Novorození pacienti s vrozenými vývojovými vadami po narození vyžadují specializovanou péči, do které se často musí zapojit multioborový tým. Jedním z aspektů péče o tuto skupinu je také transport v rámci zdravotnického zařízení. Transport pacienta je vždy rizikový proces, zvláště u pacientů nestabilních, kteří vyžadují podporu vitálních funkcí. Příspěvek popisuje technické vybavení a základní postupy při nemocničním transportu pacientů s vybranými vadami.
Newborn patients born with a congenital defect require specialized care upon birth. A multidisciplinary approach is often needed. One of the components of care of these patients is intra-hospital transport. Patient transport is always a risky undertaking, especially with unstable patients requiring mechanical ventilation and hemodynamic support. This article outlines the technical equipment and basic approach to intra-hospital transport of patients with congenital defects.
- MeSH
- Incubators, Infant MeSH
- Humans MeSH
- Infant, Newborn * MeSH
- Body Temperature * MeSH
- Body Temperature Regulation MeSH
- Body Temperature Changes MeSH
- Check Tag
- Humans MeSH
- Infant, Newborn * MeSH
- Publication type
- Review MeSH
- MeSH
- Aggression MeSH
- Autistic Disorder diagnosis MeSH
- Maternal-Child Health Centers MeSH
- Cesarean Section MeSH
- Child MeSH
- Incubators, Infant MeSH
- Interpersonal Relations MeSH
- Clinical Decision-Making MeSH
- Comorbidity MeSH
- Quality of Life MeSH
- Humans MeSH
- Mothers psychology MeSH
- Cerebral Palsy psychology MeSH
- Infant, Extremely Premature psychology MeSH
- Infant, Premature * psychology MeSH
- Child Care MeSH
- Intestinal Perforation MeSH
- Motor Skills Disorders MeSH
- Children with Disabilities psychology MeSH
- Premature Birth psychology MeSH
- Early Intervention, Educational MeSH
- Parents psychology MeSH
- Child Health Services organization & administration MeSH
- Anxiety, Separation etiology psychology MeSH
- Professional-Family Relations MeSH
- Parent-Child Relations MeSH
- Check Tag
- Child MeSH
- Humans MeSH
- Male MeSH
- Female MeSH
- Publication type
- Case Reports MeSH
- Personal Narrative MeSH
Although birds have genetically determined sex, the sex ratio has been reported to deviate from parity in several studies. Temperature-dependent sex determination, which is common in reptiles, is absent in birds. However, females are able to adjust their investment into eggs according to the sex of the embryo, which may cause sex-specific embryonic mortality. Incubation temperature may also cause sex-biased embryonic mortality, and it may differentially affect the phenotype of male and female hatchlings. We aimed to investigate differences between male and female Mallard embryos regarding their egg size, mortality during incubation and hatchling phenotype in relation to incubation temperature. Mallard eggs were incubated under six constant incubation temperatures (ranging from 35.0 to 38.0 °C). Hatchlings were weighed, and their morphological traits were measured. We determined the sex of hatchlings and unhatched embryos by genetic analysis and found higher male embryonic mortality at 35.5 °C (44 males vs. 28 females) and a higher proportion of female hatchlings at 38 °C (24 males vs. 38 females); however, these results were not statistically significant. Our results suggest that Mallard females do not differentiate quantitatively between sexes during egg production. Male hatchlings were significantly larger but not heavier than females. The size difference between sexes was most pronounced at temperatures around 36 °C, which is the mean temperature of naturally incubated Mallard eggs.
- MeSH
- Anseriformes embryology physiology MeSH
- Poultry embryology physiology MeSH
- Embryonic Development * MeSH
- Incubators MeSH
- Sex Ratio * MeSH
- Temperature * MeSH
- Animals MeSH
- Check Tag
- Male MeSH
- Female MeSH
- Animals MeSH
- Publication type
- Journal Article MeSH
Aim: The aim of this study was to evaluate the effect of maternal heart sound given to preterm infants during aspiration on pain and comfort. Methods: This was a randomized controlled trial. Preterm infants (n = 62) receiving care or treatment at a neonatal intensive care unit (NICU) were eligible for participation in this study. Infants in the intervention group were provided with prerecorded maternal heart sounds before, during, and after aspiration, whereas infants in the control group received routine care. Results: In both groups, the infants’ physiologic parameters were evaluated during aspiration. In the study, it was determined that while there was an insignificant difference between the experimental group and the control group in terms of respiratory rate and heart rate averages before, during, and after the aspiration, there was a significant difference between them in terms of SO2 averages before, during, and after the aspiration, and this significance arose from the experimental group. Conclusion: Considering the positive effect of maternal heart sound given to preterm infants during aspiration, we recommend that this method can be used in NICU.
- Keywords
- výhřevné lůžko,
- MeSH
- Incubators * MeSH
- Intensive Care, Neonatal MeSH
- Humans MeSH
- Infant, Newborn MeSH
- Life Support Systems * instrumentation MeSH
- Check Tag
- Humans MeSH
- Infant, Newborn MeSH
- MeSH
- Child MeSH
- Environmental Health MeSH
- Cross Infection * prevention & control MeSH
- Incubators microbiology MeSH
- Patient Isolators history classification utilization MeSH
- Equipment Contamination MeSH
- Laboratories MeSH
- Air Pollutants, Occupational standards adverse effects MeSH
- Air Pollutants history standards adverse effects MeSH
- Humans MeSH
- Air Microbiology MeSH
- Infant, Newborn MeSH
- Colony Count, Microbial standards MeSH
- Air Pollution, Indoor * prevention & control legislation & jurisprudence MeSH
- Check Tag
- Child MeSH
- Humans MeSH
- Infant, Newborn MeSH
- Publication type
- Historical Article MeSH
