Preventing Hypothermia in Newborns With Congenital Anomalies in the Delivery Room.

Adv Neonatal Care

Division of Neonatology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania (Mss Heimall and Barrila-Yetman, Dr McCray, Mss Cestare and Duran, Drs Wild and Ades); and Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania (Drs Wild and Ades).

Published: October 2024

Background: Thermoregulation interventions in the delivery room have historically focused on preterm infants and studies often exclude term infants or those infants with known congenital anomalies.

Purpose: The purpose of this quality improvement project was to reduce the rate of admission hypothermia in neonates of all gestational ages born with congenital anomalies and admitted to the intensive care unit (ICU).

Methods: Utilizing the Institute for Healthcare Improvement model for improvement, implementation of plan, do study, act cycles focused on standardizing temperatures of the delivery room and resuscitation bed, recommendations for temperature monitoring, trialing polyethylene lined hats, and implementing a delivery room thermoregulation checklist.

Results: Overall, the mean rate of neonates admitted to the ICU hypothermic (<36.5°C) decreased from 27% to 9% over an 8-month period.

Implications For Practice And Research: The interventions significantly reduced the number of neonates admitted to the ICU with hypothermia. Implementation of thermoregulation bundles should apply to all neonates with congenital anomalies to decrease risks associated with hypothermia.

Download full-text PDF

Source
http://dx.doi.org/10.1097/ANC.0000000000001184DOI Listing

Publication Analysis

Top Keywords

delivery room
16
congenital anomalies
8
preventing hypothermia
4
hypothermia newborns
4
newborns congenital
4
delivery
4
anomalies delivery
4
room
4
room background
4
background thermoregulation
4

Similar Publications

Effortless Fabrication of Nanofused HKUST-1 for Enhanced Catalytic Efficiency in the Cyanosilylation of Aldehyd.

Materials (Basel)

March 2025

School of Chemical Engineering and Technology, Sun Yat-sen University, Zhuhai 519082, China.

HKUST-1 (HKUST = Hong Kong University of Science and Technology) is one of the most recognized metal-organic frameworks (MOFs) based on copper and trimesate, extensively studied for a variety of applications, such as gas storage, separation, adsorption, electrocatalysis, drug delivery, sensor and photodegradation, etc. In this work, we introduce a novel nanofused HKUST-1, referred to as N-CuBTC (BTC = trimesate), which has been synthesized with the hydrothermal method at room temperature (typical synthesis temperature is from 80~120 °C). The resulting N-CuBTC features an irregular particle morphology, with numerous crystals clustering together and edges that have fused, creating a hierarchical pore structure.

View Article and Find Full Text PDF

Postpartum hemorrhage (PPH) is the most prevalent complication of childbirth and the most preventable cause of maternal mortality worldwide. Maternity nurses and midwives are often the first-line providers responding to PPH. As a result, maternity nurses have the potential to save the lives of women who are clinically deteriorating because of PPH.

View Article and Find Full Text PDF

[Visual estimation of blood losses : Known high error rate-How can it be improved?].

Anaesthesiologie

March 2025

Abteilung für Anästhesie, RoMed Klinik, Wasserburg am Inn, Deutschland.

Every day blood losses are visually estimated by medical personnel (physicians, midwives, paramedics) because an exact quantitative measurement is impossible or impractical. Anesthesiologists are confronted with blood loss in the operating room, in the delivery room, in the emergency room and at the scene of an emergency; however, the literature shows that in all the named areas enormous errors occur in the visual estimation. Errors of 50% and more are not uncommon, which means that, e.

View Article and Find Full Text PDF

The analgesic effects of novel fascial plane blocks compared with intrathecal morphine after Caesarean delivery: a systematic review and meta-analysis.

Br J Anaesth

March 2025

Department of Anesthesiology and Pain Medicine, and the Ottawa Hospital Research Institute, University of Ottawa, Ottawa, ON, Canada; Department of Anesthesia, and the Li Ka Shing Knowledge Institute, St. Michael's Hospital, University of Toronto, Toronto, ON, Canada. Electronic address:

Background: Intrathecal morphine is the mainstay for post-Caesarean multimodal analgesia but is associated with important side-effects. Novel ultrasound-guided abdominal wall fascial plane blocks are proposed as intrathecal morphine alternatives, but evidence of effectiveness is conflicting. We compared the analgesic effects of fascial plane blocks with those of intrathecal morphine after Caesarean delivery.

View Article and Find Full Text PDF

Traditional mRNA vaccine formulation loaded by lipid nanoparticle (mRNA-LNP) has several shortcomings in clinical application, including the need for cryopreservation, discomfort associated with intramuscular injections, and the risk of liver aggregation. Dissolvable microneedles (DMNs), as a novel transdermal drug delivery platform, can overcome the skin barrier to deliver drugs directly into the skin in a minimally invasive manner. However, mRNA-LNP is unstable and easily degraded during the solidification of DMN.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!