aEEG in the first 3 days after extremely preterm delivery relates to neurodevelopmental outcomes.

Objectives: Investigate relationships between aEEG in the first 72 h in extremely preterm infants with 1) infant, medical, and environmental factors, and 2) infant feeding and neurobehavioral outcomes at term and school-age.

Methods: Sixty-four preterm infants (≤28 weeks gestation) were enrolled within the first 24-hours of life and had two-channel aEEG until 72 h of life. Standardized neurobehavioral and feeding assessments were conducted at term, and parent-reported outcomes were documented at 5-7 years.

Variable Association of Physiologic Changes With Electrographic Seizure-Like Events in Infants Born Preterm.

Objectives: To determine the incidence of seizure-like events in a cohort of infants born preterm as well as the prevalence of associated vital sign changes (heart rate [HR], respiratory rate, and pulse oximetry [SpO]).

Study Design: We performed prospective conventional video electroencephalogram monitoring on infants born at 23-30 weeks of gestational age during the first 4 postnatal days. For detected seizure-like events, simultaneously captured vital sign data were analyzed during the pre-event baseline and during the event.

Survey of Quaternary Neonatal Management of Posthemorrhagic Hydrocephalus.

Objective: This study aimed to determine clinical care practices for infants at risk for posthemorrhagic hydrocephalus (PHH) across level IV neonatal intensive care units (NICUs).

Study Design: Cross-sectional survey that addressed center-specific surveillance, neurosurgical intervention, and follow-up practices within the Children's Hospitals Neonatal Consortium.

Results: We had a 59% (20/34 sites) response rate, with 10 sites having at least two participants.

Understanding umbilical venous catheter insertion practices through a prospective multicenter observational study.

Objective: To understand practices of umbilical venous catheter (UVC) insertion in tertiary level neonatal intensive care units (NICU) and investigate the outcomes of subsequent attempts following a failed initial attempt.

Study Design: Prospective, multi-center observational study of UVC insertions at tertiary level NICUs between March 2019 and January 2020.

Results: Of the 101 UVCs inserted at 4 centers, seventy-two (71%) were central at the first attempt and 50% were central at subsequent attempts.