Treffer: Building a Neonatal Neurocritical Care Program: A Practical Guide to Initial Implementation.

Title:
Building a Neonatal Neurocritical Care Program: A Practical Guide to Initial Implementation.
Authors:
Sewell E; Division of Neonatology, Department of Pediatrics, Children's Healthcare of Atlanta, Emory University School of Medicine, Atlanta, Georgia., Dingman A; Division of Child Neurology, Department of Pediatrics, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, Colorado., Bonifacio S; Division of Neonatal and Developmental Medicine, Department of Pediatrics, Lucile Packard Children's Hospital, Stanford University School of Medicine, Palo Alto, California., Guez-Barber D; Division of Child Neurology, Department of Pediatrics, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, Colorado., Pilon B; Hope for HIE, West Bloomfield, Michigan., Smyser C; Departments of Neurology, Radiology, Pediatrics, Psychiatry, and Neurosurgery, Washington University School of Medicine, St. Louis, Missouri.
Source:
NeoReviews [Neoreviews] 2025 Nov 01; Vol. 26 (11), pp. e755-e772.
Publication Type:
Journal Article; Review
Language:
English
Journal Info:
Publisher: American Academy of Pediatrics Country of Publication: United States NLM ID: 101085360 Publication Model: Print Cited Medium: Internet ISSN: 1526-9906 (Electronic) Linking ISSN: 15269906 NLM ISO Abbreviation: Neoreviews Subsets: MEDLINE
Imprint Name(s):
Publication: [Washington, DC] : American Academy of Pediatrics
Original Publication: [Elk Grove Village, IL] : [Standford, CA] : American Academy of Pediatrics ; Published with the assistance of Stanford University Libraries' HighWire Press, c2000-
MeSH Terms:
Program Development*/methods , Critical Care*/organization & administration , Critical Care*/methods, Humans ; Infant, Newborn ; Hypoxia-Ischemia, Brain/therapy
Entry Date(s):
Date Created: 20251031 Date Completed: 20251031 Latest Revision: 20251201
Update Code:
20251202
DOI:
10.1542/neo.26-11-069
PMID:
41173295
Database:
MEDLINE

Weitere Informationen

Although neonatal neurocritical care (NNCC) programs have existed for decades and have been linked to improved outcomes in high-risk neonates, relatively few institutions have these models in place, and guidance on program development is limited. Designing am NNCC program includes the following: (1) targeting high-risk clinical populations such as infants with hypoxic-ischemic encephalopathy, seizures, and posthemorrhagic hydrocephalus, (2) collaborating with multidisciplinary team members, (3) ensuring availability of equipment to collect key clinical information, including electroencephalograms, cranial ultrasounds, and brain magnetic resonance imaging scans, (4) developing evidence-based pathways, and (5) prioritizing access to follow-up care after discharge. Program implementation requires a needs assessment, financial planning, onboarding and training, and ongoing quality improvement efforts. Importantly, the program should align with parental values and expectations for their child's care. Furthermore, after establishing clinical neurocritical care services, the program can strategically expand to encompass additional clinical pathways, comprehensive formal specialized training, and innovative research opportunities.
(Copyright © 2025 by the American Academy of Pediatrics.)