View in EDS

Implementation of potentially better practices for the prevention of brain hemorrhage and ischemic brain injury in very low birth weight infants.

Saved in:
Bibliographic Details
Title: Implementation of potentially better practices for the prevention of brain hemorrhage and ischemic brain injury in very low birth weight infants.
Authors: McLendon D (AUTHOR), Check J (AUTHOR), Carteaux P (AUTHOR), Michael L (AUTHOR), Moehring J (AUTHOR), Secrest JW (AUTHOR), Clark SE (AUTHOR), Cohen H (AUTHOR), Klein SA (AUTHOR), Boyle D (AUTHOR), George JA (AUTHOR), Okuno-Jones S (AUTHOR), Buchanan DS (AUTHOR), McKinley P (AUTHOR), Whitfield JM (AUTHOR)
Source: Pediatrics. Apr2003 Supplement, Vol. 111 Issue 4, pe497-503. 1p.
Abstract: OBJECTIVE: Using an evidence-based approach, a Vermont Oxford Network focus group whose goal was to reduce brain injury developed and implemented a number of potentially better practices. Each center approached implementation of the practices differently. Reducing the incidence of intraventricular hemorrhage and periventricular leukomalacia are important for improving long-term outcomes for low birth weight infants. METHODS: Implementation approaches for some but not all of the practices at the various centers are discussed. The practices reviewed include optimal peripartum management, such as resuscitation, avoidance of hypothermia, optimal surfactant delivery, early neonatal management by the most experienced providers, and measures to minimize pain and stress. Additional practices include maintenance of neutral head positioning, fluid volume therapy for hypotension, indomethacin prophylaxis, ventilator management, avoidance of routine suctioning, and limiting the use of sodium bicarbonate and postnatal dexamethasone. RESULTS: Approaches to implementation were center specific, and results vary. Although some practices were easier to implement than others, communication, education, and leadership were critical to the process. CONCLUSIONS: The quality improvement multidisciplinary approach is a useful tool for finding ways to reduce the incidence of intraventricular hemorrhage and periventricular leukomalacia. [ABSTRACT FROM AUTHOR]
Copyright of Pediatrics is the property of American Academy of Pediatrics and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
FullText Text:
  Availability: 0
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 106624895
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Implementation of potentially better practices for the prevention of brain hemorrhage and ischemic brain injury in very low birth weight infants.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22McLendon+D%22">McLendon D</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Check+J%22">Check J</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Carteaux+P%22">Carteaux P</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Michael+L%22">Michael L</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Moehring+J%22">Moehring J</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Secrest+JW%22">Secrest JW</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Clark+SE%22">Clark SE</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cohen+H%22">Cohen H</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Klein+SA%22">Klein SA</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Boyle+D%22">Boyle D</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22George+JA%22">George JA</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Okuno-Jones+S%22">Okuno-Jones S</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Buchanan+DS%22">Buchanan DS</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22McKinley+P%22">McKinley P</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Whitfield+JM%22">Whitfield JM</searchLink> (AUTHOR)
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Pediatrics%22">Pediatrics</searchLink>. Apr2003 Supplement, Vol. 111 Issue 4, pe497-503. 1p.
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: OBJECTIVE: Using an evidence-based approach, a Vermont Oxford Network focus group whose goal was to reduce brain injury developed and implemented a number of potentially better practices. Each center approached implementation of the practices differently. Reducing the incidence of intraventricular hemorrhage and periventricular leukomalacia are important for improving long-term outcomes for low birth weight infants. METHODS: Implementation approaches for some but not all of the practices at the various centers are discussed. The practices reviewed include optimal peripartum management, such as resuscitation, avoidance of hypothermia, optimal surfactant delivery, early neonatal management by the most experienced providers, and measures to minimize pain and stress. Additional practices include maintenance of neutral head positioning, fluid volume therapy for hypotension, indomethacin prophylaxis, ventilator management, avoidance of routine suctioning, and limiting the use of sodium bicarbonate and postnatal dexamethasone. RESULTS: Approaches to implementation were center specific, and results vary. Although some practices were easier to implement than others, communication, education, and leadership were critical to the process. CONCLUSIONS: The quality improvement multidisciplinary approach is a useful tool for finding ways to reduce the incidence of intraventricular hemorrhage and periventricular leukomalacia. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Pediatrics is the property of American Academy of Pediatrics and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=106624895
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1542/peds.111.se1.e497
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 1
        StartPage: e497
    Titles:
      – TitleFull: Implementation of potentially better practices for the prevention of brain hemorrhage and ischemic brain injury in very low birth weight infants.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: McLendon D
      – PersonEntity:
          Name:
            NameFull: Check J
      – PersonEntity:
          Name:
            NameFull: Carteaux P
      – PersonEntity:
          Name:
            NameFull: Michael L
      – PersonEntity:
          Name:
            NameFull: Moehring J
      – PersonEntity:
          Name:
            NameFull: Secrest JW
      – PersonEntity:
          Name:
            NameFull: Clark SE
      – PersonEntity:
          Name:
            NameFull: Cohen H
      – PersonEntity:
          Name:
            NameFull: Klein SA
      – PersonEntity:
          Name:
            NameFull: Boyle D
      – PersonEntity:
          Name:
            NameFull: George JA
      – PersonEntity:
          Name:
            NameFull: Okuno-Jones S
      – PersonEntity:
          Name:
            NameFull: Buchanan DS
      – PersonEntity:
          Name:
            NameFull: McKinley P
      – PersonEntity:
          Name:
            NameFull: Whitfield JM
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 02
              M: 04
              Text: Apr2003 Supplement
              Type: published
              Y: 2003
          Identifiers:
            – Type: issn-print
              Value: 00314005
          Numbering:
            – Type: volume
              Value: 111
            – Type: issue
              Value: 4
          Titles:
            – TitleFull: Pediatrics
              Type: main
ResultId 1