21 results match your criteria: "Beacon Children's Hospital[Affiliation]"

Nursing insights on the effectiveness of automated pupillometry in two distinct pediatric intensive care units.

J Pediatr Nurs

September 2024

Texas A&M School of Medicine, 8447 Riverside Pkwy, Bryan, TX 77807, United States of America; Driscoll Children's Hospital, 3533 S Alameda St, Corpus Christi, TX 78411, United States of America.

Purpose: Automated pupillometry (AP) facilitates objective pupillary assessment. In this study, we aimed at assessing nursing perspective about the utility of AP in neurocritically ill children to understand acceptance and usage barriers to guide development of a standardized use protocol.

Methods: We conducted a web-based, cross-sectional, anonymous, Google™ survey of nurses at two independent pediatric ICUs which have been using AP over last four years.

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Objective:  This study aimed to describe target oxygen saturation (SpO) ranges used for premature infants in United States' neonatal intensive care units (NICUs) and to describe if these target SpO ranges have changed in recent years.

Study Design:  A 29-question survey focused on target SpO practices and policies was distributed via the NICU medical directors listservs for the American Academy of Pediatrics Section of Neonatal-Perinatal Medicine and Pediatrix Medical Group between August and October of 2021. Results were collected via Research Electronic Data Capture (REDCap).

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Couplet Care-The Next Frontier of Care in the Newborn Intensive Care Unit.

Crit Care Nurs Clin North Am

March 2024

Regional Newborn Program, Beacon Children's Hospital, 615 North Michigan Street, South Bend, IN 46601, USA. Electronic address:

Couplet care of mother and newborn intensive care unit (NICU) baby in the same room is a new, rapidly evolving option for the care of NICU babies. This change has structural and operational challenges that require careful planning but its successful implementation is likely to drive enhanced family participation in the care of their baby throughout the NICU stay as well as improve collaboration between obstetric and neonatal providers.

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Design charettes have been utilized in architectural and design practice to generate innovative ideas. The Reimagining Workshop is a version that combines practical and blue-sky thinking to improve healthcare facility design. The workshop engages diverse stakeholders who follow a human-centered design framework.

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Aim/objective Neurological Pupil Index (NPi), measured by automated pupillometry (AP), allows the objective assessment of pupillary light reflex (PLR). NPi ranges from 0 (non-reactive) to 5 (normal). In this study, we aimed to compare neurologic and functional outcomes in children admitted for neurologic injury with normal (≥3) versus abnormal (<3) NPi measured during their pediatric intensive care unit (PICU) stay.

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Purpose: Understand how the interior design of single-family rooms (SFRs) in neonatal intensive care units (NICUs) can support family engagement behaviors.

Background: Family members are integral contributors to infant care in NICUs, impacting infant development. While at the NICU, parents are encouraged to participate in a process called family engagement, where they are expected to move from passive to active caregivers, in preparation for their role after discharge.

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While extraordinary advances have been made in the medical care of critically ill newborns, understanding the need of even the smallest of these infants for early, extensive, intimate human contact and facilitating the family's role in the care of their baby has been much slower and inconsistent. There is abundant evidence for the essential role of nurturing parent-infant connections (bonding/attachment) for development of optimal physical, cognitive, and emotional health of all babies. It is time to leave behind the tradition of sensory deprivation and social isolation common in the care of high-risk infants.

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Study Objective: To determine whether the receipt of more than or equal to 30 mL/kg of intravenous fluid in the first hour after emergency department (ED) arrival is associated with sepsis-attributable mortality among children with hypotensive septic shock.

Methods: This is a retrospective cohort study set in 57 EDs in the Improving Pediatric Sepsis Outcomes quality improvement collaborative. Patients less than 18 years of age with hypotensive septic shock who received their first intravenous fluid bolus within 1 hour of arrival at the ED were propensity-score matched for probability of receiving more than or equal to 30 mL/kg in the first hour.

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Hydrocephalus is a serious condition that impacts patients of all ages. The standards of care are surgical options to divert, or inhibit production of, cerebrospinal fluid; to date, there are no effective pharmaceutical treatments, to our knowledge. The causes vary widely, but one commonality of this condition is aberrations in salt and fluid balance.

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Objectives: To determine the relationship between the emergence of COVID-19 and neonatal intensive care unit (NICU) family presence as well as how NICU design affects these changes.

Study Design: A cross-sectional survey from April 21 to 30, 2020. We queried sites regarding NICU demographics, NICU restrictions on parental presence, and changes in ancillary staff availability.

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Recommended standards for newborn ICU design, 9th edition.

J Perinatol

September 2020

Regional Newborn Program, Beacon Children's Hospital, South Bend, IN, USA.

The environment of care has a lasting impact on the patients, families, and caregivers who experience it. A newborn intensive care unit (NICU) is typically in use for 10-30 years, over which time decisions made during its design will have human and financial impacts far beyond the initial cost. Good planning is crucial, yet most participants in the planning process have little experience designing a NICU and may be driven as much by what they do not like in their existing NICU as by the evidence and experience reported by others.

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Incidence of venous thromboembolism in hospitalized pediatric neurosurgical patients: a retrospective 25-year institutional experience.

Childs Nerv Syst

May 2020

Beacon Children's Hospital, Beacon Medical Group North Central Neurosurgery, Indiana University School of Medicine, 100 W. Navarre St., Suite #6600, South Bend, IN, 46601, USA.

Purpose: Venous thromboembolism (VTE) refers to both deep venous thrombosis (DVT) and pulmonary embolism (PE). The risk of VTE in adult neurosurgical patients is thoroughly studied. However, the incidence and risk of VTE in a comprehensive pediatric neurosurgical population is not well-defined.

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Purpose: Thromboelastography (TEG) is a point-of-care test that evaluates the entire hemostatic process. The use of TEG is expanding in multiple pediatric surgical disciplines. However, there is very little literature regarding its application in pediatric neurosurgical patients.

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Circadian Variation of Breast Milk Components and Implications for Care.

Breastfeed Med

September 2017

Pediatrix Medical Group, Regional Newborn Program, Beacon Children's Hospital, South Bend, Indiana.

Several components of breast milk show circadian variability. It is likely that at least some of these macronutrients, hormones, and micronutrients produce circadian stimuli that enhance the well-being of breast-fed infants. Future research should determine whether high-risk infants benefit if breast milk is given during the same circadian phase as it was expressed.

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