Promoting a neuropalliative care approach in fetal neurology.
Published in Seminars in fetal & neonatal medicine
Optimising success of neonatal extubation: Respiratory support.
Published in Seminars in fetal & neonatal medicine
In this review, we examine lung physiology before, during and after neonatal extubation and propose a three-phase model for the extubation procedure. We perform meta-analyses to compare different modes of non-invasive respiratory support after neonatal extubation and based on the findings, the following clinical recommendations are made. Copyright ...
End of life care in the setting of extreme prematurity - practical challenges and ethical controversies.
Published in Seminars in fetal & neonatal medicine
While the underlying principles are the same, there are differences in practice in end of life decisions and care for extremely preterm infants compared with other newborns and older children. In this paper, we review end of life care for extremely preterm infants in the delivery room and in the neonatal intensive care unit. We identify potential j...
The logistics of withdrawing life-sustaining medical treatment in the neonatal intensive care unit.
Published in Seminars in fetal & neonatal medicine
Withdrawal of life sustaining medical treatments is a common mode of death in the neonatal intensive care unit. Shared decision making and communication are crucial steps prior to, during and after a withdrawal of life sustaining medical treatments. Discussion should include the steps to occur during the withdrawal. Physicians should recommend appr...
Palliative care for NICU survivors with chronic critical illness.
Published in Seminars in fetal & neonatal medicine
The sickest of NICU survivors develop chronic critical illness (CCI). Most infants with CCI will leave the NICU using chronic medical technology and will experience repeated rehospitalizations. The unique issues for these NICU graduates- escalating chronic medical technologies, fractured post-NICU healthcare, gaps in home health services, and famil...
Seminars in Fetal & neonatal medicine: Palliative and end of life care in the NICU.
Published in Seminars in fetal & neonatal medicine
Maternal-fetal surgery as part of pediatric palliative care.
Published in Seminars in fetal & neonatal medicine
Maternal-fetal surgical interventions have become a more common part of prenatal care. This third option, beside termination or post-natal interventions, complicates prenatal decision-making: while interventions may be lifesaving, survivors may face a life with disability. Pediatric palliative care (PPC) is more than end of life or hospice care, it...
Clinical features of neonatal COVID-19.
Published in Seminars in fetal & neonatal medicine
The COVID-19 (SARS-Cov-2) pandemic has put a strain on healthcare systems around the world from December 2019 in China, and then rapidly spreading worldwide. The impact of the virus on the entire population and its differential effect on various age groups was unknown at the outset, specifically its severity in elders, children or those living with...
Impact of perinatal COVID on fetal and neonatal brain and neurodevelopmental outcomes.
Published in Seminars in fetal & neonatal medicine
After three years of the COVID-19 pandemic, we have learned many aspects of the disease and the virus: its molecular structure, how it infects human cells, the clinical picture at different ages, potential therapies, and the effectiveness of prophylaxis. Research is currently focused on the short- and long-term consequences of COVID-19. We review t...
Editorial.
Published in Seminars in fetal & neonatal medicine
