Management of Neonatal Abstinence Syndrome in Neonatal Intensive Care Unit

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Journal Critique #2
Sarkar, S., & Donn, S. M. (2006). Management of neonatal abstinence syndrome in neonatal intensive care units: A national survey. Journal of Perinatology, 26(1), 15-7. doi: http://dx.doi.org/10.1038/sj.jp.7211427

The rationale behind this article was to try to manage the neonatal abstinence syndrome of a new born in intensive care. The researchers tried to set up a universal testing to measure the neonatal abstinence syndrome (NAS). The objective was to get a better understanding of what the hospitals were using to evaluate the newborns with the withdrawal of the opiate addicted mothers; checking to see if there were common procedures. The methods used was a pretested questionnaire that is available online, these surveys were sent through email to 102 accredited fellowship programs that deal with the Neonatal-Perinatal that follow the neonatal in utero (Saekar & Donn, 2006). The findings for the study shows that from the 102 questionnaires sent out only 73.5% were reporting that there was a written policy in place for NAS. The Finnegan was the most used scoring system to test the severity of the withdrawal symptoms. With 16 using the original version and almost double at 66 using the modified version, 3 used the Lipsitz tool, 10 others didn’t use any routine, the others used locally set up scoring systems. The mast majority took urine or meconium to test for toxicology before treatment was even started. Opioids are used for both opioid and poly drug withdrawal, Phenobarbital is used for the poly drug withdrawal and methadone for the opioids; meaning that there are a few different options for each withdrawal drug (Sarkar & Donn, 2006). The author concludes that there should be a universal measuring tool should be used. As of this study the Finnegan and the Lipsitz were used, using psychomotor behavior monitoring to watch for withdrawal scoring. There were limitations to this study, data used was based on what a single...
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