Aspectos perinatais relacionados à hemorragia intracraniana em recém-nascidos de muito baixo peso no Sul do Brasil

Silva, Lisandra Radaelli da; Iser, Betine Pinto Moehlecke; Tartare, Bianca; Bonetti, Heloise Serafin

doi:10.1590/so100-720320150004973

Cited by 6 publications

(5 citation statements)

References 19 publications

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“…In assessing intra-hospital outcomes, it was seen that the newborns with peri-intraventricular hemorrhage had longer duration of assisted ventilation and longer hospital stay. Presence of greater severity of the disease was associated with higher frequency of death, and this finding was consonant with the data in the literature [12] [14] [18] [20] [25] [26] [27]. Among the limitations of the present study, the time at which the first ultra-sound examination was performed should be highlighted.…”

Section: Discussionsupporting

confidence: 89%

Prevalence, Risk Factors and Intra-Hospital Outcomes Relating to Peri-Intraventricular Hemorrhage in Premature Newborns of Gestational Age Less than 34 Weeks

Vasconcelos¹,

Galvão²,

Tenório³

et al. 2021

OJOG

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Peri-intraventricular hemorrhage is one of the main causes of neurological impairment in premature newborns. To control their risk factors is necessary in view of the increasing survival of extreme preterm infants. Objective: To evaluate the prevalence of peri-intraventricular hemorrhage in premature newborns, identify the risk factors and observe the frequencies of intra-hospital outcomes of interests. Methods: This study was done in Brazil. This was an observational, analytical longitudinal and prospective study. The subjects included were newborns of gestational age less than 34 weeks who were admitted to two public hospitals between May and November 2015. To assess possible associated factors, obstetric, perinatal and neonatal data were analyzed (chorioamnionitis, antenatal corticosteroids, gestational age, newborn weight, Apgar score at 1 and 5 minutes, resuscitation in the delivery room, surfactant in the delivery room, newborn transferred from another hospital, respiratory distress syndrome: RDS, sepsis, umbilical vein catheterization, assisted ventilation, exogenous surfactant in the Neonatal ICU, use of sodium bicarbonate, inotropic agents, adrenaline, volume expanders and blood products). The hospital outcomes studied were assisted ventilation time, hospital stay and death. The data analysis was performed by chi-square test or Fisher's test, with a significance level of 5%. Results: Out of 156 newborns, 46 (29.9%) presented peri-intraventricular hemorrhage and 28.2% of these had a severe form of the disease. There were significant associations (p < 0.05

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Section: Discussionsupporting

confidence: 89%

Prevalence, Risk Factors and Intra-Hospital Outcomes Relating to Peri-Intraventricular Hemorrhage in Premature Newborns of Gestational Age Less than 34 Weeks

Vasconcelos¹,

Galvão²,

Tenório³

et al. 2021

OJOG

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“…Este foi realizado e apresentou ritmo lentificado e ondas agudas em região centro parietal esquerda com generalização secundária. As crises que se iniciam no lobo parietal se caracterizam por alterações sensitivas e costumam evoluir para crises tipo grande mal 26 . Neonato apresentou crise única sem mais alterações e complicações.…”

Section: Discussionunclassified

Hipernatremia grave em recém-nascido resultante de falha no aleitamento materno: relato de caso

Cavalcante

Lara²,

Gonçalves³

et al. 2021

R. Saúde

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A hipernatremia é um distúrbio hidroeletrolítico definido por concentração sérica de sódio superior a 145mEq/L, sendo considerada grave quando superior a 160mmol/L. É uma condição rara em recém-nascidos, causando sintomas predominantemente neurológicos, que pode ocorrer pela alta ingestão de sódio, perda excessiva de líquidos ou diminuição da ingestão de líquidos. A hipernatremia grave tem sido especialmente associada à dificuldade na amamentação e à perda de peso. Existem alguns fatores de risco associados como primiparidade, parto cesáreo, peso materno excessivo, problemas de amamentação, falta de experiência em amamentação e baixa escolaridade materna. O objetivo deste trabalho foi apresentar um relato de caso de hipernatremia resultante de uma amamentação inadequada. O caso relatou uma paciente de 23 dias de vida, apresentando quadro de desidratação grave e desnutrição, devido a dificuldades no aleitamento materno, sendo necessária a internação na Unidade de Terapia Intensiva (UTI). Após a realização de exames complementares, foi constatada hipernatremia (Na+ 182mmol/L) sendo tratada com infusão de soro fisiológico 0,9%. Paciente ainda evoluiu com convulsão, sendo tratada com fenobarbital. Após 36 dias de tratamento, neonato recebeu alta hospitalar. Portanto, conclui-se que a hipernatremia grave associada à dificuldade na amamentação pode ser uma condição evitada se o aleitamento materno for bem-sucedido, condição essa que seria possível com estratégias preventivas pelo sistema de saúde para gestantes e puérperas, como o acompanhamento mãe/neonato na primeira semana de vida.

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“…The issue of prematurity brings with it some specificities, conferring the need for a singular and highly specialized care, requiring a continuous improvement in the professional skills. A number of studies in this area portray the constant search for knowledge deepening about prematurity, such as prevention of skin lesions in newborns and newborn skin, 7 discomfort and pain in newborns, 8 identification and prevention of excessive noise in NICU, 9 as hearing loss in NICU hospitalized newborns related to prolonged noise exposure is one of the most widespread problems in the literature, 10 new neonatal resuscitation strategies, 11 risk factors for intracranial hemorrhage, 12 and NICU patient safety promotion, 13 among others.…”

Section: Discussionmentioning

confidence: 99%

Best Practices in Neonatal Nursing Care Management

Klock

Büscher²,

Erdmann

et al. 2019

Texto contexto - enferm.

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Objective: to build a theoretical matrix of care system/organization of Nursing in a Neonatal Intensive Care Unit based on the meanings attributed by the Nursing Team professionals and other involved actors in the relationships and interactions of care in dealing with the fragility of living/surviving newborn. Method: a qualitative study adopting the theoretical framework the Complexity Paradigm and the Grounded Theory as research design. The participants were 22 subjects divided into four sample groups. Data was obtained from interviews and analyzed through comparative analysis, performed from May to August 2012. Results: nursing care practices management is based on the experience of the relationships/interactions with the family members and other health team actors, aiming to incorporate best practices. Thus, nursing care practices management seeks to address the fragility that surrounds prematurity, minimizing the sequelae when seeking newborn’s survival. Conclusion: the organization of nursing care system in a Neonatal Intensive Care Unit is complex, dynamic, interactive and interdependent with other health systems, mobilized by a management process of care and/or good care management practices that enables pre-term and his family a care focused on the fragility and uncertainties of living/surviving in singular conditions of life. The nurse stands out with the fundamental role of articulation in the light of the relationships/interactions in the care and organizational daily routine.

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Aspectos perinatais relacionados à hemorragia intracraniana em recém-nascidos de muito baixo peso no Sul do Brasil

Abstract: Grade I intracranial hemorrhage from the germinative matrix was the most frequent. No differences were found between cases and controls for the variables studied. The small number of infants submitted to transfontanellar ultrasonography limited the sample size and the results of the study.

Cited by 6 publications

References 19 publications

Prevalence, Risk Factors and Intra-Hospital Outcomes Relating to Peri-Intraventricular Hemorrhage in Premature Newborns of Gestational Age Less than 34 Weeks

Prevalence, Risk Factors and Intra-Hospital Outcomes Relating to Peri-Intraventricular Hemorrhage in Premature Newborns of Gestational Age Less than 34 Weeks

Hipernatremia grave em recém-nascido resultante de falha no aleitamento materno: relato de caso

Best Practices in Neonatal Nursing Care Management

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