基于生理学的绳索紧:当婴儿准备好紧时
Arjan B Te Pas1, Ronny Knol2, Enrico Lopriore1
1Division of Neonatology, Department of Pediatrics, Leiden University Medical Center, Leiden, The Netherlands.
Neonatology
|August 28, 2024
概括
延迟带紧可以通过增强胎盘输血和血液动力稳定性来改善早产婴儿的生存率和福祉. 透气,呼吸和紧 (ABC) 项目将这些发现转化为临床实践.
科学领域:
- 新生儿护理 新生儿护理
- 产周医学 产周医学
- 儿科生理学 儿科生理学
背景情况:
- 延迟带紧为早产婴儿提供了显著的好处.
- 它增强了胎盘输血,并提供了额外的血液动力学优势.
- 这种做法是一种简单的,具有成本效益的方法,可以改善新生儿的结果.
研究的目的:
- 将延迟带紧的实验发现转化为临床实践.
- 为了实现通风,呼吸,然后紧 (ABC) 协议.
- 分享从ABC项目的实施中获得的见解和经验教训.
主要方法:
- 从空气,呼吸,然后紧 (ABC) 项目中获得的见解和经验教训的回顾.
- 专注于临床翻译关于绳索紧时间的实验结果.
- 评估一项方案的实施,该方案优先考虑在绳索紧之前进行通风和呼吸.
主要成果:
- 实验研究表明,随着紧的延迟,循环过渡的改善.
- 在肺部空气充足之前推迟紧可以稳定需要过渡援助的婴儿.
- 该ABC项目旨在将这些好处纳入常规新生儿护理.
结论:
- 延迟带紧是对早产婴儿有益的干预措施.
- 该ABC项目为实施这种做法提供了宝贵的经验.
- 讨论了通过绳紧时间优化新生儿过渡的进一步见解.
相关概念视频
Fetal Circulation
863
Fetal circulation is a unique system that facilitates the exchange of gases, nutrients, and waste products between the developing fetus and the mother. This intricate process takes place through a special organ called the placenta.
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
863
Korotkoff Sounds
3.1K
Korotkoff sounds are the specific sounds heard while measuring blood pressure using a sphygmomanometer, typically with a stethoscope or a Doppler device. They are named after Russian physician Nikolai Korotkov, who first described them in 1905. These sounds correspond to turbulent blood flow in the artery as the blood pressure cuff is gradually released after inflation.
During blood pressure assessment, inflating the cuff 30 millimeters of mercury above the patient's systolic blood pressure...
During blood pressure assessment, inflating the cuff 30 millimeters of mercury above the patient's systolic blood pressure...
3.1K
Pre-Procedural Guidelines for Assessing Blood Pressure
526
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
526
Assessment of apical pulse
862
Assessing the Apical Pulse
Assessing the apical pulse is a critical nursing procedure, particularly indicated for:
Assessing the apical pulse is a critical nursing procedure, particularly indicated for:
862
Patch Clamp
5.4K
Many fundamental cell functions such as muscle contraction and nerve transmission rely on the electrical signals produced by the movement of positively and negatively charged ions across the cell membrane. One competent method to record current flowing across the whole cell or single ion channel is the patch-clamp technique.
In this method, a glass micropipette containing electrolyte solution is tightly sealed against a small portion of the cell membrane. As a result, a patch of the cell...
In this method, a glass micropipette containing electrolyte solution is tightly sealed against a small portion of the cell membrane. As a result, a patch of the cell...
5.4K
Special considerations while measuring blood pressure
710
When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
710


