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Neuroprotective Infant and Family-Centered Developmental Care for the Tiniest Babies
Caring for extremely preterm infants in the neonatal intensive care unit (NICU) is a multidisciplinary team effort. A clear understanding of roles for each member of the delivery team, anticipation of challenges, and standardized checklists support improved outcomes for this population. Physicians and nursing leaders are responsible for being role models and holding staff accountable for creating a unit culture of Neuroprotective Infant and Family-Centered Developmental Care. It is essential for parents to be included as part of the care team and babies to be acknowledged for their efforts in coping with the developmentall...
Source: Critical Care Nursing Clinics of North America - November 20, 2023 Category: Nursing Authors: Raylene Phillips, Jayne Solomon, Lacie Dixon, Leslie Altimier Source Type: research

Midline Catheter Use in the Neonatal Intensive Care Unit
Neonates admitted to the neonatal intensive care unit (NICU) are a unique population who most often begin life acutely or critically ill. Venous access is required by most acutely/critically ill neonates, especially those born preterm. Access is required for implementing management strategies such as stabilization, medications, fluids, nutrition, and transfusion of blood products. However, achieving and maintaining venous access in these neonates can be difficult, especially in preterm infants due to a myriad of contributing factors. Peripheral intravenous (PIV) catheters and peripherally inserted central catheters (PICC) ...
Source: Critical Care Nursing Clinics of North America - October 23, 2023 Category: Nursing Authors: Stephanie Sykes, Jodi Ulloa, Deborah Steward Source Type: research

Pulse Oximetry Screening for Critical Congenital Heart Defects in Newborn Babies
Pulse oximetry screening (POS) was first described over 20 years ago. However, in recent years, major clinical trials have demonstrated consistent test accuracy for the detection of critical congenital heart defects (CCHD). International uptake of POS has progressed well over the last 10 years with most major high-income countries now recommending screening. This review describes the evidence base which has led to this, the current debate regarding choice of screening algorithm, and the future areas for further research. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - October 17, 2023 Category: Nursing Authors: Anurag Ghirdar, Andrew K. Ewer Source Type: research

Mother's Own Milk Versus Donor Human Milk
Mother ’s own milk (MOM) is known to decrease complications in preterm infants and when unavailable, it is recommended that preterm very low–birth weight infants be fed donor human milk (DHM). Due to the pasteurization, processing, and lactation stage of donors, DHM does not contain the same nutritiona l, immunologic, and microbial components as MOM. This review summarizes the differences between MOM and DHM, the potential effects on health outcomes, and the clinical implications of these differences. Finally, implications for research and clinical practice are discussed. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - October 16, 2023 Category: Nursing Authors: Leslie A. Parker, Rebecca Koernere, Keliy Fordham, Hussah Bubshait, Alissandre Eugene, Adrienne Gefre, Marion Bendixen Source Type: research

Perspectives on Telehealth Use with the Neonatal Population
Telehealth has proven to be a valuable approach to providing care to the neonatal population, including supporting families during the transition to home, facilitating remote monitoring of fragile neonates, and connecting neonatal experts with infants and caregivers in underserved or remote communities. Clinicians engaging in telehealth need to be aware of policies and regulations that govern practice as well as the potential health equity issues that may present themselves. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - October 14, 2023 Category: Nursing Authors: Danielle Altares Sarik, Yui Matsuda, Kelli Garber, Melody Hernandez, Evelyn Abrahante Terrell Source Type: research

Older Adults in Critical Care
CRITICAL CARE NURSING CLINICS OF NORTH AMERICA (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - October 13, 2023 Category: Nursing Authors: Deborah Garbee Source Type: research

Copyright
ELSEVIER (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - October 13, 2023 Category: Nursing Source Type: research

Contributors
DEBORAH GARBEE, PhD, APRN, ACNS-BC, FCNS (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - October 13, 2023 Category: Nursing Source Type: research

Contents
Deborah Garbee (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - October 13, 2023 Category: Nursing Source Type: research

Forthcoming Issues
Neonatal Nursing: Clinical Concepts and Practice Implications, Part 1 (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - October 13, 2023 Category: Nursing Source Type: research

The Effects of Health Disparities on Neonatal Outcomes
The history of racism in the United States was established with slavery, and the carry-over effect continues to impact health care through structural and institutional racism. Racial segregation and redlining have impacted access to quality health care, thereby impacting prematurity and infant mortality rates. Health disparities also impact neonatal morbidities such as intraventricular hemorrhage and necrotizing enterocolitis and the family care experience including the establishment of breastfeeding and health care provider interactions. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - September 29, 2023 Category: Nursing Authors: Erin J. Mays, Stephanie Diggs, Zachary A. Vesoulis, Barbara Warner Source Type: research

Care from Birth to Discharge of Infants Born at 22 to 23 Weeks ’ Gestation
We describe the approach taken at the University of Iowa Stead Family Child ren's Hospital neonatal intensive care unit with respect to preterm infants born at 22 weeks’ gestation. We have chosen to present our standardize care plan with respect to prenatal, neurologic, nutritional, gastrointestinal, and skin management. Respiratory and cardiopulmonary care will be briefl y reviewed, as these strategies have been published previously. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - September 19, 2023 Category: Nursing Authors: John M. Dagle, Stephen K. Hunter, Tarah T. Colaizy, Steve J. McElroy, Heidi M. Harmon, Patrick J. McNamara, Jonathan M. Klein Source Type: research

Monitoring SpO2
Oxygen (O2) is a drug frequently used in newborn care. Adverse effects of hypoxia are well known but the damaging effects of excess oxygen administration and oxidative stress have only been studied in the last 2 decades. Many negative effects have been described, including retinopathy of prematurity . Noninvasive pulse oximetry (SpO2) is useful to detect hypoxemia but requires careful evaluation and understanding of the frequently changing relationship between O2 and hemoglobin to prevent hyperoxemia. Intention to treat SpO2 ranges should be individualized for every newborn receiving supplemental O2, according to gestation...
Source: Critical Care Nursing Clinics of North America - September 15, 2023 Category: Nursing Authors: Augusto Sola, Leslie Altimier, Mar ía Teresa Montes Bueno, Cristian Emanuel Muñoz Source Type: research

Neonatal Nursing Care from a Global Perspective
Neonatal nurses play an essential role in small and sick newborn care. In the last few years, especially during the pandemic, neonatal mortality stayed relatively static. Recognition is growing that neonatal nurses represent a specialty that requires unique, consistent, competency-based training and education to provide the best possible care. The Council of International Neonatal Nurses, Inc collaborates with many global stakeholders to raise the standards of neonatal nursing care, especially in Africa. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - September 14, 2023 Category: Nursing Authors: Carole Kenner, Marina Boykova Source Type: research

Understanding Near-Infrared Spectroscopy
Near-infrared spectroscopy (NIRS) is a novel technology that uses infrared light to noninvasively and continuously measure regional oxygen extraction in real time at the bedside. Neonatal research using this device supports its use as an adjunct to routine cardiovascular monitoring because NIRS serves as a surrogate marker for end-organ perfusion and can detect minute changes in cerebral, intestinal, and kidney tissue beds. Multiple conditions affecting premature infants are frequently associated with hypoperfusion; therefore, methods to detect early tissue-specific perfusion alterations may substantially improve the clini...
Source: Critical Care Nursing Clinics of North America - September 9, 2023 Category: Nursing Authors: Terri Marin, James Moore Source Type: research