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

Research output: Contribution to journalArticle

3 Citations (Scopus)

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

Fingerprint

Neonatology
Brain Injuries
Gestational Age
Brain Hypoxia-Ischemia
Induced Hypothermia
Very Low Birth Weight Infant
Nervous System

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

Cite this

@article{a11d557e0af04c3688c1a44a8b4bf9f3,
title = "Integrating neurocritical care approaches into neonatology: should all infants be treated equitably?",
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.",
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",
author = "Mann, {P C}",
year = "2015",
month = "12",
doi = "10.1038/jp.2015.95",
language = "English (US)",
volume = "35",
pages = "977--81",
journal = "Journal of Perinatology",
issn = "0743-8346",
publisher = "Nature Publishing Group",
number = "12",

}

TY - JOUR

T1 - Integrating neurocritical care approaches into neonatology

T2 - should all infants be treated equitably?

AU - Mann, P C

PY - 2015/12

Y1 - 2015/12

N2 - 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.

AB - 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.

KW - Decision Making

KW - Echoencephalography

KW - Female

KW - Gestational Age

KW - Humans

KW - Hypothermia, Induced

KW - Hypoxia-Ischemia, Brain

KW - Infant

KW - Infant, Extremely Premature

KW - Infant, Newborn

KW - Infant, Very Low Birth Weight

KW - Integrative Medicine

KW - Intensive Care, Neonatal

KW - Magnetic Resonance Imaging

KW - Male

KW - Neonatology

KW - Neurodevelopmental Disorders

KW - Pregnancy

KW - Treatment Outcome

KW - Journal Article

U2 - 10.1038/jp.2015.95

DO - 10.1038/jp.2015.95

M3 - Article

C2 - 26248128

VL - 35

SP - 977

EP - 981

JO - Journal of Perinatology

JF - Journal of Perinatology

SN - 0743-8346

IS - 12

ER -