Hostname: page-component-78c5997874-94fs2 Total loading time: 0 Render date: 2024-11-15T16:49:13.125Z Has data issue: false hasContentIssue false
  • English
  • Français

Neonatal Intensive Care: When and Where Is It Justified?

Published online by Cambridge University Press:  14 October 2009

Nils W. Svenningsen
Nils W. Svenningsen
Affiliation:
University of Lund
Get access Rights & Permissions [Opens in a new window]

Abstract

There is a wide panorama of disorders in the newborn infant where neonatal intensive care has been proven effective in reducing mortality. Although modern neonatal intensive care can be very costly, shortand simple interventions for support and resuscitation still can be highly beneficial. In reviewing the field of neonatal intensive careduring the 1980s, it becomes evident that a major challenge for the future will be to apply physiological principles of great and provenvaluefor the newborn baby to more simple devices. Only thereby canthe technology of neonatal care defined as a complex of actions–not only equipment and techniques–become justified for future generations.

Type
Special Section: Intensive Care: Where Are We?
Information
International Journal of Technology Assessment in Health Care , Volume 8 , Issue 3 , Summer 1992 , pp. 457 - 468
Copyright
Copyright © Cambridge University Press 1992

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1.Acolet, D., Sleat, K., & Whitelaw, A.Oxygenation, heart rate and temperature in very low birthweight infants during skin-to–skin contact with their mother. Acta Paediatrica Scan-dinavica, 1989, 78, 189–93.Google Scholar
2.Anand, K. J. S., & Aynsley-Green, X.Metabolic and endocrine effects of surgical ligation of patent ductus arteriosus in the human preterm neonate: Are there implications for further improvement of postoperative outcome? ModernProblems in Paediatrics, 1985, 23, 143–57.Google Scholar
3.Andrews, A. F., Nixon, C. A., Cilley, R. E., et al. One to three year outcome for 14 neonatal survivors of extracorporeal membrane oxygenation. Pediatrics, 1986, 78, 692–98.CrossRefGoogle ScholarPubMed
4.Archer, L. N. J., Evans, D. H., & Levene, M. I.Cerebral artery Doppler ultrasonography for prediction of outcome after perinatal asphyxia. Lancet, 1986, ii, 1116–19.Google Scholar
5.Avery, M. E., & Mead, J.Surface properties in relation to atelectases and hyaline membrane disease. American Journal of Diseases in Children, 1959, 97, 517–23.Google ScholarPubMed
6.Avery, M. E., & Merritt, T. A.Surfactant replacement therapy. New England Journal of Medicine, 1991, 324, 910–12.Google Scholar
7.Avery, M. E., Tooley, W., & Keller, J. B.Is chronic lung disease in low birth weight preventable? A survey of eight centers. Pediatrics, 1987, 79, 26–30.CrossRefGoogle ScholarPubMed
8.Bartlett, R. H., Andrews, A. F., Toomasin, J. M. et al. Extracorporeal membrane oxygenation for newborn respiratory failure: Forty-five cases. Surgery, 1982, 92, 425–33.Google ScholarPubMed
9.Berger, M.Use of intravenously administered immune globulin in newborn infants: Prophylaxis, treatment, both or neither? Journal of Pediatrics, 1991, 118, 557–59.CrossRefGoogle ScholarPubMed
10.Boyle, M. H., Torrance, G. W., Sinclair, J. C., & Horwood, S. P.Economic evaluation of neonatal intensive care of very low birthweight infants. New England Journal of Medicine, 1983, 308, 1330–37.CrossRefGoogle Scholar
11.Christensen, R. D., Brown, M. S., Hall, D. C., et al. Effect on neutrophil kinetics and serum posonic capacity of intravenous administration of immune globulin to neonates with clinical signs of early-onset sepsis. Journal of Pediatrics, 1991, 118, 606–14.CrossRefGoogle ScholarPubMed
12.Clapp, D., Kliegman, R., & Baley, J.Use of intravenously administered immune globulin to prevent nosocomial sepsis in low birth weight infants-Results of a pilot study. Journal of Pediatrics, 1989, 115, 973–78.CrossRefGoogle Scholar
13.Connell, J. A., Oozer, R., & Dubowitz, V.Continuous 4 channel EEG monitoring: A guide to interpretation with normal values in preterm infants. Neuropediatrics, 1987, 18, 138–45.Google Scholar
14.Cooke, R. W. I.Trends in preterm survival and incidence of cerebral haemorrhage 1980–9. Archives of Diseases in Childhood, 1991, 66, 403–07.CrossRefGoogle ScholarPubMed
15.Elliott, S. J.Neonatal extracorporeal membrane oxygenation: How not to assess novel technologies. Lancet, 1991, i, 476–78.CrossRefGoogle Scholar
16.Escobar, G. J., Littenberg, B., & Petitti, D. B.Outcome among surviving very low birth-weight infants: A meta-analysis. Archives of Diseases in Childhood, 1991, 66, 204–11.Google Scholar
17.Ewald, U.What is the actual cost of neonatal intensive care? International Journal of Technology Assessment in Health Care, 1991, 7(suppl. 1), 155–61.CrossRefGoogle ScholarPubMed
18.Fanaroff, A., Korones, S., & Wright, E. Intravenous immunoglobulin to prevent nosocomial infection: The NICHD neonatal network collaborative study. In Due, G. (ed.), Prevention of infections and the role of immunoglobulins in the neonatal period. London: Royal Society of Medicine Services, 1990, 12, S392–S498, 57–59.Google Scholar
19.Field, D., Hodges, S., Mason, E., & Burton, P.Survival and place of treatment after premature delivery. Archives of Diseases in Childhood, 1991, 66, 408–11.Google Scholar
20.Fitzgerald, M.Spontaneous and evoked activity of fetal primary afferents in vivo. Nature, 1987, 326, 603–05.Google Scholar
21.Frank, L., Sosenko, I. R. S.Failure of premature rabbits to increase antioxidant enzymes during hyperoxic exposure: Increased susceptibility to pulmonary oxygen toxicity compared with term rabbits. Pediatric Research, 1991, 29, 292–96.CrossRefGoogle ScholarPubMed
22.Fujiwara, T., Chida, S., Watabe, Y., et al. Artificial surfactant therapy in hyaline membrane disease. Lancet, 1980, i, 55–59.CrossRefGoogle Scholar
23.Gottfried, A. W., & Gaiter, J. L.Infant stress under intensive care. Baltimore, MD: University Park Press, 1984.Google Scholar
24.Greenough, A., & Greenall, F.Performance of respirators at fast rates commonly used in neonatal intensive care units. Pediatric Pulmonology, 1987, 3, 357–61.Google Scholar
25.Greenspan, J. S., Wolfson, M. R., Rubinstein, D., & Shaffer, T. H.Liquid ventilation of human preterm neonates. Journal of Pediatrics, 1990, 117, 106–11.CrossRefGoogle ScholarPubMed
26.Gregory, G. A., Kitterman, J. A., Phibbs, R. H., et al. Treatment of the idiopathic respiratory distress syndrome with continuous positive airway pressure. New England Journal oj Medicine, 1971, 284, 1333–40.CrossRefGoogle ScholarPubMed
27.Greisen, G., Hellström-Westas, L., Lou, H., et al. Sleep-waking shifts and cerebral blood flow in stable preterm infants. Pediatric Research, 1985, 19, 1156–59.CrossRefGoogle ScholarPubMed
28.Gunn, T., Reaman, G., Outerbridge, E. W., & Colle, E.Peripheral total parenteral nutrition for premature infants with respiratory distress syndrome: A controlled study. Journal of Pediatrics, 1978, 92, 608–13.CrossRefGoogle ScholarPubMed
29.Hellström-Westas, L., Rosen, I., & Svenningsen, N. W.Cerebral function monitoring during the first week of life in extremely small low birthweight (ESLBW) infants. Neuropediatrics, 1991, 22, 27–32.Google Scholar
30.Hird, M. F., & Greenough, A.Comparison of triggering systems for neonatal patient triggered ventilation. Archives of Diseases in Childhood, 1991, 66, 426–28.CrossRefGoogle ScholarPubMed
31.Hodson, W. A.High-frequency oscillatory ventilation. International Journal of Technology Assessment in Health Care, 1991, 7(suppl. 1), 41–46.CrossRefGoogle ScholarPubMed
32.Holmquist, P., & Svenningsen, N. W.Evaluation of a one-year Swedish neonatal care population. Journal of Perinatal Medicine, 1985, 13, 87–96.Google Scholar
33.Jobe, A. H.Preterm factors influencing surfactant deficiency. International Journal of Technology Assessment in Health Care, 1991, 7(suppl. 1), 16–20.Google Scholar
34.Jonson, B., Lindroth, M., & Svenningsen, N. W. Early continuous positive airway pressure and artificial ventilation in treatment of neonatal RDS. In Robertson, B., van Golde, L. M. G., & Batenburg, J. J. (eds.), Pulmonary surfactant. Amsterdam: Elsevier Science Publ., 1984, 125–39.Google Scholar
35.Jonzon, A., Sedin, G., & Sjöstrand, U.High frequency positive-pressure ventilation (HFPPV) applied for small lung ventilation and compared with spontaneous respiration and continuous positive airway pressure (CPAPA). Acta Anaesthesiologica Scandinavica, 1973, 53(suppl.), 23–36.Google Scholar
36.Lucas, A. Hormone, nutrition and the gut. In Tanner, M. S. & Stocks, R. T. (eds.), Neonatal gastroenterology: Contemporary issues. Newcastle-upon-Tyne: Intercept, 1984.Google Scholar
37.Mann, N. P., Haddow, R., & Stokes, I., et al. Effect of night and day on preterm infants in a newborn nursery: Randomized trial. British Medical Journal, 1986, 293, 1265–67.CrossRefGoogle Scholar
38.McCormick, M. C.Long-term follow-up of infants discharged from neonatal intensive care units. Journal of the American Medical Association, 1989, 261, 1767–72.Google Scholar
39.McCullough, L. B., & Myser, C.Recent developments in perinatal and neonatal medical ethics: A US perspective. Seminars in Perinatology, 1987, 11, 216–23.Google ScholarPubMed
40.Morley, C. J.Surfactant treatment for premature babies-A review of clinical trials. Archives of Diseases in Childhood, 1991, 66, 445–50.Google Scholar
41.Rhoden, N. K.Legal issues in neonatal intensive care. International Journal of Technology Assessment in Health Care, 1991, 7(suppl. 1), 139–42.CrossRefGoogle ScholarPubMed
42.Sarman, I., Can, G., & Tunell, R.Rewarming preterm infants on heated water filled mattress. Archives of Diseases in Childhood, 1989, 64, 687–92.CrossRefGoogle ScholarPubMed
43.Saugstad, O.Oxygen toxicity in the neonatal period. Acta Paediatrica Scandinavica, 1990, 79, 881–92.Google Scholar
44.Schaffer, A. I.Diseases of the newborn. Philadelphia, PA: W. B. Saunders Co., 1960.Google Scholar
45.Sedin, G., Hammarlund, K.Neonatal intensive care. State of the art. International Journal of Technology Assessment in Health Care, 1991, 7(suppl. 1), 31–40.Google Scholar
46.Shaw, J. C. L.Growth and nutrition of the very preterm infant. British Medical Bulletin, 1988, 44, 984–89.Google Scholar
47.Stahlman, M.Implications of research and high technology for neonatal intensive care. Journal of the American Medical Association, 1989, 261, 1791–92.CrossRefGoogle ScholarPubMed
48.Sterky, G., Tafari, N., & Tunell, R.Breathing and warmth at birth: Judging the appropriateness of technology. Stockholm: Sarec Report R2, 1985.Google Scholar
49.Stewart, A. L., Reynolds, E. O. R., & Lipscomb, A. P.Outcome for infants of very low birth weight: Survey of world literature. Lancet, 1981, i, 1038–41.CrossRefGoogle Scholar
50.Svenningsen, N. W., Stjernquist, K., Stavenow, S., & Hellstrom-Westas, L.Neonatal outcome of extremely small low birthweight liveborn infants below 901 g in a Swedish population. Acta Paediatrica Scandinavica, 1989, 78, 180–88.CrossRefGoogle Scholar
51.Uvnäs-Moberg, K., Widström, A. M., Marchini, G., & Winberg, J.Release of GI hormones in mother and infant by sensory stimulation. Acta Paediatrica Scandinavica, 1987, 76, 727–32.CrossRefGoogle ScholarPubMed
52.Verloove, S. P., Verwey, R. A., Brand, R., et al. Neonatal mortality risk in relation to gestational age and birthweight. Lancet, 1986, i, 55–57.Google Scholar
53.Volpe, J. J.Neurology of the newborn, 2nd ed.Philadelphia, PA: W. B. Saunders Co., 1987.Google Scholar
54.Whitelaw, A.Death as an option in neonatal intensive care. Lancet, 1986, ii, 328–31.CrossRefGoogle Scholar
55.Wyatt, J. S., Cope, M., Delpy, D. T., et al. Quantitation of cerebral oxygenation and hae-modynamics in sick newborn infants by near infrared spectrophotometry. Lancet, 1986, ii, 1063–66.CrossRefGoogle Scholar
56.Yu, V. Y. H., James, B., & McMahon, R. A.Total parenteral nutrition in very low birth weight infants: A controlled trial. Archives of Diseases in Childhood, 1979, 54, 653–61.CrossRefGoogle ScholarPubMed