Omid Fathi

By Omid Fathi, Amy Brown Schlegel and Edward G. Shepherd

The use of mechanical ventilation in the past few decades has greatly contributed to the survival of critically ill neonates, both preterm and term. With this, however, has come an accompanied rise in certain complications and neonatal co-morbidities. Avoiding mechanical ventilation, or at least minimizing the time a neonate is intubated, is considered a critical goal in the care of these patients. Different modes of non-invasive ventilation have developed over the course of the time to help address these issues.

Part of the book: Noninvasive Ventilation in Medicine

By Omid Fathi, Roopali Bapat, Edward G. Shepherd and John Wells Logan

The “Golden Hour” model of care originated in adult trauma medicine. Recently, this concept has been applied to premature neonates and the care they receive immediately after birth. This is not limited to the first hour of life, however, as this approach encompasses the first hours and days after birth. While no universal description defines the Golden Hour model, critical domains include initial delivery room management, thermoregulation, ventilation and oxygenation, glycemic control and prevention of infection. Strong evidence favors standardization of care to improve short- and long-term outcomes. This approach to care for the most at-risk premature infant is typically institution-specific; thus, team-building and quality improvement are critical to the care of these vulnerable patients.

Part of the book: Neonatal Medicine