Gomez Pomar Enrique
Division of Neonatology, Department of Pediatrics, University of Kentucky, Lexington, KY, United States.
Department of Pediatrics, St. Bernards Regional Medical Center, Jonesboro, AR, United States.
Front Pediatr. 2023 Jul 14;11:1239107. doi: 10.3389/fped.2023.1239107. eCollection 2023.
As the use of opioids and polysubstance by pregnant women has increased over the years, there has also been a sharp increase in cases of neonatal abstinence syndrome (NAS). Classically, infants affected by NAS have been cared for in neonatal intensive care units resulting in an increase of healthcare expenditure and resource utilization as well as separation from the families. Consequently, the Eat, Sleep, and Console (ESC) tool was developed and promoted as a novel method that focuses on maternal/infant dyad during hospital stay while decreasing the use of pharmacological interventions and therefore decreasing the length of stay and healthcare expenditure. Thus, it has been implemented in several hospitals in the United States. Although the training of staff has been proposed and the interventions of sleep, eat, and console are defined, there still exists a lack of standardization of this practice specifically in regard to the type of associated non-pharmacological practices as well as the reports of its short- and long-term outcomes.
近年来，孕妇使用阿片类药物和多种物质的情况有所增加，新生儿戒断综合征（NAS）的病例也急剧上升。传统上，受NAS影响的婴儿在新生儿重症监护病房接受护理，这导致医疗保健支出和资源利用增加，以及与家人分离。因此，开发并推广了“进食、睡眠和安抚”（ESC）工具，作为一种新颖的方法，在住院期间关注母婴二元关系，同时减少药物干预的使用，从而缩短住院时间和降低医疗保健支出。因此，它已在美国的几家医院实施。尽管已经提出了工作人员培训，并且对睡眠、进食和安抚的干预措施进行了定义，但这种做法仍然缺乏标准化，特别是在相关非药物做法的类型以及其短期和长期结果的报告方面。
