Vibhuti Shah
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Protocol for developing a national approach to surveillance and prevention for neonatal ventilator-associated pneumonia Open
Introduction Ventilator-associated pneumonia (VAP) is a leading cause of morbidity and mortality among neonates requiring life-saving mechanical ventilation in neonatal intensive care units (NICUs), particularly those who are born prematur…
View article: Understanding maternal perspectives of skin-to-skin contact for the management of acute pain in very and extremely preterm infants
Understanding maternal perspectives of skin-to-skin contact for the management of acute pain in very and extremely preterm infants Open
Skin-to-skin care (SSC) and skin-to-skin contact for procedural pain (SSCP) are recognized for their physiological and emotional benefits in the neonatal intensive care unit (NICU), including pain reduction in preterm infants. However, lit…
Facilitators and Barriers to the Implementation of Family Integrated Care in Ontario Level II Neonatal Intensive Care Units Open
Background/Objectives: In Ontario, approximately 8% (11,000) of infants are born preterm (22–<37 weeks gestation) each year. Many of these infants are cared for in a Level II Neonatal Intensive Care Unit (NICU). Family Integrated Care (FIC…
Analysis of student’s feedback and their Perspectives about Electives Posting in Competence Based Medical Education Open
Background: Electives posting for MBBS undergraduate (UG) students was introduced by NMC (National Medical Council), India as a part of the newly implemented CBME (Competence based medical education) curriculum from 2019. Electives’ postin…
View article: Machine learning classification of EEG responses to pain-related vs non-pain-related stimulus in preterm infants
Machine learning classification of EEG responses to pain-related vs non-pain-related stimulus in preterm infants Open
Introduction: Unmanaged pain in preterm infants can lead to long-term developmental consequences. Current pain assessment methods lack specificity, resulting in possible pain mismanagement in Neonatal Intensive Care Units (NICUs). This stu…
Probable Autoimmune Encephalitis Presenting With Catatonia in a Young Woman: A Case Report and Review of the Literature Open
Objective To present a case of probable autoimmune encephalitis initially misdiagnosed as a primary psychiatric disorder. Method A case of probable autoimmune encephalitis presenting with catatonia in a young woman 6 months post-partum is …
Intranasal Fentanyl in Preterm Infants Undergoing Peripherally Inserted Central Catheter Placement (INFENT PICC): A Feasibility Randomized Controlled Trial Open
Background/Objectives: Preterm infants in the neonatal intensive care unit (NICU) are subjected to clinically essential painful procedures including peripherally inserted central catheter (PICC) placement. Pharmacological interventions are…
Using the CARD system for university-based pop-up vaccination clinics: A two-stage hybrid effectiveness-implementation study Open
Mass vaccination clinics efficiently vaccinate large numbers of people. The CARD system (Comfort, Ask, Relax, Distract) is a vaccination delivery framework that can improve the experiences of vaccine recipients and providers. This two-stag…
View article: Low-Grade Germinal Matrix Hemorrhage-Intraventricular Hemorrhage and Concomitant Preterm Brain Injuries: Neurodevelopmental Outcomes at 3 Years of Age
Low-Grade Germinal Matrix Hemorrhage-Intraventricular Hemorrhage and Concomitant Preterm Brain Injuries: Neurodevelopmental Outcomes at 3 Years of Age Open
Although isolated low-grade GMH-IVH did not significantly affect 3-year neurodevelopmental outcomes, concomitant CbH or WMI was associated with poorer outcomes after adjusting for confounders.
Supporting Antenatal Counselling for Anticipated Preterm Births at the Limits of Viability in Non-Tertiary Centres Open
Background: Presentations of preterm labour at <25 weeks of gestational age (GA) require timely evidence-based counselling and management to optimise outcomes and facilitate informed decisions. In non-tertiary centres, this counselling is …
Effect of Skin-to-Skin Care on the Day of Birth on Skin Colonization in Preterm Infants: A Pre- and Post-Implementation Study Open
Background/Objectives: Maternal skin-to-skin contact (MSSC) in neonates has been shown to reduce nosocomial infections. In preterm infants, exposure to maternal skin commensals within the first 24 h may prevent colonization by hospital-acq…
Caregiver Experiences, Healthcare Provider Perspectives and Child Outcomes with Virtual Care in a Neonatal Neurodevelopmental Follow-Up Clinic: A Mixed-Methods Study Open
Background: Caregiver and healthcare provider perspectives of virtual care have not been explored in depth in the literature for neonatal follow-up clinics. Our objective was to evaluate caregivers’ and healthcare providers’ perspectives a…
Systematic review of skin-to-skin interventions for painful procedures in very and extremely preterm infants Open
excluding one study at a time to observe their impact on the meta-analysis.
View article: Health Care Professionals’ and Parents’ Perspectives on the Use of AI for Pain Monitoring in the Neonatal Intensive Care Unit: Multisite Qualitative Study
Health Care Professionals’ and Parents’ Perspectives on the Use of AI for Pain Monitoring in the Neonatal Intensive Care Unit: Multisite Qualitative Study Open
Background The use of artificial intelligence (AI) for pain assessment has the potential to address historical challenges in infant pain assessment. There is a dearth of information on the perceived benefits and barriers to the implementat…
Breastfeeding or breast milk for procedural pain in neonates Open
Moderate-/low-certainty evidence suggests that breastfeeding or supplemental breast milk may reduce pain in neonates undergoing painful procedures compared to no intervention/positioning/holding or placebo or non-pharmacological interventi…
Building Connections with Families: Implementation of a Video-Messaging Service in the Neonatal Intensive Care Unit Open
Background: Family involvement is vital to optimize the care of infants in the neonatal intensive care unit (NICU). Various technologies have been used to support communication with parents in the NICU. The purpose of this study was to eva…
View article: Health Care Professionals’ and Parents’ Perspectives on the Use of AI for Pain Monitoring in the Neonatal Intensive Care Unit: Multisite Qualitative Study (Preprint)
Health Care Professionals’ and Parents’ Perspectives on the Use of AI for Pain Monitoring in the Neonatal Intensive Care Unit: Multisite Qualitative Study (Preprint) Open
BACKGROUND The use of artificial intelligence (AI) for pain assessment has the potential to address historical challenges in infant pain assessment. There is a dearth of information on the perceived benefits and barriers to the implementat…
Grading of Intraventricular Hemorrhage and Neurodevelopment in Preterm <29 Weeks’ GA in Canada Open
Objective: The aim of this study was to evaluate the neurodevelopmental outcome at 18–24 months in surviving preterm infants with grades I–IV intraventricular hemorrhages (IVHs) compared to those with no IVH. Study Design: We included pret…
Timing of Systemic Steroids and Neurodevelopmental Outcomes in Infants < 29 Weeks Gestation Open
Objective: To determine the association between postnatal age (PNA) at first administration of systemic postnatal steroids (sPNS) for bronchopulmonary dysplasia (BPD) and mortality or significant neurodevelopmental impairment (sNDI) at 18–…
Fathers' Experiences in Alberta Family Integrated Care Open
Background: The Family Integrated Care (FICare) program adapted for Alberta (AB) level II neonatal intensive care units (NICUs) aims to increase parental involvement and support during their NICU stay. The experience of fathers of preterm …
Effectiveness of parental education about pain in the neonatal period on knowledge, attitudes, and practices: A systematic review and meta-analysis Open
Background Despite the availability of effective, safe, and feasible pain management strategies, infant pain remains undertreated. Parents can play a key role in advocating for or delivering pain management strategies if they are educated.…
Thermoregulation and golden hour practices in extremely preterm infants: an international survey Open
Background Are thermoregulation and golden hour practices in extremely preterm (EP) infants comparable across the world? This study aims to describe these practices for EP infants based on the neonatal intensive care unit’s (NICUs) geograp…
Automated Movement Analysis to Predict Cerebral Palsy in Very Preterm Infants: An Ambispective Cohort Study Open
The General Movements Assessment requires extensive training. As an alternative, a novel automated movement analysis was developed and validated in preterm infants. Infants < 31 weeks’ gestational age or birthweight ≤ 1500 g evaluated at 3…
View article: What is the definition of acute episodic and chronic pain in critically ill neonates and infants? A global, four-stage consensus and validation study
What is the definition of acute episodic and chronic pain in critically ill neonates and infants? A global, four-stage consensus and validation study Open
Objectives To define and validate types of pain in critically ill neonates and infants by researchers and clinicians working in the neonatal intensive care unit (NICU) and high dependency unit (HDU). Design A qualitative descriptive mixed-…
Association of Weight Changes by Three Days after Birth and Mortality and/or Severe Neurological Injury in Preterm Infants < 29 Weeks Gestational Age: A Multicenter Cohort Study Open
Objective: This study aimed to determine the range of weight loss, at 3 days postnatal age, associated with the lowest risk of mortality/short-term morbidity in preterm infants <29 weeks gestational age (GA). Study design: This multicenter…
Intranasal Fentanyl for Procedural Analgesia in Preterm Infants Open
Background Despite the availability of evidence-based analgesic strategies, neonatal pain management continues to be suboptimal. Intranasal (IN) fentanyl is an alternative pharmacotherapy for procedural pain in neonatal units. The objectiv…
Effectiveness of Alberta Family-Integrated Care on Neonatal Outcomes: A Cluster Randomized Controlled Trial Open
Family-Integrated Care (FICare) empowers parents to play an active role as a caregiver for their infant in the neonatal intensive care unit (NICU). This model of care is associated with improved neonatal outcomes, such as improved weight g…