MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Neonatal Network' source. Mon, 06 Feb 2012 17:44:32 +0100 http://www.medworm.com/index.php?rid=5596583&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22232035%26dopt%3DAbstract Authors: Verklan MT Abstract WHEN I STARTED MY CAREER AS A NEONATAL NURSE, THE subspecialty of neonatology was just beginning. There was no understanding of the pathophysiology of persistent pulmonary hypertension of the newborn. Mechanical ventilators were adapted for use in full-term babies. Thirty-two week neonates were considered too premature. Through trial and error, and anecdotal practice, science was slowly added to the art of medicine and nursing. However, we still have little of our care based on actual research. PMID: 22232035 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5596583 Sun, 01 Jan 2012 05:00:00 +0100 5596583 http://www.medworm.com/index.php?rid=5596582&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22232036%26dopt%3DAbstract This article focuses on the development of emergency bedside backpacks, mobile disaster boxes, disaster documentation and forms go-kits, and guidelines for creating such a plan. The ongoing equipment testing, inventory rotation, staff training, and exercising response protocols are all crucial to test the effectiveness of the program in place. All these activities require a multidisciplinary approach to ensure integration with hospital-wide emergency planning efforts. PMID: 22232036 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5596582 Sun, 01 Jan 2012 05:00:00 +0100 5596582 http://www.medworm.com/index.php?rid=5596581&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22232037%26dopt%3DAbstract Authors: Ringham C Abstract The author draws on narratives as an illustration of embodied knowledge and argues for the importance of using embodied knowing to inform ethical decisions in the neonatal setting. Nurses have a unique perspective of the complex care associated with neonatal intensive care (NIC). NIC nurses listen to parent's stories and share their own practice stories, leading to an intimate appreciation of a family's particular response to their health care experience. These narratives can deepen understanding of how nurses go about doing their everyday work, describe experiences in everyday practice, and help the writer come to terms with traumatic events. Moreover, nurses' narratives provide a voice, an expression of their embodied knowledge. By telling and listenin... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5596581 Sun, 01 Jan 2012 05:00:00 +0100 5596581 http://www.medworm.com/index.php?rid=5596580&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22232038%26dopt%3DAbstract Authors: Kaneyasu M Abstract Infants in the Neonatal Intensive Care Unit may experience a myriad of painful procedures and stressful experiences. Pain management for infants requiring mechanical ventilation is complex and challenging especially in the preterm population. Many infants may not receive analgesia, primarily due to the unknown long-term neurodevelopmental effects of morphine exposure on the developing brain. Currently, there is no consensus on how to treat pain related to mechanical ventilation due to conflicting scientific evidence lacks clarity and certainty about the role of morphine in pain in preterm infants. The Advance Practice Neonatal Nurse must make the best use of available information about morphine analgesia for the preterm infant, and use it to guide polic... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5596580 Sun, 01 Jan 2012 05:00:00 +0100 5596580 http://www.medworm.com/index.php?rid=5596579&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22232039%26dopt%3DAbstract Authors: Spatz D, Raphael L, Froh EB Abstract Infants born with congenital diaphragmatic hernia (CDH) often require extracorporeal membrane oxygenation (ECMO). Infants on ECMO may experience a long period of being nothing by mouth (NPO) while receiving parenteral nutrition. Once the infant with CDH is repaired and off ECMO, human milk should be used to initiate enteral feedings. Human milk provides immunologic, developmental, and nutritional protection for these highrisk infants and may be crucial in decreasing morbidities commonly associated with post-ECMO survivors. These mother-infant dyads require extensive lactation support to ensure maintenance of milk supply and successful transition to direct breastfeeding. Three case studies are presented as exemplars to demonstrate how br... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5596579 Sun, 01 Jan 2012 05:00:00 +0100 5596579 http://www.medworm.com/index.php?rid=5596578&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22232040%26dopt%3DAbstract Authors: Pilcher J Abstract THINK BACK TO WHEN YOU first graduated from nursing school. What is your most vivid memory of the orientation to your first nursing job? In particular, do you recall the name of your preceptor and how that person impacted your learning? It seems that most nurses can readily answer these questions, regardless of how much time has passed. The experiences were generally memorable; some positive, although others are not. PMID: 22232040 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5596578 Sun, 01 Jan 2012 05:00:00 +0100 5596578 http://www.medworm.com/index.php?rid=5596577&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22232041%26dopt%3DAbstract Authors: Rubarth LB Abstract GLUCOSE-6-PHOSPHATASE and glucose-6-phosphate dehydrogenase (G6PD) are both important enzymes; a deficiency of either of these enzymes can cause the infant to have significant or life-threatening symptoms. Glucose-6-phosphatase deficiency is a glycogen-storage disease resulting in hypoglycemia and glycogen buildup in the liver that interferes with fat metabolism. G6PD deficiency is an X-linked hereditary disease resulting in nonimmune hemolytic anemia and jaundice. These two diseases sound so similar but are very, very different. PMID: 22232041 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5596577 Sun, 01 Jan 2012 05:00:00 +0100 5596577 http://www.medworm.com/index.php?rid=5596576&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22232042%26dopt%3DAbstract Authors: Bell SG Abstract THERAPEUTIC HYPOTHERMIA is increasingly used for neonates older than 36-weeks gestation who meet specific criteria following an apparent, acute perinatal hypoxic or ischmeic event. In their systematic review of eight randomized controlled trial of therapeutic hypothermia, which included 638 newborn infants, Jacobs and associates concluded that therapeutic hypothermia reduces death or disability in term newborns who have suffered a hypoxic episode around the time of birth. With increased application of therapeutic hypothermia, it is important to understand the impact of this therapy on other therapies used concomitantly. In a recent review of the literature, Tortorici and colleagues found that the therapeutic hypothermia has an effect on drug metabolism, el... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5596576 Sun, 01 Jan 2012 05:00:00 +0100 5596576 http://www.medworm.com/index.php?rid=5596575&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22232043%26dopt%3DAbstract Authors: Discenza D Abstract THERE IS SOMETHING ABOUT a woman with a newborn or even a child in general that sparks the public need for comment. Whether the individual commenting is attempting to be witty or to appear advisory in nature, the subject at hand can often create sparks of anger within its target. PMID: 22232043 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5596575 Sun, 01 Jan 2012 05:00:00 +0100 5596575 http://www.medworm.com/index.php?rid=5596574&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22232044%26dopt%3DAbstract Authors: Bellini S, Black LW, Fraser D, Goodall H, Palla PM, Ridky J, Thompson S, Lovejoy A Abstract With this issue, we welcome our new contributing editors to the News of the Academy of Neonatal Nursing. To keep ANN members updated on the latest topics in neonatal nursing, we are excited to have input from our new contributing editors from across the country. (Note: Initials in parentheses after a summary identifies the contributing editor.) If you would like to share an event, program, or activity in your area, please contact uberman@ academyofneonatalnursing.org. PMID: 22232044 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5596574 Sun, 01 Jan 2012 05:00:00 +0100 5596574 http://www.medworm.com/index.php?rid=5596573&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22232045%26dopt%3DAbstract Authors: PMID: 22232045 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5596573 Sun, 01 Jan 2012 05:00:00 +0100 5596573 http://www.medworm.com/index.php?rid=5596572&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22232046%26dopt%3DAbstract Authors: Abstract These are the abstracts for the poster presentations from the recent 11th National Neonatal Nurses Conference and the 14th National Mother Baby Nurses Conference in Washington, DC. They represent a broad range of neonatal and perinatal issues. By sharing this information, we hope to increase awareness of research and innovative programs within the perinatal health care community, and support evidence-based nursing practice. Some abstracts have been edited for publication. PMID: 22232046 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5596572 Sun, 01 Jan 2012 05:00:00 +0100 5596572 http://www.medworm.com/index.php?rid=5377717&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22052116%26dopt%3DAbstract Authors: Fraser D Abstract DOES YOUR UNIT, HOSPITAL, OR STATE OR PROVINCIAL nursing organization have an excellence award? What about your professional associations? I know that the Academy of Neonatal Nursing has such an award, so my question to you is: How often have you nominated someone? How often is the winner of an organizational award a neonatal nurse? I would argue that the selection committee for any nursing award should be knee-deep in nominations of neonatal nurses-more about why, later. Sadly, too often, nomination deadlines are instead extended because of a lack of nominees. This begs still another question: Why? Why are nurses reluctant to nominate and be nominated for awards? PMID: 22052116 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5377717 Tue, 01 Nov 2011 04:00:00 +0100 5377717 http://www.medworm.com/index.php?rid=5377716&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22052117%26dopt%3DAbstract Authors: Casey DM, Tella N, Turesky R, Labrecque M Abstract Baby M was born limp, blue, and without respiratory effort at 38 weeks gestation to a 38-year-old, gravida 5, para 1, woman. Delivery was vaginal after a rapid progression of labor leaving no opportunity for a cesarean section. No other complications were noted during labor but a large surge at delivery, later diagnosed as uterine rupture, initially raised concerns about placental abruption. Apgar scores were 1, 2, and 4 at one, five, and ten minutes, respectively. She was resuscitated in the delivery room, intubated, and transferred in critical condition to the neonatal intensive care unit (NICU) at the birth hospital. Her initial cord pH was 6.7 and was slightly improved at 7.17 on arterial blood gas after resuscitation.... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5377716 Tue, 01 Nov 2011 04:00:00 +0100 5377716 http://www.medworm.com/index.php?rid=5377715&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22052118%26dopt%3DAbstract Authors: Malusky S, Donze A Abstract With the advancement of neonatal medicine during the past several decades, premature and critically ill infants are living past the neonatal period and surviving. The survival of these infants at smaller birth weights and younger gestational ages puts them at an increased risk for intraventricular hemorrhages (IVHs). Although shifts in cerebral perfusion have been linked to the development of these brain bleeds, many seemingly benign care activities have been linked to changes in cerebral blood flow patterns, possibly contributing to IVHs. The purpose of this article is to evaluate the current evidence to determine if the practice of midline positioning for infants born less than 32 weeks gestation for possible IVH prevention is supported by the... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5377715 Tue, 01 Nov 2011 04:00:00 +0100 5377715 http://www.medworm.com/index.php?rid=5377714&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22052119%26dopt%3DAbstract Authors: Marion TL, Bradshaw WT Abstract Congenital central hypoventilation syndrome (CCHS) is a rare syndrome of dysfunction of the autonomic nervous system characterized by a decreased response to hypercarbia. It is a disorder in which affected individuals fail to breathe during sleep despite progressive hypercapnia and hypoxia. Infants simply fall asleep and quit breathing. They are found by their parents or caregivers blue and lifeless. CCHS is an autosomal dominant disease. It has been linked with tumors of neural crest origin, segmental aganglionosis of the colon, and diffuse autonomic dysregulation but can occur alone. Discovery of the genetic link between the paired-like homeobox 2B (PHOX2B) genetic mutations and CCHS represents a breakthrough in the diagnosis of CCHS, asso... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5377714 Tue, 01 Nov 2011 04:00:00 +0100 5377714 http://www.medworm.com/index.php?rid=5377713&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22052120%26dopt%3DAbstract Authors: Beachy J Abstract NEONATAL ALLOIMMUNE thrombocytopenia (NAIT) is a life-threatening disorder caused by fetomaternal platelet incompatibility analogous to that seen in rhesus (Rh) disease. In NAIT , maternal immunoglobulin G (IgG) antiplatelet antibodies cross the placenta, resulting in rapid destruction and removal of fetal platelets by the reticuloendothelial system. Studies have shown that NAIT has an incidence of 1 of 1,000 live births, with a mortality rate of 10-15 percent and the risk of long-term morbidities up to 20-60 percent if intracranial hemorrhage (ICH) occurs. PMID: 22052120 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5377713 Tue, 01 Nov 2011 04:00:00 +0100 5377713 http://www.medworm.com/index.php?rid=5377712&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22052121%26dopt%3DAbstract Authors: Johnson PJ Abstract CAFFEINE IS A DRUG commonly used in the neonatal intensive care unit. Given its frequent use, providers need to be well informed of the drug, its indications, mechanism of action, and pharmacokinetics. Caffeine has an important history of skeptics and variable practice preference, ultimately leading to fairly new evidence supporting its pharmacologic attributes for treatment of apnea of prematurity (AOP). Caffeine is also used to stimulate preextubation respiratory drive in the nursery and following anesthesia. The purpose of this column is to review the history of methylxanthine therapy as a treatment for AOP, examine the benefits of caffeine citrate (Cafcit®) as the methylxanthine of choice, including the pharmacology and pharmacokinetics of the drug... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5377712 Tue, 01 Nov 2011 04:00:00 +0100 5377712 http://www.medworm.com/index.php?rid=5377709&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22052122%26dopt%3DAbstract Authors: Cheeseman SE Abstract THIS IS THE SECOND IN A series of columns exploring health information technology (HIT) in the NICU. The first column focused on the national initiatives driving the adoption of information technology throughout the health care delivery system, and the requisite informatics competencies for nurses in practice to fully engage in the digital era of health care. Health care professionals increasingly rely on information sytems to assist them in providing quality care. A large percentage of any health care provider's practice involves the management of information. Computers are often required to perform information-related functions. Nurses in the NICU need to be equipped to integrate technology seamlessly within their daily workflow, and incorporate bet... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5377709 Tue, 01 Nov 2011 04:00:00 +0100 5377709 http://www.medworm.com/index.php?rid=5377708&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22052123%26dopt%3DAbstract Authors: Goldsmith J Abstract No stranger to neonatal care providers in North America, Dr. Jay Goldsmith is a must-see speaker at the ANN National Advanced Practice Neonatal Nurses conference in New Orleans, April 18-21, 2012. A favorite hometown neonatologist, Dr. Goldsmith is a specialist in neonatal ventilation and resuscitation. To date, he has published over 80 peer review articles and 25 book chapters. He is also the lead author of Assisted Ventilation of the Neonate (Saunders), now in its fifth edition, and a past associate editor of the Neonatal Resuscitation Textbook (AAP, AHA). Truly a leader in perinatal care, Dr. Goldsmith is co-chair of the AAP Committee on Fetus and Newborn and is on the International Liaison Committee on Resuscitation (ILCOR). PMID: 22052123 [Pub... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5377708 Tue, 01 Nov 2011 04:00:00 +0100 5377708 http://www.medworm.com/index.php?rid=5377707&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22052124%26dopt%3DAbstract Authors: PMID: 22052124 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5377707 Tue, 01 Nov 2011 04:00:00 +0100 5377707 http://www.medworm.com/index.php?rid=5377706&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22052125%26dopt%3DAbstract Authors: Abstract AS PART OF THE 30TH ANNIVERSARY OF NEONATAL Network and the 10th Anniversary of the Academy of Neonatal Nursing, an honor wall was created for the national meeting held in September in Washington, DC. The list below, by no means exhaustive, features some of the neonatal nurses who have made significant contributions to our field. Nurses attending the conference were also invited to honor their own neonatal mentors on a write-in wall of fame. Who is your neonatal hero? PMID: 22052125 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5377706 Tue, 01 Nov 2011 04:00:00 +0100 5377706 http://www.medworm.com/index.php?rid=5140390&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21846623%26dopt%3DAbstract "Growing your own" ... Creating a neonatal nurse practitioner team. Neonatal Netw. 2011 Sep-Oct;30(5):289 Authors: Evanochko C Abstract YEARS AGO, AS A NEW STAFF NURSE IN THE NICU, I CAN fondly recall my first encounter with a neonatal nurse practitioner (NNP). She "listened " and intuitively understood when I indicated concern for the ill neonate I was caring for. Her passion for the role and clinical expertise resonated in the work that she did. She became my mentor and role model and influenced me to choose a career path as a NNP. Over the years, I have used her mentorship and passion as the basis for my clinical practice and for recruiting NICU nurses to become future NNPs on our team. This editorial will focus on the creation of a NNP team using a "grow-your-own strate... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5140390 Fri, 19 Aug 2011 13:09:02 +0100 5140390 http://www.medworm.com/index.php?rid=5140389&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21846624%26dopt%3DAbstract Authors: Fox MD Abstract The skin is a vital organ with key protective functions. Infants in the NICU are at risk for skin injury because of developmental immaturity and intensive care treatments. When skin injury occurs, the neonatal nurse is challenged to provide wound care to optimize functional and cosmetic healing. Optimal wound care requires basic knowledge of the mechanisms of injury, physiology of wound healing, host factors affecting wound healing, and wound assessment. This knowledge provides the basis for determining appropriate wound treatment, including dressing selection. Attention to pain issues associated with wound care is difficult because of the infant's developmental stage, but is essential because of the potentially negative life-long impact of pain. The premat... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5140389 Fri, 19 Aug 2011 13:08:58 +0100 5140389 http://www.medworm.com/index.php?rid=5140388&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21846625%26dopt%3DAbstract Authors: Molesky MG Abstract Chromosome 22q11.2 microdeletion syndrome is the most common microdeletion syndrome in humans. It involves the loss of genetic material on the short arm of one of the chromosome 22 alleles. Until advanced testing was available, this syndrome was known by various names including DiGeorge syndrome and velo-cardio-facial syndrome. This syndrome has a varied presentation with significant abnormalities including congenital heart disease, hypocalcemia, immunologic deficiencies, learning disabilities, and behavioral problems. A multidisciplinary approach is required to diagnose and manage the varied manifestations. PMID: 21846625 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5140388 Fri, 19 Aug 2011 13:08:54 +0100 5140388 http://www.medworm.com/index.php?rid=5140387&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21846626%26dopt%3DAbstract This article presents the challenges encountered by the neonatal intensive care unit team in providing care for a late preterm female infant presenting with gross abdominal distension. Description of the case includes preoperative management along with management of severe coagulopathy and hemorrhage that arose during the intraoperative and postsurgical course of care. A brief overview of abdominal masses in the newborn is presented. The importance in determining the final diagnosis of fetus in fetu and its differentiation from teratoma is discussed. PMID: 21846626 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5140387 Fri, 19 Aug 2011 13:08:50 +0100 5140387 http://www.medworm.com/index.php?rid=5140386&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21846627%26dopt%3DAbstract Authors: Follett T, Clarke DF Abstract Despite comprehensive antenatal screening recommendations and inexpensive treatment, congenital syphilis has long been and continues to be a public health concern, causing substantial morbidity and adverse outcomes. The following article reviews syphilis etiology and presentation, clinical disease, laboratory diagnosis, and treatment of congenital syphilis. A case will be presented describing a 31-week male infant exposed to infectious syphilis in utero. The neonate presented with classic signs of infection at birth. After initial serology testing of the infant, appropriate treatment was commenced. The infant received crystalline penicillin G for a period of ten days in consultation with pediatric infectious disease specialists. As expected, t... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5140386 Fri, 19 Aug 2011 13:08:46 +0100 5140386 http://www.medworm.com/index.php?rid=5140385&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21846628%26dopt%3DAbstract Authors: Bell SG Abstract NEONATAL NURSES MAY have experience with amphotericin B (a polyene) and fluconazole (an azole) for the treatment of neonatal systemic fungal infections. Recently, micafungin (Mycamine, Astellas Pharm, U.S., Inc., Deerfield, IL; Astellas Pharma Canada, Markham, ON), an echinocandin, a newer class of antifungal agents, has made an appearance in the NICU formulary. Safety and efficacy of micafungin has not been established in pediatric populations.1 This column describes the mechanism of action, dosing for prophylaxis, and treatment from published pharmacokinetic studies and case studies, adverse effects, and nursing implications for micafungin. PMID: 21846628 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5140385 Fri, 19 Aug 2011 13:08:41 +0100 5140385 http://www.medworm.com/index.php?rid=5140384&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21846629%26dopt%3DAbstract Authors: Pilcher J Abstract CONCEPT MAPS ARE VISUAL learning tools that demonstrate how information is related. The maps encourage learners to focus on the whole picture, rather than limited aspects of care.1 A concept map can begin with a word, phrase, case study, or idea. The concept is often written inside a box or circle in the center of a page, a whiteboard, or a chalkboard. Participants then construct a map around the concept, based on their knowledge, by writing their thoughts inside additional boxes or circles (also called nodes). Lines or arrows can be drawn between the shapes to indicate relationships between concepts.2 The quality of information within the nodes and identified relationships among concepts increase as learning progresses. For example, when presented with ... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5140384 Fri, 19 Aug 2011 13:08:38 +0100 5140384 http://www.medworm.com/index.php?rid=5140383&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21846630%26dopt%3DAbstract Authors: Cosimano A, Sandhurst H Abstract HUMAN MILK HAS THE greatest impact on costly short-term morbidities during the very early postbirth period.1 Although the health benefits of breast milk for all infants is undeniable, assisting new mothers as they breastfeed in the NICU can present various challenges. It can be days, weeks, or even months before the mothers of some NICU infants are able to put their baby to their breast for the first time. Often, these babies have been fed expressed breast milk through gavage feedings. PMID: 21846630 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5140383 Fri, 19 Aug 2011 13:08:34 +0100 5140383 http://www.medworm.com/index.php?rid=5140382&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21846631%26dopt%3DAbstract Authors: Discenza D Abstract PARENTS OF PREMATURE infants have a rough road whether they are dealing with the birth of a 36-week or a 23-week infant. Each infant has its own particular difficulties, but the reality of the potential for serious harm and even death is in each parent's mind. Discharge day, as happy as it may seem, can actually add more worry than calm to those same parents. Although the baby has gotten bigger and may have shed most of the medical equipment, the immune system is still underdeveloped, placing the baby at risk for developing an infection. One of the common pathogens both in the NICU and after discharge is the respiratory syncytial virus (RSV). Once the parents are told of this potential issue, their fears mount sometimes even higher than the early part o... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5140382 Fri, 19 Aug 2011 13:08:30 +0100 5140382 http://www.medworm.com/index.php?rid=5140381&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21846632%26dopt%3DAbstract Authors: Abstract A fond farewell and thanks to Shirley Brott, RN, BSN, MEd, who has completed her term as editor of the Academy News. Shirley will continue in her role as editor of the Academy Connection, the Academy's electronic newsletter. Shirley, we thank you and appreciate your many contributions to the Academy News! PMID: 21846632 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5140381 Fri, 19 Aug 2011 13:08:26 +0100 5140381 http://www.medworm.com/index.php?rid=5140380&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21846633%26dopt%3DAbstract Authors: PMID: 21846633 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5140380 Fri, 19 Aug 2011 13:08:16 +0100 5140380 http://www.medworm.com/index.php?rid=5140379&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21846634%26dopt%3DAbstract Authors: Ludington-Hoe SM Abstract IS IT 30 YEARS ALREADY SINCE I RECEIVED my first issue of Neonatal Network: The Journal of Neonatal Nursing (NN)? How time does fly when you are having fun! NN was a newborn 30 years ago and now it is a fully mature, highly respected peer-reviewed professional journal indexed by every relevant database and available to every health professional. Every issue, then and now, has been happily anticipated and definitively rewarding, containing so many articles of interest about innovative and established practices in caring for newborns and their families. I salute the accomplishment of 30 years of this neonatal nursing publication. To celebrate NN's achievement, I was asked to reflect on how Kangaroo Care (KC) has evolved over the last 30 years and to... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5140379 Fri, 19 Aug 2011 13:08:08 +0100 5140379 http://www.medworm.com/index.php?rid=5093289&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21729852%26dopt%3DAbstract Authors: Fraser D THE BUSINESS OF STAYING ON TOP OF OUR PROFESSION IS complicated. Continuing competence, certification, contact hours, advanced educational degrees, accreditors, providers, and co-providers are terms that form a part of the language of continuing nursing education (CNE). How do we create nursing activities that are relevant and timely for our readers? The first step lies with you, the reader and consumer of our CNE activities. We use feedback from our reader surveys to design our call for articles. We also provide the results of our reader surveys and our conference evaluations to the Education Committee, to the Conference Planning Committee and to our column editors. When CNE articles have been through the editing process and test questions have been developed, the ac... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5093289 Thu, 30 Jun 2011 23:00:00 +0100 5093289 http://www.medworm.com/index.php?rid=5093258&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21729853%26dopt%3DAbstract This article provides bedside clinicians with care recommendations for infants being treated with these new interventions. PMID: 21729853 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5093258 Thu, 30 Jun 2011 23:00:00 +0100 5093258 http://www.medworm.com/index.php?rid=5093216&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21729854%26dopt%3DAbstract This article is intended to help neonatal and pediatric nurses to effectively prepare the parents of an infant with a tracheostomy to provide safe, quality care to their child after being discharged from an acute care setting to their home. This article discusses the knowledge, attitudes, and skills the parents are required to acquire prior to the infant's discharge. Home ventilation, airway management, suctioning, tracheostomy care, emergency management, safe home environment, equipment for continuous or intermittent ventilation, and supplies necessary for care are some of the topics discussed. PMID: 21729854 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5093216 Thu, 30 Jun 2011 23:00:00 +0100 5093216 http://www.medworm.com/index.php?rid=5093210&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21729855%26dopt%3DAbstract This article will address the need for developmentally supportive care in the NICU, and specifically addresses the role of an OT in this setting. It will explain how crucial collaboration between team members can be in providing quality, comprehensive care for these neonates. In addition, it will address the important role of the parent in this setting for developmentally supportive care while in the NICU and follow-up intervention upon discharge. PMID: 21729855 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5093210 Thu, 30 Jun 2011 23:00:00 +0100 5093210 http://www.medworm.com/index.php?rid=5093207&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21729856%26dopt%3DAbstract Authors: Bell SG BOSENTAN (TRACLEER, Actelion Pharmaceuticals, South San Francisco, CA) is an oral dual endothelin-1 receptor antagonist with proven efficacy and safety in adults with primary pulmonary hypertension (PH).1,2 Several case reports of neonates and former premature infants with PH of varying etiologies demonstrate the potential effectiveness of bosentan in this population. This column will first discuss the role of the endothelin system in PH, describe the mechanism of action of bosentan, and, finally, review the neonatal cases of bosentan use reported in the literature. PMID: 21729856 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5093207 Thu, 30 Jun 2011 23:00:00 +0100 5093207 http://www.medworm.com/index.php?rid=5093204&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21729857%26dopt%3DAbstract Authors: Hunt RL A CAREFUL COLLECTION AND review of clinical and laboratory data are imperative when evaluating a neonate with unexplained bleeding, petechiae, or a family history of bleeding.1 A prothrombin time (PT), activated partial thromboplastin time (aPTT ), and a blood platelet count should constitute the initial diagnostic workup for an infant with abnormal bleeding.2,3 This column reviews the coagulation pathways, PT, aPTT , platelet function, normal lab values, and the application of the lab values to the infant in the NICU. PMID: 21729857 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5093204 Thu, 30 Jun 2011 23:00:00 +0100 5093204 http://www.medworm.com/index.php?rid=5093201&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21729858%26dopt%3DAbstract Authors: PMID: 21729858 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5093201 Thu, 30 Jun 2011 23:00:00 +0100 5093201 http://www.medworm.com/index.php?rid=5093198&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21729859%26dopt%3DAbstract Authors: Cheeseman SE THIS COLUMN IS THE FIRST in a series that explores health information technology (HIT) in the NICU. This column describes the national initiatives driving the adoption of information technology throughout the health care delivery system, as well as initiatives to establish requisite informatics competencies for nurses in practice. To engage fully in the digital era of health care, practicing nurses must master informatics competencies. Subsequent columns in the series will provide information and resources for developing informatics knowledge and skills to meet recommended competencies, and will explore health information and communication technology applications in the NICU. PMID: 21729859 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5093198 Thu, 30 Jun 2011 23:00:00 +0100 5093198 http://www.medworm.com/index.php?rid=5093194&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21729860%26dopt%3DAbstract Authors: Munson M, Saatkamp R, West C LATE PRETERM INFANTS HAVE received coverage in many medical and nursing journals over the past few years. Lately, they have made the lay press as well, with reports such as this one, "Attention pregnant women: No, you cannot spring the baby early because you're tired of swelling, heartburn, and frequent trips to the bathroom. Yet another study shows that being born even a few weeks early is not healthy for the baby. In the new study, babies born between 34 and 37 weeks of gestation, called late preterm, are more likely to have severe respiratory illness compared with those born full term."1. PMID: 21729860 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5093194 Thu, 30 Jun 2011 23:00:00 +0100 5093194 http://www.medworm.com/index.php?rid=5093191&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21729861%26dopt%3DAbstract Authors: Smalls HT NO ONE GOES TO WORK intending to cause their patients any harm, and neither did you. But today you were served-by a sheriff, no less- with a document that says you have been named in a lawsuit. The worst part is, you do not even remember the patient! PMID: 21729861 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5093191 Thu, 30 Jun 2011 23:00:00 +0100 5093191 http://www.medworm.com/index.php?rid=5093179&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21729862%26dopt%3DAbstract Authors: Gunn J IT HAD BEEN A LONG JOURNEY; one that even after two years, continues to cause great pain. Grief has stages, it is true, but grief is not forgotten. In the deep recesses of a heart, grief hides, only to surface when least expected. The memory of the loss of a grandchild flutters about, coming and going. It is an experience that was new to me. There had been other babies who died early on, in the first or second trimester, but this baby had survived with his little sister until the last month. She was fine, growing and moving. Somehow, he became entangled in the cord and died. There were really three babies within, one who is moving and vibrant, one who died in the first trimester, and a third, the little boy, who lay still entangled in his own life support cord. PMID... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5093179 Thu, 30 Jun 2011 23:00:00 +0100 5093179 http://www.medworm.com/index.php?rid=5093176&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21729863%26dopt%3DAbstract Authors: Spitzer AR The Preemie Parent's Survival Guide to the NICU-How to Maintain your Sanity and Create a New Normal is just what the title says it is. This "survival guide" has many helpful pointers for the parent of a premature infant in the NICU. For the neonatal nurse, this book expresses emotions felt by NICU parents, emotions that many neonatal nurses, experienced or novice, may not have contemplated. These emotions, although perhaps not expressed by the parent in the unit, must be thoughtfully considered by the nurse as she cares for the infant. Parents want to be respected, be involved in the care of their infant, and feel part of the infant's life. Nurses can teach and encourage caregiving behaviors to help parents attain these goals. The book's authors, Nicole Conn and Deb... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5093176 Thu, 30 Jun 2011 23:00:00 +0100 5093176 http://www.medworm.com/index.php?rid=5093157&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21729864%26dopt%3DAbstract Authors: Brott SJ Did you know Washington, DC's surrounding suburbs are home to the nation's "Tech Corridor"? Many science institutes, such as the National Institutes of Health, the Human Genome Project, Goddard Space Center, and John's Hopkins University are found here. Neonatal nurses who live in this region benefit from and utilize the wealth of accessible and available resources. ANN's last National Neonatal Nurses Conference in Washington, DC, was one of our best attended conferences because of its location, the support of area nurses, and our line-up of world-class speakers. PMID: 21729864 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5093157 Thu, 30 Jun 2011 23:00:00 +0100 5093157 http://www.medworm.com/index.php?rid=5093155&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21729865%26dopt%3DAbstract Authors: Fraser D Apnea monitors, alarms... PMID: 21729865 [PubMed - as supplied by publisher] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=5093155 Thu, 30 Jun 2011 23:00:00 +0100 5093155 http://www.medworm.com/index.php?rid=4853436&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21576048%26dopt%3DAbstract Authors: Fraser D AS WE HAVE DONE FOR THE PAST FEW YEARS, IN THIS ISSUE we join with nursing specialty organizations and the American Nurses Association to offer our collective thoughts in honor of Nurses' Week. The theme for this year's editorial is The Future of Nursing. PMID: 21576048 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4853436 Sat, 30 Apr 2011 23:00:00 +0100 4853436 http://www.medworm.com/index.php?rid=4853435&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21576049%26dopt%3DAbstract This article presents the case of a baby girl with acute and progressive neonatal purpura fulminans as the presenting feature of PC deficiency. Other common complications of this disease include ophthalmic problems and central nervous system (CNS) changes. Management consists of correcting the coagulopathy, intensive wound care including negative-pressure dressings and skin grafting, and supportive care for the ophthalmic and CNS issues. Long-term follow-up consists of lifelong anticoagulant therapy to avoid recurrence of these complications. PMID: 21576049 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4853435 Sat, 30 Apr 2011 23:00:00 +0100 4853435 http://www.medworm.com/index.php?rid=4853434&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21576050%26dopt%3DAbstract Authors: Lewis DA, Sanders LP, Brockopp DY Purpose: The primary aim of this study was to evaluate the use of three nursing interventions-occlusive wrap, chemical mattress, and regulation of delivery room temperature- singly and in combination in consecutive years on thermoregulation in six groups of low birth weight infants.Design: A quasi-experimental design was used. Prospective data were collected on 133 infants weighing <1,500 g. Interventions were tested on different groups of infants in each of three years. The control group comprised 295 infants on which retrospective chart data were available over an earlier three-year period.Sample: Infants weighing <1,500 g participated in the study.Main Outcome Variable: The main outcome variable was NI CU admission temperatures of inf... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4853434 Sat, 30 Apr 2011 23:00:00 +0100 4853434 http://www.medworm.com/index.php?rid=4853433&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21576051%26dopt%3DAbstract Authors: Kane E, Bretz G Coagulase-negative Staphylococcus (CoNS) bloodstream infection is the most common cause of sepsis in the NICU and can lead to significant morbidity and mortality. There is evidence that hand hygiene using an alcohol-based gel and wearing gloves during patient care, management of central and peripheral intravenous lines using the Centers for Disease Control and Prevention (CDC) guidelines, and a closed medication administration system can reduce the incidence to CoNS sepsis in the (NICU). To successfully apply the evidence and decrease the CoNS infection rate, a systematic process is necessary. One approach to process change that significantly reduced the CoNS infection rate in a health care system with two Level III NICUs included using system thinking; working... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4853433 Sat, 30 Apr 2011 23:00:00 +0100 4853433 http://www.medworm.com/index.php?rid=4853432&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21576052%26dopt%3DAbstract Authors: Phillips C, Clifton-Koeppel R, Sills J, Lomax JM, Rapini M, Huffman ML, Modanlou HD Purpose: (1) To determine the rate of damaged and discarded capillary blood draws in the NICU; (2) to compare the rate of damaged and discarded samples between traditional capillary blood draws and the Innovac Quick-Draw device; (3) to determine whether in-service training for nurses on capillary blood draws decreased the rate of damaged and discarded blood samples.Design: During Phase I of the study, the rate of capillary blood draws by the traditional method was determined. At the completion of Phase I, the manufacturer provided in-service training to senior nurses in the NICU with the use of the Innovac Quick-Draw device. Additional in-service training was also provided for the traditional c... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4853432 Sat, 30 Apr 2011 23:00:00 +0100 4853432 http://www.medworm.com/index.php?rid=4853431&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21576053%26dopt%3DAbstract Authors: Corzine M ONCE YOU HAVE EVALUATED the case and the x-rays presented in Part 1, turn to page 183 of this journal for Part 2, a discussion of the diagnosis. PMID: 21576053 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4853431 Sat, 30 Apr 2011 23:00:00 +0100 4853431 http://www.medworm.com/index.php?rid=4853430&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21576054%26dopt%3DAbstract Authors: Corzine M Based on clinical examination (increased abdominal girth, increased residuals, and decreased tone and activity level in a 15-day-old preterm female who had had a peripherally inserted central catheter [PICC] in place since admission), the initial differential diagnoses for Baby K included catheter-related sepsis, septic ileus, necrotizing enterocolitis (NEC), and feeding intolerance. The fact that Baby K's PICC had been in place for 15 days increased concern for possible catheter-related sepsis. Upon review of the complete blood count (CBC) and C-reactive protein (CRP), the lab results were noted to be normal. Vital signs and bedside glucose monitoring were normal. There was no increase in apnea or bradycardia events. Therefore, sepsis seemed less likely but was not ... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4853430 Sat, 30 Apr 2011 23:00:00 +0100 4853430 http://www.medworm.com/index.php?rid=4853429&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21576055%26dopt%3DAbstract Authors: Pilcher J NURSE INTERNSHIPS AND residency programs are not new to specialty areas, such as critical care, surgical units, and neonatal intensive care settings. 1 Studies have demonstrated benefits of nurse residency programs to include financial return on investment, increased retention rates, and enhanced participant confidence, competence, and satisfaction.2-5 The recent Institute of Medicine (2010) report, The Future of Nursing: Leading Change, Advancing Health, has brought a renewed focus and public spotlight to orientation programs for novice nurses.6 Specifically, recommendation #3 states, "Implement nurse residency programs. State boards of nursing, accrediting bodies, the federal government, and health care organizations should take actions to support nurses' completio... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4853429 Sat, 30 Apr 2011 23:00:00 +0100 4853429 http://www.medworm.com/index.php?rid=4853428&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21576056%26dopt%3DAbstract Authors: Rubarth LB TWINS-ARETHEYFRATERNAL or identical? What is the difference? Is there any way to know without a DNA test? Is it accurate for an obstetrician to tell the parents that their twins were fraternal because they were in two separate sacs? Not necessarily! What does it really mean when twins are described as identical or fraternal? PMID: 21576056 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4853428 Sat, 30 Apr 2011 23:00:00 +0100 4853428 http://www.medworm.com/index.php?rid=4853427&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21576057%26dopt%3DAbstract Authors: Johnson PJ OVER THE PAST FOUR OR more decades, neonatal clinical practice has included the use of sodium bicarbonate in the treatment of acute metabolic acidosis-specifically, lactic acidosis-as part of cardiopulmonary resuscitation (CPR ) of the newborn. The current edition of the Neonatal Resuscitation Program guidelines continues to include sodium bicarbonate as a recommended secondary treatment for metabolic acidosis following the initial steps of resuscitation, which include adequate ventilation, cardiac compressions, and volume expansion.1 However, the historical and current evidence refutes routine treatment of hypoxic metabolic acidosis with sodium bicarbonate.2 This review summarizes the evidence and examines the controversy over the use of sodium bicarbonate to treat... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4853427 Sat, 30 Apr 2011 23:00:00 +0100 4853427 http://www.medworm.com/index.php?rid=4853426&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21576058%26dopt%3DAbstract Authors: Discenza D DISCHARGE DAY IS ON THE mind of everyone in the NICU, from the eager (and probably highly nervous) parent to each and every professional on the team. In American culture, medical discharge from a hospital is synonymous with treatment success. For NICU infants with special needs, however, it means much more. These infants have survived some of the toughest moments in life. With love, nurturing, and education, they can continue to thrive physically, mentally, and developmentally outside the unit. Preparing parents to take over is the unique challenge that NICU professionals face as they interact with the family throughout the infant's stay and at discharge. With a little bit of planning, discharge day can be a memorable and educational experience for the family as wel... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4853426 Sat, 30 Apr 2011 23:00:00 +0100 4853426 http://www.medworm.com/index.php?rid=4853425&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21576059%26dopt%3DAbstract Authors: PMID: 21576059 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4853425 Sat, 30 Apr 2011 23:00:00 +0100 4853425 http://www.medworm.com/index.php?rid=4853424&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21576060%26dopt%3DAbstract Authors: Brott SJ Since 1974, nurses around the nation have celebrated National Nurses Week from May 6-12 in honor of England's Florence Nightingale, who was born on May 12, 1820, in Florence, Italy. This year, the American Nurses Association's (ANA) theme for Nurses Week is "Nurses: Trusted to Care." The ANA has some cool nursing themed gear and gifts on their web site. Check it out at https://www.jimcolemanltd.com/ana/. PMID: 21576060 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4853424 Sat, 30 Apr 2011 23:00:00 +0100 4853424 http://www.medworm.com/index.php?rid=4853423&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21576061%26dopt%3DAbstract Authors: Johnson PJ THE GROWTH AND MATURATION OF THE NEONATAL NURSE PRACTITIONER (NNP) over the past three decades has been nothing less than inspiring and prolific. When Neonatal Network: The Journal of Neonatal Nursing (NN) was first published, the NNP was not commonplace in most neonatal services throughout the U.S. Early on, NN provided an important avenue for networking and communication among the few and far between practicing NNPs before cell phones, e-mails, list serves, and plain paper fax machines provided today's ready access to colleagues. Over the past 30 years, NN has remained a valuable medium for NNPs to share characteristics of practice environments and teams, define roles, share evidence and access, and contribute reliable peer-reviewed specialty specific literature. ... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4853423 Sat, 30 Apr 2011 23:00:00 +0100 4853423 http://www.medworm.com/index.php?rid=4798743&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21520680%26dopt%3DAbstract Authors: Fraser D PMID: 21520680 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4798743 Tue, 01 Mar 2011 00:00:00 +0100 4798743 http://www.medworm.com/index.php?rid=4798742&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21520681%26dopt%3DAbstract Authors: Zhang J, Lee BH, Chen C Neonatal osteomyelitis is a rare and challenging diagnosis, particularly in the early onset period. Neonatal osteomyelitis is predominantly caused by Staphylococcus aureus with single bone involvement. Here, we report two cases of neonatal osteomyelitis in premature infants caused by Klebsiella pneumoniae with multiple bone lesions. Both cases presented with sepsis and meningitis and were initially diagnosed by incidental findings on plain films, with follow-up bone scan imaging. In both cases, diagnosis was timely and treatment was successful. These cases highlight the need to include neonatal osteomyelitis in the differential diagnosis when late-onset or prolonged neonatal sepsis is present, particularly because long-term outcome is dependent on rapid... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4798742 Tue, 01 Mar 2011 00:00:00 +0100 4798742 http://www.medworm.com/index.php?rid=4798741&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21520682%26dopt%3DAbstract Authors: Ardal F, Sulman J, Fuller-Thomson E (1) To explore the experience of non-English-speaking mothers with preterm, very low birth weight (VLBW) infants (,1,500 g); and (2) to examine mothers' assessment of a peer support program matching them with linguistically and culturally similar parent-buddies. PMID: 21520682 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4798741 Tue, 01 Mar 2011 00:00:00 +0100 4798741 http://www.medworm.com/index.php?rid=4798740&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21520683%26dopt%3DAbstract This article shares information on the evolution of our triage program, its benefits to infants and their families, and how it is integrated into our NICU practices. PMID: 21520683 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4798740 Tue, 01 Mar 2011 00:00:00 +0100 4798740 http://www.medworm.com/index.php?rid=4798739&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21520684%26dopt%3DAbstract This article compares, contrasts, and reviews the available evidence regarding the use of SAF feedings as a means of reducing GI tract changes associated with nothing-by-mouth (NPO) status. PMID: 21520684 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4798739 Tue, 01 Mar 2011 00:00:00 +0100 4798739 http://www.medworm.com/index.php?rid=4798738&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21520685%26dopt%3DAbstract Authors: O'Connor M, Ward-Smith P PMID: 21520685 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4798738 Tue, 01 Mar 2011 00:00:00 +0100 4798738 http://www.medworm.com/index.php?rid=4798737&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21520686%26dopt%3DAbstract Authors: Scheans P PMID: 21520686 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4798737 Tue, 01 Mar 2011 00:00:00 +0100 4798737 http://www.medworm.com/index.php?rid=4637255&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21402520%26dopt%3DAbstract Authors: Scheans P NEONATAL DEATH IN the delivery room is, fortunately, a rare situation. Only one in ten newborns needs assistance to initiate respirations, and fewer than one in a thousand needs cardiac compressions or medications.1 It is an especially unusual occurrence for a highly skilled NICU team to be unable to resuscitate a newborn with a low-risk perinatal history because the perinatal team is usually aware of prenatal risk factors or intrapartum events that provide a history to work from during the resuscitation and stabilization. What possible causes are there for a fully developed newborn to be unresponsive to resuscitation in spite of care guided by the best evidence of the International Liaison Committee on Resuscitation (ILCOR)? This case review discusses a rare cause o... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4637255 Tue, 01 Mar 2011 00:00:00 +0100 4637255 http://www.medworm.com/index.php?rid=4637254&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21402521%26dopt%3DAbstract Authors: Brott SJ Skin care, genetics, and neonatal pharmacology were the topics of discussion for Neonatal Network's first edition in October of 1981. Joanne McManus, in considering skin care of the new-born, instructed nurses to be aware of neonate's largest organ's permeability. Donna Hymes, author of "Advancement in Medical Genetics" wrote, "Neonatal units will continue to see various genetic disorders," and "Principles in Neonatal Pharmacology," by DonelleCampbell, discussed the mechanisms of drug metabolism. Neonatal Network was then, as it is now, an educational medium for nurses to deliver the best in neonatal care. PMID: 21402521 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4637254 Tue, 01 Mar 2011 00:00:00 +0100 4637254 http://www.medworm.com/index.php?rid=4637253&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21402522%26dopt%3DAbstract Authors: Bell SG NEONATAL NURSES ARE most familiar with recombinant er y thropoietin (EPO), epoetin alfa (Epogen, Amgen Manufacturing, Thousand Oaks, California; Procrit, Amgen, Inc., Thousand Oaks, California, for Centocor Ortho Biotech Products, LP, Raritan, New Jersey), a treatment for anemia of prematurity. Recent animal and human neonatal studies demonstrate the potential for a neuroprotective function of EPO in infants with hypoxicischemic encephalopathy (HIE).1-3 Erythropoietin has also been shown to improve functional and histologic outcome in neonatal stroke in an animal model.4 Finally, in a study of 16 premature infants, researchers found that infants with elevated EPO concentrations had higher Mental Development Index scores than those with lower EPO concentrations.5 This c... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4637253 Tue, 01 Mar 2011 00:00:00 +0100 4637253 http://www.medworm.com/index.php?rid=4637252&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21402523%26dopt%3DAbstract Authors: PMID: 21402523 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4637252 Tue, 01 Mar 2011 00:00:00 +0100 4637252 http://www.medworm.com/index.php?rid=4637251&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21402524%26dopt%3DAbstract Authors: Fraser D WHAT A COINCIDENCE-THE 30TH ANNIVERSARY OF NEONATAL NETWORK coincides with my own 30th anniversary as a neonatal nurse. Now that I have dated myself and committed to making the cake for the party in my unit, I thought I would reflect a bit on what I've seen in 30 years of reading this journal and working in NICU. PMID: 21402524 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4637251 Tue, 01 Mar 2011 00:00:00 +0100 4637251 http://www.medworm.com/index.php?rid=4521941&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21317091%26dopt%3DAbstract Authors: Rait S AT THE BEGINNING OF 1981, Neonatal Network® was a twinkle in the eye of my husband, Charles (Chuck) Rait. Chuck felt that neonatal nurses needed a resource that specifically met their needs in the new, evolving specialty of neonatal nursing. My most vivid memory of the genesis of the undertaking that would result in this journal was Chuck going to the library at the University of California, San Francisco, and hand writing, on large, yellow legal pads, the names of all of the hospitals in the country that had neonatal intensive care nurseries. I, then, typed out the labels for 44 fliers with subscription information on them to 1,000 neonatal units. Our hope was that those 44,000 fliers would reach a receptive audience of neonatal nurses who knew that they needed more n... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4521941 Sat, 01 Jan 2011 00:00:00 +0100 4521941 http://www.medworm.com/index.php?rid=4521940&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21317092%26dopt%3DAbstract Authors: Zaichkin J, Weiner GM In spring 2011, the American Academy of Pediatrics (AAP) will release sixth edition materials for the Neonatal Resuscitation Program (NRP). This edition brings changes in resuscitation practice and a new education methodology that shifts the instructor from "teacher" to "learning facilitator" and requires the NRP course participant to assume more responsibility for learning. The change from a lecture format to simulation-based learning requires instructors to learn new skills and meet new requirements to maintain instructor status.The sixth edition of the Textbook of Neonatal Resuscitation and the fifth edition of the Instructor's Manual for Neonatal Resuscitation are currently in press. The AAP granted permission to use material from these forthcoming pu... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4521940 Sat, 01 Jan 2011 00:00:00 +0100 4521940 http://www.medworm.com/index.php?rid=4521939&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21317093%26dopt%3DAbstract This article proposes an extension of this model specific to neonatal transport. It also shows how the Circle of Caring Model for Neonatal Transport functions within the framework of a hypothetical patient case. PMID: 21317093 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4521939 Sat, 01 Jan 2011 00:00:00 +0100 4521939 http://www.medworm.com/index.php?rid=4521938&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21317094%26dopt%3DAbstract This study explored the maternal experience of breastfeeding initiation and progression in the NICU.Design: A qualitative, descriptive design.Sample: A convenience sample of ten mothers was recruited from a Level III NICU. The sample included mothers of infants between 33 and 36 weeks gestational time at the time of the interview who had been in the NICU for at least five days.Main Outcome Variable: Mothers' breastfeeding experiences with preterm infants in an NICU.Results: Mothers described their breastfeeding experiences in terms of maintaining milk production, the regimen of the NICU , mother as learner, personal motivation, and forming attachments. PMID: 21317094 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4521938 Sat, 01 Jan 2011 00:00:00 +0100 4521938 http://www.medworm.com/index.php?rid=4521937&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21317095%26dopt%3DAbstract This article highlights the significant role nurses play in the management of infants diagnosed with HIE who are treated with induced hypothermia. PMID: 21317095 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4521937 Sat, 01 Jan 2011 00:00:00 +0100 4521937 http://www.medworm.com/index.php?rid=4521936&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21317096%26dopt%3DAbstract This article describes physiologic and behavioral factors that impact the fetus and newborn infant and may have long-term developmental consequences. A clinical reasoning process to support development optimizes the outcomes of IDMs while in the NICU. Specific interventions are suggested. PMID: 21317096 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4521936 Sat, 01 Jan 2011 00:00:00 +0100 4521936 http://www.medworm.com/index.php?rid=4521935&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21317097%26dopt%3DAbstract Authors: Brott SJ Begin the new year celebrating and advancing your neonatal nursing practice by planning a trip to Hawaii for the 8th National Advanced Practice Neonatal Nurses Conference. Early bird registration rates still apply, but hurry! This is a popular conference and space is limited! Sign up now for your ocean view! PMID: 21317097 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4521935 Sat, 01 Jan 2011 00:00:00 +0100 4521935 http://www.medworm.com/index.php?rid=4521934&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21317098%26dopt%3DAbstract Authors: Rubarth LB THERE ARE 30 BLOOD GROUP systems, one of the most common being the ABO system.1 Another is the Rh(D) or Rhesus blood group, which gives us Rh positive or Rh negative blood type. The minor blood groups are Rh c, Rh E, Kell, Lewis, Duffy, Kidd, and many more. These minor blood groups can cause incompatibility issues with the mother's blood group. During pregnancy, a mother is screened or tested for antibodies that may attack the baby's red blood cells (RBCs). Minor blood groups must be considered when an infant presents with jaundice and a positive antibody screen without evidence of ABO or Rh incompatibility.2. PMID: 21317098 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4521934 Sat, 01 Jan 2011 00:00:00 +0100 4521934 http://www.medworm.com/index.php?rid=4521933&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21317099%26dopt%3DAbstract Authors: Johnson PJ As IN MOST ASPECTS OF neonatology, clinical pharmacology in the newborn is uniquely dependent upon age-related maturation, which is responsible for alterations in pharmacokinetics (drug disposition, or what the body does to the drug) (See Glossary), and pharmacodynamics (what the drug does to the body) when compared to the adult. Drug disposition involves the action of drugs in the body over a period of time, including the pharmacokinetic processes of absorption, distribution, localization in tissues, metabolic biotransformation, and excretion. How maturational differences affect these processes is especially apparent in newborns and is illustrated in Table 1. Drug pharmacodynamics refers to the drug dose-response relationship and remains the least studied aspect of... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4521933 Sat, 01 Jan 2011 00:00:00 +0100 4521933 http://www.medworm.com/index.php?rid=4521932&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21317100%26dopt%3DAbstract Authors: PMID: 21317100 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4521932 Sat, 01 Jan 2011 00:00:00 +0100 4521932 http://www.medworm.com/index.php?rid=4521931&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21317101%26dopt%3DAbstract Authors: Pilcher J AS EARLY AS 1937, THE National League for Nursing specified that nurses are fundamentally teachers.1 We routinely teach parents, families, students, novice nurses, and each other. Nurses are also innovators and often devise creative strategies for relaying information. This column contains a compendium of creative teaching ideas and tools from nurse educators and bedside nurses from around the U.S. Several of the ideas presented in this column were shared by nurses attending a preconference on teaching strategies at the 10th National Neonatal Nurses conference in Savannah, Georgia, last fall. Many of the strategies provide learning activities that appeal to visual, auditory, read/write, and/or kinesthetic learning preferences.2 Appealing to learning preferences, prov... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4521931 Sat, 01 Jan 2011 00:00:00 +0100 4521931 http://www.medworm.com/index.php?rid=4521930&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21317102%26dopt%3DAbstract Authors: Discenza D POSTPARTUM DEPRESSION (PPD) strikes one in eight women.1 Mothers of premature infants are at especially high risk for PPD because of the amount of stress involved in a premature birth and in caring for the infant in the NI CU. The mother is struggling with loss of a "normal" birth and has been thrust into the scary world of the NICU, where she must watch her infant fight for life. Stress and lack of a decent recovery period combine to tax the mother's emotional state and put her ability to cope at risk. The concept of nurturing touch, however, can bridge the gap between mother and infant while providing emotional, medical, and developmental benefits. PMID: 21317102 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4521930 Sat, 01 Jan 2011 00:00:00 +0100 4521930 http://www.medworm.com/index.php?rid=4521929&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21317103%26dopt%3DAbstract Authors: The NICU Rollercoaster: How to set up and use an online blog to help survive the ups, downs, agonies, and joys of your baby's stay was written by the parents of twins, born at 25 weeks gestation. Soon after their babies were born, the authors found themselves too overwhelmed to return phone calls or repeatedly describe their experiences without breaking down. Their hospital offered access to a password-protected Internet blog site. The site was designed for parents to type in updates regarding their infants. Family and friends with the password could read the updates and provide words of encouragement and support to the parents. The authors treated the blog as a journal, a day-by-day story of the tribulations and emotions they encountered as their infants rode the NICU roller... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4521929 Sat, 01 Jan 2011 00:00:00 +0100 4521929 http://www.medworm.com/index.php?rid=4521928&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21317104%26dopt%3DAbstract Authors: Marcellus L Thank you to authors Murphy-Oikonen, Brownlee, Montelpare, and Gerlach for their article in the September/ October 2010 issue on "The Experiences of NICU Nurses Caring for Infants with Neonatal Abstinence Syndrome." Some important points were raised about the impact of providing care to this group of infants on NICU nurses and I greatly appreciated the honesty of the feedback and analysis. Many of the comments mirrored what I have experienced personally in over 15 years of working in NICU settings. I would like to share a more recent part of my work that builds on the final comments of the authors on the need for education about addiction and substance use and attitude changes by the nurses with the hopes that it may provide some ideas for how nurses can address th... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4521928 Sat, 01 Jan 2011 00:00:00 +0100 4521928 http://www.medworm.com/index.php?rid=4521927&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21317105%26dopt%3DAbstract Authors: Koehler R OVER THE COURSE OF MY CAREER MANY PEOPLE HAVE ASKED HOW A MALE became interested in neonatal nursing. My entire motivation was and still is my niece, who was born at roughly 33 weeks gestational age back in 1970. I vividly remember physicians speaking of gaps in medical knowledge when few options existed for treating babies such as Kristi. My sister recalls feeling very helpless; it was a terrible time. I know now that neonatal medicine was in its infancy. PMID: 21317105 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4521927 Sat, 01 Jan 2011 00:00:00 +0100 4521927 http://www.medworm.com/index.php?rid=4164887&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21071357%26dopt%3DAbstract Authors: These are the abstracts for the poster presentations from the recent 10th National Neonatal Nurses Conference and the 13th National Mother Baby Nurses Conference in Savannah, Georgia. They represent a broad range of neonatal and perinatal issues. By sharing this information, we hope to increase awareness of research and innovative programs within the perinatal health care community, and support evidence-based nursing practice. Some abstracts have been edited for publication. PMID: 21071357 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4164887 Mon, 01 Nov 2010 00:00:00 +0100 4164887 http://www.medworm.com/index.php?rid=4164886&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21071358%26dopt%3DAbstract Authors: Rait S THIS YEAR WAS THE CENTENNIAL OF FLORENCE Nightingale's death and in commemoration, was designated as the International Year of the Nurse (IYNurse) by The Honor Society of Nursing, Sigma Theta Tau in the U.S., The Nightingale Initiative for Global Health in Canada, and the Florence Nightingale Museum in England. 2010 IYNurse is "a collaborative, grassroots global initiative honoring nurses' voices, values, and wisdom-to act as catalysts for achieving a healthy world." In this "celebration of commitment," we honor Florence Nightingale as the founder of modern nursing and for the legacy she left us and we recognize the contributions of nurses today, all over the world. At the 2010 IYNurse website, you can read stories contributed by nurses that illustrate progress made in ... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4164886 Mon, 01 Nov 2010 00:00:00 +0100 4164886 http://www.medworm.com/index.php?rid=4164885&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21071359%26dopt%3DAbstract This article reports a case of cardiac tamponade and right pleural effusion secondary to transudation of hyperosmolar fluid from an appropriately placed umbilical venous catheter. The infant survived as a result of early diagnosis by echocardiography and urgent chest tube placement that drained both pleural and pericardial effusions. Cardiac tamponade should be highly suspected in any neonate with a central venous catheter who develops sudden, unexplained clinical deterioration in cardiopulmonary status even when the line is properly placed, and urgent echocardiography or pericardiocentesis should be considered early in management of such patients. Umbilical venous catheterization should be considered only for a select group of sick neonates due to risks involved with these lines. When an ... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4164885 Mon, 01 Nov 2010 00:00:00 +0100 4164885 http://www.medworm.com/index.php?rid=4164884&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21071360%26dopt%3DAbstract This article is intended to encourage discussion of pain prevention in the NICU, with a goal of creating a new "minimal-pain" NICU culture. The focus of NICU pain management programs should be on decreasing the number of painful events the NICU patient experiences. Areas for consideration include assessing the performance of procedures by novice versus experienced NICU personnel, reevaluating the role of pediatric residents in the treatment of NICU patients, evaluating the use of umbilical lines and peripherally inserted central catheters to reduce the frequency of peripheral punctures, and evaluating the admission process for ways to reduce neonatal pain and stress. This article discusses the physiology of pain in the neonate, identifies adverse outcomes related to repeated pain, and prop... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4164884 Mon, 01 Nov 2010 00:00:00 +0100 4164884 http://www.medworm.com/index.php?rid=4164883&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21071361%26dopt%3DAbstract Conclusion: Single and combined interventions improved growth and motor function. The combined intervention, because of the shorter duration of each modality, did not lead to additive/synergistic effects, suggesting that the duration of the sensorimotor input is as important as its target in achieving defined outcomes. PMID: 21071361 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4164883 Mon, 01 Nov 2010 00:00:00 +0100 4164883 http://www.medworm.com/index.php?rid=4164882&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21071362%26dopt%3DAbstract Authors: Randenberg AL HYDROPS FETALIS IS A CONDITION in which there is an excess of total body fluid, primarily within the fetal interstitial spaces.1,2 Etymologically, hydrops fetalis is a Latin term meaning "edema of the fetus."2,3 In addition to generalized edema, the fetus has at least one of the following: ascites, pericardial effusion, pleural effusion(s), and an abnormally thick (>6 cm) placenta.4-6 Hydrops is classified as nonimmune hydrops fetalis (NIHF) when it occurs without evidence of isoimmunization.7,8. PMID: 21071362 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4164882 Mon, 01 Nov 2010 00:00:00 +0100 4164882 http://www.medworm.com/index.php?rid=4164881&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21071363%26dopt%3DAbstract Authors: Brott SJ Our conferences are growing! Fourteen hundred nurses attended the 10th National Neonatal Nurses Conference and the 13th National Mother Baby Nurses Conference. Attendees began each morning with a tranquil ferry ride across the Savannah River in anticipation of learning, networking, and seeing friends…and family! Eight family members of Rodney Koehler, RN, flew in and surprised him to be present for his Excellence in Neonatal Nursing Practice Award presentation. Rod and his family danced the night away on one of the two "filled to capacity" river boatcruises. Imagine…500 neonatal nurses grooving to the music along the Savannah River! The Lady and Son's restaurant was a hit as well, with 300 nurses taking part in Paula Deen's dining experience. Check out some of the... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4164881 Mon, 01 Nov 2010 00:00:00 +0100 4164881 http://www.medworm.com/index.php?rid=4164880&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21071364%26dopt%3DAbstract Authors: Nash P LIKE MANY STAFF NURSES AND neonatal nurse practitioners (NNPs), I work at two different hospitals as part of my full-time job and at a third hospital in a PRN position. Working at several different institutions affords the opportunity for multiple and varied learning experiences. One of the hospitals is a busy center for high-risk labor and delivery. As part of the NNP duties there, I attend board report three times per day. This entails a detailed discussion of all women in labor and delivery, primarily focusing on the high-risk patients. Fetal fibronectin (fFN) is a common topic of discussion during board report. I thought that fFN helped the perinatologist determine whether or not the woman was in labor and in imminent danger of delivery, but that was all I knew. Lik... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4164880 Mon, 01 Nov 2010 00:00:00 +0100 4164880 http://www.medworm.com/index.php?rid=4164879&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21071365%26dopt%3DAbstract Authors: PMID: 21071365 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4164879 Mon, 01 Nov 2010 00:00:00 +0100 4164879 http://www.medworm.com/index.php?rid=4164878&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21071366%26dopt%3DAbstract Authors: Scheans P MULTIDRUG-RESISTANT ORGANISMS (MDROs) or multiresistant organisms are a significant and growing concern to all of us. Late-onset methicillin-resistant Staphylococcus aureus (MRSA) infections in the NICU are reported to have increased by 308 percent from 1995 to 2004.1 The Centers for Disease Control and Prevention (CDC) Healthcare Infection Control Practices Advisory Committee considers the prevention and control of MDROs a national priority, one that requires administrative and scientific leadership. This campaign will take commitment of financial resources, as well as of human resources devoted to practice improvement, expert consultation, laboratory support, monitoring of adherence to the practices that help with the problem, and data analysis.2 Unfortunately, thi... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4164878 Mon, 01 Nov 2010 00:00:00 +0100 4164878 http://www.medworm.com/index.php?rid=4164877&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21071367%26dopt%3DAbstract Authors: Pilcher J, Bedford L ADVANCES IN TECHNOLOGY HAVE expanded the educational tools and learning options available to today's nurses. Among these technologically enhanced tools and strategies are online learning, podcasts, vodcasts, webcasts, webinars, discussion forums, mobile learning, realistic simulations, and others. What exactly are these options? Which ones are the most effective? This is the first topic we will address in a new column on educational strategies in the NICU, a column designed to familiarize NICU nurse educators, clinical nurse specialists, managers, and preceptors with innovative and evidenced-based teaching strategies that promote optimal learning among NICU nurses. The purpose of this first column is to provide an introduction to innovative teaching tools ... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4164877 Mon, 01 Nov 2010 00:00:00 +0100 4164877 http://www.medworm.com/index.php?rid=4164876&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21071368%26dopt%3DAbstract Authors: Discenza D I HAVE SPOKEN OVER THE YEARS WITH many families who have described medical professionals giving dire predictions for their NICU baby and preparing them for the worst. An informed opinion is important for families, but the reality is that NICU medicine has many daily miracles that go beyond science and beyond rational thought. PMID: 21071368 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=4164876 Mon, 01 Nov 2010 00:00:00 +0100 4164876 http://www.medworm.com/index.php?rid=3962109&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20829173%26dopt%3DAbstract Authors: Fraser D INCREASINGLY, I AM STRUCK BY THE COMPLEX WORLD around us-complexity born of the rapid explosion of knowledge, technology, and the multitude of choices facing us every day. With these choices come tremendous opportunities-everything you need to know at your fingertips-just Google it. The opportunity to pluck information from sources around the world also brings tremendous challenges. For authors under pressure to produce, for researchers seeking funding, for academics striving for promotion, the temptation to borrow information, to manipulate or falsify data, or to take other shortcuts, surrounds us constantly. PMID: 20829173 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3962109 Tue, 31 Aug 2010 23:00:00 +0100 3962109 http://www.medworm.com/index.php?rid=3962108&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20829174%26dopt%3DAbstract This article describes the development and execution of a standardized, nurse-implemented, sucrose protocol to reduce procedural pain. PMID: 20829174 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3962108 Tue, 31 Aug 2010 23:00:00 +0100 3962108 http://www.medworm.com/index.php?rid=3962107&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20829175%26dopt%3DAbstract This article discusses the mechanisms governing fluid distribution in the extracellular spaces, examines the various etiologies associated with NIHF, and describes the pathogenesis of NIHF for each etiologic category. Part II of this article will appear as the Evidence-Based Practice column in the November/December 2010 issue of Neonatal Network®. PMID: 20829175 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3962107 Tue, 31 Aug 2010 23:00:00 +0100 3962107 http://www.medworm.com/index.php?rid=3962106&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20829176%26dopt%3DAbstract This article presents the case of a preterm infant who became fatally ill from disseminated adenoviral infection. PMID: 20829176 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3962106 Tue, 31 Aug 2010 23:00:00 +0100 3962106 http://www.medworm.com/index.php?rid=3962105&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20829177%26dopt%3DAbstract This study explored the experiences of NICU nurses in caring for infants with neonatal abstinence syndrome (NAS).Design: A qualitative research approach was used with open-ended questions employing computer-assisted personal interviews.Sample: Fourteen NICU nurses employed in a regional hospital provided responses.Results: The nurses reflected a personal struggle between a desire to employ their technical and critical nursing skills and the need to provide expected maternal care to NAS infants. Other themes included frustration and burnout, challenges to values about parenting, and increased awareness of drug use in the community and at home.Discussion: The results suggest that nurses underrate the skill required to care for infants with NAS. The level of knowledge, patience, and commitmen... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3962105 Tue, 31 Aug 2010 23:00:00 +0100 3962105 http://www.medworm.com/index.php?rid=3962104&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20829178%26dopt%3DAbstract Authors: PMID: 20829178 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3962104 Tue, 31 Aug 2010 23:00:00 +0100 3962104 http://www.medworm.com/index.php?rid=3962103&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20829179%26dopt%3DAbstract Authors: Brott SJ The Academy of Neonatal Nursing has selected Rodney Koehler, RN, from the McKay Dee Hospital in Ogden, Utah, to receive the prestigious 2010 Excellence in Neonatal Nursing Practice Award. Colleague, Vickie L. Baer, RN, honored "Rod" by nominating him for his outstanding neonatal nursing practice and contributions spanning over 30 years. "I cannot think of a person more deserving of the Excellence Award. Rod has given his all to become one of the most knowledgeable and dedicated neonatal nurses I have ever had the pleasure to work with. He has advanced as the art of neonatal nursing has advanced, moving forward with technological and best practice changes. Through all of the technological advances, he always stresses the importance of being skilled enough that if the e... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3962103 Tue, 31 Aug 2010 23:00:00 +0100 3962103 http://www.medworm.com/index.php?rid=3962102&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20829180%26dopt%3DAbstract Authors: Wilkerson J, McPherson C, Donze A IN NEONATOLOGY, EVIDENCE-BASED practice (EBP) relies on well-designed, adequately powered trials to guide practitioners. Several large randomized controlled trials (RCTs) have been conducted to explore the use of fluconazole for fungal prophylaxis in premature infants. Despite the findings of these studies, practice varies among units. In a recent survey of members of the American Academy of Pediatrics (AAP), 34 percent of clinicians indicated that they have used antifungal prophylaxis and only 11 percent of clinicians indicated that a written protocol was in place in their NICU. Intravenous (IV) fluconazole (66 percent), oral nystatin (59 percent), and IV amphotericin (21 percent) were the three most commonly used agents among the respondents... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3962102 Tue, 31 Aug 2010 23:00:00 +0100 3962102 http://www.medworm.com/index.php?rid=3962101&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20829181%26dopt%3DAbstract Authors: Discenza D MOTHERS OF BABIES IN THE NICU face a serious challenge: bonding with their infants despite doctors' rounds, medical equipment, and requirements for minimal stimulation. When her infant becomes stable enough for touch, what can a mother do to provide comfort to her child? One approach is infant massage. There is much neonatal nurses can do to promote the connection between mother and child through infant massage. Infant Massage USA's executive director, Linda Storm, discusses this approach and its benefits for baby and parent in the interview that follows. PMID: 20829181 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3962101 Tue, 31 Aug 2010 23:00:00 +0100 3962101 http://www.medworm.com/index.php?rid=3962100&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20829182%26dopt%3DAbstract Authors: Wallace T Editor's Note: "The Things I Know" marks the kick-off for our Anniversary Year issues. Please see the facing page for the call for Anniversary materials. PMID: 20829182 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3962100 Tue, 31 Aug 2010 23:00:00 +0100 3962100 http://www.medworm.com/index.php?rid=3759019&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20630835%26dopt%3DAbstract Authors: Fraser D A FEW YEARS AGO I WAS ASKED TO GIVE A TALK ON CARING for the micropreemie. I was lamenting the topic to my colleague, wondering how I could focus my talk given its breadth. His suggestion has become my mantra in any care I provide or any teaching I do that relates to small babies. So what profound wisdom did he offer? He told me that when he teaches his fellows, he likens the care we provide to being a gardener instead of a firefighter. Let me explain... PMID: 20630835 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3759019 Wed, 30 Jun 2010 23:00:00 +0100 3759019 http://www.medworm.com/index.php?rid=3759018&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20630836%26dopt%3DAbstract This article reviews the prevalence, pathophysiology, clinical manifestations, diagnostic modalities, assessment, and management of WPW syndrome. PMID: 20630836 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3759018 Wed, 30 Jun 2010 23:00:00 +0100 3759018 http://www.medworm.com/index.php?rid=3759017&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20630837%26dopt%3DAbstract Authors: Jackson PC "Breastfeeding" an infant in the NICU means that the mother must manually pump her breasts for milk for weeks to months until the infant is physiologically mature enough to suckle at the breast. Complementary and alternative therapies have been proposed to assist with lactation in NICU mothers. These methods for increasing breast milk supply include herbal galactagogues, kangaroo mothering, and relaxation therapies.A review of the literature was performed using PubMed and CINAHL databases. Twenty-four sources were chosen for inclusion in this article. Search terms included the following: galactagogues, breastfeeding, kangaroo care, and lactation, among others. The state of the science of alternative therapies in the management of inadequate breast milk supply is sum... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3759017 Wed, 30 Jun 2010 23:00:00 +0100 3759017 http://www.medworm.com/index.php?rid=3759016&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20630838%26dopt%3DAbstract Authors: PMID: 20630838 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3759016 Wed, 30 Jun 2010 23:00:00 +0100 3759016 http://www.medworm.com/index.php?rid=3759015&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20630839%26dopt%3DAbstract This article describes the experience of one NICU in planning, building, training, and implementing CPOE. Pitfalls and lessons learned are described. Communication between the nurse team at the unit and the clinical informatics team needs to be ongoing. Self-paced training with realistic practice scenarios and one-on-one "view then practice" modules help ease the transition. Many issues are not apparent until after CPOE has been implemented, and it is vital to have a mechanism to fix problems quickly. We describe the experience of "going live" and the reality of day-to-day order entry. PMID: 20630839 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3759015 Wed, 30 Jun 2010 23:00:00 +0100 3759015 http://www.medworm.com/index.php?rid=3759014&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20630840%26dopt%3DAbstract Authors: Brouwer AJ, Groenendaal F, van den Hoogen A, de Vos JE, de Vries LS Management strategies in the treatment of infants with posthemorrhagic ventricular dilation include the placement of a ventricular reservoir. Traditionally, ventricular punctures of these reservoirs have been performed only by physicians. In the pilot project described in this article, we taught nursing staff to perform punctures of a cerebral ventricular reservoir in neonates with hydrocephalus to give nurses more control in their daily care of these infants.All consecutive punctures performed between August 2006 and March 2007 (n = 302) were studied. The chart was reviewed for the infant's state during the puncture, the caregiver who performed the puncture, and the timeliness of the puncture with respect to ... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3759014 Wed, 30 Jun 2010 23:00:00 +0100 3759014 http://www.medworm.com/index.php?rid=3759013&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20630841%26dopt%3DAbstract Authors: Brott SJ Congratulations to ANN's loyal conference attendees who have earned free conference tuition. We salute you! PMID: 20630841 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3759013 Wed, 30 Jun 2010 23:00:00 +0100 3759013 http://www.medworm.com/index.php?rid=3759012&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20630842%26dopt%3DAbstract Authors: Bell SG MANY INFANTS CARED FOR IN the NICU receive at least one drug that is used off label.1 This column explains what off-label use means, describes the Best Pharmaceuticals for Children Act and the Pediatric Research Equity Act, and discusses implications for practice. PMID: 20630842 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3759012 Wed, 30 Jun 2010 23:00:00 +0100 3759012 http://www.medworm.com/index.php?rid=3759011&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20630843%26dopt%3DAbstract Authors: Twiggs Smalls H GENERALLY THE BIRTH OF AN infant is a joyous occasion. But the stress of an infant being born prematurely or suffering some problem at birth that requires admission to the NICU taxes even the best-natured people. Add to this a surrogacy birth in which the relationship has broken down or in which no provisions were made for a problem at birth, and you have a situation that leaves the NICU staff wondering who calls the shots. PMID: 20630843 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3759011 Wed, 30 Jun 2010 23:00:00 +0100 3759011 http://www.medworm.com/index.php?rid=3759010&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20630844%26dopt%3DAbstract Authors: Discenza D A NEONATAL NURSE SEES SOME truly stressful situations in the NICU. Day in and day out, infants are brought into the NICU, others are discharged to go home, and in between there are a lot of health care needs to tend to for each patient. Add to those demands caring for each patient's family-helping them address the reality of their child's special needs now and going forward. Although most nurses in the NICU love their jobs and thrive on the ever-changing environment, one of the most difficult tasks is likely working with the family of an infant who is dying. It is heartbreaking to see a child die and to watch family members go through such trauma. But you can help prepare grieving families for this stressful life event and support them so that they can handle it wit... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3759010 Wed, 30 Jun 2010 23:00:00 +0100 3759010 http://www.medworm.com/index.php?rid=3759005&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20630845%26dopt%3DAbstract Authors: Glapajone P It was a normal day of work. I was going through the regular routine of a hectic morning in the NICU at the John H. Stroger Hospital. There was a mom who came to visit her baby in the crib behind me. A few minutes passed, and I turned around to greet her. I asked her if she needed any assistance and gave her a curtain to provide her privacy while doing kangaroo care with her infant. After some time, I checked on her to see if she needed anything. I was touched by the scene in front of me. The mother had the baby tucked in her shirt, and he was comfortably asleep as the mother happily smiled at him, softly whispering loving words. Although this was a normal scene in the NICU, on this particular day, I felt compelled to capture it. I immediately remembered that my un... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3759005 Wed, 30 Jun 2010 23:00:00 +0100 3759005 http://www.medworm.com/index.php?rid=3579364&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20472529%26dopt%3DAbstract Authors: Fraser D PMID: 20472529 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3579364 Fri, 30 Apr 2010 23:00:00 +0100 3579364 http://www.medworm.com/index.php?rid=3579363&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20472530%26dopt%3DAbstract Authors: Federspiel MC Congenital heart defects are not uncommon among neonatal patients. Although most are benign, the prompt identification of a life-threatening anomaly is essential for rapid intervention and a positive treatment outcome. Cardiac defects may be identified in the newborn nursery with thorough and systematic physical assessment, including inspection, palpation, auscultation, and measurement of blood pressure and oxygen saturations. The ability of the nurse to identify irregular findings during physical assessment aids rapid identification and treatment. PMID: 20472530 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3579363 Fri, 30 Apr 2010 23:00:00 +0100 3579363 http://www.medworm.com/index.php?rid=3579362&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20472531%26dopt%3DAbstract This article addresses causes of risk and infant discomfort, providing a framework for developing a safe and efficient ROP service while minimizing infant discomfort. PMID: 20472531 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3579362 Fri, 30 Apr 2010 23:00:00 +0100 3579362 http://www.medworm.com/index.php?rid=3579361&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20472532%26dopt%3DAbstract This article compares, contrasts, and integrates the use of MV, nasal continuous positive airway pressure (NCPAP), and surfactant administration to encourage and support consideration of their use in the VLBW and ELBW population. Supporting a reduction of the use of MV in favor of NCPAP is safe and recommended because this practice is likely to decrease the probable sequelae of CLDI while permitting an individualized approach. PMID: 20472532 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3579361 Fri, 30 Apr 2010 23:00:00 +0100 3579361 http://www.medworm.com/index.php?rid=3579360&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20472533%26dopt%3DAbstract This article describes one unit's experience with the placement and management of 491 PICCs during a six-year period with more than 5,600 catheter days. The dressing technique described in this article differs from that seen in the literature with the addition of a protective base layer. Catheter complication rates are low, and catheter dressing changes are minimized with this dressing technique. PMID: 20472533 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3579360 Fri, 30 Apr 2010 23:00:00 +0100 3579360 http://www.medworm.com/index.php?rid=3579359&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20472536%26dopt%3DAbstract Authors: Shaw AM PMID: 20472536 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3579359 Fri, 30 Apr 2010 23:00:00 +0100 3579359 http://www.medworm.com/index.php?rid=3579358&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20472537%26dopt%3DAbstract Authors: Broeder JL, Donze A PMID: 20472537 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3579358 Fri, 30 Apr 2010 23:00:00 +0100 3579358 http://www.medworm.com/index.php?rid=3579357&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20472538%26dopt%3DAbstract Authors: Discenza D PMID: 20472538 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3579357 Fri, 30 Apr 2010 23:00:00 +0100 3579357 http://www.medworm.com/index.php?rid=3354765&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20211827%26dopt%3DAbstract Authors: Rait S 2010* "FASTER THAN A SPEEDING BULLET..." Neonatal Network(R) is now in its 29th year of publication. Our daughter who we rocked in the cradle while handling those first articles and subscriptions has graduated from college and is now an administrative assistant in our office. Neonatal nursing has remained the same in many ways: nurses working as a team to care for premature infants, unit camaraderie, learning and doing, mentoring, caring and sharing. And, in many ways it has changed: research that once was all medical and that took place in laboratories, has been enhanced by nursing research in the units; developmental care enhances outcomes; evidence-based practice is beginning to come into its own. PMID: 20211827 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3354765 Mon, 01 Mar 2010 00:00:00 +0100 3354765 http://www.medworm.com/index.php?rid=3354764&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20211828%26dopt%3DAbstract This article differentiates among the various intersex disorders and their treatments, and discusses physical findings, embryologic development, incidence, and treatment plans for male pseudohermaphroditism, true hermaphroditism, gonadal dysgenesis, and female pseudohermaphroditism. Current management strategies are contrasted with protocols of the 1950s to show changes over time. PMID: 20211828 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3354764 Mon, 01 Mar 2010 00:00:00 +0100 3354764 http://www.medworm.com/index.php?rid=3354763&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20211829%26dopt%3DAbstract This article describes a neonate with S. aureus bacteremia that resolved with treatment who died secondary to decreased left ventricular function. At autopsy, organizing microthrombi were seen within both atria, the left ventricle, and the left coronary arterial system. Extensive infarcts were noted throughout the entire myocardium of the left ventricle. It was suspected, but not proven, that the thrombotic sequelae from septicemia caused this neonate's death. PMID: 20211829 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3354763 Mon, 01 Mar 2010 00:00:00 +0100 3354763 http://www.medworm.com/index.php?rid=3354762&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20211830%26dopt%3DAbstract Authors: Matook SA, Sullivan MC, Salisbury A, Miller RJ, Lester BM Purpose/Aims. The primary aim of this study was to identify time periods of sound levels >45 decibels (dB) in a large Level III NICU. The second aim was to determine whether there were differences in decibel levels across the five bays of the NICU, the four quadrants within each bay, and two 12-hour shifts.Design. A repeated measures design was used. Bay, quadrant, and shift were randomly selected for sampling. Staff and visitors were blinded to the location of the sound meter, which was placed in one of five identical wooden boxes and was preset to record for 12 hours.Sample. Sound levels were recorded every 60 seconds over 40 12-hour periods, 20 during the day shift and 20 during the night shift. Total hours measur... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3354762 Mon, 01 Mar 2010 00:00:00 +0100 3354762 http://www.medworm.com/index.php?rid=3354761&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20211831%26dopt%3DAbstract Authors: Brott SJ PMID: 20211831 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3354761 Mon, 01 Mar 2010 00:00:00 +0100 3354761 http://www.medworm.com/index.php?rid=3354760&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20211832%26dopt%3DAbstract Authors: PMID: 20211832 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3354760 Mon, 01 Mar 2010 00:00:00 +0100 3354760 http://www.medworm.com/index.php?rid=3354759&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20211833%26dopt%3DAbstract Authors: Milcic TL THE COMPLETE BLOOD COUNT (CBC) is one of the more common laboratory tests ordered during the neonatal period. The CBC may be obtained to evaluate for anemia, infection, and thrombocytopenia.1 The test offers a wealth of clinical information about the hematopoietic system, including erythrocyte, leukocyte, and thrombocyte values. Establishing normal neonatal ranges has been difficult because blood has not been drawn on healthy neonates of similar ages.2 Reference ranges that consist of the 5th to 95th percentile compiled from various studies have been used to approximate normal neonatal values.3 A variety of factors such as sample site, timing of the sample, gestational age, and the neonate's degree of health can affect the CBC.1 Therefore, the astute practitioner mus... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3354759 Mon, 01 Mar 2010 00:00:00 +0100 3354759 http://www.medworm.com/index.php?rid=3354758&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20211834%26dopt%3DAbstract Authors: Bradshaw WG Our patients depend on us to do the best on their behalf. If we do not take accountability for our practice, continually examining what is the best way to deliver care, we are limiting our role to technical skills and not fully actualizing our professional role. [Evidence-based practice] is essential to practicing safely as nurses (p. 53).1. PMID: 20211834 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3354758 Mon, 01 Mar 2010 00:00:00 +0100 3354758 http://www.medworm.com/index.php?rid=3354757&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20211835%26dopt%3DAbstract Authors: Smalls HT YOU'VE JUST RECEIVED A SUBPOENA and a notice that you are to be deposed. The notice informs you of the time and place of the deposition. The subpoena is, in effect, an order of the court requiring you to be present. It may also require you to bring certain documents with you. As bad as that may sound, if you are prepared, it does not have to be your worst nightmare. Knowing what to expect and doing your homework will help you feel more confident and less anxious. PMID: 20211835 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3354757 Mon, 01 Mar 2010 00:00:00 +0100 3354757 http://www.medworm.com/index.php?rid=3354756&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20211836%26dopt%3DAbstract Authors: Discenza D WE ARE ALL FAMILIAR WITH THE media image of the fumbling father handed his newborn-born at term and without complications-for the very first time. But what about the father of a baby born prematurely and immediately moved to the NICU? At least the fumbling father gets the chance to hold his baby. Fathers of preterm infants are often shuffled aside and made to feel completely useless. Many go back to work and visit their baby only every so often. That needs to change. PMID: 20211836 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3354756 Mon, 01 Mar 2010 00:00:00 +0100 3354756 http://www.medworm.com/index.php?rid=3194599&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20085871%26dopt%3DAbstract This article reports a case of pulmonary hypertension in 37-week-gestational-age, pygopagus conjoined twins where B-type natriuretic peptide (BNP) was used as a cost-effective and important tool to aid effective management. Pulmonary hypertension in neonates is associated with high morbidity and mortality and multiplies the challenge of caring for conjoined twins. BNP is a peptide hormone secreted by cardiac ventricles that have undergone stress related to ventricular filling, volume overload, and pressure. BNP is commonly used in adults to assess heart failure, but its utility is less established in infants receiving neonatal intensive care. In this case, BNP testing was used as an adjunct to standard assessments for rapid diagnosis which was critical to expediting appropriate treatment m... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3194599 Fri, 01 Jan 2010 00:00:00 +0100 3194599 http://www.medworm.com/index.php?rid=3194598&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20085872%26dopt%3DAbstract Authors: Kalyn A PMID: 20085872 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3194598 Fri, 01 Jan 2010 00:00:00 +0100 3194598 http://www.medworm.com/index.php?rid=3194597&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20085873%26dopt%3DAbstract This article provides a detailed example of a successful ROP program based on the AAP recommendations and utilizing a multidisciplinary approach to ensure optimal ROP care for the preterm infant. It also discusses the role of the ROP coordinator assigned to the NICU. PMID: 20085873 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3194597 Fri, 01 Jan 2010 00:00:00 +0100 3194597 http://www.medworm.com/index.php?rid=3194596&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20085874%26dopt%3DAbstract DISCUSSION: More studies are needed to generalize findings. PICC line tips should be located in the superior vena cava or inferior vena cava close to the junction with the right atrium (0.5-1 cm outside of the cardiac chambers in premature infants and 1-2 cm outside of the cardiac chambers in larger infants). Arm position is very important when performing radiographs for placement because movement of the arm can cause migration of the catheter. There is also significant inter-observer variability when identifying line tip position. PMID: 20085874 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3194596 Fri, 01 Jan 2010 00:00:00 +0100 3194596 http://www.medworm.com/index.php?rid=3194595&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20085875%26dopt%3DAbstract This article offers research-based suggestions for caring for these infants in the newborn nursery and the postpartum unit as well as parent teaching guidelines. PMID: 20085875 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3194595 Fri, 01 Jan 2010 00:00:00 +0100 3194595 http://www.medworm.com/index.php?rid=3194594&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20085877%26dopt%3DAbstract Authors: Hardy PE PMID: 20085877 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3194594 Fri, 01 Jan 2010 00:00:00 +0100 3194594 http://www.medworm.com/index.php?rid=2972214&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19892632%26dopt%3DAbstract Authors: Fraser D PMID: 19892632 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2972214 Sun, 01 Nov 2009 00:00:00 +0100 2972214 http://www.medworm.com/index.php?rid=2972213&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19892633%26dopt%3DAbstract We present a case that illustrates the need for better education of mothers taking valproate and the medical staff prescribing it. PMID: 19892633 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2972213 Sun, 01 Nov 2009 00:00:00 +0100 2972213 http://www.medworm.com/index.php?rid=2972212&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19892634%26dopt%3DAbstract This article examines this defect and discusses its embryologic origin. A systemic physical assessment guide serves as a tool to enhance early recognition of this defect. Pictorial examples increase understanding of the defect. A discussion of treatment and nursing implications, with an emphasis on family support, is provided. PMID: 19892634 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2972212 Sun, 01 Nov 2009 00:00:00 +0100 2972212 http://www.medworm.com/index.php?rid=2972211&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19892636%26dopt%3DAbstract This study explores the breastfeeding experiences of mothers of these at-risk infants to determine their breastfeeding patterns and to better understand reasons they prematurely stop breastfeeding and/or human-milk feeding (HMF). DESIGN: A qualitative, longitudinal, descriptive design was used. SAMPLE: The sample consisted of 144 mothers whose preterm or ill infants were cared for in either an NICU or an intermediate care nursery in a large central Canadian city; 112 mothers completed data collection to six weeks after their infants were discharged from the hospital. MAIN OUTCOME VARIABLE: The main outcome variable was continued breastfeeding or HMF of formerly ill or preterm infants at one and six weeks after their discharge from the hospital. RESULTS: Of infants who were being fed mother... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2972211 Sun, 01 Nov 2009 00:00:00 +0100 2972211