Integrating neurocritical care approaches into neonatology: should all infants be treated equitably?

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

To improve the neurologic outcomes for infants with brain injury, neonatal providers are increasingly implementing neurocritical care approaches into clinical practice. Term infants with brain injury have been principal beneficiaries of neurologically-integrated care models to date, as evidenced by the widespread adoption of therapeutic hypothermia protocols for hypoxic-ischemic encephalopathy. Innovative therapeutic and diagnostic support for very low birth weight infants with brain injury has lagged behind. Given that concern for significant future neurodevelopmental impairment can lead to decisions to withdraw life supportive care at any gestational age, providing families with accurate prognostic information is essential for all infants. Current variable application of multidisciplinary neurocritical care approaches to infants at different gestational ages may be ethically problematic and reflect distinct perceptions of brain injury for infants born extremely premature.

Original languageEnglish (US)
Pages (from-to)977-81
Number of pages5
JournalJournal of perinatology : official journal of the California Perinatal Association
Volume35
Issue number12
DOIs
StatePublished - Dec 2015

Keywords

  • Decision Making
  • Echoencephalography
  • Female
  • Gestational Age
  • Humans
  • Hypothermia, Induced
  • Hypoxia-Ischemia, Brain
  • Infant
  • Infant, Extremely Premature
  • Infant, Newborn
  • Infant, Very Low Birth Weight
  • Integrative Medicine
  • Intensive Care, Neonatal
  • Magnetic Resonance Imaging
  • Male
  • Neonatology
  • Neurodevelopmental Disorders
  • Pregnancy
  • Treatment Outcome
  • Journal Article

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