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Neonatal ICU Blog


Challenging the Limits

This past weekend, one of my coworkers and I were discussing the difficulties that are faced in the NICU in regard to medical ethics.  We have chosen to work in a field where we witness miracles on a daily basis, but we also see the sad side of life & death in the NICU.  With modern advances in medicine and science, we have seen more and more babies saved than ever before.  But with this, we are also seeing a much younger (gestational age) and sicker population.  This creates a difficult situation for health care providers and for families.  

Where are the lines between viability and non-viability?  How does one make such a decision?  When has medicine gone too far?  When does it not go far enough?

These are deep discussion topics, I know, but as NICU staff and parents...they are a reality.  I started reading a book on the topic this week and found this quote interesting:  "The babies in the NICU make a claim on our humanity but also challenge the limits of it."*  I'm anxious to finish the book...I'll let you know how it goes.

Have you ever thought about these questions or others like them?

Share your thoughts with us or shoot me an email.

Julie Hudson, MSN, RN
NCBH NICU


*Lantos, John D. (2001).  The Lazarus Case: life-and-death issues in neonatal intensive care.  Baltimore, MD: The Johns Hopkins University Press, p. 28



New Outcomes Published on Hypothermia Treatment

A study entitled "Childhood Outcomes after Hypothermia for Neonatal Encephalopathy" was published this past week in the New England Journal of Medicine.  The resulting long-term outcomes were pretty positive.

We've known for awhile that hypothermic therapy works to save infants' lives, but there has not been a lot of information on long-term outcomes for kiddos.  According to the authors: "The rate of the combined end point of death or an IQ score of less than 70 at 6 to 7 years of age was lower among children undergoing whole-body hypothermia than among those undergoing usual care, but the differences were not significant. However, hypothermia resulted in lower death rates and did not increase rates of severe disability among survivors."

Of particular interest, it was found that the rate of cerebral palsy was lower (17% vs 29%)  in the hypothermia group and the rate of blindness (1% vs 4%)was also lower!  

Whole Body Cooling is becoming a popular treatment in NICUs (including our NICU at NCBH), so this information is good news for us and the families we serve.

Happy Summer!
Julie Hudson, MSN, RN
NCBH NICU



In Loving Memory

It has been a very busy time in our NICU and L&D departments!  We are seeing record numbers of babies being born...amazing and such a blessing. 

Statistically speaking, most deliveries go off without a hitch and the babies go home with their Moms within a day or two.  Then, there are NICU babies....those who stay in the hospital for awhile (sometimes a long while).  Unfortunately, there is also another group of babies.....those who never make it to the NICU or Nursery, who never make it home with their loved ones.

This past week our own NCBH family suffered the loss of one of these precious little ones.  We mourn with his parents, shed tears for them, and pray for their peace.  For all of you who have been down this road, we offer our heartfelt condolences and prayers.



Julie Hudson, MSN, RN

NCBH NICU

Cradle of Wings - In Memory

by Pam Armstrong and Susan Armstrong Lunn
There's a place in your heart, the angels know

Where the love for your child begins to grow

And they sing out the joy of that tender glow

Hallelujah, Hallelujah, Hallelujah

Hallelujah, Hallelujah, Hallelujah
Though there's much to see through new little eyes,

When they start to close, with soft weary sighs.

In a cradle of wings, the little one lies

And the angels' Hallelujahs hush to lullabies

And the angels' Hallelujahs hush to lullabies
There's a place in your heart, where you realize

That the love for your child, will forever abide

It's the cradle of wings, where your little one lies

Where the angels' Hallelujahs hush to lullabies…

It's where the angels' Hallelujahs hush to lullabies
Lullaby, little darlin' lullaby,

Lullaby, my sweet darlin' lullaby,

We will hold you and we'll see you by and by

We love you and we'll miss you, bye bye
Cradle of Wings Productions

Copyright 2006

 

 

 


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