Research Article

From Neonatal Intensive Care to Neurocritical Care: Is It Still a Mirage? The Sicilian Multicenter Project

Table 3

The objectives set and those achieved in our three Sicilian centers.

Prefixed goalContact with parents
24/24 h
Environmental protection
Light, sound, touch
Basic physiology monitoringBrain monitoring
aEEG, cEEG, videopolygraphy, CUS, NIRS, evoked potentials
Neuroprotection
Hypothermia and pharmacological agents
Promoting sleep
Sleep monitoring with videopolygraphy
Dedicated staff
5 neuronurses, 3 neuroneonatologists, 1 supervisor, 1 neurophysiology technician
Training courses
Two-day courses every 6 months

NICU 1 reached result (after 1 year)12/24 hYesYesaEEG, cEEG, videopolygraphy, CUS, NIRSHypothermia LEV, PB, caffeineOnly clinical observation3 neuronurses, 3 neuroneonatologists, 1 neurophysiology technician (only daily for five days)One course at beginning
NICU reached result (after 1 year)12/24 hYesYesaEEG, cEEG, CUS, evoked potentialsHypothermia LEV, PB, caffeineOnly clinical observation2 neuronurses, 1 neuroneonatologistOne course at beginning
NICU 3 reached result (after 1 year)12/24 hYesYesaEEG, cEEG (only selected cases), CUS, NIRSHypothermia LEV, PB, caffeine, melatoninOnly clinical observation2 neuronurses, 1 neuroneonatologist, 1 neurophysiology technician (only daily for five days)One course at beginning