2,029 results match your criteria Neonatal Network[Journal]


Academy News.

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Neonatal Netw 2019 01;38(1):49-56

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January 2019

Continuing Education Activities: January/February 2019.

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Neonatal Netw 2019 01;38(1):46-48

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January 2019

Intravenous Lipid Emulsions in Infants: Is Balanced Better?

Neonatal Netw 2019 Jan;38(1):39-45

Parenteral nutrition (PN) is frequently required by extremely preterm infants due to gastrointestinal immaturity and complications of prematurity. Parenteral nutrition-associated cholestasis (PNAC) and intestinal failure-associated liver disease (IFALD) are common complications of prolonged PN. Plant-based intravenous lipid emulsions, containing proinflammatory omega-6 fatty acids and phytosterols, may contribute to these conditions as well as other comorbidities such as bronchopulmonary dysplasia and retinopathy of prematurity. Read More

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January 2019
4 Reads

Breast Milk Quality Improvement Bundle for Very Low Birth Weight Neonates.

Neonatal Netw 2019 Jan;38(1):34-38

Purpose: To assess the effect of a quality improvement (QI) bundle on improving breast milk output among very low birth weight (VLBW) mothers.

Design: Before and after nonrandomized QI project.

Sample: Mothers who delivered a VLBW infant in October and November 2015 were the prospective cohort. Read More

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January 2019

Extrauterine Growth Restriction in Low Birth Weight Infants.

Neonatal Netw 2019 Jan;38(1):27-33

Extrauterine growth restriction (EUGR) affects a significant number of very low birth weight (VLBW) infants and has the potential to impact neurodevelopmental outcome as well as other aspects of long-term health. More aggressive nutritional approaches have reduced the incidence of postnatal growth failure but many questions remain about the expected rate of growth for very preterm infants, the best ways to measure growth velocity, and the optimal approaches to supporting growth. This article examines some of the outstanding issues regarding postnatal growth failure and summarizes current practice recommendations. Read More

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January 2019

Nutrition for the Surgical Infant with Gastroschisis.

Neonatal Netw 2019 Jan;38(1):17-26

Nutrition for the infant with gastroschisis is a complex topic and there is not a lot of uniformity in the literature to formulate evidence-based care. This article discusses more recent findings in the literature as we search for an effective method of feeding these infants. Issues with growth and development, illustrating the variety of outcomes, are also addressed. Read More

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January 2019

Donor Breast Milk for the Preterm Infant: Your Questions Answered!

Neonatal Netw 2019 Jan;38(1):7-16

Expressed breast milk (EBM) is the gold standard of infant nutrition, but is not always available for use for preterm infants in the NICU setting. Donor breast milk (DBM) is often a preferred alternative for preterm and very low birth weight (VLBW) infants when maternal milk is not available. This article discusses the composition of DBM, reviews its advantages compared to formula, discusses challenges related to its long-term use, and identifies strategies to utilize DBM in the context of total nutritional management of preterm and VLBW infants. Read More

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January 2019

A Balancing Act.

Authors:
Sara Ramel

Neonatal Netw 2019 01;38(1):5-6

Associate Professor, Department of Pediatrics, University of Minnesota Masonic Children's Hospital, 2450 Riverside Ave, Minneapolis, MN 55454. E-mail:

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January 2019

Academy News.

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Neonatal Netw 2018 07 1;37(4):254-259. Epub 2018 Jul 1.

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http://dx.doi.org/10.1891/0730-0832.37.4.254DOI Listing

Continuing Education Home Study Course.

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Neonatal Netw 2018 07;37(4):250-254

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Real Awareness in the NICU and Through the Lifespan.

Authors:
Deborah Discenza

Neonatal Netw 2018 Jul 1;37(4):248-249. Epub 2018 Jul 1.

Awareness of prematurity goes well beyond the birth and the NICU stay. It is a life span matter, one that the neonatal field needs to re-think in terms of helping better the outcomes in babies. Deb Discenza tells the all-too-real scenario of her daughter's fate and how that is driving her passion of advocating for preemies and their families to a whole new level. Read More

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Premedication for Endotracheal Intubation in the Neonate.

Neonatal Netw 2018 Jul 1;37(4):238-247. Epub 2018 Jul 1.

Endotracheal intubation, a common procedure in neonatal intensive care, results in distress and disturbs physiologic homeostasis in the newborn. Analgesics, sedatives, vagolytics, and/or muscle relaxants have the potential to blunt these adverse effects, reduce the duration of the procedure, and minimize the number of attempts necessary to intubate the neonate. The medical care team must understand efficacy, safety, and pharmacokinetic data for individual medications to select the optimal cocktail for each clinical situation. Read More

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July 2018
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Meconium Peritonitis: A Case Study.

Neonatal Netw 2018 Jul 1;37(4):233-237. Epub 2018 Jul 1.

Meconium peritonitis is a sterile chemical peritonitis preceded by bowel perforation, resulting in meconium leakage and subsequent inflammatory cascade within the peritoneal cavity. The presentation can range from simple failure of the neonate to pass meconium to complications such as persistent pulmonary hypertension, lung hypoplasia, and systemic inflammatory syndrome. The purpose of this article is to review a case of meconium peritonitis while considering its etiology, diagnosis, management, and multidisciplinary team care. Read More

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Lung Ultrasound as a New Technique for Diagnosis of Neonatal Respiratory Diseases.

Authors:
Yasser N Elsayed

Neonatal Netw 2018 Jul 1;37(4):224-232. Epub 2018 Jul 1.

Point-of-care ultrasound in the NICU is becoming more commonplace and is now used for a number of indications. Over the past ten years, the use of ultrasound as an alternative to a chest x-ray for the diagnosis of neonatal lung disease has been explored, and protocols were developed to refine the interpretation of ultrasound images in neonatal lung disease. The purpose of this column is to briefly explain the physics of ultrasound and describe the application of ultrasound to neonatal lung assessment. Read More

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http://dx.doi.org/10.1891/0730-0832.37.4.224DOI Listing

Implementing Standardized Feeding Guidelines, Challenges, and Results.

Neonatal Netw 2018 Jul 1;37(4):218-223. Epub 2018 Jul 1.

Purpose: The purpose of this article was to develop standardized nutritional guidelines that would promote increased growth velocity (GV) in premature infants.

Design: Evidence-based standardized nutritional guidelines were developed. Guidelines included total parenteral nutrition advancement; enteral feeding advancement; and a bedside nurse gastric residual management algorithm. Read More

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http://dx.doi.org/10.1891/0730-0832.37.4.218DOI Listing

Hypotonia at Birth: A Case Study of ACTA-1 Mutation, a Congenital Myopathy.

Authors:
Laurie Gelardi

Neonatal Netw 2018 Jul 1;37(4):212-217. Epub 2018 Jul 1.

Congenital myopathy is an uncommon neonatal disorder that can manifest in the neonatal period with severe features. Presentation with signs of global hypotonia and respiratory insufficiency are among the classic findings. Rapid diagnosis is essential for medical management and family support. Read More

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http://dx.doi.org/10.1891/0730-0832.37.4.212DOI Listing

Disseminated Intravascular Coagulation in the Neonate.

Neonatal Netw 2018 Jul 1;37(4):205-211. Epub 2018 Jul 1.

Disseminated intravascular coagulation (DIC) is a serious secondary disease that alters the events in the clotting cascade. DIC leads to microclots in the peripheral vasculature. The uncontrolled formation of these clots consumes the body's clotting factors, which precipitates bleeding. Read More

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July 2018
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Infantile Hypertrophic Pyloric Stenosis: An Epidemiological Review.

Neonatal Netw 2018 Jul 1;37(4):197-204. Epub 2018 Jul 1.

Infantile hypertrophic pyloric stenosis (IHPS) is the most common gastrointestinal disease among infants. IHPS occurs as an isolated condition or together with other congenital anomalies. Association with genetic and environmental factors, bottle feeding, younger maternal age, maternal smoking, and erythromycin administration in the first two weeks of life has been shown. Read More

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The Art of Peer Review.

Authors:
Debbie Fraser

Neonatal Netw 2018 07 1;37(4):195-196. Epub 2018 Jul 1.

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http://dx.doi.org/10.1891/0730-0832.37.4.195DOI Listing
July 2018
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Academy News.

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Neonatal Netw 2018 11;37(6):384-392

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http://dx.doi.org/10.1891/0730-0832.37.6.384DOI Listing
November 2018

Continuing Education Home Study Course.

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Neonatal Netw 2018 Nov;37(6):381-383

We provide the test questions and NCC core competency information here in the journal; the test and evaluation are located online. Please visit www.academyonline. Read More

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http://dx.doi.org/10.1891/0730-0832.37.6.381DOI Listing
November 2018

The Top Ten Things Parents Want to Hear From You in the NICU.

Authors:
Deborah Discenza

Neonatal Netw 2018 Nov;37(6):378-379

Connecting with a family is a huge challenge for nurses as they are more focused on the technical aspects of caring for the premature infant in the NICU. In this column, the top ten things parents want to hear from nurses in a variety of scenarios help to provide insight into the patient family mind-set and how to best work with them. Read More

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November 2018

When in Doubt, Pull the Catheter Out: Implementation of an Evidence-Based Protocol in the Prevention and Management of Peripheral Intravenous Infiltration/Extravasation in Neonates.

Neonatal Netw 2018 Nov;37(6):372-377

The vast majority of infants in the NICU receive peripheral intravenous (PIV) therapy for administration of fluids, nutrition, medications, and blood products. The potential complications of infiltration and extravasation are common in this population. Consequences of inf. Read More

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November 2018
5 Reads

Morphine and Methadone for Neonatal Abstinence Syndrome: A Systematic Review.

Neonatal Netw 2018 Nov;37(6):365-371

Purpose: To compare the effects of morphine and methadone on length of hospital stay (LOS) or treatment (LOT) and adverse effects in infants with neonatal abstinence syndrome (NAS).

Design: Systematic review.

Sample: PubMed, Google Scholar, Cochrane library, CINAHL, IPA, American Academy of Pediatrics, and clinicaltrials. Read More

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November 2018
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Differential Diagnoses and Their Implications of Dandy-Walker Malformation or Isolated Cisterna Magna, a Case Study: Baby V.

Neonatal Netw 2018 Nov;37(6):358-364

We explore the outcome of a fetus with a posterior fossa abnormality thought to be a Dandy-Walker malformation based on prenatal ultrasound imaging. The infant was later diagnosed by magnetic resonance imaging (MRI) as having an isolated cisterna magna. When assessing brain abnormalities, there is increased accuracy of prenatal MRI versus prenatal ultrasound. Read More

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November 2018
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NICU Nurses and Families Partnering to Provide Neuroprotective, Family-Centered, Developmental Care.

Neonatal Netw 2018 Nov;37(6):351-357

The aim of this project was to determine how implementing neuroprotective, family-centered, developmental care interventions would impact the satisfaction of nurses and families compared with traditional care in a NICU. Neuroprotective, family-centered, developmental care is grounded in the principle that optimal health outcomes are accomplished when patients' family members play an active role in contributing emotional, social, and developmental support for their babies. To accomplish this, nurses needed an understanding of the developmental problems associated with high-risk premature infants, fundamentals of neurosensory growth, and how the intrauterine environment protects the infant from the fluctuation of an unstable extrauterine environment. Read More

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November 2018
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Mitigating Infant Medical Trauma in the NICU: Skin-to-Skin Contact as a Trauma-Informed, Age-Appropriate Best Practice.

Authors:
Carly Eliades

Neonatal Netw 2018 Nov;37(6):343-350

Infant medical trauma in the NICU is associated with serious and lasting consequences. Skin-to-skin contact (SSC) of infants with their parents is a nursing intervention that provides significant benefits and can mitigate the negative consequences of the infant's traumatic experiences in the NICU. The purpose of this article is to explain how SSC aligns with the concept of trauma-informed age-appropriate care (TIAAC) in the NICU. Read More

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November 2018

Nursing Now: An Investment in Global Health Care.

Authors:
Debbie Fraser

Neonatal Netw 2018 11;37(6):341-342

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November 2018
1 Read

Academy News.

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Neonatal Netw 2018 09 1;37(5):331-336. Epub 2018 Sep 1.

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September 2018

The Other Side of the Incubator: A Preemie Turns 40 Years Old.

Authors:
Deborah Discenza

Neonatal Netw 2018 Sep;37(5):324-326

Deb Discenza interviews Geoff, a preemie born almost 40 years ago, and gets unique insight into his birth, his NICU stay, and life afterward. Read More

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September 2018

Adopting Braden Q in the NICU to Identify Neonates at Risk of Developing Pressure Injuries.

Neonatal Netw 2018 Sep;37(5):319-323

There are numerous factors placing neonates at increased risk of developing pressure injuries while hospitalized. Prevention of hospital-acquired pressure injuries in this vulnerable patient population requires early risk identification. Unfortunately, identifying neonates who are at risk of developing pressure injuries is complicated because of the lack of pressure injury risk assessment tools validated for use in neonates. Read More

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September 2018

Behavioral Organization in Infants with Intraventricular Hemorrhage: Characteristics and Clinical Implications.

Neonatal Netw 2018 Sep;37(5):310-318

Purpose: This study examined the neurobehavioral functioning in preterm infants diagnosed with intraventricular hemorrhage (IVH) grades III and IV, using the Assessment of Preterm Infants' Behavior (APIB).

Design And Sample: The APIB was completed on nine infants with IVH III/IV at 36 and 40weeks postmenstrual age to determine the effects of IVH on the neurobehavioral functioning and maturation over time. The APIB neurobehavioral scores (i. Read More

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September 2018

Chromosome 16p13.11 Microdeletion Syndrome in a Newborn: A Case Study.

Neonatal Netw 2018 Sep;37(5):303-309

Chromosome 16p13.11 microdeletion syndrome is a rare copy number variant that carries increased risks for complications in the neonatal period and throughout the life span. Clinical manifestations and associated defects known to present in the neonatal period include motor delay, facial dysmorphisms, microcephaly, gastroesophageal reflux disease (GERD), and congenital heart defects. Read More

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September 2018
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Twin-to-Twin Transfusion Syndrome: A Case Report.

Neonatal Netw 2018 Sep 1;37(5):292-302. Epub 2018 Sep 1.

Purpose: To present a case of twin-to-twin transfusion syndrome (TTTS), followed by discussion of the etiology, pathophysiology, prenatal diagnosis, management, complications, prognosis, and family considerations.

Methods: A literature review was conducted using MEDLINE, PubMed, CINAHL, ProQuest, and Google Scholar. The search resulted in 593 articles; 25 relevant articles were chosen. Read More

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September 2018
6 Reads

Atrioventricular Canal and Dextrocardia: A Case Report with Implications for Community-Based Providers.

Neonatal Netw 2018 Sep 1;37(5):281-291. Epub 2018 Sep 1.

Congenital heart defects (CHD) are the most common congenital malformation reported in the literature, with a global incidence of eight per every 1,000 live births. In the United States approximately 40,000 infants are born each year with a CHD. Of the infants diagnosed with a CHD, one in every four heart defects are life threatening in origin. Read More

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September 2018

Gestational Alloimmune Liver Disease: A Case Study.

Neonatal Netw 2018 Sep;37(5):271-280

Gestational alloimmune liver disease (GALD) is initiated by maternal antibodies that attack fetal hepatocytes. The fetal immune response to the antibodies causes liver damage. The incidence of GALD is four per 100,000 live births in the United States. Read More

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September 2018
1 Read

Letter.

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Neonatal Netw 2018 09;37(5):270

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September 2018

Dear ANN Colleagues.

Neonatal Netw 2018 09;37(5):265-269

Desi M. Newberry, APRN, DNP, NNP-BC, WakeMed, 3000 New Bern Avenue, Raleigh, NC 27610. E-mail:

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September 2018
10 Reads

News of the Academy of Neonatal Nursing.

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Neonatal Netw 2018 05;37(3):186-192

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http://dx.doi.org/10.1891/0730-0832.37.3.186DOI Listing

Continuing Education Course.

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Neonatal Netw 2018 05;37(3):182-185

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When a Baby Is Sent Away: Evidence to Support Best Practice After Neonatal Transport.

Neonatal Netw 2018 May;37(3):178-181

Every day neonates are transported from the birth hospital to a tertiary neonatal care center. Separation of mother and neonate in the hours immediately following birth interrupts the bonding process and can have long-term implications for the mother-child relationship. This article synthesizes the literature focused on mothers' experiences with a neonate being transported to a tertiary NICU and identifies evidence-based practices specific to these situations. Read More

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Prevention and Treatment of Respiratory Distress Syndrome in Preterm Neonates.

Neonatal Netw 2018 May;37(3):169-177

Respiratory distress syndrome (RDS) impacts a high proportion of preterm neonates, resulting in significant morbidity and mortality. Advances in pharmacotherapy, specifically antenatal corticosteroids and postnatal surfactant therapy, have significantly reduced the incidence and impact of neonatal RDS. Antenatal corticosteroids accelerate fetal lung maturation by increasing the activity of enzymes responsible for surfactant biosynthesis, resulting in improved lung compliance. Read More

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May 2018
3 Reads

Case Study: Cystic Fibrosis in the Newborn.

Neonatal Netw 2018 May;37(3):164-168

Cystic fibrosis (CF) is considered one of the most commonly occurring fatal genetic disorders. This disorder is associated with pancreatic insufficiency and pulmonary complications. However, at birth the initial complications are associated with bowel obstruction. Read More

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May 2018
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The Six-Hour Window: How the Community Hospital Nursery Can Optimize Outcomes of the Infant with Suspected Hypoxic-Ischemic Encephalopathy.

Neonatal Netw 2018 May;37(3):155-163

Perinatal hypoxia is a devastating event before, during, or immediately after birth that deprives an infant's vital organs of oxygen. This injury at birth often requires a complex resuscitation and increases the newborn's risk of hypoxic-ischemic encephalopathy (HIE). The resuscitation team in a community hospital nursery may have less experience with complex resuscitation and post-resuscitation care of this infant than a NICU. Read More

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Applying Developmentally Supportive Principles to Diapering in the NICU: What We Know.

Neonatal Netw 2018 May;37(3):149-154

Developmental care measures are integrated in the NICU, but these measures are largely overlooked when it comes to standard care activities such as diapering. This general review of developmental care in the NICU discusses how caregivers can apply appropriate, individualized developmental care measures to diapering regimens. Numerous opportunities to expand developmental care measures into diapering care are identified; these opportunities can protect and promote sleep for hospitalized infants, enhance the diapering environment, minimize stress that infants may experience with diapering, improve infant skin health outcomes through use of evidence-based skin care practices, and foster family involvement during diapering care in the NICU. Read More

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May 2018
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Management of Meconium-Stained Newborns in the Delivery Room.

Neonatal Netw 2018 May;37(3):141-148

The approach to the management of meconium-stained newborns in the delivery room has been changing for over 40 years. The goal is to prevent meconium aspiration syndrome (MAS) and complications related to MAS. For decades, airway obstruction was believed to be a major component of MAS and, consequently, suction maneuvers to remove meconium from the airways were recommended to decrease the frequency and severity of MAS. Read More

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May 2018
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Congenital Bilateral Eyelid Eversion and Chemosis: A Case Study.

Neonatal Netw 2018 May;37(3):137-140

This case reports the findings and management of a late preterm female infant born with congenital bilateral eyelid eversion with chemosis. The pathogenic process remains unknown but typically presents at birth, predominantly affecting the upper eyelid of both eyes. Black males, patients with trisomy 21, and collodion infants have a higher incidence of eyelid eversion. Read More

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May 2018
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News of the Academy of Neonatal Nursing.

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Neonatal Netw 2018 03;37(2):126-132

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March 2018
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Continuing Education Course.

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Neonatal Netw 2018 03;37(2):124-125

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March 2018
1 Read