INTENSIVE CARE

can result in us all offering real hope to parents dealing with a
sick baby and most importantly give them ways to help. NICU
professionals should also celebrate how far the profession has
come, measured by current outcome stats.
DD: Thank you, Dr. Pape.
Dr. Pape’s book and website provide profound evidence that
challenges the conventional opinion about brain injuries in
infants. Watch her TED X talk Baby Brains DO Recover, but
Habit Hides it at http://bit.ly/295N3kU. It is my hope that we can
come together to re-think previous assumptions and even better,
to change the tide and make sure all of these at-risk children
can get the help they need in order to attain the best possible
outcome. Doing so will directly impact these lives and those
around them, not to mention society as a whole.
References and notes
1 Romano JG, Smith EE, Liang L, et al. Outcomes in Mild Acute
Ischemic Stroke Treated With Intravenous Thrombolysis: A
Retrospective Analysis of the Get With the Guidelines–Stroke
Registry. JAMA Neurol. 2015;72(4):423-431.This is a good
article about the response to early treatment of people with
mild strokes. The emphasis of the authors is the 30% of the
sample that were not walking independently at discharge,
rather than the 70% that were back to good function.
2 Iona Novak et al., “A Systematic Review of Interventions
for Children with Cerebral Palsy: State of the Evidence,”
Developmental Medicine and Child Neurology 55 (2013):
885–910.
3 Karen E. Pape and Jonathan S. Wigglesworth, Haemorrhage,
Ischaemia and the Perinatal Brain (London: William
Heinemann, 1979), 141.
4 K.E. Pape et al., “Ultrasound Detection of Brain Damage in
Preterm Infants,” Lancet 313 (1979): 1261–64.
5 Annamieke Brouwer et al., “Neurodevelopmental Outcome
of Preterm Infants with Severe Intraventricular Hemorrhage
and Therapy for Post-Hemorrhagic Ventricular Dilatation,”
Journal of Pediatrics 153 (2008): 648–54.
6 Iona Novak, “Evidence-Based Diagnosis, Health Care, and
Rehabilitation for Children with Cerebral Palsy.” Journal of
Child Neurology 29 (2014): 1141–56.
7 McIntyre et al., “Cerebral Palsy—Don’t Delay” Developmental
Disabilities Research Reviews 17 (2011): 114–29.
8 Tiffany Field, Miguel Diego, and Maria Hernandez-Reif,
“Preterm Infant Massage Therapy Research: A Review,”
Infant Behavior and Development 33(2010): 115-24.
40 neonatal INTENSIVE CARE Vol. 29 No. 4 • Fall 2016