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Brain-focused care in the neonatal intensive care unit: the time has come

Year: 2017
Type: article
Abstract: Survival rates for extremely preterm infants and for critically ill term newborns have improved steadily over the last several decades; however, these same babies continue to experience high rates of adverse neurodevelopmental outcomes with life-long impact.Brain-focused care is a desired evolution in neonatal care after decades of focus on survival and extending the limits of viability.Neonatal neurology and neonatal neurocritical care are growing subspecialties that seek to better address the needs of neonates with, or at risk for, neurological compromise by integrating neonatal intensive care practices with focused neurologic care.The development and application of bedside neuromonitoring has significantly contributed to the enhanced focus and our ability to both monitor and provide care for these vulnerable newborns.Non-invasive neurologic monitoring with techniques such as amplitude-integrated electroencephalography (aEEG) and near-infrared spectroscopy (NIRS) allow screening and assessment at the bedside by neonatal nurses and physicians.In this issue of the Jornal de Pediatria, Variane et al. 1 described a prospective cohort study of 23 preterm infants ଝ Please cite this article as: Van Meurs KP, Bonifacio SL.Brainfocused care in the neonatal intensive care unit: the time has come.J Pediatr (Rio J). 2017;93:439---41.ଝଝ See paper by Variane et al. in pages 460---6.
Language: English
Field: Medicine
Open Access status: gold
Estimated APC paid: $1,800
OpenAlex ID: W2600257262
FWCI: 1.198
Cites: 20
Cited by: 7
Related to: 10