Initiating the use of non-invasive respiratory support following delivery of 27-30 week gestation infants in a Level III NICU

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• 作者：Erin N. Evans ; MSN ; Advanced Practice Registered Nurse (APRN) ; NNP-BC^a ; ^b ; ^{erinevans_rn@yahoo.com" class="auth_mail" title="E-mail the corresponding author} ; Penni Coates Huffman ; DNP ; APRN ; NNP-BC ; Assistant Professor ; DNP & MSN Neonatal Nurse Practitioner Specialty Coordinator^c
• 关键词：Non-invasive respiratory support (NIRS) ; Extremely premature infants ; Respiratory distress syndrome (RDS) ; Neonatal intensive care unit (NICU) ; Quality improvement
• 刊名：Journal of Neonatal Nursing
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：21
• 期：6
• 页码：248-254
• 全文大小：1132 K

文摘

Historically it has been common practice to intubate and give surfactant to extremely premature infants. The most recent evidence-based literature has shown this practice results in similar outcomes to infants treated with non-invasive respiratory support (NIRS) with selective surfactant administration following delivery. The need for an evidence-based practice change was identified at Integris Baptist Medical Center-Neonatal Intensive Care Unit (IBMC-NICU) and steps taken to implement new practice following the delivery of extremely premature infants. To date seventeen infants have been managed with the new practice in place. The new practice has resulted in a culture change in the unit leading to more evidence-based changes.