Research Article
Volume 9 Issue 2 - 2020
Neuro Ncu Attention Project through Timely Detection of Neurological Alarm Data of Newborns Treated in a Unit Hospital Staff Susceptible to Immediate Medical Management
Martin Noé Rangel Calvillo*
Specialist in Pediatrics and Neonatology, Chief of Pediatrics and Neonatology at HGE José María Rodríguez, Ecatepec state of Mexico, Mexico
*Corresponding Author: Martin Noé Rangel Calvillo, Specialist in Pediatrics and Neonatology, Chief of Pediatrics and Neonatology at HGE José María Rodríguez, Ecatepec state of Mexico, Mexico.
Received: December 05, 2019; Published: January 08, 2020




Abstract

Introduction: There are newborn care models, which are defined as individualized for hospitalized babies so that they can detect alterations in time, clinics as initial manifestations of pathologies that in the long run can be extremely serious and that put life and integrity at risk. Neuro logical of newborns taken care of in neonatology services in different hospitals. To achieve a clinical basis, it is necessary to have an understanding of the different behaviors or movements that the hospitalized newborn presents, especially in intensive therapy or intermediate therapy, which are affected by pathologies such as asphyxia, hemorrhage. Seizures, hypoglycemia, convulsions, etc.

In the case of suffocation, for example, it is as important as we know that there are 4 million deaths worldwide within the first 28 days secondary to this cause. Preterm births and congenital malformations cause more than a third of neonatal deaths, most of them in the first weeks of life, of which at least 26% of deaths are caused by asphyxia and according to the WHO more than one million survive suffocation developing cerebral palsy, learning problems or other development problems.

Specific Goal: Measure the impact of direct surveillance in patients at risk of neurological damage.

Method: A list of signs and symptoms of different pathologies will be made and will be announced with nurses and doctors who want to participate in the neurological surveillance project in different shifts. The above with the idea that all participants have the same information to perform the detection and surveillance, nurses are trained to know how to detect neurological data and different neonatal seizures among other topics. They will receive the information in writing and they will sign the receipt. We will use methods such as classification of asphyxia, clinical classification of hypoxic encephalopathy, clinical classification of seizures, clinical data of acidosis, and kramer parameters for jaundice among others.

We will record and in case of seizures, encephalopathy data, imbalances we will give the task of immediate therapeutic intervention, monitoring the evolution of the patient clinically by not having electroencephalogram in real time, and most studies as enzymes either the resource is available, only BT, gasometry, occasionally CPK MB as a biochemical parameter for asphyxia, the neurological evolution will be carried out by a Licentiate in neuro stimulation to detect data of early damage or improvement when reviewing fine and coarse motor among others.

The specific clinical signs will be described in the file and in the data capture sheet, even with graphic evidence, for example, of seizures prior to medical management. We measure results according to the patient's evolution, which we followed during his stay to be on the lookout for improvement or complications based on the evaluation of gross fine motor and reflexes as it marks the program of equal start in life, valued by the graduate in rehabilitation. commissioned or assigned for that purpose. Finally, the patient was considered successful if an improvement was detected with management and without complications and those who complicate or undergo an underlying pathology that delays post-intervention assessment will be excluded from the study. Finally, relative risk was calculated through statistical analysis of the cohort in exposed and unexposed population; including the healthy and unhealthy to be analyzed and calculate the relative risk.

Results: In the stipulated time we were able to detect 130 newborns with some symptomatology of any of the pathologies that were going to be monitored to avoid neurological damage. We were struck by the fact that of the pathologies found the most frequent is asphyxia (present in 28.46%).

In an observational manner, we were able to confirm that conducting a directed monitoring helped specifically detect 130 patients of high complexity before they became complicated, as well as being able to perform interventions that were successful for patients who were graduates with improvement and without apparent neurological damage. subject to neurological follow-up.

During the analysis of the total of hospitalized patients, 0.205136 were at risk of pathology with neurological damage and could be classified as problem cases since they had a clinical picture that could potentially cause damage, and the factor of exposure was calculated as 0.794832.

Keywords: Neuroucin; Successful Experience; Timely Detection of Alarm Data; Immediate Management

References

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Citation: Martin Noé Rangel Calvillo. “Neuro Ncu Attention Project through Timely Detection of Neurological Alarm Data of Newborns Treated in a Unit Hospital Staff Susceptible to Immediate Medical Management”. EC Paediatrics 9.2 (2020): 01-14.

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