Title: Neonatal Intensive-Care Unit (NICU) - Intensive Care Nursery (ICN)

Sr. No.

Table of Content Page No.

1.Abstract : Neonatal Intensive-Care Unit (NICU) Intensive Care Nursery(ICN)

2

2. Services and treatments 4

3. About Us 6

1.Abstract :

Neonatal is derived from the word neo, "new", “natal”.

A Neonatal Intensive-Care Unit (NICU), also known as an Intensive Care Nursery(ICN), is an intensive-care unit specially for the care of ill or premature newborn infant. The first American newborn intensive care unit, designed by Louis Gluck, was started in October 1960 at Yale-New Haven Hospital, Connecticut.

NICU is normally directed by one or many neonatologists along with nurse or nurses staff practitioners, pharmacists, assistants, physicians, and dietitians, respiratory therapists. A lot of other ancillary disciplines and specialists are available at larger units.

Nursing and neonatal populations Healthcare institutions have changeable entry-level requirements for neonatal nurses. Neonatal nurses should have certification as a neonatal resuscitation provider.

Start of ICU and NICU

Premature and congenitally ill infants being born is not new one. It was till 1922 hospitals started grouping the newborn

infants into one area, now called the neonatal intensive care unit (NICU).

In the Middle of nineteenth century the infant incubator was first developed, based on the incubators used for chicken eggs by Dr. Stephane Tarnier who is generally considered to be the father of the incubator (or isolette). This was developed to keep premature infants in a Paris maternity ward warm. This convinced other physicians that the treatment helped premature infants in France due to its concerns about a falling birth rate.

After retirement of, Tarnier Dr. Pierre Budin, started noting the limitations of infants in incubators and the importance of breastmilk and the mother’s attachment to the child.

2. Services and Treatments Adult intensive care units have the use of monitoring and life-support systems became routine. Adult ventilators, for example, could damage babies' lungs and gentler techniques with smaller pressure changes were devised. Some hospitals admitted all babies delivered by Caesarian section, or under 2500 g in weight. Treating low-birth-weight infants is expensive, especially when there are much cheaper ways of ensuring healthy babies.

Besides prematurity and extreme low birth-weight, common diseases cared for in a NICU include perinatal asphyxia, major birth fects, sepsis, neonatal jaundice, and Infant respiratory distress syndrome due to immaturity of the lungs. Complications of extreme prematurity may include intracranial hemorrhage, chronic bronchopulmonary dysplasia, or retinopathy of prematurity. An infant may spend a day of observation in a NICU or may spend many months there.

The NICU environment provides challenges as well as benefits. Stressors for the infants can include continual light, a high level of noise, separation from their mothers, reduced physical

contact, painful procedures, and interference with the opportunity to breastfeed. Equipment

Incubator

An incubator (or isolette) is an apparatus used to maintain environmental conditions suitable for a neonate (newborn baby). It is used in preterm births or for some ill full-term babies.Possible functions of a neonatal incubator are:

Oxygenation, through oxygen supplementation by head hood or

nasal cannula, or even continuous (CPAP) or mechanical ventilation. Infant respiratory distress syndrome is the leading cause of death in preterm infants, and the main treatments are CPAP, in addition to administering pulmonary surfactant and stabilizing the blood sugar, blood salts, and blood pressure.Administration of medications.

Maintaining fluid balance by providing fluid and keeping a high air humidity to prevent too great a loss from skin and respiratory evaporation.A transport incubator is an incubator in a transportable form, and is used when a sick or premature baby is moved, e.g., from one hospital to another, as from a community hospital to a larger medical facility with a proper neonatal intensive-care unit. It usually has a miniature ventilator, cardio-respiratory monitor, IV pump, pulse oximeter, and oxygen supply built into its frame.Common diagnosis and pathologies in the NICU include:

Anemia, Apnea, Bradycardia, Bronchopulmonary dysplasia (BPD), Hydrocephalus, Intraventricular hemorrhage (IVH), Jaundice, Necrotizing enterocolitis (NEC), Patent ductus arteriosus (PDA), Periventricular leukomalacia (PVL), Infant respiratory distress syndrome (RDS), Retinopathy of prematurity (ROP), Sepsis, Transient tachypnea of the newborn (TTN).

3. About Us

Kharghar Medicity Multispeciality Hospital has placed the enormous & prominent place in the healthcare sector at the prestigious location of Navi Mumbai locality – Kharghar. We serves our best efficiency in the multispecialty healthcare services which significantly specialized in the super specialty services

which offers high end procedures in Neurology , Neurosurgery , Urology , Joint replacement , knee replacement surgeries and many more.

We crucially provides following facilities likely :

Super Specialty Services Cashless Facility 24 hours Services Emergency services

Website : http://www.khargharmedicityhospital.com/