Individualized dextrose dosing for neonatal hypoglycemia
نویسندگان
چکیده
Newborn infants at risk for hypoglycemia are typically managed with feedings or the administration of dextrose gel. Despite these measures, many require admission to a special care nursery neonatal intensive unit (NICU) intravenous dextrose. Unfortunately, NICU separates mothers and infants, may lead unintended consequence difficulties in establishing breastfeeding. Therefore, it is important investigate methods management that decrease separation reinforce In this volume The Journal Pediatrics, Sen et al describe shorter stays after protocol change utilized glucose levels titrate initial dose hypoglycemia. As study was not clinical trial, more research on safety effectiveness approach needed support translation into widespread practice. However, results will be good news neonatologists who struggle consequences when otherwise healthy newborn brought low blood sugar. Article page 74 ▸ A Graded Approach Intravenous Dextrose Neonatal Hypoglycemia Decreases Blood Glucose Variability, Time Intensive Care Unit, Cost StayThe PediatricsVol. 231PreviewTo determine associations between graded (IV) treatment changes (BG), length stay (LOS), cost care. Full-Text PDF
منابع مشابه
Oral Dextrose Gel Reduces the Need for Intravenous Dextrose Therapy in Neonatal Hypoglycemia.
BACKGROUND Newborn infants with risk factors may require intravenous (IV) dextrose for asymptomatic hypoglycemia. Administration of IV dextrose and transfer to the neonatal intensive care unit (NICU) may interfere with parent-infant bonding. OBJECTIVE To study the effect of implementing dextrose gel supplement with feeds in late preterm/term infants affected by asymptomatic hypoglycemia on re...
متن کاملNeonatal Hypoglycemia.
Lower blood glucose values are common in the healthy neonate immediately after birth as compared to older infants, children, and adults. These transiently lower glucose values improve and reach normal ranges within hours after birth. Such transitional hypoglycemia is common in the healthy newborn. A minority of neonates experience a more prolonged and severe hypoglycemia, usually associated wit...
متن کاملNeonatal Hypoglycemia
A term male infant was born after an uneventful pregnancy to a 28-year-old gravida I woman who had no evidence of hyperglycemia and no chronic diseases. The infant had Apgar scores of 7 and 9 at 1 and 5 minutes, respectively. His growth parameters were in the normal range, with weight at the 60th percentile, head circumference at the 50th percentile, and length at the 50th percentile. The baby ...
متن کاملNeonatal hypoglycemia.
PURPOSE OF REVIEW Hypoglycemia in the newborn may be associated with both acute decompensation and long-term neuronal loss. Studies of the cause of hypoglycemic brain damage and the relationship of hypoglycemia to disorders associated with hyperinsulinism have aided in our understanding of this common clinical finding. RECENT FINDINGS A recent consensus workshop concluded that there has been ...
متن کاملNeonatal Hypoglycemia - Current Concepts
Hypoglycaemia is a common problem in the neonatal period, and it frequently reflects difficulties in adapting to extra uterine life. Strategies to facilitate this physiological adaptation should be enhanced. (Sem fetal neo del 2005) Incidence is variable depending on the definition criteria used in different studies, but according to Cornblath (Cornblath et al 1993, 2000 as cited by Fernández L...
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ژورنال
عنوان ژورنال: The Journal of Pediatrics
سال: 2021
ISSN: ['1085-8695', '0178-4919', '0022-3476', '1097-6833']
DOI: https://doi.org/10.1016/j.jpeds.2021.02.019