Sound reduction management in the neonatal intensive care unit for preterm or very low birth weight infants

Almadhoob, Abdulraoof; Ohlsson, Arne

doi:10.1002/14651858.cd010333.pub3

Cited by 61 publications

(73 citation statements)

References 58 publications

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“…A educação continuada sobre os efeitos do som, mudanças nas práticas de cuidados operacionais para reduzir a exposição a níveis sonoros excessivos, juntamente com lembretes que garantam a manutenção do silêncio e monitoramento dos níveis sonoros, de forma contínua ou intermitente, apresentam potencial para melhorar o controle do ruído em na UTINP. [15][16][17] A retirada de equipamentos como latas de lixo metálicas, cestos e telefones com toques são outras formas econômicas para reduzir os níveis sonoros, caso uma renovação completa não seja viável. Pais engajados como membros da equipe continuam sendo a chave para a sustentabilidade.…”

Section: Discussionunclassified

“…O fornecimento de educação sobre redução sonora, encorajando vozes sussurrantes, assegurando tempo de silêncio com o RN, alertando a equipe quanto ao monitoramento de som, e silenciando telefones celulares são outras práticas para reduzir o ruído prejudicial na UTINP. [15][16][17] Quantos as limitações do presente estudo, trata-se de uma análise de aferição única o que impede a observação de variações e a identificação de um valor constante quanto à quantificação do ruído no ambiente. Entretanto, o método de aferição empreendido considera a rotina do SOST local, o que possibilitou uma aproximação e um diagnóstico inicial do cenário.…”

Section: Discussionunclassified

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Identificação do ruído ao longo dos turnos na terapia intensiva neonatal de hospital de ensino

Barsam

Silva

Uramoto³

et al. 2019

J. nurs. health.

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Objetivo: quantificar o ruído ao longo e após turnos de trabalho em uma unidade de terapia intensiva neonatal de um hospital público de ensino para controle ambiental. Métodos: estudo observacional, descritivo em unidade de terapia intensiva neonatal, referência para macrorregião de saúde em Minas Gerais. Foram realizadas quantificações do ruído em parceria com serviço de saúde ocupacional e segurança do trabalho a partir de quatro sessões de aferição entre agosto e setembro de 2017. Resultados: apesar da redução do ruído no período noturno, todos valores aferidos nos diferentes turnos encontravam-se acima dos valores confortáveis para o ambiente, medições entre 62 e 82 dB. Maiores valores identificados devem-se pela: circulação de profissionais, docentes e discentes e necessidade de comunicação verbal. Conclusão: os valores das medições de ruído tem se apresentado acima de recomendações, similar às diferentes localidades mundiais, fato que exige medidas urgentes e sistemáticas para o seu controle.

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Section: Discussionunclassified

Identificação do ruído ao longo dos turnos na terapia intensiva neonatal de hospital de ensino

Barsam

Silva

Uramoto³

et al. 2019

J. nurs. health.

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“…The physical environment in the neonatal intensive care unit (NICU) may influence short‐ and long‐term outcomes in preterm infants . Involvement of parents , and family‐centred care with parents as primary caregivers, has been associated with faster attainment of full enteral feeds and weight gain .…”

Section: Introductionmentioning

confidence: 99%

Single‐family room design in the neonatal intensive care unit did not improve growth

et al. 2019

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Aim: The aim was to compare growth in very premature infants cared for in a single-family room (SFR) and an open-bay (OB) unit. We recorded duration of parental presence and skin-to-skin contact as proxies for parental involvement in care of their infants. Methods:We consecutively included infants with gestational ages 28 + 0 through 32 + 0 weeks at two hospitals in Norway, one SFR unit (n = 35) and one OB unit (n = 42). Weight, length, and head circumference were followed from birth to four months after term date. Both units adhered to the same nutritional protocol and methods of recording events. Results:The SFR mothers spent a mean (standard deviation) of 111 (38) hours and the OB mothers 33 (13) hours with their infants during the first week and 21 (5) versus 7 (3) hours per day later. The respective duration of skin-to-skin care was 21 (10) versus 12 (8) hours during the first week and 4.2 (2) versus 3.0 (2) hours per day later. The differences were similar, but less pronounced for the fathers. The growth trajectories did not differ between the groups.Conclusion: SFR care was associated with more parental involvement, but not with better growth.

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“…In stable infants, loud noises 10‐15 dB above background levels lead to changes in cerebral oxygenation . Preterm infants transported between centres are exposed to prolonged periods of excessive noise with ground ambulance transfer often >70 dB and air transport >80 dB . Efforts to reduce noise exposure are limited and well‐designed trials are needed to establish the impact on clinically important outcomes .…”

Section: Key Environmental Exposures During Inter‐hospital Transportmentioning

confidence: 99%

“…These infants are already at risk of neurological problems including intraventricular haemorrhage (IVH) and seizures that can lead to abnormal neurodevelopmental outcome. The underlying risks of infants’ gestation and/or pathology are compounded by the transport environment with exposure to noise, whole‐body vibration (WBV), accelerative and decelerative forces and variable thermal environment …”

Section: Introductionmentioning

confidence: 99%

Neurocritical care of high‐risk infants during inter‐hospital transport

et al. 2019

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The centralisation of neonatal intensive care in recent years has improved mortality, particularly of extremely preterm infants, but similar improvements in morbidity, such as neurodevelopmental impairment, have not been seen. Integral to the success of centralisation are specialised neonatal transport teams who provide intensive care prior to and during retrieval of high‐risk neonates when in‐utero transfer has not been possible. Neonatal retrieval aims to stabilise the clinical condition and then transfer the neonate during a high‐risk period for patient. Transport introduces the hazards of noise and vibration; acceleration and deceleration forces; additional handling and temperature fluctuations. The transport team must stabilise the infant fully prior to transport as when on the move they are limited by space and movement to effectively attend to clinical deterioration. Inborn infants have better neurodevelopmental outcome compared with the outborn and aetiology of this seems to be multifactorial with the impact of transport itself during critical illness, remaining unclear. To improve the neurological outcomes for transported infants, it seems imperative to integrate the advancing intensive care neuromonitoring tools into the transport milieu. This review examines current inter‐hospital transport neuromonitoring and how new modalities might be applied to the neurocritical care delivered by specialist transport teams.

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Sound reduction management in the neonatal intensive care unit for preterm or very low birth weight infants

Abstract: Sound reduction management in the neonatal intensive care unit for preterm or very low birth weight infants (Review)

Cited by 61 publications

References 58 publications

Identificação do ruído ao longo dos turnos na terapia intensiva neonatal de hospital de ensino

Identificação do ruído ao longo dos turnos na terapia intensiva neonatal de hospital de ensino

Single‐family room design in the neonatal intensive care unit did not improve growth

Neurocritical care of high‐risk infants during inter‐hospital transport

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