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yxfbbiedtj · Wysłany: Pią 16:06, 04 Mar 2011

Advances in neonatal intensive care and development

Combined with PS, NO inhalation has been successfully used to treat NRDS, PPHN children with severe, partial replacement of ECMO due to severe pulmonary hypoplasia in respiratory failure. 2.2.2 Renal Replacement Therapy: including hemodialysis,[link widoczny dla zalogowanych], peritoneal dialysis, continuous renal replacement (continuousrenalreplacementtherap) ', CRRT). CRRT is a continuous blood purification technologies, including continuous hemofiltration, hemodiafiltration, slow continuous ultrafiltration, is the recent development of a new life-support technology can be used for a variety of blood disorders in the treatment of the environment . 2.2.3 ensure that nutrient supply: Gastrointestinal feeding and intravenous nutrition combined. Advocating for the very low current, low birth weight children without gastrointestinal complications in the case, as soon as possible to feed a small amount of the gastrointestinal tract, breast mainly to maintain the intestinal function, promote the secretion of gastrointestinal hormones. Lactose intolerance may be given intravenous nutrition, supplement of amino acids, fat emulsion, glucose, electrolytes, trace elements, to ensure that energy and nutrients intake. 2.2.4 Note that the protection of brain function: critically ill neonates in the rescue process should be to protect brain function, ensure cerebral perfusion, and stability of brain cells after the treatment given to nutrition, to reduce neurological sequelae. Establishment of follow-up system, high-risk children for regular inspection, early detection of growth and development, intellectual, hearing, visual impairment, early intervention and improve quality of life. 2.3 to reduce hospital infection is an important guarantee for the quality of anti-NICU. 242. The abuse of antibiotics and antibiotic resistance in the whole medical process have to face a serious problem, and admitted to NICU patients as heavy and more invasive inspection is an important nosocomial infection control department. NICU must strictly adhere to the disinfection and isolation system, into the work area must wear uniforms, wearing hats, masks, wearing slippers, the best air-laminar flow device. Hand washing is the most important nosocomial infection control measures, staff in the examination, care, treatment before and after operation, and hands must be washed after exposure to pollutants. In addition, restricted use of antibiotics, the establishment of the first, second and third line antibiotics,[link widoczny dla zalogowanych], prophylactic antibiotics to prevent, strengthen pathogenic examination,[link widoczny dla zalogowanych], a reasonable choice of antibiotics based on susceptibility. 3.1 3NICU direction of development in accordance with high-tech development and application of the principles of evidence-based medicine, to explore the disease etiology and pathophysiology,[link widoczny dla zalogowanych], the new technology, new methods used in clinical treatment,[link widoczny dla zalogowanych], so that the level of care and treatment technologies have been further development. 3.2 extending prenatal care to obstetric and pediatric cooperation to strengthen newborn specialists into the delivery room, birth mothers involved in high-risk work, to discuss the results of delivery, make preparations for the rescue resuscitation, so that children in the embryonic period, childbirth, the neonatal period have received full care and improve quality of life. 3.3 Strengthening the work of critically ill newborns if the transport needs of critically ill neonates in transit from neonatal high qualification attending, residents, and trained nurses transport team, equipped with transport incubator and a range of rescue equipment children of pre-hospital vital signs were stable first, and then escorted transport, to ensure safety.