Iluminación en unidades de cuidados intensivos neonatales: actualización y recomendaciones

Rodríguez, Ricardo A.; Pattini, Andrea Elvira

doi:10.5546/aap.2016.361

Cited by 6 publications

(6 citation statements)

References 43 publications

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“…Having lights on constantly represented one of the less stressful factors, according to the nursing profssionals surveyed. It is noteworthy that artificial and natural lightning plays several roles in a neonatal intensive care unit: it communicates and transmits sensations, provides support to the professionals visual function, regulates circadian function, and therapeutic use (15) .…”

Section: Discussionmentioning

confidence: 99%

Stressors in patients of neonatal intensive care unit

et al. 2018

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Objective: to analyze the stressors on patients in neonatal intensive care unit. Methods: a cross-sectional study, develop in a reference public maternity hospital, with 60 nursing professionals who cared for the 24 hospitalized newborn babies. For data collected, a sociodemographic questionnaire and the Stressor Scale in Intensive Care Units were used to identify the stressors. A value of p<0.05 was used for the tests. Results: of the total of professionals, 18 (30.0%) were nurses. Most of the newborns were premature-moderate, with hospitalization time between eight and 15 days. Being punctured by needles was the most stressful factor and silencing alarms the main action mentioned as a strategy to reduce stressors. Conclusion: the 15 stressors evaluated presented high mean scores, showing that neonatal intensive care unit is an environment that varies between stressful and very stressful for newborns.

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Section: Discussionmentioning

confidence: 99%

Stressors in patients of neonatal intensive care unit

et al. 2018

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“…Newborns were enrolled after their first week of life during routine control for hyperbilirubinemia or minor surgery in the neonatology ward. Routine controls were carried out in a separate room with 2,000 lx between 9 and 10 am 11. Another room was used for the treatment intervention and projected to reduce sources of stress, with instrument noise set at <45 dB and 10–600 lx 12…”

Section: Methodsmentioning

confidence: 99%

Oral 24% sucrose associated with nonnutritive sucking for pain control in healthy term newborns receiving venipuncture beyond the first week of life

Bernardo¹,

Riccitelli

Sordino³

et al. 2019

JPR

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ObjectiveTo test the hypothesis that oral administration of 24% sucrose associated with nonnutritive sucking in healthy newborns receiving venipuncture beyond the first week of life controls pain and pain-related variation in heart rate (HR) and noninvasive oxygen saturation (SpO2).MethodsA total of 66 term newborns were enrolled between February and September 2017 in the Neonatology Department of AORN Santobono-Pausilipon, Naples. They were randomly assigned to receive oral 1 mL 24% sucrose (treated group [TG], n=33; gestational age 38.53±1.49 weeks; body weight 3,035±55 g; age 22.40±6.82 weeks) or oral 1 mL 10% glucose (control group [CG], n=33; gestational age 38.91±1.45 weeks; body weight 3,203±65 g; age 23.36±7.02 weeks) 1 minute before and during venipuncture. Evaluations were carried out between 8 and 9 am in all newborns. The Neonatal Infant Pain Scale (NIPS) was used to assess pain in newborns. Outcome measurements (HR, SpO2) were obtained before (T0), during (T1), and 1 minute after (T2) venipuncture using a Nellcor bedside SpO2 patient-monitoring system. NIPS scores were recorded throughout the procedure. Statistical analysis was performed using SPSS version 20.0. Changes in HR and SpO2 were assessed by mixed ANOVA for repeated measures. NIPS scores were evaluated by Mann–Whitney U test.ResultsThere were no statistically significant differences in HR or SpO2 between TG and CG at T0. HR was significantly lower in TG than CG at both T1 and T2 (P<0.05), whereas SpO2 was significantly higher in TG than CG at both T1 and T2 (P<0.05). NIPS scores were significantly lower in TG (median 0) than CG (median 6) during the entire procedure (P<0.05).ConclusionOral administration of 24% sucrose associated with nonnutritive sucking prior to and during a painful procedure has a strong impact on pain response in term newborns, reducing NIPS scores and influencing pain-associated variations in HR and SpO2. Complete analgesia during painful procedures in term newborns might prevent pain reactivity and its behavioral and neurodevelopmental consequences. Replication of this study is needed before widespread application of findings.

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“…Как в эксперименте, так и в клинике установлена значимость индуцирующего нейропластичность обогащения внешней среды разнообразными сенсорными стимулами. В то же время следует учитывать: как сенсорная депривация, так и чрезмерная (стрессовая) стимуляция могут оказать негативное воздействие на развивающуюся нервную систему [84]. Для недоношенных детей особенно важна защита от сенсорной перегрузки -от действия света, шума, болезненных манипуляций [85].…”

Section: оритн и векторы постнатального развития недоношенного младенцаunclassified

Predictors of Cognitive Defects and Its Prevention Capabilities in Premature Infants

Беляева¹,

Баранов²,

Намазова-Баранова³

et al. 2020

Pediatr. farmakol.

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The article summarizes the materials of modern publications on cognitive development of premature infants in connection with perinatal factors and parenting conditions. Leading risk predictors of cognitive defects in premature infants are severe dysmaturity by the time of birth (gestational age <27 weeks) and need for intensive care during the first weeks of life. The data of longitudinal researches of the premature infants’ development until reaching their adulthood is presented. The structure of cognitive defects in this population is studied. The most common problems were revealed in learning mathematics, operational memory and purposeful behavior and activity. Frequency of these cognitive defects is associated with both: stage of prematurity social problems of the family. Modern neurovisualization methods (diffusion weighted imaging and functional magnetic resonance imaging (MRI) of the brain) allows to identify the defects in child nervous system (Connectome) development already at the age of 18 months. It can be the substrate of cognitive defects, and it will allow to predict individual development pathway and implement direct corrections and interventions.

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Iluminación en unidades de cuidados intensivos neonatales: actualización y recomendaciones

Cited by 6 publications

References 43 publications

Stressors in patients of neonatal intensive care unit

Stressors in patients of neonatal intensive care unit

Oral 24% sucrose associated with nonnutritive sucking for pain control in healthy term newborns receiving venipuncture beyond the first week of life

Predictors of Cognitive Defects and Its Prevention Capabilities in Premature Infants

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