A5036795183- Neonatal Respiratory Health Research
- Respiratory Support and Mechanisms
- Neuroscience of respiration and sleep
- Infant Development and Preterm Care
- Congenital Diaphragmatic Hernia Studies
- Tracheal and airway disorders
- Airway Management and Intubation Techniques
- Pediatric health and respiratory diseases
- Infant Health and Development
- Nail Diseases and Treatments
- Infant Nutrition and Health
- Esophageal and GI Pathology
- Neonatal and fetal brain pathology
- Non-Invasive Vital Sign Monitoring
- COVID-19 Pandemic Impacts
- Antifungal resistance and susceptibility
- Fungal Infections and Studies
University of Arkansas for Medical Sciences
2018-2024
Arkansas Children's Hospital
2018-2024
Abstract Background Invasive mechanical ventilation contributes to bronchopulmonary dysplasia (BPD), the most common complication of prematurity and leading respiratory cause childhood morbidity. Non-invasive (NIV) may limit invasive exposure can be either synchronized or non-synchronized (NS). Pooled data suggest forms superior. neurally adjusted ventilatory assist (NIV-NAVA) delivers NIV neural signal for breathing, which is detected with a specialized catheter. The DIVA (Diaphragmatic...
<h3>BACKGROUND:</h3> High electrode temperature during transcutaneous monitoring is associated with skin burns in extremely premature infants. We evaluated the accuracy and precision of CO<sub>2</sub> O<sub>2</sub> measurements using lower temperatures below 42°C. <h3>METHODS:</h3> enrolled 20 neonates. Two monitors were placed simultaneously on each neonate, one maintained at 42°C other randomized to 38, 39, 40, 41, Arterial blood was collected twice temperature. <h3>RESULTS:</h3> At time...
<h3>BACKGROUND:</h3> We tested whether work of breathing in premature newborns estimated by phase angle (θ) using respiratory inductance plethysmography is decreased during neurally-adjusted ventilatory assist (NAVA) noninvasive ventilation (NIV) versus NIV alone. <h3>METHODS:</h3> NAVA and were applied random order while to measure the angle. <h3>RESULTS:</h3> Patient-ventilator asynchrony was NIV; however, not different between modes. A large number repeated assists with switches backup...
Abstract Introduction Dynamic computed tomography (dCT) gives real‐time physiological information and objective descriptions of airway narrowing in tracheobronchomalacia (TBM). There is a paucity literature the evaluation TBM by dCT premature infants with bronchopulmonary dysplasia (BPD). The aim this study to describe findings resultant changes management TBM. Methods A retrospective 70 was performed. Infants included were <32 weeks gestation without major anomalies. defined as ≥50%...
Probiotics have been extensively studied in neonates over the past several decades. Multiple meta-analyses found probiotics to be effective at decreasing number of necrotizing enterocolitis incidents. While relatively few NICUs United States are routinely using probiotics, many around world doing so for more than a decade. The barriers routine use include safety concerns and lack clear consensus on preferred formulation, dosage, duration. Further research must done determine safest most...
A high-flow nasal cannula (cHFNC) delivers flow continuously (during inspiration and expiration). Using the diaphragm electrical activity (Edi), synchronizing HFNC could be an alternative (cycling high/low on inspiration/expiration, respectively). The objective of this study was to demonstrate feasibility synchronized (sHFNC) compare it cHFNC.
As part of efforts to decrease length hospital stay, a protocol for weaning noninvasive respiratory support was implemented using quality improvement methodology. The objective this study determine whether implementation decreased the time wean no by 24 h (30% reduction) over 3 months in preterm infants 30-34 weeks gestational age.A project conducted with following outcome measures: primary measured hours wean; secondary outcomes included duration support, and postmenstrual age at feeding...
Minimal tools are available to assist with disaster-related mass transport of hospitalized neonates.We describe the validation a tool safely neonates during disaster.The Go Sheet was designed quickly relay information required for patient care on arrival at new facility.One hundred randomly selected infants from level IV neonatal intensive unit were included in study.The gold standard physician, resident, nurse, and technician completed Sheets.A blinded physician evaluated each, compared it...
For the COVID-19, each country applies strategies that they think is best, but some have dramatically different approaches and results in their efforts to contain spread. Taiwan United Kingdom, for example, chosen totally dealing with spread of COVID-19. As a result, we can easily compare impact two policies on respective countries.