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We developed a procedure for extubation during kangaroo care, and later performed a retrospective analysis of patients born preterm at less than 28 weeks’ gestational age that were electively extubated during skin-to-skin contact with their parents.</p><p id="par0020" class="elsevierStylePara elsevierViewall">The procedure for extubation during skin-to-skin contact was based on the recommendations for the implementation of kangaroo care in mechanically ventilated infants,<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">5</span></a> adding elements concerning extubation.</p><p id="par0025" class="elsevierStylePara elsevierViewall">The procedure consisted of: controlling environmental stimuli (noise, lighting) during the entire process, transfer from incubator to skin-to-skin contact, preparation of all the necessary material and placement of the CPAP bonnet, skin-to-skin contact for as long as needed to attain physiological stability, followed by extubation and connection to CPAP.</p><p id="par0030" class="elsevierStylePara elsevierViewall">The clinical assessment and monitoring were performed as they would have if extubation had taken place in the incubator, and the health care staff was prepared to transfer the patient back to the incubator in case of extubation failure, which was defined as inability to sustain adequate spontaneous ventilation and/or oxygenation.</p><p id="par0035" class="elsevierStylePara elsevierViewall">The parents had been informed about the procedure and given consent.</p><p id="par0040" class="elsevierStylePara elsevierViewall">We collected the data from the medical records of the patients, and analysed them retrospectively.</p><p id="par0045" class="elsevierStylePara elsevierViewall">A total of 14 newborns were extubated during skin-to-skin contact in our unit between 2008 and 2012. <a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a> shows the characteristics of the patients. Their gestational ages ranged from 23<span class="elsevierStyleSup">6/7</span> to 27<span class="elsevierStyleSup">0/7</span> weeks, and their birth weights from 570 to 850<span class="elsevierStyleHsp" style=""></span>g. The mean chronological age at the time of extubation was 32 days (14–46), the postmenstrual age ranged between 25 and 32 weeks, and the weight at the time of extubation ranged between 640 and 1430<span class="elsevierStyleHsp" style=""></span>g.</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0050" class="elsevierStylePara elsevierViewall">All the neonates had been put in skin-to-skin contact with their parents before, and half of them had undergone at least one failed extubation attempt in the incubator.</p><p id="par0055" class="elsevierStylePara elsevierViewall">Extubation was successful in 12 of the 14 neonates. The reason for extubation failure was croup in one neonate and hypoxia in the other. In these two cases, the patients were transferred back to their incubators and reintubated without complications.</p><p id="par0060" class="elsevierStylePara elsevierViewall">No complications developed in association with the procedure, and parents expressed a high level of satisfaction.</p><p id="par0065" class="elsevierStylePara elsevierViewall">One of the benefits of skin-to-skin contact is cardiorespiratory stability, even in recently extubated neonates. Thus, kangaroo-care extubation could be well tolerated, as our case series seems to suggest.</p><p id="par0070" class="elsevierStylePara elsevierViewall">The procedure is no more complex than skin-to-skin contact in ventilated preterm newborns. As for extubation itself, the sole difference compared to conventional practice is the placement of the child.</p><p id="par0075" class="elsevierStylePara elsevierViewall">The incorporation of family-centred care involves increased parental participation in care, which could include extubation during skin-to-skin contact. A high degree of cohesion between parents, the nursing staff and the neonatologist is essential when performing this procedure.</p><p id="par0080" class="elsevierStylePara elsevierViewall">Some of the limitations of the study are the absence of a control group and its retrospective design. Furthermore, while parents did express high satisfaction with the method, we did not formally analyse its emotional impact.</p><p id="par0085" class="elsevierStylePara elsevierViewall">In our experience, elective extubation during skin-to-skin contact in extremely preterm infants is a safe practice that is not associated to complications outside of those expected in extubation performed in the incubator, and could contribute to increased respiratory stability.</p><p id="par0090" class="elsevierStylePara elsevierViewall">Considering the limitations of this study, further studies should be conducted to demonstrate the safety and benefits of this method before recommending it, as well as research on its emotional impact on the parents.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Camba F, Céspedes MC, Jordán R, Gargallo E, Perapoch J. Extubación electiva durante el contacto piel con piel en el prematuro extremo. An Pediatr (Barc). 2016;84:289-291.</p>" ] ] "multimedia" => array:1 [ 0 => array:8 [ "identificador" => "tbl0005" "etiqueta" => "Table 1" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at1" "detalle" => "Table " "rol" => "short" ] ] "tabla" => array:1 [ "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Patient \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Gestational age \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Birth weight (g) \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Sex \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">CRIB II \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Previous extubation attempts \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Days of life \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Postmenstrual age \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Weight (g) on day of extubation \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Extubation failure \t\t\t\t\t\t\n \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; 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entry_with_role_rowhead " align="left" valign="top">2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">25<span class="elsevierStyleSup">6/7</span> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">570 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">M \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">15 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">43 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">32 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">920 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">No \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">25<span class="elsevierStyleSup">3/7</span> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">710 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">F \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">14 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">21 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">28<span class="elsevierStyleSup">3/7</span> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">750 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">No \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">4 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">24<span class="elsevierStyleSup">2/7</span> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">650 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">M \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">15 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">46 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">30<span class="elsevierStyleSup">6/7</span> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1050 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">No \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">23<span class="elsevierStyleSup">6/7</span> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">610 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">F \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">15 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">14 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">25<span class="elsevierStyleSup">6/7</span> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">640 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">No \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">6 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">24<span class="elsevierStyleSup">3/7</span> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">720 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">M \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">16 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">41 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">30<span class="elsevierStyleSup">2/7</span> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1030 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">No \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">7 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">25<span class="elsevierStyleSup">1/7</span> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">630 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">F \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">14 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">36 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">30<span class="elsevierStyleSup">2/7</span> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">930 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">No \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">8 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">24 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">730 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">M \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">17 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">23 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">27<span class="elsevierStyleSup">2/7</span> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">900 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">No \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">9 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">24<span class="elsevierStyleSup">6/7</span> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">780 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">M \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">16 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">45 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">31<span class="elsevierStyleSup">2/7</span> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1430 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Yes (croup) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">10 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">26<span class="elsevierStyleSup">5/7</span> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">850 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">M \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">10 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">26 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">30<span class="elsevierStyleSup">3/7</span> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1220 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">No \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">11 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">24<span class="elsevierStyleSup">5/7</span> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">680 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">M \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">14 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">27 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">28<span class="elsevierStyleSup">4/7</span> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">940 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">No \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">12 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">27 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">720 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">F \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">13 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">38 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">32<span class="elsevierStyleSup">3/7</span> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1280 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">No \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">13 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">26 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">600 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">M \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">13 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">29 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">30<span class="elsevierStyleSup">1/7</span> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">910 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">No \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">14 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">24<span class="elsevierStyleSup">6/7</span> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">720 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">M \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">15 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">26 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">28<span class="elsevierStyleSup">4/7</span> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">830 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Yes (hypoxia) \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab1035625.png" ] ] ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Characteristics of preterm infants extubated during skin-to-skin contact.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:6 [ 0 => array:3 [ "identificador" => "bib0035" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Kangaroo mother care to reduce morbidity and mortality in low birthweight infants" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "A. Conde-Agudelo" 1 => "J.M. Belizán" 2 => "J. Díaz-Rossello" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1002/14651858.CD002771" "Revista" => array:5 [ "tituloSerie" => "Cochrane Database Syst Rev" "fecha" => "2011" "volumen" => "2" "paginaInicial" => "CD002771" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12804436" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0040" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Extremely preterm infants tolerate skin-to-skin contact during the first weeks of life" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "R. Maastrup" 1 => "G. 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Avenarius" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Perinatol" "fecha" => "2000" "volumen" => "5" "paginaInicial" => "311" "paginaFinal" => "315" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0050" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Randomized controlled trial of kangaroo care: cardiorespiratory and thermal effects on healthy preterm infants" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "S.M. Ludington-Hoe" 1 => "G.C. Anderson" 2 => "J.Y. Swinth" 3 => "C. Thompson" 4 => "A.J. Hadeed" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1891/0730-0832.23.3.39" "Revista" => array:6 [ "tituloSerie" => "Neonatal Netw" "fecha" => "2004" "volumen" => "23" "paginaInicial" => "39" "paginaFinal" => "48" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15182119" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0055" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Safe criteria and procedure for kangaroo care with intubated preterm infants" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "S.M. Ludington-Hoe" 1 => "C. Ferreira" 2 => "J. Swinth" 3 => "J.J. Ceccardi" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Obstet Gynecol Neonatal Nurs" "fecha" => "2003" "volumen" => "32" "paginaInicial" => "579" "paginaFinal" => "588" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14565736" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0060" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Kangaroo care improves post-extubation cardiorespiratory parameters in infants after open heart surgery" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "D. Gazzolo" 1 => "P. Masetti" 2 => "M. 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Year/Month | Html | Total | |
---|---|---|---|
2024 November | 10 | 12 | 22 |
2024 October | 55 | 47 | 102 |
2024 September | 49 | 30 | 79 |
2024 August | 71 | 48 | 119 |
2024 July | 68 | 26 | 94 |
2024 June | 62 | 23 | 85 |
2024 May | 61 | 26 | 87 |
2024 April | 55 | 36 | 91 |
2024 March | 59 | 32 | 91 |
2024 February | 60 | 42 | 102 |
2024 January | 38 | 20 | 58 |
2023 December | 33 | 16 | 49 |
2023 November | 42 | 25 | 67 |
2023 October | 30 | 35 | 65 |
2023 September | 29 | 17 | 46 |
2023 August | 43 | 16 | 59 |
2023 July | 38 | 32 | 70 |
2023 June | 40 | 29 | 69 |
2023 May | 36 | 23 | 59 |
2023 April | 37 | 18 | 55 |
2023 March | 48 | 28 | 76 |
2023 February | 30 | 14 | 44 |
2023 January | 20 | 21 | 41 |
2022 December | 46 | 30 | 76 |
2022 November | 36 | 34 | 70 |
2022 October | 63 | 31 | 94 |
2022 September | 57 | 29 | 86 |
2022 August | 45 | 55 | 100 |
2022 July | 34 | 44 | 78 |
2022 June | 30 | 40 | 70 |
2022 May | 44 | 32 | 76 |
2022 April | 37 | 37 | 74 |
2022 March | 40 | 51 | 91 |
2022 February | 31 | 33 | 64 |
2022 January | 40 | 25 | 65 |
2021 December | 28 | 45 | 73 |
2021 November | 36 | 55 | 91 |
2021 October | 48 | 54 | 102 |
2021 September | 44 | 45 | 89 |
2021 August | 127 | 64 | 191 |
2021 July | 27 | 35 | 62 |
2021 June | 22 | 30 | 52 |
2021 May | 34 | 36 | 70 |
2021 April | 92 | 57 | 149 |
2021 March | 51 | 24 | 75 |
2021 February | 35 | 20 | 55 |
2021 January | 29 | 21 | 50 |
2020 December | 27 | 21 | 48 |
2020 November | 14 | 20 | 34 |
2020 October | 22 | 15 | 37 |
2020 September | 37 | 21 | 58 |
2020 August | 17 | 11 | 28 |
2020 July | 34 | 14 | 48 |
2020 June | 22 | 11 | 33 |
2020 May | 41 | 19 | 60 |
2020 April | 38 | 13 | 51 |
2020 March | 47 | 23 | 70 |
2020 February | 32 | 11 | 43 |
2020 January | 45 | 16 | 61 |
2019 December | 32 | 25 | 57 |
2019 November | 26 | 10 | 36 |
2019 October | 21 | 9 | 30 |
2019 September | 15 | 7 | 22 |
2019 August | 32 | 14 | 46 |
2019 July | 30 | 29 | 59 |
2019 June | 22 | 17 | 39 |
2019 May | 44 | 30 | 74 |
2019 April | 63 | 35 | 98 |
2019 March | 36 | 5 | 41 |
2019 February | 59 | 27 | 86 |
2019 January | 38 | 18 | 56 |
2018 December | 54 | 30 | 84 |
2018 November | 88 | 37 | 125 |
2018 October | 107 | 20 | 127 |
2018 September | 57 | 17 | 74 |
2018 August | 2 | 0 | 2 |
2018 July | 2 | 0 | 2 |
2018 June | 3 | 0 | 3 |
2018 May | 8 | 0 | 8 |
2018 April | 37 | 0 | 37 |
2018 March | 46 | 0 | 46 |
2018 February | 27 | 0 | 27 |
2018 January | 22 | 0 | 22 |
2017 December | 49 | 0 | 49 |
2017 November | 21 | 0 | 21 |
2017 October | 23 | 0 | 23 |
2017 September | 15 | 0 | 15 |
2017 August | 11 | 0 | 11 |
2017 July | 32 | 0 | 32 |
2017 June | 15 | 5 | 20 |
2017 May | 21 | 10 | 31 |
2017 April | 14 | 2 | 16 |
2017 March | 18 | 2 | 20 |
2017 February | 9 | 4 | 13 |
2017 January | 9 | 1 | 10 |
2016 December | 42 | 13 | 55 |
2016 November | 25 | 9 | 34 |
2016 October | 32 | 11 | 43 |
2016 September | 29 | 5 | 34 |
2016 August | 49 | 3 | 52 |
2016 July | 33 | 5 | 38 |
2016 May | 4 | 0 | 4 |