Congenital heart disease (CHD) is among the 4 more common causes of infant mortality in Latin America. Pulse oximetry screening (POS) is useful for early diagnosis and improved outcomes of critical CHD. We describe POS implementation efforts in Latin American countries guided and/or coordinated by the Ibero American Society of Neonatology (SIBEN) as well as the unique challenges that are faced for universal implementation. SIBEN collaborates to improve neonatal quality of care and outcomes. A few years ago, a Clinical Consensus on POS was finalized. Since then, we participated in 12 Latin American countries to educate neonatal nurses and neonatologists on POS and to help with its implementation. The findings reveal that despite wide disparities in care that exist between and within countries, and the difficulties and challenges for implementing POS, significant progress was made. We conclude that universal POS is not easy to implement in Latin America but, when executed, not only it has been of significant value for babies with CHD but also for many with other hypoxemic conditions. The successful and universal implementation of POS in the future is essential to reduce the mortality associated with CHD and other hypoxemic conditions and will ultimately lead to the survival of many more Latin American babies. POS saves newborns’ lives in Latin America.
Congenital heart disease (CHD) is among the four most common causes of infant mortality in Latin America. Pulse oximetry screening (POS) is useful for early diagnosis and improved outcomes of critical CHD. Here, we describe POS implementation efforts in Latin American countries guided and/or coordinated by the Ibero American Society of Neonatology (SIBEN), as well as the unique challenges that are faced for universal implementation. SIBEN collaborates to improve the neonatal quality of care and outcomes. A few years ago, a Clinical Consensus on POS was finalized. Since then, we have participated in 12 Latin American countries to educate neonatal nurses and neonatologists on POS and to help with its implementation. The findings reveal that despite wide disparities in care that exist between and within countries, and the difficulties and challenges in implementing POS, significant progress has been made. We conclude that universal POS is not easy to implement in Latin America but, when executed, has not only been of significant value for babies with CHD, but also for many with other hypoxemic conditions. The successful and universal implementation of POS in the future is essential for reducing the mortality associated with CHD and other hypoxemic conditions and will ultimately lead to the survival of many more Latin American babies. POS saves newborns’ lives in Latin America.
Starting with this issue of NeoReviews, the editorial board has decided to publish a few articles in Spanish every year and make them available online for free. To accomplish this, NeoReviews came to an agreement with SIBEN, the Ibero-American Society of Neonatology, to publish Clinical Consensus statements that the Society works very hard to produce. This collaborative process involves more than 40 neonatologists and neonatal nurses from 12 to 14 countries of the Ibero-American region, who work in various subgroups for approximately 8 to 10 months. Then the whole group meets in person for several hours to finalize the Consensus. Subsequently, 5 leaders write the final document, which is reviewed and approved by all participant members. SIBEN is a not-for-profit public charitable organization (501[c][3]) and is committed to advancing positive change for improving the delivery of neonatal care and neonatal health in Latin America. SIBEN was originally founded in 2003 by a small group of clinicians concerned with the significant discrepancy that exists in neonatal education, health care delivery, and neonatal outcomes in the Latin American region. There are members from every country in the region, totaling over 2,000 physicians and registered nurses. Five neonatologists from different countries constitute the Board of Directors. The Directive Council was recently completed and is formed by professionals from all countries and encompasses all areas of neonatal care (ie, Nursing, Interdiscipline, Family and Community; Research; Follow-up; and all others). During the last 4 to 5 years, "hands-on" educational activities in many areas have been performed. A detailed document and list are available for review at www.siben.net. A painful and regrettable significant discrepancy and inequality exists in neonatal delivery of care and outcomes in the Latin American region. The gap between what is known and clinical practice is huge in some areas. Educational programs of SIBEN are designed to improve neonatal health, safety, and outcomes and promote efficient and cost-effective neonatal health care delivery in vast areas
2 es un gas, sino es un fármaco, con sus indicaciones, dosis, efectos adversos y necesidades de (1) monitorización .Con relación al descubrimiento del O y su uso en la 2 medicina, se remontan a los avances en la física y la ABSTRACT Key words:The management of O2, its monitoring and the target levels for neonates, mainly premature, are discussed. It is essential that both medical and nursing staff should be well trained in order to safely and effectively use O2 in neonates in clinical practice.Oxygen therapy, administration, Newborn.
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