这是小事. 一个框架和指导方案,照顾婴儿22-23周的妊娠年龄的婴儿
Laura B Bernardini1, Helen Healy2, Ashley N Battarbee3
1Brigham and Women's Hospital, Boston, MA, USA.
概括
为怀孕24周之前出生的婴儿开发一个微小的婴儿计划,需要仔细考虑他们的独特生理需求. 该框架为新生儿重症监护室 (NICU) 提供指导,以建立极早产婴儿的最佳实践.
科学领域:
- 新生儿科学 新生儿科学
- 周围生理学 周围生理学
- 儿科重症监护 儿科重症监护
背景情况:
- 在怀孕24周之前出生的婴儿,被称为"小婴儿",由于器官系统不成熟,他们面临着独特的挑战.
- 对于这些极度早产婴儿的护理现有证据是有限的,需要结构化的方法.
- 卓越中心 (CoEs) 已经为小婴儿开发了综合护理模型,承认了系统间的生理影响.
研究的目的:
- 提出一个框架,在新生儿重症监护室 (NICU) 开发"小婴儿计划".
- 指导NICU为怀孕24周之前出生的婴儿建立临床方法.
- 总结关键的操作和生理原则,为极度早产婴儿的护理.
主要方法:
- 审查卓越中心 (CoE) 的综合护理方法.
- 确定程序开发的操作原则.
- 对于管理极度早产婴儿至关重要的生理原理的总结.
主要成果:
- 一个拟议的框架,建立微小的婴儿计划.
- 强调在微小的婴儿生理系统的相互联系.
- 对于NICU的预防性建议,从CoE调整实践到当地环境.
结论:
- 开发微小的婴儿计划需要一个结构化的,基于证据的方法.
- 考虑到所有生理系统的综合护理对于在24周前出生的婴儿至关重要.
- 国家重症监护中心应谨慎地适应最佳实践,优先考虑患者安全和个人需求.
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