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Neonatal Assessment Manual Score: Is There a Role of a Novel, Structured Touch-Based Evaluation in Neonatal Intensive Care Unit?

Despite the technological improvements in monitoring preterm infants in the neonatal intensive care unit, routine care in the neonatal ward is primarily based on manual procedures. Although manual clinical procedures play a critical role in neonatology, little attention has been paid to palpation as...

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Autores principales: Manzotti, Andrea, Cerritelli, Francesco, Chiera, Marco, Lombardi, Erica, La Rocca, Simona, Biasi, Pamela, Galli, Matteo, Esteves, Jorge, Lista, Gianluca
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7424031/
https://www.ncbi.nlm.nih.gov/pubmed/32850545
http://dx.doi.org/10.3389/fped.2020.00432
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author Manzotti, Andrea
Cerritelli, Francesco
Chiera, Marco
Lombardi, Erica
La Rocca, Simona
Biasi, Pamela
Galli, Matteo
Esteves, Jorge
Lista, Gianluca
author_facet Manzotti, Andrea
Cerritelli, Francesco
Chiera, Marco
Lombardi, Erica
La Rocca, Simona
Biasi, Pamela
Galli, Matteo
Esteves, Jorge
Lista, Gianluca
author_sort Manzotti, Andrea
collection PubMed
description Despite the technological improvements in monitoring preterm infants in the neonatal intensive care unit, routine care in the neonatal ward is primarily based on manual procedures. Although manual clinical procedures play a critical role in neonatology, little attention has been paid to palpation as a clinical assessment tool. Palpation is a clinical evaluation tool that relies mostly on the senses of touch and proprioception. Based on recent studies investigating the role and clinical effectiveness of touch in full-term and preterm babies, this paper proposes an evaluative touch-based procedure—the Neonatal Assessment Manual Score (NAME) model—that could be useful in the neonatal ward and describes its rationale. The operator applies gentle light pressures to the infant's body. In essence, the touch stimulates low-threshold afferent fibers that could influence the interoceptive cerebral network and the autonomic nervous system, thus altering the blood flow and breathing rhythm. These events could change how bodily fluids distribute among body segments and hence the body volume. The volume modification could be felt manually through haptic perception owing to the high sensitivity of the fingers. On the basis of their clinical conditions and stage of development, infants will respond differently to the applied pressures. Evaluating the infant's response, the operator produces a score of “bad,” “marginal,” or “good” for communicating quickly and clearly the infant's conditions to other professionals. Because the NAME model is intended for every professional who is used to touch-based procedures, if future studies confirmed its validity and reliability in clinical practice, the NAME model could become a part of the neonatal ward routine care for better assessing and managing the infant's conditions, even during emergencies.
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spelling pubmed-74240312020-08-25 Neonatal Assessment Manual Score: Is There a Role of a Novel, Structured Touch-Based Evaluation in Neonatal Intensive Care Unit? Manzotti, Andrea Cerritelli, Francesco Chiera, Marco Lombardi, Erica La Rocca, Simona Biasi, Pamela Galli, Matteo Esteves, Jorge Lista, Gianluca Front Pediatr Pediatrics Despite the technological improvements in monitoring preterm infants in the neonatal intensive care unit, routine care in the neonatal ward is primarily based on manual procedures. Although manual clinical procedures play a critical role in neonatology, little attention has been paid to palpation as a clinical assessment tool. Palpation is a clinical evaluation tool that relies mostly on the senses of touch and proprioception. Based on recent studies investigating the role and clinical effectiveness of touch in full-term and preterm babies, this paper proposes an evaluative touch-based procedure—the Neonatal Assessment Manual Score (NAME) model—that could be useful in the neonatal ward and describes its rationale. The operator applies gentle light pressures to the infant's body. In essence, the touch stimulates low-threshold afferent fibers that could influence the interoceptive cerebral network and the autonomic nervous system, thus altering the blood flow and breathing rhythm. These events could change how bodily fluids distribute among body segments and hence the body volume. The volume modification could be felt manually through haptic perception owing to the high sensitivity of the fingers. On the basis of their clinical conditions and stage of development, infants will respond differently to the applied pressures. Evaluating the infant's response, the operator produces a score of “bad,” “marginal,” or “good” for communicating quickly and clearly the infant's conditions to other professionals. Because the NAME model is intended for every professional who is used to touch-based procedures, if future studies confirmed its validity and reliability in clinical practice, the NAME model could become a part of the neonatal ward routine care for better assessing and managing the infant's conditions, even during emergencies. Frontiers Media S.A. 2020-08-06 /pmc/articles/PMC7424031/ /pubmed/32850545 http://dx.doi.org/10.3389/fped.2020.00432 Text en Copyright © 2020 Manzotti, Cerritelli, Chiera, Lombardi, La Rocca, Biasi, Galli, Esteves and Lista. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Pediatrics
Manzotti, Andrea
Cerritelli, Francesco
Chiera, Marco
Lombardi, Erica
La Rocca, Simona
Biasi, Pamela
Galli, Matteo
Esteves, Jorge
Lista, Gianluca
Neonatal Assessment Manual Score: Is There a Role of a Novel, Structured Touch-Based Evaluation in Neonatal Intensive Care Unit?
title Neonatal Assessment Manual Score: Is There a Role of a Novel, Structured Touch-Based Evaluation in Neonatal Intensive Care Unit?
title_full Neonatal Assessment Manual Score: Is There a Role of a Novel, Structured Touch-Based Evaluation in Neonatal Intensive Care Unit?
title_fullStr Neonatal Assessment Manual Score: Is There a Role of a Novel, Structured Touch-Based Evaluation in Neonatal Intensive Care Unit?
title_full_unstemmed Neonatal Assessment Manual Score: Is There a Role of a Novel, Structured Touch-Based Evaluation in Neonatal Intensive Care Unit?
title_short Neonatal Assessment Manual Score: Is There a Role of a Novel, Structured Touch-Based Evaluation in Neonatal Intensive Care Unit?
title_sort neonatal assessment manual score: is there a role of a novel, structured touch-based evaluation in neonatal intensive care unit?
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7424031/
https://www.ncbi.nlm.nih.gov/pubmed/32850545
http://dx.doi.org/10.3389/fped.2020.00432
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