Oxygen therapy for premature and immature young infants.

Hess, Julius H.

doi:10.1037/13520-021

Cited by 6 publications

(7 citation statements)

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“…He recommended extended periods of oxygen administration. 13 The use of oxygen in babies with apnea, cyanosis, and perinatal asphyxia was also promoted by Hess 14 at the Sarah Morris Premature Infant Station in Chicago where an oxygen therapy unit was devised by replacing the canopy of the Hess-heated bed (incubator) with an oxygen delivery system in 1931. In this incubator, even acyanotic premature infants received 40% oxygen for 24 or more hours.…”

Section: Supplemental Oxygenmentioning

confidence: 99%

Reflections on Errors in Neonatology: I. The “Hands-Off” Years, 1920 to 1950

Robertson

2003

J Perinatol

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Section: Supplemental Oxygenmentioning

confidence: 99%

Reflections on Errors in Neonatology: I. The “Hands-Off” Years, 1920 to 1950

Robertson

2003

J Perinatol

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“…Most importantly, Hess worked with his head nurse Evelyn Lundeen to develop a staff of trained nurses following specific protocols. 54,55 The neonatal nurse, in fact, inherited a position somewhat analogous to that held by the mother in the French obstetric tradition. Nurses were responsible for all day-to-day operations of Hess' nursery, operating much like nurse practitioners or residents today.…”

Section: Creating a Technological Systemmentioning

confidence: 99%

The Incubator and the Medical Discovery of the Premature Infant

Baker

2000

J Perinatol

464

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The invention of the incubator in 1880 ignited a dramatic outpouring of popular and professional excitement over the prospect of reducing premature infant mortality. Yet the technology itself progressed slowly and fitfully over the next 50 years. The story is worth examining not so much from the standpoint of technological progress, but from the perspective of how responsibility for the newborn shifted from mothers to obstetricians and eventually pediatricians. It also illustrates how the history of technology involves more than invention. The invention of the incubator itself was less significant than the development of a system to support the device.

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“…Prior to this in 1780, Chaussier experimented with oxygen for newborn infants who failed to establish normal respiration after birth [16] . Prolonged oxygen therapy was advocated for treatment of cyanotic attacks in 1923 by Bakwin [20] and for apnoea and perinatal asphyxia in 1934 by Hess [21] . Bill Silverman has stated that 'the modern era of treatment (routine prolonged exposure of small premature infants to high concentrations of oxygen) began in earnest … in 1942' [16] .…”

Section: Uncontrolled Oxygen Supplementationmentioning

confidence: 99%

Useless Perinatal Therapies

Halliday¹

2010

Neonatology

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With respect to Professor Bengt Robertson whose research studies were very instrumental in the development of one of the most important and evidence-based therapies in perinatal medicine, namely surfactant therapy, I thought it might be appropriate to review some useless or harmful perinatal therapies. Although the term ‘neonatology’ has only been in existence for about 50 years, care of the newborn in the 19th century was largely provided by nurses and obstetricians. As an example, Pierre Budin, a Parisian obstetrician, was very aware of the importance of keeping low birth weight babies warm. More recently however, a number of useless or harmful practices were adopted by those caring for pregnant women and their babies. These included uncontrolled oxygen supplementation, inadequate temperature control, withholding feeds, and various drugs such as thalidomide, chloramphenicol, hexachlorophene, sodium bicarbonate, Epsom salts, benzyl alcohol, thyrotrophin-releasing hormone and corticosteroids. Even in the modern age, inappropriate therapies have been introduced on the basis of short-term beneficial outcomes without longer-term evaluation. Sometimes we are slow to learn the lessons of the past.

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Oxygen therapy for premature and immature young infants.

Cited by 6 publications

References 0 publications

Reflections on Errors in Neonatology: I. The “Hands-Off” Years, 1920 to 1950

Reflections on Errors in Neonatology: I. The “Hands-Off” Years, 1920 to 1950

The Incubator and the Medical Discovery of the Premature Infant

Useless Perinatal Therapies

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