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Gabapentin Use in the Neonatal Intensive Care Unit 加巴喷丁在新生儿重症监护病房的应用
Pub Date : 2021-02-24 DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.702
Mary J Terrell, Wesley M. Jackson, M. Laughon, Dennis Leung, R. Greenberg, K. Zimmerman, R. Clark
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引用次数: 0
A Bundle Of Care That Led To Sustained Low Incidence of Necrotizing Enterocolitis In Very Low Birth Weight Infants: A 10-Year Quality Improvement Project 超低出生体重儿坏死性小肠结肠炎持续低发生率的一系列护理:一项10年质量改善项目
Pub Date : 2021-02-24 DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.759-A
M. Villosis, M. T. Ambat, Kambiz K Rezaie, K. Barseghyan
BACKGROUND: Necrotizing enterocolitis (NEC) is the most common gastrointestinal emergencies in preterm newborns and remains a serious complication associated with significant morbidity and mortality in this population. Over the past two decades, multicenter groups have reported reductions in the incidence of NEC among preterm infants. Although highly variable, an average rate exceeding 5% was reported by the majority. This coincided with reports of …
背景:坏死性小肠结肠炎(NEC)是早产新生儿中最常见的胃肠道急症,并且在这一人群中仍然是一种与显著发病率和死亡率相关的严重并发症。在过去的二十年中,多中心研究小组报道了早产儿NEC发病率的降低。虽然变化很大,但大多数报告的平均比率超过5%。与此同时,有报道称……
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引用次数: 0
Preterm infants fed B. infantis EVC001 Demonstrate Significant Reduction in Intestinal Inflammation via Modulation of Gut Microbiome Composition 通过调节肠道微生物组组成,喂食B.婴儿EVC001的早产儿显示肠道炎症显著减少
Pub Date : 2021-02-24 DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.722
Marielle Nguyen, Heaven Holdbrooks, M. Abrantes, P. Mishra, Carrie McGuckin, Cynthia T. Hein, Stephanie Chew, H. Brown, G. Casaburi, S. Kazi, S. Frese, B. Henrick
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引用次数: 0
Short Term Neonatal Outcomes of Colocating and Breastfeeding Infants of Mothers Who Tested Positive for SARS-COV-2 SARS-COV-2检测阳性母亲的同居和母乳喂养婴儿的短期新生儿结局
Pub Date : 2021-02-24 DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.729
Parvathy Krishnan, Lawrence Noble, Uday P. Patil
Background: There is a paucity of data on the neonatal outcomes of maternal SARS-COV2 infection which has emerged as a pandemic spreading rapidly across the world. Further, conflicts in current guidelines exist on whether to routinely separate infants from infected mothers in the hospital, to utilize shared decision-making to regulate care or to encourage exclusive breastfeeding and standard feeding guidelines for these infants. At our hospital in New York City which has been the epicenter of the infection in the US, shared decision-making between the mother and clinical team was utilized. Mothers who …
背景:母体感染SARS-COV2后新生儿结局的数据缺乏,SARS-COV2已成为在全球迅速蔓延的大流行。此外,目前的指导方针在以下问题上存在冲突:是否应在医院定期将婴儿与受感染的母亲分开,是否应利用共同决策来规范护理,还是应鼓励对这些婴儿实行纯母乳喂养和标准喂养准则。在我们位于纽约市的医院,一直是美国感染的中心,母亲和临床团队共同决策。母亲们……
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引用次数: 0
Randomized Trial of Surfactant Therapy via Laryngeal Mask Airway vs. Brief Tracheal Intubation 表面活性剂经喉罩气道治疗与短暂气管插管的随机试验
Pub Date : 2021-02-24 DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.755
Jacqueline A. Gallup, Joaquim M. B. Pinheiro, S. M. Ndakor, C. Pezzano
Background: The Intubation-Surfactant-Extubation (INSURE) approach to treatment of respiratory distress syndrome (RDS) involves laryngoscopy and endotracheal tube (ETT) insertion, for which analgesic premedication is recommended. The laryngeal mask airway (LMA) is a potential alternative for surfactant administration while avoiding the need for sedation. A prior randomized trial compared surfactant given via LMA versus ETT using morphine premedication for INSURE, revealing a higher INSURE failure rate. We subsequently adopted remifentanil for INSURE, given its short-lasting sedative effect. Objective: …
背景:治疗呼吸窘迫综合征(RDS)的插管-表面活性剂-拔管(INSURE)方法包括喉镜检查和气管内插管(ETT)插入,建议进行镇痛前用药。喉罩气道(LMA)是一个潜在的替代表面活性剂的管理,同时避免需要镇静。先前的一项随机试验比较了LMA给予表面活性剂与ETT使用吗啡前用药的INSURE,显示更高的INSURE失败率。我们随后采用瑞芬太尼用于INSURE,因为它具有短期的镇静作用。摘要目的:……
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引用次数: 3
Right-to-Left Ductal Shunting and Preductal and Postductal Oxygen Saturation Difference in PPHN- Not a Perfect Correlation? PPHN右至左导管分流与导管前后血氧饱和度差异-并非完全相关?
Pub Date : 2021-02-24 DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.727
Amy L. Lesneski, Morgan E Hardie, Payam Vali, S. Lakshminrusimha
Background: Persisent pulmonary hypertension of the newborn (PPHN) is often secondary to lung disease such as meconium aspiration syndrome (MAS) and is characterized by extrapulmonary right-to-left or bidirectional shunting at the foramen ovale and/or patent ductus arteriosus (PDA). Shunting at the PDA results in reduced oxygen saturation (SaO2) and PaO2 in the postductual region. However, studies have not directly evaluated simultaneous preductal and postductal blood gases and direction of ductal shunt. Objective: To evaluate …
背景:新生儿持续性肺动脉高压(PPHN)通常继发于肺部疾病,如胎粪吸入综合征(MAS),其特征是肺外卵圆孔右向左或双向分流和/或动脉导管未闭(PDA)。在PDA处分流导致传导后区域的氧饱和度(SaO2)和PaO2降低。然而,研究并没有直接评估同时发生的导管前后血气和导管分流的方向。目的:评价……
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引用次数: 0
Effect of Musical Exposure On Cerebral Oxygen Saturation, Neurobehavior And Sleep-Wake Cycle In Premature Infants Hospitalized In A High Complex Institution. Randomized, Triple-Blind and Controlled Trial. 音乐暴露对高复杂性医院早产儿脑氧饱和度、神经行为和睡眠-觉醒周期的影响随机、三盲和对照试验。
Pub Date : 2021-02-24 DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.676
D. Castaño, Erika Alexandra Taborda Alzate, Andres Felipe Uribe Murillo, C. Vera, Maria Gabriela Novoa Villada, Santiago Jimenez Giraldo, Tatiana Lopez Areiza, Sara Osorio Tamayo, C. Serrano
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引用次数: 1
Current Practice for Gastroschisis Delayed Cord Clamping versus Umbilical Cord Milking and In-Hospital Outcomes among Extremely Premature Infants in the Neonatal Research Network. 在新生儿研究网络中,腹裂延迟脐带夹紧与脐带挤奶的当前实践和极早产儿的住院结果。
Pub Date : 2021-02-24 DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.689
Neha Kumbhat, B. Eggleston, A. Davis, K. Meurs, S. Demauro, E. Foglia, S. Lakshminrusimha, M. Walsh, K. Watterberg, M. Wyckoff, A. Das, S. C. Handley
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引用次数: 0
Comparison Of Placental Pathology And Placental Culture As Predictors Of Clinical Sepsis In Neonates 胎盘病理与胎盘培养作为新生儿临床脓毒症预测指标的比较
Pub Date : 2021-02-24 DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.687-A
L. Gordon, Kaavya Adam, K. Kelly, A. Harrington, S. Amin
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引用次数: 0
Heart Rate Characteristics in Infants with Hypoxic Ischemic Encephalopathy: Effects of Dexmedetomidine and Gestational Age 婴儿缺氧缺血性脑病的心率特征:右美托咪定与胎龄的影响
Pub Date : 2021-02-24 DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.704
M. Elliott, S. Zanelli, K. Fairchild, J. Burnsed, K. Heinan, R. Andris, L. Letzkus
Purpose: Therapeutic hypothermia is used in neonates with hypoxic ischemic encephalopathy (HIE) to mitigate neurologic damage due to asphyxia. Prior studies have shown that infants with more severe encephalopathy have lower heart rate variability, reflecting autonomic nervous system dysfunction. If heart rate characteristics (HRC) are to be useful as an early biomarker for severity of encephalopathy, it is important to consider how other clinical variables impact HRC. Two variables of interest are gestational age (GA), since cooling practices have expanded to include late preterm infants, and the effect of sedation medications. Our institution changed …
目的:低温治疗用于新生儿缺氧缺血性脑病(HIE),以减轻因窒息引起的神经损伤。先前的研究表明,脑病较严重的婴儿心率变异性较低,反映了自主神经系统功能障碍。如果心率特征(HRC)作为脑病严重程度的早期生物标志物是有用的,那么考虑其他临床变量如何影响HRC是很重要的。两个感兴趣的变量是胎龄(GA),因为冷却方法已经扩展到包括晚期早产儿,以及镇静药物的效果。我们的制度改变了……
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引用次数: 0
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Section on Neonatal-Perinatal Medicine Program
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