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

Publication ,  Journal Article
Mann, PC; Gospe, SM; Steinman, KJ; Wilfond, BS
Published in: J Perinatol
December 2015

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.

Duke Scholars

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Published In

J Perinatol

DOI

EISSN

1476-5543

Publication Date

December 2015

Volume

35

Issue

12

Start / End Page

977 / 981

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Pregnancy
  • Pediatrics
  • Neurodevelopmental Disorders
  • Neonatology
  • Male
  • Magnetic Resonance Imaging
  • Intensive Care, Neonatal
  • Integrative Medicine
  • Infant, Very Low Birth Weight
 

Citation

APA
Chicago
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Mann, P. C., Gospe, S. M., Steinman, K. J., & Wilfond, B. S. (2015). Integrating neurocritical care approaches into neonatology: should all infants be treated equitably? J Perinatol, 35(12), 977–981. https://doi.org/10.1038/jp.2015.95
Mann, P. C., S. M. Gospe, K. J. Steinman, and B. S. Wilfond. “Integrating neurocritical care approaches into neonatology: should all infants be treated equitably?J Perinatol 35, no. 12 (December 2015): 977–81. https://doi.org/10.1038/jp.2015.95.
Mann PC, Gospe SM, Steinman KJ, Wilfond BS. Integrating neurocritical care approaches into neonatology: should all infants be treated equitably? J Perinatol. 2015 Dec;35(12):977–81.
Mann, P. C., et al. “Integrating neurocritical care approaches into neonatology: should all infants be treated equitably?J Perinatol, vol. 35, no. 12, Dec. 2015, pp. 977–81. Pubmed, doi:10.1038/jp.2015.95.
Mann PC, Gospe SM, Steinman KJ, Wilfond BS. Integrating neurocritical care approaches into neonatology: should all infants be treated equitably? J Perinatol. 2015 Dec;35(12):977–981.

Published In

J Perinatol

DOI

EISSN

1476-5543

Publication Date

December 2015

Volume

35

Issue

12

Start / End Page

977 / 981

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Pregnancy
  • Pediatrics
  • Neurodevelopmental Disorders
  • Neonatology
  • Male
  • Magnetic Resonance Imaging
  • Intensive Care, Neonatal
  • Integrative Medicine
  • Infant, Very Low Birth Weight