Vol. 29 No. 3 Summer 2016

Vol. 29 No. 3 neonatal Summer 2016 INTENSIVE CARE Advanced care for newborns with critical or special Our neonatology team has a strong tradition of providing innovative, care needs Our Brain and Behavior Center helped high-quality care for newborns, from pioneer endoscopic third ventriculostomy world-leading research and advanced (ETV) — an advanced shunt-free simulated training to expert treatments surgeryand follow-up for children care. Wewith care hydrocephalus. for the smallest Thisand minimally sickest newborns, invasive manyprocedure of whom need reducescomplex risks, therapies, complications in our 40-bed and repeat Level IV visitsNICU. to theOne OR. of 14 It academic shortens nurseries recovery timeparticipating for patients, in NICHD, and within our success weeks, is headdriven size by normalizes our team’s and dedication patients to can providing resumenurturing regular care, activity. advancing It’s scientific just one of manyknowledge innovative and trainingapproaches the next we offer.generation of neonatologists. Learn more at neonatology.stanfordchildrens.org 002084 Rep-Manage Neonatology PrintAd 2016-05-27 PR.indd 1 5/27/16 8:20 AM NeoPAP® infant respiratory support system Simple design Easy to use Effective delivery NeoPAP’s innovative design is literally a breeze... · CPAP, high flow and resuscitation modes are built into one easy to use device, improving workflow efficiency and reducing costs. · Baby-Trak® leak compensation and sophisticated alarms give you peace of mind and the ability to focus on the specialized needs of your RDS patients. · The unique bonnet and patient-friendly interface support developmental care and may help reduce costly skin damage. See what NeoPAP can do for your NICU... Learn more at www.circadiance.com or contact us at [email protected] 888-825-9640 www.circadiance.com 101463 REV 1 Vol. 29 No. 3 neonatal Summer 2016 INTENSIVE CARE Editorial Advisory Board Arie L. Alkalay, MD Philippe S. Friedlich, MD T. Michael O’Shea, MD, MPH Clinical Professor of Pediatrics Associate Professor of Clinical Pediatrics Chief, Neonatology Division David Geffen School of Medicine Children’s Hospital of Los Angeles Wake Forest University School of Medicine Pediatrician, Cedars-Sinai Los Angeles, CA Winston-Salem, NC Los Angeles, CA G. Paolo Gancia, MD Lisa Pappas, RRT-NPS M. A. Arif, MD Neonatologist, Terapia Intensiva Respiratory Clinical Coordinator NICU Professor of Pediatrics & Head, Neonatology Neonatale-Neonatologia University of Utah Hospital National Institutes of Child Health Cuneo, Italy Salt Lake City, UT Karachi, Pakistan George A. Gregory, MD G. Battisita Parigi, MD Muhammad Aslam, MD Professor of Pediatrics and Anesthesia Associate Professor of Pediatric Surgery Associate Professor of Pediatrics University of California University of Pavia, Italy University of California, Irvine San Francisco, CA Neonatologist, UC Irvine Medical Center Richard Paul, MD Orange, California Charles J. Gutierrez, PhD, RRT, FAARC Chief, Maternal & Fetal Medicine Neurorespiratory Clinical Specialist, J.A. Department of Obstetrics & Gynecology Edward Austin, MD Haley VA Hospital and Assistant Professor, University of Southern California Austin-Hernandez Family Medical Center Pulmonary, Critical Care & Sleep Medicine, Los Angeles, CA Compton, CA Morsani College of Medicine, University of Vol. 29 No. 3 South Florida, Tampa, FL Max Perlman, MD Richard L. Auten, MD Professor of Pediatrics Summer 2016 Assistant Professor of Pediatrics William R. Halliburton, RRT, RCP The Hospital for Sick Children Duke University Medical Center Neonatal Respiratory Care Coordinator Toronto, Ontario, Canada Durham, NC Department of Respiratory Care Hillcrest Baptist Medical Center Boris Petrikovsky, MD Bruce G. Bateman, MD Waco, TX Director, Prenatal Diagnostic Unit Services Department of Obstetrics & Gynecology New York Downtown Hospital University of Virginia Mary Catherine Harris, MD New York, NY Charlottesville, VA Associate Professor of Pediatrics Arun Pramanik, MD Division of Neonatology Sandy Beauman, MSN, RNC-NIC University of Pennsylvania School of Medicine Professor of Pediatrics CNC Consulting The Children’s Hospital of Philadelphia Director of Neonatal Fellowship Albuquerque, NM Philadelphia, PA Louisiana State University Health Sciences Center, Shreveport, LA Table of Contents David D. Berry, MD David J. Hoffman, MD Benamanahalli K. Rajegowda, MD Wake Forest University School of Medicine Clinical Associate Professor of Pediatrics Winston-Salem, NC Penn State College of Medicine Chief of Neonatology Lincoln Medical and Mental Health Center Melissa K. Brown, BS, RRT-NPS, RCP Staff Neonatologist DEPARTMENTS The Reading Hospital and Medical Center Professor of Clinical Pediatrics Faculty, Respiratory Therapy Program Weill Medical College of Cornell University, NY Grossmont College West Reading, PA El Cajon, CA Koravangattu Sankaran, FRCP(C), FAAP, 6 News Michael R. Jackson, RRT FCCM D. Spencer Brudno, MD Newborn Intensive Care Unit Professor of Pediatrics and Director of Associate Professor of Pediatrics Beth Israel Hospital ARTICLES Boston, MA Neonatology and Neonatal Research Medical Director, Pediatric Therapy Department of Pediatrics Medical College of Georgia Chang-Ryul Kim, MD Royal University Hospital Augusta, GA 15 Protecting Patients and Associate Professor of Pediatrics University of Saskatchewan Curtis D. Caldwell, NNP College of Medicine Saskatoon, Saskatchewan, Canada Practitioners UNM School of Medicine, Dept of Pediatrics Hanyang University Kuri Hospital Istvan Seri, MD, PhD Albuquerque, NM Seoul, South Korea 18 Nutrition Guidelines for an Professor of Pediatrics Ed Coombs, MA RRT-NPS, ACCS, FAARC David M. Kissin, BS, RRT Head, USC Division of Neonatal Medicine Exclusive Human Milk Diet Marketing Director – Intensive Care Perinatal/Pediatric Specialist University of Southern California, Key Application Field Manager – Maine Medical Center, Portiand, ME Los Angeles, CA Respiratory Care, Draeger Medical 19 Value of Capnography in Infants Sheldon Korones, MD Tushar A. Shah, MD, MPH Telford, PA Can Weekly Antepartum Testing Director of Newborn Center Division of Neonatology 23 Jonathan Cronin, MD College of Medicine, Memphis, TN Cincinnati Children’s Hospital Medical Center Assistant Professor of Pediatrics Cincinnati, OH Decrease Near Term and Term Scott E. Leonard, MBA, BA, RRT Harvard Medical School Chief Director of Respiratory Therapy, EEG, Dave Swift, RRT Neonatology and Newborn Medicine Unit Stillbirth? Neurophysiology Ottawa Hospital – Civic Site Department of Pediatrics George Washington University Hospital Campus Coordinator (Professional Practice) & Massachusetts General Hospital for Children 25 Redefining The Meaning of Term Washington, DC Special Care Nursery Charge Therapist Boston, MA Respiratory Therapy Team Lead Raymond Malloy, MHA, RRT Pregnancy – Beware of The Risk of Michael P. Czervinske, RRT National Office of the Health Care Emergency Director of Pulmonary Care Neonatal and Pediatric Critical Care Response Team (NOHERT) Stillbirth Thomas Jefferson University Hospital Subject Matter Expert, Health Canada University of Kansas Medical Center Philadelphia, PA A Safe Pressure Relief Gel Device Kansas City, KS Jack Tanner 28 Paul J. Mathews, PhD, RRT, FCCM, FCCP, Professor Adekunle H. Dawodu NICU Clinical Coordinator FAARC Neonatal Research: Great Director, International Patient Care and U Mass Memorial Hospital 32 Associate Professor of Respiratory Care Education, Cincinnati Children’s Hospital Worcester, MA University of Kansas Medical Center Advances Over Time, But Keep Cincinnati, OH Kansas City, KS Otwell D. Timmons, MD Jayant Deodhar, MD Carolinas Medical Center Research Moving Forward William Meadow, MD Charlotte, NC Associate Professor of Clinical Pediatrics Professor of Pediatrics Children’s Hospital Center 35 System For Low-Resource Areas Co-Section Chief, Neonatology Maya Vazirani, MD, FAAP Cincinnati, OH To Determine Probable Causes Of Comer Children’s Hospital Board Certified Neonatology and Pediatrics, Leonard Eisenfeld, MD The University of Chicago Lancaster, CA Associate Professor of Pediatrics Chicago, IL Stillbirth, Neonatal, And Maternal Max Vento, MD University of Connecticut School of Medicine David G. Oelberg, MD Associate Professor of Pediatrics Division of Neonatology Death Center for Pediatric Research Chief, Pediatric Services Connecticut Children’s Medical Center Eastern Virginia Medical School Neonatologia Hospital Virgin del Consuelo Hartford, CT 44 Antimicrobial therapy in neonatal Children’s Hospital of The King’s Daughters Valencia, Spain Sami Elhassani, MD Norfolk, VA intensive care unit Dharmapuri Vidyasagar, MD Neonatologist Rahmi Ors, MD Professor of Pediatrics Spartanburg, SC 49 Neonatal Effect Of Remifentanil In Director, Department of Neonatology and Department of Pediatrics Ivan Frantz, III, MD Pediatrics University of Illinois General Anaesthesia For Caesaean Chariman of Department of Pediatrics Professor of Pediatrics and Neonatologist Chicago, IL Chief, Division of Newborn Medicine Meram Medical Faculty Section Tufts University School of Medicine Necmettin Erbakan University Boston, MA Konya, Turkey 4 neonatal INTENSIVE CARE Vol. 29 No. 3 n Summer 2016 Human milk makes all the difference The American Academy of Pediatrics’ (AAP) policy recommends PremieLact™ Prolact HM™ Standardized Donor Milk Products the use of human milk for all preterm infants, whether mother’s own milk (MOM) or pasteurized donor human milk when mother’s own milk is unavailable.1

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