Author Archives: annabelleinster

Successful Reduction in Electrode-Related Pressure Ulcers During EEG Monitoring in Critically Ill Neonates

Neonates are at a high risk for pressure ulcers (PU) due to skin immaturity and exposure to various medical devices. The prevalence of PU in the neonatal intensive care unit is estimated to be 23%, with 80% of those being … Continue reading

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ZAP-VAP A Quality Improvement Initiative to Decrease Ventilator-Associated Pneumonia in the Neonatal Intensive Care Unit, 2012-2016

Ventilator-associated pneumonia (VAP) is the second most frequent hospital-acquired infection in neonatal intensive care units (NICUs) and significantly affects neonatal morbidity and mortality. The population most at risk for VAP are extremely preterm infants. The objectives of this quality improvement project were to … Continue reading

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What Are the Effects of the Maternal Voice on Preterm Infants in the NICU?

Premature infants often experience extended stays in the neonatal intensive care unit (NICU) as opposed to home with parents. This prolonged separation creates a strain for both parents and infants, decreasing attachment and parental caregiving. One strategy to combat this … Continue reading

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Saving Babies’ Lives Version 2: a care bundle to reduce perinatal mortality

In 2016 NHS England released the Saving Babies’ Lives Care Bundle (SBLCB) as part of the national ambition to reduce the rates of stillbirth. This first version appears to have contributed to the stillbirth rate in England falling to a … Continue reading

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Phototherapy at home for the treatment of neonatal jaundice: a patient-centred pilot project

Phototherapy is a well-established procedure and the mainstay of treatment for significant neonatal jaundice. Usually, phototherapy is delivered in hospital, typically requiring a hospital stay of a few days. This article describes a pilot project to introduce phototherapy for the … Continue reading

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Neonatal abstinence syndrome: a current update

There is an absence of consensus with regard to the monitoring and assessment of neonatal abstinence syndrome (NAS) symptoms and severity, and commencement of pharmacological treatment. As a result different treatment practices have evolved locally, nationally and internationally. The main … Continue reading

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The changing picture of neonatal abstinence syndrome: ‘new drugs on the block’

Neonatal abstinence syndrome (NAS) is usually associated with maternal opioid use but the pattern of drug use is changing, with many affected infants now having been exposed to new psychoactive substances in utero. This article will focus on emerging recreational substances, … Continue reading

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