How has research in the last 5 years changed my clinical practice?
This paper considers some of the changes in practice that have occurred in the last 5 years. There have been significant improvements in parental involvement in care. Not all changes have been based on evidence from research: practice has also been affected by changing technology and pressure by industry and other groups. Among the research-based changes were: an awareness of confidentiality, individualised developmental care, increased use of inhaled nitric oxide, therapeutic hypothermia, less postnatal steroids (although the dosage used is not evidence-based), sucrose as analgesia and permissive hypotension.
School of Reproductive and Developmental Medicine, University of Liverpool, Neonatal Unit, Liverpool Women's Hospital, Crown Street, Liverpool L8 7SS, UK. a.m.weindling@liv.ac.uk
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D000698:Analgesia / Q000379:methods; D001238:Asphyxia Neonatorum / Q000188:drug therapy; D001294:Attitude to Health; D035843:Biomedical Research; D001993:Bronchodilator Agents / Q000627:therapeutic use; D003219:Confidentiality; D004059:Diffusion of Innovation; D004569:Electroencephalography; D019317:Evidence-Based Medicine / Q000379:methods / Q000639:trends*; D006801:Humans; D007023:Hypotension, Controlled / Q000639:trends; D007036:Hypothermia, Induced / Q000639:trends; D007223:Infant; D007231:Infant, Newborn; D007234:Infant, Premature; D015931:Intensive Care, Neonatal / Q000379:methods / Q000458:organization & administration / Q000639:trends*; D020407:Internet; D008297:Male; D015337:Multicenter Studies as Topic; D009569:Nitric Oxide / Q000627:therapeutic use; D010290:Parents / Q000523:psychology; D010500:Perinatology / Q000639:trends*; D011175:Positive-Pressure Respiration / Q000706:statistics & numerical data; D016032:Randomized Controlled Trials as Topic; D013256:Steroids / Q000627:therapeutic use; D013395:Sucrose / Q000627:therapeutic use; D016896:Treatment Outcome
D001993:Bronchodilator Agents; D013256:Steroids; D009569:Nitric Oxide; D013395:Sucrose