{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T23:12:43Z","timestamp":1760656363914,"version":"build-2065373602"},"reference-count":19,"publisher":"Georg Thieme Verlag KG","issue":"15","funder":[{"name":"Kids Foundation, Foundation for Pediatric Research"},{"name":"Fonds de Recherche en Sant\u00e9 du Qu\u00e9bec"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This study aimed to assess health care professionals' perspectives on how implemented measures impact patient comfort during targeted neonatal echocardiography (TNE).<\/jats:p><jats:p>Survey distributed to neonatal health care professionals at the Montreal Children's Hospital neonatal intensive care unit (NICU). Responses were collected for 4 weeks, anonymized, and analyzed using descriptive statistics.<\/jats:p><jats:p>Of 110 respondents, most believed that scans in general disturbed infants (71%) by increasing the risk of hypothermia (75%), and lability (67%). Key comfort measures identified were warm gel (85%), bundling (80%), and a focused exam (&lt;30\u2009minutes; 80%). Neoclassical music recordings were valued for their calming effect on the infant (73%), parent (44%), and sonographer (39%). Respondents preferred recorded music over other forms of music delivery (53%).<\/jats:p><jats:p>Health care workers generally agree that scans disturb newborns and that implementing comfort measures, such as music and the cost-efficient bundle used in our NICU, may enhance patient comfort. Further objective studies are needed to validate these findings and assess their impact on neonatal care outcomes<\/jats:p>","DOI":"10.1055\/a-2562-1538","type":"journal-article","created":{"date-parts":[[2025,3,20]],"date-time":"2025-03-20T20:53:15Z","timestamp":1742503995000},"page":"2062-2068","source":"Crossref","is-referenced-by-count":0,"title":["The Sound of Comfort: Neonatal Health Care Professionals' Perspectives on Music and Other Comfort Measures during Targeted Neonatal Echocardiography"],"prefix":"10.1055","volume":"42","author":[{"given":"Joshua","family":"Hazan Mea","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniela","family":"Villegas Martinez","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Department of Pediatrics, Montreal Children's Hospital, McGill University Health Center, Montreal, QC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie","family":"Mardakis","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Department of Pediatrics, Montreal Children's Hospital, McGill University Health Center, Montreal, QC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elissa","family":"Remmer","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Department of Pediatrics, Montreal Children's Hospital, McGill University Health Center, Montreal, QC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T\u00edscar","family":"Cavall\u00e9-Garrido","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Pediatrics, Montreal Children's Hospital, McGill University Health Center, Montreal, QC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5141-0964","authenticated-orcid":false,"given":"Gabriel","family":"Altit","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Department of Pediatrics, Montreal Children's Hospital, McGill University Health Center, Montreal, QC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,4,12]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1097\/JPN.0b013e3181bdd3fd","article-title":"Relationships between environmental stressors and stress biobehavioral responses of preterm infants in NICU","volume":"23","author":"N H Peng","year":"2009","journal-title":"J Perinat Neonatal Nurs"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1016\/j.echo.2023.11.016","article-title":"Guidelines and recommendations for targeted neonatal echocardiography and cardiac point-of-care ultrasound in the neonatal intensive care unit: an update from the American Society of Echocardiography","volume":"37","author":"P J McNamara","year":"2024","journal-title":"J Am Soc Echocardiogr"},{"issue":"04","key":"ref3","doi-asserted-by":"crossref","first-page":"541","DOI":"10.1002\/ana.22545","article-title":"Neonatal intensive care unit stress is associated with brain development in preterm infants","volume":"70","author":"G C Smith","year":"2011","journal-title":"Ann Neurol"},{"issue":"02","key":"ref4","doi-asserted-by":"crossref","first-page":"635","DOI":"10.1111\/jan.14630","article-title":"Effect of music therapy on preterm infants in neonatal intensive care unit: systematic review and meta-analysis of randomized controlled trials","volume":"77","author":"W Yue","year":"2021","journal-title":"J Adv Nurs"},{"issue":"03","key":"ref5","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1111\/dmcn.13663","article-title":"Infants born preterm, stress, and neurodevelopment in the neonatal intensive care unit: might music have an impact?","volume":"60","author":"D E Anderson","year":"2018","journal-title":"Dev Med Child Neurol"},{"issue":"09","key":"ref6","first-page":"CD013472","article-title":"Musical and vocal interventions to improve neurodevelopmental outcomes for preterm infants","volume":"9","author":"F B Haslbeck","year":"2023","journal-title":"Cochrane Database Syst Rev"},{"issue":"08","key":"ref7","doi-asserted-by":"crossref","first-page":"1772","DOI":"10.1111\/apa.17297","article-title":"Music therapy in tertiary neonatal intensive care: a matter of unlikely allies?","volume":"113","author":"A C Jaschke","year":"2024","journal-title":"Acta Paediatr"},{"issue":"01","key":"ref8","doi-asserted-by":"crossref","first-page":"89","DOI":"10.3233\/NPM-210782","article-title":"Evaluation of pain and physiological stress during targeted neonatal echocardiography","volume":"15","author":"M S Ahsan","year":"2022","journal-title":"J Neonatal Perinatal Med"},{"issue":"03","key":"ref9","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1080\/14767058.2017.1281905","article-title":"Echocardiography may cause significant pain response in preterm infants","volume":"31","author":"S Aktas","year":"2018","journal-title":"J Matern Fetal Neonatal Med"},{"issue":"02","key":"ref10","first-page":"347","article-title":"Ultrasonography causes agitation and pain leading to hemodynamic disturbance in neonates: a prospective observational study","volume":"10","author":"E Dincer","year":"2023","journal-title":"Children (Basel)"},{"issue":"01","key":"ref11","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1159\/000105520","article-title":"Comparison of pain responses in infants of different gestational ages","volume":"93","author":"S Gibbins","year":"2008","journal-title":"Neonatology"},{"issue":"02","key":"ref12","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1097\/01.ANC.0000267914.96844.ce","article-title":"A pilot study of changes in cerebral blood flow velocity, resistance, and vital signs following a painful stimulus in the premature infant","volume":"7","author":"R O Mainous","year":"2007","journal-title":"Adv Neonatal Care"},{"issue":"08","key":"ref13","doi-asserted-by":"crossref","first-page":"e2331011","DOI":"10.1001\/jamanetworkopen.2023.31011","article-title":"Incidence of neonatal hypothermia in the newborn nursery and associated factors","volume":"6","author":"R Dang","year":"2023","journal-title":"JAMA Netw Open"},{"issue":"01","key":"ref14","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1080\/14767058.2019.1597043","article-title":"Antecedents and outcomes of hypothermia at admission to the neonatal intensive care unit","volume":"34","author":"C Elbaum","year":"2021","journal-title":"J Matern Fetal Neonatal Med"},{"issue":"S 01","key":"ref15","doi-asserted-by":"crossref","first-page":"S49","DOI":"10.1038\/jp.2010.177","article-title":"Hypothermia in very low birth weight infants: distribution, risk factors and outcomes","volume":"31","author":"S S Miller","year":"2011","journal-title":"J Perinatol"},{"issue":"04","key":"ref16","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1016\/j.tics.2013.02.007","article-title":"The neurochemistry of music","volume":"17","author":"M L Chanda","year":"2013","journal-title":"Trends Cogn Sci"},{"issue":"21","key":"ref17","doi-asserted-by":"crossref","first-page":"11484","DOI":"10.3390\/ijerph182111484","article-title":"Pediatric hypothermia: an ambiguous issue","volume":"18","author":"D Singer","year":"2021","journal-title":"Int J Environ Res Public Health"},{"issue":"05","key":"ref18","doi-asserted-by":"crossref","first-page":"717","DOI":"10.1038\/s41372-024-01948-w","article-title":"Effect of pacifier and pacifier with dextrose in reducing pain during orogastric tube insertion in newborns: a randomized controlled trial","volume":"44","author":"A Akkaya-G\u00fcl","year":"2024","journal-title":"J Perinatol"},{"issue":"03","key":"ref19","doi-asserted-by":"crossref","first-page":"679","DOI":"10.1038\/s41390-023-02746-4","article-title":"Music for pain relief of minor procedures in term neonates","volume":"95","author":"S Anbalagan","year":"2024","journal-title":"Pediatr Res"}],"container-title":["American Journal of Perinatology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2562-1538.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T22:45:35Z","timestamp":1760654735000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2562-1538"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,20]]},"references-count":19,"journal-issue":{"issue":"15","published-online":{"date-parts":[[2025,10,16]]},"published-print":{"date-parts":[[2025,11]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2562-1538","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0735-1631","1098-8785"],"issn-type":[{"type":"print","value":"0735-1631"},{"type":"electronic","value":"1098-8785"}],"subject":[],"published-other":{"date-parts":[[2025,3,20]]},"published":{"date-parts":[[2025,3,20]]}}}