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Title:
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NEONATAL INTENSIVE CARE UNIT TELEMONITORING: AN EXPERIENCE IN THE STATE OF MINAS GERAIS, BRAZIL |
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Author(s):
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Maria do Carmo Barros de Melo, Alaneir de Fátima dos Santos, Claudio de Souza, Maurico Rodrigues Botelho, Antonio Jorge Souza Marques, Nara Lucia Carvalho da Silva |
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ISBN:
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978-972-8939-87-8 |
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Editors:
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Mário Macedo |
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Year:
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2013 |
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Edition:
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Single |
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Keywords:
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Telemedicine, Neonatal care, Neonatal Intensive Unit Care. |
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Type:
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Short Paper |
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First Page:
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136 |
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Last Page:
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140 |
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Language:
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English |
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Cover:
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Full Contents:
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click to dowload 
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Paper Abstract:
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INTRODUCTION: In the state of Minas Gerais, the governmental health department is working to create 200 new Neonatal ICUs beds. Telemedicine is an important tool to help solve problems for the lack of trained human resources which will be employed at these new services, especially in more distant countryside towns away from larger medical centers. OBJECTIVE: This paper is to describe the development of a telemedicine service for Neonatal ICU. The project is a partnership between the State Health Department of Minas Gerais and the Telehealth Center of the Medical School at the Minas Gerais Federal University. METHODS: Webconferencing was devised involving neonatologists with experience in intensive care in a Center of Telemonitoring and neonatologists of neonatal ICUs from regional cities. There is monitoring and discussion of clinical cases. There are sub-specialists to make contact if needed. There is continuous availability on duty, during the 12 h/day care period, of neonatologists and nurses. The data have been stored for future assessment, analysis and studies. The project coordination has been organizing workshops for the ICU managers. The project aims to promote specific training and technical assistance for health and administrative professionals from the Neonatal ICUs in our State. RESULTS: The Telemonitoring Center has been worked well. Neonatologists and nurses were trained to use the system and they are organizing protocols to help the colleagues to work better in the new ICU that will be functioning soon. The professionals of the Telemonitoring Center are identifying what difficulties may occur and videoconference will be done for permanent education. The number of teleconsultations performed by neonatologists and nurses from December 15Th 2012 to March 15th 2013 was 1367. The average response time per specific area/month was five hours. CONCLUSION: The project has been helpful in giving support for the decision making process. There is a need to study the telemedicine actions in Neonatal ICU and the possibilities of support to healthcare professionals in clinical decisions, and that can be helpful in reducing the mortality and morbidity of the neonates. |
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