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Telemedicine in neonatal medicine and resuscitation.
Current Opinion in Pediatrics ( IF 2.2 ) Pub Date : 2021-04-01 , DOI: 10.1097/mop.0000000000000995
Wannasiri Lapcharoensap 1 , Kelli Lund 2 , Trang Huynh 1
Affiliation  

PURPOSE OF REVIEW Telehealth in neonatology is a rapidly expanding modality for providing care to neonatal patient populations. In this review, we describe the most recent published innovations in neonatal telehealth, spanning the neonatal ICU (NICU), community/rural hospitals and the patient's home. RECENT FINDINGS Telemedicine for neonatal subspecialty care has continued to expand, from well established uses in retinopathy of prematurity screening and tele-echocardiography, to applications in genetics and neurology. Within the NICU itself, neonatologist-led remote rounding has been shown to be a feasible method of increasing access to expert care for neonates in rural hospitals. Telehealth has improved parental and caregiver education, eased the NICU-to-home transition experience and expanded access to lactation services for rural mothers. Telemedicine-assisted neonatal resuscitation has improved the quality of resuscitation and reduced unnecessary neonatal transports to higher levels of care. Finally, the global COVID-19 pandemic has accelerated the expansion of neonatal telehealth. SUMMARY Telehealth provides increased access to expert neonatal care and improves patient outcomes, while reducing the cost of care for neonates in diverse settings. Continued high-quality investigation of the impacts of telehealth on patient outcomes and healthcare systems is critical to the continued development of neonatal telemedicine best practices.

中文翻译:

新生儿医学和复苏中的远程医疗。

审查目的新生儿远程医疗是一种快速扩展的为新生儿患者群体提供护理的方式。在这篇综述中,我们描述了新生儿远程医疗领域最新发表的创新,涵盖新生儿重症监护病房 (NICU)、社区/农村医院和患者家中。最新发现 用于新生儿专科护理的远程医疗不断扩大,从早产儿视网膜病变筛查和远程超声心动图的成熟应用,到遗传学和神经病学的应用。在 NICU 内部,新生儿科医生主导的远程查房已被证明是增加乡村医院新生儿获得专家护理机会的可行方法。远程医疗改善了父母和护理人员的教育,简化了新生儿重症监护室到家庭的过渡体验,并扩大了农村母亲获得哺乳服务的机会。远程医疗辅助新生儿复苏提高了复苏质量,并减少了不必要的新生儿转运至更高级别护理的情况。最后,全球 COVID-19 大流行加速了新生儿远程医疗的扩展。摘要 远程医疗提供了更多获得专家新生儿护理的机会,改善了患者的治疗效果,同时降低了不同环境下新生儿的护理成本。持续高质量地调查远程医疗对患者治疗结果和医疗保健系统的影响对于新生儿远程医疗最佳实践的持续发展至关重要。
更新日期:2021-04-01
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