Tuesday, July 19, 2011

New thinking on saving preemies


Laura Landro, WSJ, July 19, 2011, says some of the techniques for saving premature babies are changing.

Before, high levels of oxygen were given the little ones, but now they think this may lead to a form of blindness.

Hospitals are also cutting back on antibiotics and anti-reflux meds.

Two-thirds of infants who die are preemies.

Pediatrix Medical Group, a large neonatal physicians group in Florida, is working to cut deaths. One of their studies showed a drop in the mortality rate of babies 24 to 28 weeks old from 18% in 2005 to 14% in 2009.

This is one of 10 programs in the U.S.

Infections have been cut my not allowing the baby to be touched by anyone with artificial nails and by more frequent changing of tubing.

Oxygen saturation is being dropped from 99% to 85%.

The NICUs are also providing breast pumps so the tiniest patients can have the advantage of mother’s milk.

Simple things, based on studies and evidence. This could be the way medicine is going instead of to the larger, fancier, and more expensive.

1 comment:

Star Lawrence said...

Some baby docs are pushing back, though...
http://blogs.wsj.com/health/2011/07/19/neonatologists-protest-quality-improvement-requirements/

Check it out.