Brain-focused care in the neonatal intensive care unit: the time has come
Journal Title: Jornal de Pediatria - Year 2017, Vol 93, Issue 5
Abstract
Survival rates for extremely preterm infants and for critically ill term newborns have improved steadily over the last several decades; however, these same babies continue to experience high rates of adverse neurodevelopmental outcomes with life-long impact. Brain-focused care is a desired evolution in neonatal care after decades of focus on survival and extending the limits of viability. Neonatal neurology and neonatal neurocritical care are growing subspecialties that seek to better address the needs of neonates with, or at risk for, neurological compromise by integrating neonatal intensive care practices with focused neurologic care. The development and application of bedside neuromonitoring has significantly contributed to the enhanced focus and our ability to both monitor and provide care for these vulnerable newborns. Non-invasive neurologic monitoring with techniques such as amplitude-integrated electroencephalography (aEEG) and near-infrared spectroscopy (NIRS) allow screening and assessment at the bedside by neonatal nurses and physicians.
Authors and Affiliations
Krisa Van Meurs
Keywords
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- EP ID EP503526
- DOI 10.1016/j.jped.2017.03.002
- Views 61
- Downloads 0
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