo plazo.
Videos de Conceptos Relacionados
01:20Assessment of Ventilation I: Respiratory Rate
Assessment of Ventilation
A Ventilation assessment is critical for monitoring a patient's health status. Respiration, one of the most accessible vital signs, provides insights into the function of numerous body systems and can indicate serious health issues, such as brainstem injuries from head trauma.
Critical Guidelines for Assessing Ventilation:
A Ventilation assessment is critical for monitoring a patient's health status. Respiration, one of the most accessible vital signs, provides insights into the function of numerous body systems and can indicate serious health issues, such as brainstem injuries from head trauma.
Critical Guidelines for Assessing Ventilation:
01:23Assessment of Respiration
The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like asthma or COPD,...
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like asthma or COPD,...
01:19Respiratory Assessment: Purpose and Indications
Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
01:29Assessment of Ventilation II: Respiratory Depth and Rhythm
Respiratory Depth
Respiratory depth measures the volume of air inhaled or exhaled during a breath. It can vary from shallow to deep and typically remains consistent when a person is at rest or asleep. Occasionally, individuals will automatically inhale deeply, known as sighing, which inflates the lungs with more air than normal breathing.
To assess respiratory depth, observe the degree of chest excursion or movement:
Respiratory depth measures the volume of air inhaled or exhaled during a breath. It can vary from shallow to deep and typically remains consistent when a person is at rest or asleep. Occasionally, individuals will automatically inhale deeply, known as sighing, which inflates the lungs with more air than normal breathing.
To assess respiratory depth, observe the degree of chest excursion or movement:
01:17Pulmonary Cycle: Exhalation
In terms of human respiration, the act of expelling air, known as exhalation (or expiration), operates on the principle of pressure gradients. During expiration, the pressure within the lungs exceeds that of the surrounding atmosphere. Under normal conditions, quiet breathing involves passive exhalation and is free of muscular contractions. This is because the exhalation process is driven by the natural elastic recoil of the lungs and chest wall, both of which have an inherent tendency to...
01:29Suctioning the Nasopharyngeal Airway
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required