راح انزل ثريد يخص neonatal team...يحتوي ع بعض الكتب وأيضا بتكلم عن preventative measures of IVH
راح ابدا اول شي بكتاب NRP النسختين
drive.google.com
drive.google.com
راح ابدا اول شي بكتاب NRP النسختين
drive.google.com
drive.google.com
والحين بتكلم عن Preventative Measures of IVH in Preterm Neonates
Prematurity kept them at a greater risk to have bleed into cerebral ventricles. They have unique anatomic structure of numerous unsupported blood vessels in the matrix and unique physiological functions.
Prematurity kept them at a greater risk to have bleed into cerebral ventricles. They have unique anatomic structure of numerous unsupported blood vessels in the matrix and unique physiological functions.
Which babies are at risk for intraventricular hemorrhage?
Statistics
The incidence of IVH increases with decreasing gestational age.
In extremely premature infants weighing 500–750g, IVH occurs in about 45% of neonates.
The incidence of IVH increases with decreasing gestational age.
In extremely premature infants weighing 500–750g, IVH occurs in about 45% of neonates.
نتائجه ع الطفل
Acute Hydrocephalus وجود ماء بالراس
Increased risk of disabilities compared to no IVH. احتمالية الاعاقه بشتى انواعها
Low Mental Development Index. الذكاء العقلي ونمو الدماغ
Total Neurodevelopmental Impairment. تأثر الجهاز العصبي
Cerebral Palsy
Acute Hydrocephalus وجود ماء بالراس
Increased risk of disabilities compared to no IVH. احتمالية الاعاقه بشتى انواعها
Low Mental Development Index. الذكاء العقلي ونمو الدماغ
Total Neurodevelopmental Impairment. تأثر الجهاز العصبي
Cerebral Palsy
Evidence base practice in IVH Preventative Measures
Preventative measurement starts from prenatal period (قبل الولاده)and extends to the postnatal period( وبعده الولاده)
Preventative measurement starts from prenatal period (قبل الولاده)and extends to the postnatal period( وبعده الولاده)
In-utero transfer of high risk deliveries.
Rapid treatment of antenatal complications like PIH, antepartum hemorrhage, choriominionitis.
Delaying preterm delivery by antenatal corticosteroids.
Assisted vaginal delivery and cesarean section.
Rapid treatment of antenatal complications like PIH, antepartum hemorrhage, choriominionitis.
Delaying preterm delivery by antenatal corticosteroids.
Assisted vaginal delivery and cesarean section.
Grades of IVH
كلما زادت الدرجه كلما زاد التأثير ع الطفل بشكل عام والجهاز العصبي بشكل خاص
كلما زادت الدرجه كلما زاد التأثير ع الطفل بشكل عام والجهاز العصبي بشكل خاص
أكدت الدراسات أيضا انه اول ساعه بعد الولاده وكيف التعامل معها تحدث فرق في نسبة الاصابه
The Postnatal Preventive Measures Include
1- delay cord clamping
لانه يؤدي إلى
Increase blood pressure, hematocrit level and then fewer transfusions, increase red blood cell flow and others
The Postnatal Preventive Measures Include
1- delay cord clamping
لانه يؤدي إلى
Increase blood pressure, hematocrit level and then fewer transfusions, increase red blood cell flow and others
-preventing hypothermia
-Vitamin k administration
-Oxygen concentrations should be adjusted to meet SpO2 ranges during resuscitation
_Avoiding excessive Tidal volume at the Time of resuscitation
_maintain acid base balances
_avoid rapid fluid infusion
stabilize BP
-Vitamin k administration
-Oxygen concentrations should be adjusted to meet SpO2 ranges during resuscitation
_Avoiding excessive Tidal volume at the Time of resuscitation
_maintain acid base balances
_avoid rapid fluid infusion
stabilize BP
هذه بعض المشاهد الي تشهدها كل يوم
. NICU procedures
. NICU procedures
@Rattibha
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