Descrever o número de períodos em que recém-nascidos pré-termo de muito baixo peso estiveram em posição canguru durante internação na unidade neonatal e buscar relações entre variáveis maternas e neonatais com a realização da posição canguru. Estudo descritivo retrospectivo com todos os recém-nascidos pré-termo admitidos em 2012, com peso de nascimento igual ou inferior a 1500g e idade gestacional menor que 31 semanas, classificados como pacientes de maior risco clínico, segundo o Clinical Risk Index for Babies. Foram investigados 38 sujeitos, cujo período de hospitalização variou entre 18 a 136 dias. O início da posição canguru ocorreu em média aos 30,8 dias de vida pós-natal (DP=18,5) e a quantidade de períodos em que estiveram em posição canguru foi em média 10,7 vezes. A ocorrência da posição canguru foi menos frequente que as oportunidades advindas da presença materna e esteve relacionado ao maior oferecimento de leite em livre demanda.

Background: The use of gastric tubes in newborns admitted to a neonatal intensive care unit is fairly high, and there is a risk of serious complications related to this procedure. Purpose: Considering the need to find a method that does not involve the patient's exposure to radiation, this study aimed to evaluate the diagnostic accuracy of ultrasonography for verifying gastric tube placement in newborns. Methods: This was a prospective, double-blind, observational study performed in a neonatal intensive care unit, in which 159 infants had gastric intubation using ultrasound examination and radiological imaging, to verify positioning. Results were analyzed in terms of diagnostic accuracy. Results: The tubes were correctly positioned in 157 cases (98.7%), according to radiological images, and in 156 cases (98.1%), according to ultrasound. The sensitivity analysis was 0.98 and the positive predictive value was 0.99. It was not possible to perform a specificity analysis, as there were not enough negative cases in the sample. Implications for Practice: The use of ultrasonography to identify correct positioning of gastric tubes in infants and newborns shows good sensitivity. Implications for Research: It was not possible to evaluate the ultrasonography specificity; further studies with greater samples are probably necessary, so that this objective can be achieved. Video Abstract available at https://journals.lww.com/advancesinneonatalcare/Pages/videogallery.aspx?videoId=29&autoPlay=true.

Objective:to investigate evidence in the literature on procedures for measuring gastric tube insertion in newborns and verifying its placement, using alternative procedures to radiological examination. Method:an integrative review of the literature carried out in the Cochrane, LILACS, CINAHL, EMBASE, MEDLINE and Scopus databases using the descriptors “Intubation, gastrointestinal” and “newborns” in original articles. Results:seventeen publications were included and categorized as “measuring method” or “technique for verifying placement”. Regarding measuring methods, the measurements of two morphological distances and the application of two formulas, one based on weight and another based on height, were found. Regarding the techniques for assessing placement, the following were found: electromagnetic tracing, diaphragm electrical activity, CO2 detection, indigo carmine solution, epigastrium auscultation, gastric secretion aspiration, color inspection, and evaluation of pH, enzymes and bilirubin. Conclusion:the measuring method using nose to earlobe to a point midway between the xiphoid process and the umbilicus measurement presents the best evidence. Equations based on weight and height need to be experimentally tested. The return of secretion into the tube aspiration, color assessment and secretion pH are reliable indicators to identify gastric tube placement, and are the currently indicated techniques.

This study aims to undertake the translation and cultural adaptation of the Échelle Douleur Inconfort Nouveau-Né scale into Brazilian Portuguese, following the steps recommended internationally: a) dual translation into Brazilian Portuguese; b) a synthesis of the translations; c) back translation into the original language; d) evaluation by a panel of judges; and e) pre-testing. All internationally recommended steps were performed satisfactorily. The panel of judges made alterations in most parts of the instrument, in order to keep the semantic, idiomatic, conceptual and cultural equivalences between the original and the translated versions. Pre-testing revealed the translated version is easy to understand and to fill out, and rapid to use. The translation and cultural adaption of the EDIN into Brazilian Portuguese were successfully completed.