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Neonatal intensive care unit

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hospital-based. By the 1980s, over 90% of births took place in hospitals. The emergency dash from home to the NICU with baby in a transport incubator had become a thing of the past, though transport incubators were still needed. Specialist equipment and expertise were not available at every hospital, and strong arguments were made for large, centralised NICUs. On the downside was the long travelling time for frail babies and for parents. A 1979 study showed that 20% of babies in NICUs for up to a week were never visited by either parent. Centralised or not, by the 1980s few questioned the role of NICUs in saving babies. Around 80% of babies born weighing less than 1.5 kg now survived, compared to around 40% in the 1960s. From 1982, pediatricians in Britain could train and qualify in the sub-specialty of neonatal medicine.
589:. To date there have been very few studies investigating noise reduction interventions in the NICU and it remains uncertain what their effects could be on babies' growth and development. An NICU can be stressful for the staff as well. A special aspect of NICU stress for both parents and staff is that infants may survive, but with damage to the brain, lungs, or eyes. When parents arrive at the NICU, they will have the availability to tour the unit and orientation to the various areas and equipment. This tour includes information on the different types of equipment used in the NICU, such as incubators, monitors, and ventilators, and how they help to support the health and well-being of the babies. Parental orientation to the NICU is essential in reducing parental anxiety and improving satisfaction with care. 644: 477: 636: 457: 38: 1147:(CPAP). Confusingly, they may also look after babies who need short-term intensive care such as mechanical ventilation. Babies who will need longer-term or more elaborate intensive care, for example extremely preterm infants, are usually transferred to a Level 3 unit. Babies in a Level 2 unit may be classified for nursing purposes as 'Special Care', 'High Dependency' (HDU) (in which a nurse will be assigned up to two babies) or 'Intensive care' (where nursing is one-to-one, or sometimes even two-to-one). 570: 188: 273: 423: 1048:(pediatricians, family physicians, nurse practitioners, and other advanced practice registered nurses). Also, required provider types that must either be on site or at a closely related institution by prearranged consultative agreement include pediatric medical subspecialists, pediatric anesthesiologists, and pediatric ophthalmologists. In addition to providing the care and having the capabilities of level I and level II nurseries, 443:
for example, could damage babies' lungs and gentler techniques with smaller pressure changes were devised. The many tubes and sensors used for monitoring the baby's condition, blood sampling and artificial feeding made some babies scarcely visible beneath the technology. Furthermore, by 1975, over 18% of newborn babies in Britain were being admitted to NICUs. Some hospitals admitted all babies delivered by
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statement delineating the different levels of neonatal care. One major difference in the 2012 updated policy statement from the AAP compared to the 2004 policy statement is the removal of subspeciality nurseries for levels II and III with the addition of a level IV NICU. The four distinct levels of neonatal care defined in the most recent policy statement from the AAP are:
500:", are seen as beneficial for all but the frailest (very tiny babies are exhausted by the stimulus of being handled; or larger critically ill infants). Less stressful ways of delivering high-technology medicine to tiny patients have been devised: sensors to measure blood oxygen levels through the skin, for example; and ways of reducing the amount of blood taken for tests. 1744: 1709: 104:. The NICU is divided into several areas, including a critical care area for babies who require close monitoring and intervention, an intermediate care area for infants who are stable but still require specialized care, and a step down unit where babies who are ready to leave the hospital can receive additional care before being discharged. 511:(a difference in blood groups) between mother and baby is largely preventable, and was the most common cause for exchange transfusion in the past. However, breathing difficulties, intraventricular hemorrhage, necrotizing enterocolitis and infections still claim many infant lives and are the focus of many new and current research projects. 332:. A more controversial figure, he studied under Budin and brought attention to premature babies and their plight through his display of infants as sideshow attractions at Coney Island and the World's Fair in New York and Chicago in 1933 and 1939, respectively. Infants had also previously been displayed in incubators at the 1084:, or Level IV neonatal intensive-care units. Level IV units are required to have pediatric surgical subspecialists in addition to the care providers required for Level III units. Regional NICUs have all of the capabilities of Level I, II, and III units. In addition to providing the highest level of care, level IV NICUs: 381:, pronounced 'scaboos') were established in many hospitals. In Britain, early SCBUs opened in Birmingham and Bristol, the latter set up with only ÂŁ100. At Southmead Hospital, Bristol, initial opposition from obstetricians lessened after quadruplets born there in 1948 were successfully cared for in the new unit. 268:
The problem of premature and congenitally ill infants is not a new one. As early as the 17th and 18th centuries, there were scholarly papers published that attempted to share knowledge of interventions. It was not until 1922, however, that hospitals started grouping the newborn infants into one area,
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Neonates weighing less than 1200 grams or having gestational maturity of less than 30 weeks are categorized under level III care. The care is provided at apex institutions and regional perinatal centers equipped with centralized oxygen and suction facilities, servo-controlled incubators, vital signs
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Many parents with newborns in the NICU have expressed that they would like to learn more about what types of pain their infants are feeling and how they can help relieve it. Another main worry that was mentioned was the long-term effects of their pain, and whether it mentally affect the child in the
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Blood pressure monitor: The blood pressure monitor is a machine that's connected to a small cuff which is wrapped around the arm or leg of the patient. This cuff automatically takes the blood pressure and displays the data for review by care providers. Oxygen hood: This is a clear box that fits over
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Effective communication is critical in the NICU. Parents will be given information on who their primary point of contact is and how they can communicate with the medical staff caring for their baby. Parents should ask questions when given tour of the NICU just in case anything was misunderstood. The
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Not only careful nursing but also new techniques and instruments now played a major role. As in adult intensive-care units, the use of monitoring and life-support systems became routine. These needed special modification for small babies, whose bodies were tiny and often immature. Adult ventilators,
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Doctors took an increasing role in childbirth from the eighteenth century onward. However, the care of newborn babies, sick or well, remained largely in the hands of mothers and midwives. Some baby incubators, similar to those used for hatching chicks, were devised in the late nineteenth century. In
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There are multiple ways to manage pain for infants. If the mother is able to help, holding the infant in kangaroo position or breastfeeding can help calm the baby before a procedure is done. Other simple things that can help ease pain include: allowing the infant to suck on a gloved finger, gently
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Neonatology and NICUs have greatly increased the survival of very low birth-weight and extremely premature infants. In the era before NICUs, infants of birth weight less than 1,400 grams (3.1 pounds), usually about 30 weeks gestation, rarely survived. Today, infants of 500 grams (1.1 pounds) at 26
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By the 1970s, NICUs were an established part of hospitals in the developed world. In Britain, some early units ran community programmes, sending experienced nurses to help care for premature babies at home. But increasingly technological monitoring and therapy meant special care for babies became
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in 1963. One of the concerns at this time was the worry that using high pressures of oxygen could be damaging to newborn lungs. Barrie developed an underwater safety valve in the oxygen circuit. The tubes were originally made of rubber, but these had the potential to cause irritation to sensitive
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Neonates weighing 1200-1800 grams or having gestational maturity of 30–34 weeks are categorized under level II care and are looked after by trained nurses and pediatricians. The equipment and facilities used for this level of care include equipment for resuscitation, maintenance of thermoneutral
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The definition of a neonatal intensive-care unit (NICU) according to the National Center for Statistics is a "hospital facility or unit staffed and equipped to provide continuous mechanical ventilatory support for a newborn infant". In 2012, the American Academy of Pediatric updated their policy
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NICUs now concentrate on treating very small, premature, or congenitally ill babies. Some of these babies are from higher-order multiple births, but most are still single babies born too early. Premature labour, and how to prevent it, remains a perplexing problem for doctors. Even though medical
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The 2004 AAP guidelines subdivided Level III units into 3 categories (level IIIA, IIIB & IIIC). Level III units are required to have pediatric surgeons in addition to care providers required for level II (pediatric hospitalists, neonatologists, and neonatal nurse practitioners) and level I
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Incubators were expensive, so the whole room was often kept warm instead. Cross-infection between babies was greatly feared. Strict nursing routines involved staff wearing gowns and masks, constant hand-washing and minimal handling of babies. Parents were sometimes allowed to watch through the
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and clinical orientation in addition to their general nursing knowledge in order to provide highly specialized care for critical patients. Their competencies include the administration of high-risk medications, management of high-acuity patients requiring ventilator support, surgical care,
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or under 2500 g in weight. The fact that these babies missed early close contact with their mothers was a growing concern. The 1980s saw questions being raised about the human and economic costs of too much technology, and admission policies gradually became more conservative.
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weeks have a fair chance of survival. As of 2022, the world record for the lowest gestational age newborn to survive is held by Curtis Zy-Keith Means, who was born on July 5, 2020 in the United States, at 21 weeks and 1 day gestational age, weighing 420 grams (0.93 pounds).
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Also known as 'Neonatal Intensive Care Units' (NICU) - although Level 2 units may also have their own NICU. These look after the smallest, most premature and most unwell babies and often serve a large geographical region. Therapies such as prolonged mechanical ventilation,
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Over the last 10 years or so, SCBUs have become much more "parent-friendly", encouraging maximum involvement with the babies. Routine gowns and masks are gone and parents are encouraged to help with care as much as possible. Cuddling and skin-to-skin contact, also known as
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The 1960s were a time of rapid medical advances, particularly in respiratory support, that were at last making the survival of premature newborn babies a reality. Very few babies born before thirty two weeks survived and those who did often had neurological impairments.
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The concept of designations for hospital facilities that care for newborn infants according to the level of complexity of care provided was first proposed in the United States in 1976. Levels in the United States are designated by the guidelines published by the
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Ventilator: This is a breathing machine that delivers air to the lungs. Babies who are severely ill will receive this intervention. Typically, the ventilator takes the role of the lungs while treatment is administered to improve lung and circulatory function.
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as it is now known), having developed it in 1880 to attempt to keep premature infants in a Paris maternity ward warm. Other methods had been used before, but this was the first closed model; in addition, he helped convince other physicians that the treatment
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The NICU environment provides challenges as well as benefits. Stressors for the infants can include continual light, a high level of noise, separation from their mothers, reduced physical contact, painful procedures, and interference with the opportunity to
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in French) became the first major publication to deal with the care of the neonate. The incubator was improved in 1890 in Marseilles by Alexandre Lion, who founded in 1891 the Ĺ’uvre Maternelle des Couveuses d'Enfants in Nice and in January 1896 in Paris.
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Most early units had little equipment, providing only oxygen and warmth, and relied on careful nursing and observation. In later years, further research allowed technology to play a larger role in the decline of infant mortality. The development of
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Provide care for infants born ≥32-week gestation and weighing ≥1500 g who have physiologic immaturity or who are moderately ill with problems that are expected to resolve rapidly and are not anticipated to need subspecialty services on an urgent
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are usually provided in Level 3 Units, although not every unit has access to all therapies. Some babies being cared for in Level 3 units will require less intensive treatment and will be looked after in HDU or SCBU nurseries on the same site.
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and learning difficulties. Now that treatments are available for many of the problems faced by tiny or immature babies in the first weeks of life, long-term follow-up, and minimising long-term disability, are major research areas.
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Milligan DWA, Carruthers P, Mackley B, Ward Platt MP, Collingwood Y, Wooler L, Gibbons J, Draper E, Manktelow BN. 'Nursing Workload in UK tertiary neonatal units' in Archives of Disease in Childhood published online 30 Jun
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environment, intravenous infusion, gavage feeding, phototherapy and exchange blood transfusion. This type of care can be given at first referral units, district hospitals, teaching institutions and nursing homes.
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Neonates weighing more than 1800 grams or having gestational maturity of 34 weeks or more are categorized under level I care. The care consists of basic care at birth, provision of warmth, maintaining
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have the capability to provide neonatal resuscitation at every delivery; evaluate and provide postnatal care to healthy newborn infants; stabilize and provide care for infants born at 35 to 37 weeks'
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The long-term outlook for premature babies saved by NICUs has always been a concern. From the early years, it was reported that a higher proportion than normal grew up with disabilities, including
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who remain physiologically stable; and stabilize newborn infants who are ill and those born less than 35 weeks' gestation until transfer to a facility that can provide the appropriate level of
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gynecologic and neonatal nursing found that effective communication between health care providers and parents in the NICU is critical for promoting parental involvement and reducing stress
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Provide prompt and readily available access to a full range of pediatric medical subspecialists, pediatric surgical specialists, pediatric anesthesiologists, and pediatric ophthalmologists
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provider. Some units prefer new graduates who do not have experience in other units, so they may be trained in the specialty exclusively, while others prefer nurses with more experience.
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Also known as 'Special Care Baby Units' (SCBU). These look after babies who need more care than healthy newborns but are relatively stable and mature. SCBU might provide tube-feeding,
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US Navy 090814-N-6326B-001 A mock set-up of the new pod design in the Neonatal Intensive-Care Unit (NICU) at Naval Medical Center San Diego (NMCSD) is on display during an open house
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recommended in December 2019 that these units should care for at least 100 babies weighing less than 1.5 kg, and usually perform more than 2,000 intensive care days per year.
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may be required to hold a postgraduate degree. The National Association of Neonatal Nurses recommends two years' experience working in a NICU before taking graduate classes.
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In Britain, the guidelines are issued by The British Association of Perinatal Medicine (BAPM), and in Canada, they are maintained by The Canadian Paediatric Society.
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Previously, Level II units were subdivided into 2 categories (level IIA & level IIB) on the basis of their ability to provide assisted ventilation including
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Neonatal care is split into categories or "levels of care". these levels apply to the type of care needed and is determined by the governing body of the area.
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in Detroit, Michigan, successfully combined oxygen, heat, humidity, ease of accessibility, and ease of nursing care in 1931. It was not until after the
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Franck, Linda; Oulton, Kate; Bruce, Elizabeth (March 2012). "Parental Involvement in Neonatal Pain Management: An Empirical and Conceptual Update".
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Neonatal refers to the first 28 days of life. Neonatal care, as known as specialized nurseries or intensive care, has been around since the 1960s.
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1998: Abdiche M; Farges G; Delanaud S; Bach V; Villon P; Libert J P, Medical & biological engineering & computing 1998;36(2):241-5.
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is an incubator in a transportable form, and is used when a sick or premature baby is moved, e.g., from one hospital to another, as from a
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Maintain a full range of pediatric medical subspecialists, pediatric surgical subspecialists, and pediatric anesthesiologists at the site
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Level II nurseries are required to be managed and staffed by a pediatrician, however many Level II special care nurseries are staffed by
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newborn tracheas: Barrie switched to plastic. This new endotracheal tube, based on Barrie's design, was known as the "St Thomas's tube".
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As with any registered nurse, local licensing or certifying bodies, as well as employers, may set requirements for continuing education.
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monitors, transcutaneous monitors, ventilators, infusion pumps etc. This type of care is provided by skilled nurses and neonatologists.
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premature infants. France became a forerunner in assisting premature infants, in part due to its concerns about a falling birth rate.
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Fanaroff and Martin (eds.) Neonatal-perinatal medicine: Diseases of the fetus and infant; 7th ed. (2002):1001-1011. St. Louis: Mosby.
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Provide a full range of respiratory support that may include conventional and/or high-frequency ventilation and inhaled nitric oxide
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procedures, as well as chronic-care management or lower acuity cares associated with premature infants such as feeding intolerance,
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and have all of the capabilities of a level I nursery. In addition to providing level I neonatal care, Level II units are able to:
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can be confusing because different criteria are used to designate 'special' and 'intensive' neonatal care locally and nationally.
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Stabilize infants born before 32-week gestation and weighing less than 1500 g until transfer to a neonatal intensive-care facility
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Observation: Modern neonatal intensive care involves sophisticated measurement of temperature, respiration, cardiac function,
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Are located within an institution with the capability to provide surgical repair of complex congenital or acquired conditions
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the United States, these were shown at commercial exhibitions, complete with babies inside, until 1931. A. Robert Bauer, at
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Perform advanced imaging, with interpretation on an urgent basis, including computed tomography, MRI, and echocardiography
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There are no mandated requirements to becoming an RN in an NICU, although neonatal nurses must have certification as a
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the baby's head and supplies oxygen. This is used for babies who can still breathe but need some respiratory support.
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was given freely until the end of the 1950s, when it was shown that the high concentrations reached inside incubators
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in London pioneered advances in resuscitation of the newborn. Barrie published his seminal paper on the subject in
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enclosed in plastic, with climate control equipment designed to keep them warm and limit their exposure to germs.
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is the leading cause of death in preterm infants, and the main treatments are CPAP, in addition to administering
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advancements allow doctors to save low-birth-weight babies, it is almost invariably better to delay such births.
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Protection from cold temperature, infection, noise, drafts and excess handling: Incubators may be described as
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Provide comprehensive care for infants born at all gestational ages and birth weights with critical illness
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Also known as 'Local Neonatal Units', these can look after babies who need more advanced support such as
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A pediatric nurse checking recently born triplets in an incubator at ECWA Evangel Hospital, Jos, Nigeria
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Healthcare institutions have varying entry-level requirements for neonatal nurses. Neonatal nurses are
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Provide mechanical ventilation for a brief duration (<24 h) or continuous positive airway pressure
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to a larger medical facility with a proper neonatal intensive-care unit. It usually has a miniature
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windows of the unit. Much was learned about feeding—frequent, tiny feeds seemed best—and breathing.
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exam; others may require additional experience working in adult-health or medical/surgical nursing.
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Querido, DL; Christoffel, MM; Almeida, VS; Esteves, APVS; Andrade, M; Amim Jr., J (2 March 2018).
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Provide care for infants who are feeding and growing stronger or convalescing after intensive care
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residency programs, but NICU experience is encouraged by other specialty residencies, such as
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Martin JA, Menacker F (2007). "Expanded health data from the new birth certificate, 2004".
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binding the limbs in a flexed position, and creating a quiet and comfortable environment.
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Provide comprehensive care for infants born <32 wks gestation and weighing <1500 g
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and promotion of breastfeeding. This type of care can be given at home, subcenter and
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qualification. Some institutions may accept newly graduated RNs having passed the
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Stark, A. R.; American Academy of Pediatrics Committee on Fetus Newborn (2004).
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Stark, A. R.; American Academy of Pediatrics Committee on Fetus Newborn (2004).
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Additional items of equipment used to evaluate and treat sick neonates include:
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Intensive care unit specializing in the care of ill or premature newborn infants
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Conceptualization and initiation of a neonatal intensive care nursery in 1960
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Another factor that contributed to the development of modern neonatology was
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ABREGE HISTORIQUE DE L'ETABLISSEMENT DE L'HOPITAL DES ENFANS-TROUVES A PARIS
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Some countries offer postgraduate degrees in neonatal nursing, such as the
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Equipment used in the NICU – interactive parent friendly information
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Created 1/25/2002 / Last modified 6/9/2002. Retrieved on September 2, 2009
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Whitfield, Jonathan M.; Peters, Beverly A.; Shoemaker, Craig (July 2004).
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India has 3-tier system based on weight and gestational age of neonate.
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American Academy of Pediatrics Committee on Fetus And Newborn (2012).
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future, or even affect the relationship they have with their parents.
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Haward, Marlyse F.; Lantos, John; Janvier, Annie; POST Group (2020).
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was first developed, based on the incubators used for chicken eggs.
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and his permanent installment of premature babies in incubators at
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Level I units are typically referred to as the well baby nursery.
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to prevent too great a loss from skin and respiratory evaporation.
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Children's hospital at the Oskar-Ziethen Hospital, Berlin, in 1989
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care. Required provider types for well newborn nurseries include
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Barrie, Herbert (March 1963). "Resuscitation of the newborn".
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Mother uses the common skin to skin technique with her infant.
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is generally considered to be the father of the incubator (or
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Association of Women's Health, Obstetric and Neonatal Nurses
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Harvey, George, ed. (6 August 1904). "Incubator Graduates".
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Archives of Disease in Childhood: Fetal and Neonatal Edition
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The first American newborn intensive care unit, designed by
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disciplines and specialists are available at larger units.
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European Society of Paediatric and Neonatal Intensive Care
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Besides prematurity and extreme low birth-weight, common
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Some major problems of the NICU have almost disappeared.
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NeonatalICU.com - Expecting a Preterm Infant in the NICU
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weighing 990 grams (35 ounces), intubated and requiring
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The highest level of neonatal care provided occurs at
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Common diagnoses and pathologies in the NICU include:
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Critical illness–related corticosteroid insufficiency
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Facilitate transport and provide outreach education.
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now called the neonatal intensive care unit (NICU).
554:. Complications of extreme prematurity may include 182: 19:"NICU" redirects here. For neurological units, see 1723: 1714:, Le Petit Marseillais, 21 May 1890, retronews.fr. 1000: 2126: 2074:Respiratory distress syndrome and its management. 972: 3949: 2494:http://www.bliss.org.uk/different-levels-of-care 2298:Toward Improving the Outcome of Pregnancy (1993) 1878: 1578: 1576: 697:Possible functions of a neonatal incubator are: 254:hypothermia therapy for neonatal encephalopathy 2084: 2082: 1743:Docteur Maurice de Fleury (27 February 1896). 1269:"A Brief History of Advances in Neonatal Care" 248:resuscitation, advanced interventions such as 3803:(American 'crib' and 'cradle', British 'cot') 3293: 2598: 1573: 1447: 1445: 1443: 42:A premature infant in an incubator. 1978, USA 2108:Humidity control tool for neonatal incubator 2089:neonatology.org --> Equipment in the NICU 1879:Almadhoob, A; Ohlsson, A (27 January 2020). 2612: 2079: 2072:Rodriguez RJ, Martin RJ, and Fanaroff, AA. 1885:The Cochrane Database of Systematic Reviews 1075: 3307: 3300: 3286: 2605: 2591: 2518:. Health Service Journal. 19 December 2019 2393: 2391: 2341: 2339: 2337: 2335: 2333: 2331: 1440: 790:, and oxygen supply built into its frame. 558:, chronic bronchopulmonary dysplasia (see 36: 2553:Life in the NICU: what parents can expect 2415: 2363: 2267: 2226: 2017: 1904: 1668: 1603: 1583:Philip, Alistair G. S. (1 October 2005). 1556: 1363: 1150: 1134: 1110: 96:(ICU) specializing in the care of ill or 2169: 2101: 1534: 1532: 1530: 1311: 1043:Level III (neonatal intensive-care unit) 933: 797: 642: 634: 598:NICU rotations are essential aspects of 568: 475: 455: 433: 421: 417: 355: 271: 243:Intensive-care nurses undergo intensive 186: 2388: 2328: 1724:James Walter Smith (30 December 2023). 1412: 1410: 1273:NEONATAL INTENSIVE CARE AWARENESS MONTH 1050:level III neonatal intensive-care units 705:by head hood or nasal cannula, or even 3950: 1944: 1785: 1761: 1582: 1331: 819: 758:by providing fluid and keeping a high 451: 426:Neonatal intensive-care unit from 1980 3281: 2586: 1538: 1527: 1317: 962:, Neonatal intensive-care unit (NICU) 3418:Infant respiratory distress syndrome 3093:Recombinant activated protein C 1642: 1407: 890:Infant respiratory distress syndrome 715:Infant respiratory distress syndrome 560:Infant respiratory distress syndrome 544:infant respiratory distress syndrome 438:Neonatal intensive-care unit in 2009 2806:Multiple organ dysfunction syndrome 2791:Acute respiratory distress syndrome 2731:Multiple organ dysfunction syndrome 1380: 1145:continuous positive airway pressure 1009:. Level II units are also known as 1007:continuous positive airway pressure 707:continuous positive airway pressure 250:extracorporeal membrane oxygenation 179:, "pertaining to birth or origin". 13: 2176:Newborn and Infant Nursing Reviews 2002:"Helping Parents Cope in the NICU" 1945:Mosher, Sara L. (1 January 2017). 1605:10.1203/01.PDR.0000151693.46655.66 1386: 907:Transient tachypnea of the newborn 793: 683:or for some ill full-term babies. 199:(RNs), and therefore must have an 14: 3989: 3204:Society of Critical Care Medicine 2901:Ventilator-associated lung injury 2546: 2170:Phillips, Raylene (1 June 2013). 1776:J Am Med Assoc. 1937;108(22):1874 1294:"Nurses for a Healthier Tomorrow" 1209: 1098: 913: 810: 2215:Revista Brasileira de Enfermagem 2141:10.1111/j.1547-5069.2011.01434.x 2049:"Medical Definition of ISOLETTE" 1422:Global Unity for Neonatal Nurses 1200: 929: 573:Premature infant in the NICU at 183:Nursing and neonatal populations 114:, was opened in October 1960 at 3353:Breastfeeding and mental health 2906:Ventilator-associated pneumonia 2839:Critical illness polyneuropathy 2573:The Academy of Neonatal Nursing 2530: 2508: 2498: 2486: 2440: 2301: 2292: 2243: 2202: 2163: 2120: 2066: 2041: 1993: 1938: 1921: 1872: 1847: 1814: 1779: 1770: 1755: 1736: 1717: 1703: 1685: 1636: 1517: 1506: 1457:Nurses for a Healthier Tomorrow 1318:Gluck, Louis (7 October 1985). 1184: 1001:Level II (special care nursery) 649:Hospital Regional de Apatzingán 201:Associate of Science in Nursing 2129:Journal of Nursing Scholarship 1929:"Neonatal Intensive-Care Unit" 1897:10.1002/14651858.CD010333.pub3 1585:"The evolution of neonatology" 1488: 1470: 1356:10.1080/08998280.2004.11927977 1286: 1261: 1056:Provide sustained life support 973:Level I (well newborn nursery) 921:American Academy of Pediatrics 679:(newborn baby). It is used in 391:caused some babies to go blind 351: 205:Bachelor of Science in Nursing 1: 3348:Breastfeeding and medications 2685:Geriatric intensive-care unit 2668:Pediatric intensive care unit 2448:Guidelines for perinatal care 1800:10.1016/s0140-6736(63)91290-x 1255: 1230:Pediatric intensive-care unit 647:Dräger Isolette C2000 at the 3910:Neonatal withdrawal syndrome 3531:Infant cognitive development 3428:Neonatal intensive care unit 3088:Neuromuscular-blocking drugs 3031:Nutritional supplementation 2662:Neonatal intensive care unit 2578:Pre Conception& Neonatal 1418:"Frequently Asked Questions" 1103:The terminology used in the 1036:neonatal nurse practitioners 884:Periventricular leukomalacia 630: 625: 575:McMaster Children's Hospital 526:cared for in a NICU include 490:neonatal intensive-care unit 220:Master of Science in Nursing 78:neonatal intensive care unit 31:Neonatal intensive care unit 7: 3834:Supplemental nursing system 3188:Water-electrolyte imbalance 3022:Early goal-directed therapy 2228:10.1590/0034-7167-2017-0265 2188:10.1053/j.nainr.2013.04.001 1393:Online Etymology Dictionary 1240:Neonatal nurse practitioner 1218: 861:Intraventricular hemorrhage 10: 3994: 3586:Prenatal development table 3526:Irritant diaper dermatitis 3040:Total parenteral nutrition 2973:Life-supporting treatments 2680:Critical illness insurance 896:Retinopathy of prematurity 850:Bronchopulmonary dysplasia 823: 780:cardio-respiratory monitor 564:retinopathy of prematurity 263: 18: 3905:Prenatal cocaine exposure 3862: 3693:Infant care and equipment 3692: 3610:Socialization and Culture 3609: 3521:Infant visual development 3473: 3388:Infant and toddler safety 3316: 3222: 3209:Surviving Sepsis Campaign 3196: 3160: 3117: 3055: 3005:Ventricular assist device 3000:Intra-aortic balloon pump 2971: 2951:Pulmonary artery catheter 2923: 2873: 2831: 2700: 2693: 2648: 2620: 2400:"Levels of neonatal care" 2348:"Levels of neonatal care" 2252:"Levels of Neonatal Care" 1963:10.1891/0730-0832.36.1.18 872:Necrotizing enterocolitis 639:An early incubator, 1909. 552:necrotizing enterocolitis 546:due to immaturity of the 63: 47: 35: 30: 3915:Parental child abduction 3438:Oral rehydration therapy 2536:Singh, Meharban (2010). 1176: 1076:Level IV (regional NICU) 878:Patent ductus arteriosus 468:NICU in Honolulu, Hawaii 466:Kapiolani Medical Center 3963:Intensive care medicine 3920:Parental responsibility 3433:Newborn care and safety 3103:Stress ulcer prevention 3047:Therapeutic hypothermia 2946:Central venous catheter 2614:Intensive care medicine 2053:www.merriam-webster.com 1545:Journal of Perinatology 1158:therapeutic hypothermia 1123:to treat infection and 556:intracranial hemorrhage 460:A new mother holds her 375:special-care baby units 312:, and his seminal work 304:After Tarnier retired, 116:Yale New Haven Hospital 3664:Grandparent visitation 3178:Level of consciousness 2985:mechanical ventilation 2883:Methicillin-resistant 2478:: CS1 maint: others ( 2417:10.1542/peds.2004-1697 2365:10.1542/peds.2012-1999 2269:10.1542/peds.2004-1697 2221:(suppl 3): 1281–1289. 2019:10.1542/peds.2019-3567 1482:digitale-sammlungen.de 1235:Embrace (organization) 1151:Level 3 Neonatal Units 1135:Level 2 Neonatal Units 1111:Level 1 Neonatal Units 1011:special care nurseries 979:Well newborn nurseries 956:, Special care nursery 950:, Well newborn nursery 939: 803: 711:mechanical ventilation 703:oxygen supplementation 660: 640: 577: 509:Rhesus incompatibility 492: 486:mechanical ventilation 469: 439: 427: 361: 277: 238:neonatal resuscitation 192: 154:respiratory therapists 86:intensive care nursery 3423:Infant sleep training 2885:Staphylococcus aureus 1558:10.1038/sj.jp.7200377 1539:Baker, J. P. (2000). 1195:primary health centre 937: 824:Further information: 801: 701:Oxygenation, through 646: 638: 572: 505:Exchange transfusions 479: 459: 437: 425: 418:Increasing technology 359: 282:Industrial Revolution 275: 190: 121:An NICU is typically 3968:Hospital departments 3581:Prenatal development 3481:Attachment parenting 3455:Shaken baby syndrome 2860:Stress hyperglycemia 2701:Organ system failure 2635:Medical specialities 1661:10.1136/fn.73.3.F193 1643:Dunn, P. M. (1995). 1141:parenteral nutrition 721:and stabilizing the 719:pulmonary surfactant 412:pulmonary surfactant 150:physician assistants 84:), also known as an 3895:Infant ear piercing 3223:Related specialties 3183:Acid–base imbalance 3119:ICU scoring systems 2990:Tracheal intubation 2801:Respiratory failure 2796:Acute liver failure 2786:Acute renal failure 2656:Intensive care unit 2640:Respiratory therapy 2538:Care of the Newborn 2310:Natl Vital Stat Rep 1822:"Dr Herbert Barrie" 1711:Un BĂ©bĂ© en Couveuse 1298:www.nursesource.org 820:Patient populations 768:transport incubator 452:Changing priorities 367:Henry Ford Hospital 142:nurse practitioners 94:intensive care unit 21:Neurointensive care 3403:Infant food safety 3132:Glasgow Coma Scale 3083:Intravenous fluids 2963:Screening cultures 2931:Arterial blood gas 2896:Refeeding syndrome 2813:Neonatal infection 2774:Vasodilatory shock 2749:Distributive shock 2674:Coronary care unit 2113:2016-03-09 at the 2094:2009-04-13 at the 1592:Pediatric Research 940: 835:Esophageal atresia 826:Neonatal infection 804: 772:community hospital 661: 641: 620:emergency medicine 578: 528:perinatal asphyxia 493: 470: 440: 428: 362: 278: 228:nurse practitioner 222:(MSN) and various 193: 3945: 3944: 3805: 3642:Children's rights 3556:Object permanence 3378:Failure to thrive 3275: 3274: 3235:Internal medicine 2981:Airway management 2919: 2918: 2759:Obstructive shock 2744:Cardiogenic shock 1428:on 26 August 2010 1387:Harper, Douglas. 995:family physicians 540:neonatal jaundice 445:Caesarian section 197:registered nurses 74: 73: 3985: 3801: 3486:Baby-led weaning 3302: 3295: 3288: 3279: 3278: 2996:Cardiac devices 2850:Decubitus ulcers 2764:Neurogenic shock 2698: 2697: 2607: 2600: 2593: 2584: 2583: 2541: 2534: 2528: 2527: 2525: 2523: 2512: 2506: 2502: 2496: 2490: 2484: 2483: 2477: 2469: 2444: 2438: 2437: 2419: 2410:(5): 1341–1347. 2395: 2386: 2385: 2367: 2343: 2326: 2325: 2305: 2299: 2296: 2290: 2289: 2271: 2262:(5): 1341–1347. 2247: 2241: 2240: 2230: 2206: 2200: 2199: 2167: 2161: 2160: 2124: 2118: 2105: 2099: 2086: 2077: 2070: 2064: 2063: 2061: 2059: 2045: 2039: 2038: 2036: 2034: 2021: 1997: 1991: 1990: 1951:Neonatal Network 1942: 1936: 1935: 1933: 1925: 1919: 1918: 1908: 1876: 1870: 1869: 1867: 1865: 1851: 1845: 1844: 1842: 1840: 1818: 1812: 1811: 1783: 1777: 1774: 1768: 1767: 1759: 1753: 1752: 1740: 1734: 1733: 1721: 1715: 1707: 1701: 1700: 1689: 1683: 1682: 1672: 1655:(3): F193–F195. 1640: 1634: 1633: 1607: 1589: 1580: 1571: 1570: 1560: 1536: 1525: 1521: 1515: 1510: 1504: 1503: 1492: 1486: 1485: 1474: 1468: 1467: 1465: 1463: 1453:"Neonatal Nurse" 1449: 1438: 1437: 1435: 1433: 1414: 1405: 1404: 1402: 1400: 1395:. Douglas Harper 1384: 1378: 1377: 1367: 1335: 1329: 1328: 1326: 1315: 1309: 1308: 1306: 1304: 1290: 1284: 1283: 1281: 1279: 1265: 1245:Neonatal nursing 482:premature infant 371:Second World War 290:Stephane Tarnier 276:StĂ©phane Tarnier 67:edit on Wikidata 59: 58: 40: 28: 27: 3993: 3992: 3988: 3987: 3986: 3984: 3983: 3982: 3948: 3947: 3946: 3941: 3935:Paternity fraud 3885:Closed adoption 3858: 3814:Infant clothing 3789:Haberman Feeder 3759:Car seat safety 3688: 3669:Infant swimming 3647:UN Child rights 3605: 3516:Gestational age 3469: 3312: 3306: 3276: 3271: 3218: 3192: 3156: 3113: 3073:Antithrombotics 3051: 3035:Enteral feeding 3017:Kidney dialysis 2967: 2915: 2891:Oxygen toxicity 2869: 2827: 2689: 2644: 2616: 2611: 2549: 2544: 2535: 2531: 2521: 2519: 2514: 2513: 2509: 2503: 2499: 2491: 2487: 2471: 2470: 2458: 2446: 2445: 2441: 2396: 2389: 2344: 2329: 2306: 2302: 2297: 2293: 2248: 2244: 2207: 2203: 2168: 2164: 2125: 2121: 2115:Wayback Machine 2106: 2102: 2096:Wayback Machine 2087: 2080: 2071: 2067: 2057: 2055: 2047: 2046: 2042: 2032: 2030: 1998: 1994: 1943: 1939: 1931: 1927: 1926: 1922: 1891:(1): CD010333. 1877: 1873: 1863: 1861: 1853: 1852: 1848: 1838: 1836: 1820: 1819: 1815: 1794:(7282): 650–5. 1784: 1780: 1775: 1771: 1764:Harper's Weekly 1760: 1756: 1741: 1737: 1730:neonatology.net 1722: 1718: 1708: 1704: 1697:neonatology.org 1691: 1690: 1686: 1641: 1637: 1587: 1581: 1574: 1537: 1528: 1522: 1518: 1511: 1507: 1500:neonatology.org 1494: 1493: 1489: 1476: 1475: 1471: 1461: 1459: 1451: 1450: 1441: 1431: 1429: 1416: 1415: 1408: 1398: 1396: 1385: 1381: 1336: 1332: 1324: 1316: 1312: 1302: 1300: 1292: 1291: 1287: 1277: 1275: 1267: 1266: 1262: 1258: 1221: 1212: 1203: 1187: 1179: 1153: 1137: 1113: 1101: 1078: 1045: 1003: 975: 932: 916: 902:Neonatal sepsis 828: 822: 813: 796: 794:Pain management 633: 628: 608:family practice 454: 420: 354: 266: 185: 129:and staffed by 125:by one or more 70: 54: 53: 43: 24: 17: 12: 11: 5: 3991: 3981: 3980: 3975: 3970: 3965: 3960: 3943: 3942: 3940: 3939: 3938: 3937: 3927: 3925:Parenting plan 3922: 3917: 3912: 3907: 3902: 3897: 3892: 3887: 3882: 3877: 3872: 3866: 3864: 3860: 3859: 3857: 3856: 3851: 3846: 3841: 3836: 3831: 3826: 3821: 3816: 3811: 3809:Infant carrier 3806: 3796: 3791: 3786: 3781: 3776: 3771: 3766: 3761: 3756: 3751: 3749:Baby transport 3746: 3741: 3736: 3731: 3726: 3721: 3716: 3707: 3702: 3696: 3694: 3690: 3689: 3687: 3686: 3681: 3676: 3671: 3666: 3661: 3656: 3651: 3650: 3649: 3639: 3634: 3629: 3624: 3619: 3613: 3611: 3607: 3606: 3604: 3603: 3598: 3593: 3588: 3583: 3578: 3573: 3568: 3563: 3558: 3553: 3548: 3543: 3538: 3533: 3528: 3523: 3518: 3513: 3508: 3503: 3498: 3493: 3488: 3483: 3477: 3475: 3471: 3470: 3468: 3467: 3462: 3457: 3452: 3447: 3446: 3445: 3435: 3430: 3425: 3420: 3415: 3413:Infant massage 3410: 3408:Infant formula 3405: 3400: 3398:Infant feeding 3395: 3393:Infant bathing 3390: 3385: 3380: 3375: 3370: 3365: 3360: 3358:Bottle feeding 3355: 3350: 3345: 3340: 3335: 3330: 3324: 3322: 3314: 3313: 3311:and their care 3305: 3304: 3297: 3290: 3282: 3273: 3272: 3270: 3269: 3264: 3259: 3254: 3253: 3252: 3247: 3242: 3232: 3230:Anesthesiology 3226: 3224: 3220: 3219: 3217: 3216: 3211: 3206: 3200: 3198: 3194: 3193: 3191: 3190: 3185: 3180: 3175: 3170: 3164: 3162: 3158: 3157: 3155: 3154: 3149: 3144: 3139: 3134: 3129: 3127:APACHE II 3123: 3121: 3115: 3114: 3112: 3111: 3106: 3100: 3095: 3090: 3085: 3080: 3075: 3070: 3065: 3059: 3057: 3053: 3052: 3050: 3049: 3044: 3043: 3042: 3037: 3029: 3024: 3019: 3014: 3009: 3008: 3007: 3002: 2994: 2993: 2992: 2977: 2975: 2969: 2968: 2966: 2965: 2960: 2958:Blood cultures 2955: 2954: 2953: 2948: 2943: 2933: 2927: 2925: 2921: 2920: 2917: 2916: 2914: 2913: 2908: 2903: 2898: 2893: 2888: 2879: 2877: 2871: 2870: 2868: 2867: 2862: 2857: 2852: 2847: 2842: 2835: 2833: 2829: 2828: 2826: 2825: 2820: 2815: 2809: 2808: 2803: 2798: 2793: 2788: 2783: 2777: 2776: 2771: 2766: 2761: 2756: 2751: 2746: 2741: 2734: 2733: 2728: 2723: 2718: 2713: 2708: 2707:Shock sequence 2704: 2702: 2695: 2691: 2690: 2688: 2687: 2682: 2677: 2671: 2665: 2659: 2652: 2650: 2646: 2645: 2643: 2642: 2637: 2632: 2627: 2625:Health science 2621: 2618: 2617: 2610: 2609: 2602: 2595: 2587: 2581: 2580: 2575: 2570: 2565: 2560: 2555: 2548: 2547:External links 2545: 2543: 2542: 2529: 2507: 2497: 2492:Bliss website 2485: 2456: 2439: 2387: 2358:(3): 587–597. 2327: 2300: 2291: 2242: 2201: 2162: 2119: 2100: 2078: 2065: 2040: 1992: 1937: 1920: 1871: 1846: 1828:. 8 May 2017. 1813: 1778: 1769: 1754: 1735: 1716: 1702: 1684: 1635: 1598:(4): 799–815. 1572: 1551:(5): 321–328. 1526: 1516: 1505: 1487: 1469: 1439: 1406: 1379: 1350:(3): 255–258. 1330: 1310: 1285: 1259: 1257: 1254: 1253: 1252: 1247: 1242: 1237: 1232: 1227: 1220: 1217: 1211: 1210:Level III care 1208: 1202: 1199: 1186: 1183: 1178: 1175: 1152: 1149: 1136: 1133: 1117:oxygen therapy 1112: 1109: 1105:United Kingdom 1100: 1099:United Kingdom 1097: 1096: 1095: 1092: 1089: 1082:regional NICUs 1077: 1074: 1073: 1072: 1069: 1066: 1063: 1060: 1057: 1044: 1041: 1040: 1039: 1032:neonatologists 1028: 1025: 1022: 1019: 1002: 999: 974: 971: 970: 969: 963: 957: 951: 931: 928: 915: 914:Levels of care 912: 911: 910: 904: 899: 893: 887: 881: 875: 869: 864: 858: 853: 847: 842: 837: 821: 818: 812: 811:Relieving pain 809: 795: 792: 788:pulse oximeter 764: 763: 752: 745: 742:brain activity 734: 731:blood pressure 681:preterm births 632: 629: 627: 624: 516:cerebral palsy 462:premature baby 453: 450: 419: 416: 399:Herbert Barrie 353: 350: 265: 262: 184: 181: 127:neonatologists 72: 71: 64: 61: 60: 51: 45: 44: 41: 33: 32: 15: 9: 6: 4: 3: 2: 3990: 3979: 3976: 3974: 3971: 3969: 3966: 3964: 3961: 3959: 3956: 3955: 3953: 3936: 3933: 3932: 3931: 3928: 3926: 3923: 3921: 3918: 3916: 3913: 3911: 3908: 3906: 3903: 3901: 3900:Open adoption 3898: 3896: 3893: 3891: 3888: 3886: 3883: 3881: 3880:Child neglect 3878: 3876: 3873: 3871: 3868: 3867: 3865: 3861: 3855: 3852: 3850: 3847: 3845: 3842: 3840: 3837: 3835: 3832: 3830: 3827: 3825: 3822: 3820: 3817: 3815: 3812: 3810: 3807: 3804: 3800: 3797: 3795: 3792: 3790: 3787: 3785: 3782: 3780: 3777: 3775: 3772: 3770: 3767: 3765: 3762: 3760: 3757: 3755: 3752: 3750: 3747: 3745: 3742: 3740: 3737: 3735: 3732: 3730: 3727: 3725: 3722: 3720: 3717: 3715: 3714:Hidden camera 3711: 3708: 3706: 3703: 3701: 3698: 3697: 3695: 3691: 3685: 3682: 3680: 3677: 3675: 3672: 3670: 3667: 3665: 3662: 3660: 3657: 3655: 3652: 3648: 3645: 3644: 3643: 3640: 3638: 3637:Child custody 3635: 3633: 3630: 3628: 3625: 3623: 3620: 3618: 3615: 3614: 3612: 3608: 3602: 3599: 3597: 3594: 3592: 3589: 3587: 3584: 3582: 3579: 3577: 3574: 3572: 3569: 3567: 3564: 3562: 3559: 3557: 3554: 3552: 3551:Nursery rhyme 3549: 3547: 3544: 3542: 3541:Kangaroo care 3539: 3537: 3536:Infant crying 3534: 3532: 3529: 3527: 3524: 3522: 3519: 3517: 3514: 3512: 3509: 3507: 3504: 3502: 3499: 3497: 3494: 3492: 3489: 3487: 3484: 3482: 3479: 3478: 3476: 3472: 3466: 3463: 3461: 3458: 3456: 3453: 3451: 3450:Preterm birth 3448: 3444: 3441: 3440: 3439: 3436: 3434: 3431: 3429: 3426: 3424: 3421: 3419: 3416: 3414: 3411: 3409: 3406: 3404: 3401: 3399: 3396: 3394: 3391: 3389: 3386: 3384: 3381: 3379: 3376: 3374: 3371: 3369: 3366: 3364: 3361: 3359: 3356: 3354: 3351: 3349: 3346: 3344: 3343:Breastfeeding 3341: 3339: 3336: 3334: 3331: 3329: 3326: 3325: 3323: 3320: 3315: 3310: 3303: 3298: 3296: 3291: 3289: 3284: 3283: 3280: 3268: 3265: 3263: 3260: 3258: 3255: 3251: 3248: 3246: 3243: 3241: 3238: 3237: 3236: 3233: 3231: 3228: 3227: 3225: 3221: 3215: 3212: 3210: 3207: 3205: 3202: 3201: 3199: 3197:Organisations 3195: 3189: 3186: 3184: 3181: 3179: 3176: 3174: 3171: 3169: 3166: 3165: 3163: 3159: 3153: 3150: 3148: 3147:SAPS III 3145: 3143: 3140: 3138: 3135: 3133: 3130: 3128: 3125: 3124: 3122: 3120: 3116: 3110: 3107: 3104: 3101: 3099: 3096: 3094: 3091: 3089: 3086: 3084: 3081: 3079: 3076: 3074: 3071: 3069: 3066: 3064: 3061: 3060: 3058: 3054: 3048: 3045: 3041: 3038: 3036: 3033: 3032: 3030: 3028: 3025: 3023: 3020: 3018: 3015: 3013: 3010: 3006: 3003: 3001: 2998: 2997: 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Index

Neurointensive care

Specialty
neonatology
edit on Wikidata
intensive care unit
premature
infants
Louis Gluck
Yale New Haven Hospital
directed
neonatologists
resident
physicians
nurses
nurse practitioners
pharmacists
physician assistants
respiratory therapists
dietitians
ancillary

registered nurses
Associate of Science in Nursing
Bachelor of Science in Nursing
midwifery
NCLEX
Master of Science in Nursing
doctorates
nurse practitioner

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