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Doctor insights on: Neonatal Intensive Care

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Dr. Ecaterina Sartina
38 Doctors shared insights

Neonatal Intensive Care (Overview)

Most preterm babies will need special medical attention after birth. If preterm delivery was anticipated, you would be advised to deliver your baby in a hospital that has a neonatal intensive care unit (NICU). You may have to deliver your baby at a different hospital than originally planned. If you have an unplanned premature delivery, the baby may have to be taken to another facility that has an NICU to receive the best quality care.


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How can a woman breasfeed when their baby is stuck in the neonatal intensive care?

How can a woman breasfeed when their baby is stuck in the neonatal intensive care?

Pump breast milk: Infants can be given breast milk with a bottle or through a nasogastric tube. The breast milk should be fortified if it is a premature infant. If the infant is mature enough to suck, mom can nurse in the nicu if the infant is stable. ...Read more

Dr. Ecaterina Sartina
38 Doctors shared insights

Neonatal Intensive Care (Overview)

Most preterm babies will need special medical attention after birth. If preterm delivery was anticipated, you would be advised to deliver your baby in a hospital that has a neonatal intensive care unit (NICU). You may have to deliver your baby at a different hospital than originally planned. If you have an unplanned premature delivery, the baby may have to be taken to another facility that has an NICU to receive the best quality care.


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What exactly is a neonatal intensive care unit?

What exactly is a neonatal intensive care unit?

Very specialized: It is a very specialized unit for taking care of newborns with problems like prematurity, respiratory issues, infections, and sometimes heart prpblems. It requires a large enough population base, a neonatologist (special highly trained pediatrician), and a sufficient level of support services and specially trained nurses and other personnel. ...Read more

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Giving Palliative Care (Checklist)

Make a list of medicines and times to give them
once
Keep number for doctors and other caregivers (for example hospice agency) handy
once
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Are their social development programs for graduates from neonatal intensive care unit?

Are their social development programs for graduates from neonatal intensive care unit?

Development: Many nicus have developmental follow up clinics to evaluate progress and needs after going home from the nicu and the children are prescribed physical, occupational, and speech therapy as is warranted. The therapy occurs on developmentally appropriate levels which is often through play therapy. ...Read more

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Do all hospitals have a neonatal intensive care unit?

Do all hospitals have a neonatal intensive care unit?

No: Every hospital does have an area to transition babies while they maybe experiencing problems after birth. However, not all hospitals have a neonatal intensive care unit. If you have a prenatal diagnosis that recommends or suggests neonatal care after delivery you should deliver in a hospital with a level one or two nicu. ...Read more

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Improving Personal Care (Checklist)

Brush teeth twice a day and floss once a day
daily
Exercise by walking, swimming, or biking
5x week
Eat lots of fresh fruits and vegetables
once
Do some form of meditation to decrease stress
daily
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Why do some hospitals have a neonatal intensive care unit and others dont?

Cost: Most babies are born normally proceed home without problems. However it is it very expensive to maintain a unit and therefore more cost-effective to have a regional unit that takes care of the babies needed in the surrounding area. ...Read more

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How would a college student become a neonatal intensive care nurse?

How would a college student become a neonatal intensive care nurse?

Education & training: You would first need to get a degree in nursing (bsn) and become a registered nurse (rn) by qualifying through the state board. Next you need undergo specialty training in neonatal intensive care with several possible routes and certifications including master of science in nursing (msn) with a focus on neonatal nursing and neonatal nurse practioner (nnp). Requirements vary from state to state. ...Read more

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What does it mean for an hospital to have a level III neonatal intensive care unit?

What does it mean for an hospital to have a level III neonatal intensive care unit?

Level 3 NICU: Level 3 neonatal ICU means they can take care of extremely premature infants that require respiratory support and have neonatologists in house 24/7. Infants can be cared for from onset of viability 23-24 weeks. ...Read more

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Can you tell me how can the environment of traditional neonatal intensive care units (nicus) influence preterm babies cognitive, and social development?

Can you tell me how can the environment of traditional neonatal intensive care units (nicus) influence preterm babies cognitive, and social development?

NICUs and developmen: The noisy and painful experiences in nicus of the past appeared to affect babies development. Added to that, the lack of parental contact has been shown to be detrimental. Modern, progressive nicus encourage parents to participate in their baby's care or provide surrogates (cuddlers). They cluster care to minimize interruption of babies' natural cycles. They decrease noise and other stimuli. ...Read more

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General concerns and questions about newborn with respiratory distress syndrome in intensive care?

General concerns and questions about newborn with respiratory distress syndrome in intensive care?

Prematurity: Leads to immature lunga with inadequate surfactant, a detergent that helps keep alveoli open. High o2 concentrations can cause retrolentil fibroplasoia leading to blindness. ...Read more

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Do patients in intensive care recover?

Do patients in intensive care recover?

Depends why in ICU: It all depends on why they are in the intensive care unit. Most patients do recover, but certainly there are very ill patients that do not recover after being in the icu. There are also those that have conditions that would not lead to a good quality of life. Those patients do not recover. But overall, the majority of ICU patients recover. ...Read more

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What is the delirium rating for intensive care unit?

What is the delirium rating for intensive care unit?

Diagnostic tool: There are a number of tools used to diagnose delirium in the intensive care unit. The two most common tools in north america include the cam-icu and the intensive care delirium screening checklist. Both have good sensitivity for detecting delirium. ...Read more

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Are intensive care and critical care the same thing?

Are intensive care and critical care the same thing?

Yes: Yes, there are different intensive care unit (cardiovascular, surgical or medical). The physician practicing in these units are Critical Care physicians. ...Read more

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What can I expect as a patient in an intensive care unit?

Intensive care: The patient experience varies between intensive care units. Certain factors than can affect this are visitation policies, presence of 24 hour in house intensivist coverage, whether it is a teaching institution (presence of residents, fellows, medical students), rounding policies (do rounds include families, are rounds multidisciplinary). Certain universal things are the presence of monitors/alarms. ...Read more

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Emotional recovery time after being? In intensive care unit 2 weeks?

Emotional recovery time after being? In intensive care unit 2 weeks?

Variable: It has been recently recognized that survivors of critical illness often have physical and emotional recovery issues after ICU stay. Post-traumatic stress, memory loss, and weakness are common and can take weeks to months to improve. It is worth discussing these issues when you follow up with your provider. ...Read more

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Please help? Is the "post operative room", the same as "intensive care unit" (icu)?

Please help? Is the "post operative room", the same as "intensive care unit" (icu)?

Not necessarily.: A postoperative or post anesthesia unit specializes in care of patients who have recently emerged from anesthesia (and veryrecent surgery). An intensive care unit specializes in high level (intensive) physiologic monitoring, ventilators, and powerful vasoactive medications and sedatives that need to be closely titrated. There can be overlap in some places, but they are separate in others. ...Read more

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70yo man fell off ladder, broke back, can't move, intensive care. What can be done?

70yo man fell off ladder, broke back, can't move, intensive care. What can be done?

Trauma: It all depends on the injuries sustained. If the patient is in the icu, there must be specialists already involved in his care. Let the doctors perform the necessary tests in order to provide the best medical care in the most timely fashion. ...Read more

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What is ionotonic support? Generally, can it be given in a subacute ward or, normally, only in a High Dependency Unit or Intensive Care ward?

What is ionotonic support? Generally, can it be given in a subacute ward or, normally, only in a High Dependency Unit or Intensive Care ward?

Heart Failure: Patients with advanced heart failure, on maximal medical therapy require more therapy. Inotropes increase contractility. Such as; epinephrine, nor-epinephrine, dobutamine, dopamine, etc.
Administration is intravenous, can be administered in the ICU, floar, and at home such as inpatients awaiting heart transplant. Administration usually is while the the offending disease is treated, or for long ti ...Read more

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What are the chances of surviving septicemia in the intensive care unit?

What are the chances of surviving septicemia in the intensive care unit?

Good: The overall adult survival is around 70%. Young adults do better than elderly. Keys to improving the odds include early recognition that you are "septic", early broad spectrum antibiotics based on the presumed source (lung, soft tissue, blood vessel catheter, abdomen), early drainage of any pus, aggressive support of the lungs, kidneys, heart to maintain good perfusion to all these. ...Read more

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What is the average stay in intensive care?

What is the average stay in intensive care?

It depends on condit: There is no average ICU length of stay, as it is dependant on the reason for the admission to icu. Icu admissions are mixed bag. There are post surgical admissions after major surgery, various medical conditions ranging from diabetic ketoacidosis, repiratory failiure on ventilater, multisystem failures, dehydration, multiple trauma, sepsis with shock and fall in BP etc.
So the stay can be 1day to I month. ...Read more

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How can you recover from being in intensive care?

How can you recover from being in intensive care?

With care: Medical treatment for the basic condition or situation requiring admission to intensive care is the first part of recovery. People have various responses to being in intensive care units, and can be very frightened, sleep-deprived, and delirious. Psychiatric consult services can help people while on these units, and with following up after discharge from them. Outpatient counseling can help too. ...Read more

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Can you tell me if laudonosine has any theraputic use in intensive care?

Can you tell me if laudonosine has any theraputic use in intensive care?

Laudonosine use: It is a muscle relaxant used on patients who are mechanically ventilated and is usually administered by a medical doctor. ...Read more

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I was wondering is a sanatorium similar to intensive care?

I was wondering is a sanatorium similar to intensive care?

No: Sanatorium is more of a historical term here in the US. They used to be centers which cared for patients suffering from chronic illnesses or those who needed long term care. Some of the sanatoriums evolved into modern day hospitals. The ICU provides patients with artificial life-support or resuscitation (pressure/volume. There are transitional care hospitals that provide long term life-support. ...Read more

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If a child dies in an ambulance are they still taken to intensive care?

If a child dies in an ambulance are they still taken to intensive care?

See below: If they are dead, then no. Certainly in the emergency room, they will try to revive the child. ...Read more

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Are most patients in an intensive care cathed and if so, why and is it embaressing?

Are most patients in an intensive care cathed and if so, why and is it embaressing?

ICU patients/cathete: When you are admitted to ICU and you are on IV fluids, you need to monitor fluid input and output, and monitor kidney functions., it is very important
so the only way you can monitor urinary output around the clock without asking the patients to save the urine and then chart it may be difficult, and when you are so sick to be in ICU why will you be embarassed. ...Read more

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What kind of clothes/gowns do intensive care patients wear?

Regular hospital gow: You are wearing regular hospital gown with opening in the back, it is made of cotton material, and not the disposable kind. ...Read more

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What’s the difference between a critical care and an intensive care unit?

Same thing: Different hospitals have different terms for specialized care units that take care of the sickest patients. ...Read more

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What's the difference between a patient care unit and the intensive care unit?

Hospital Care Levels: All units in a hospital are patient care units however the equipment and nursing staff present differ according to the nature of the patient's illness or illnesses. Icu is for the sickest patient. Subacute or stepdown unit is for a patient who still needs close monitoring often still needing special equipment. Regular unit is for a patient needing hospital care but usually not seriously ill. ...Read more

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Person with encephalitis in intensive care unit, what's the worst that can happen?

Person with encephalitis in intensive care unit, what's the worst that can happen?

Encephalitis: Encephalitis is a serious condition. The outcomes can vary from complete recovery to being fatal, and a number of outcomes in between. It is important to maintain open lines of communication with the health care team regarding the patient's progress. ...Read more

Dr. Jeffrey Stevens
1 Doctor shared a insight

Neonatal (Definition)

The term neonatal is generally used to describe events that occur with an infant within the first 30 days after birth. Some practitioners are looser with the definition & extend the ...Read more