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We don't. They get it at their Primary Care providers office, post-discharge - Yesterday
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Cardiopulm joined the community - Last week
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El apgar, el estado acido base , el evento perinatal y la necesidad de reanimación junto a una valoración neurológica horaria y el monitoreo cerebral, nos acercan más a diferenciar quien requiere HT -
In the UK we have national, societies' (BAPM), network and local hospital guidelines. They are fairly well aligned and agree to the TOBY criteria. Infants ≥36+0 weeks’ gestation are eligible for therapeutic hypothermia Treatment must start within 6 hours of birth (BAPM suggest case-by-case decision up to 24 hours) Apgar score ≤5 at 10 minutes, ongoing need for resuscitation at 10 minutes, cord or first-hour blood gas with pH ≤7.0, or base deficit ≥16 mmol/L. Evidence of moderate-severe encephalopathy (Sarnat or Thompson score, or 'clinical assessment' - this does not align clearly) aEEG showing abnormal background or seizures is strongly encouraged where available but should not delay cooling if clinical criteria are met. Cooling is not recommended for mild encephalopathy or for infants <36 weeks’ gestation outside clinical trials. Please find attached three levels of guidelines (I don't include a local one as usually they are not publicly available) NICE therapeutic-hypothermia-with-intracorporeal-temperature-monitoring-for-hypoxic-perinatal-brain-injury-pdf-1809589753436101.pdf NWLPODN-HIE-cooling-Guideline-V1.5-final.pdf BAPM THNE_Framework_2025.pdf -
... what I believe to observe over the last years is that aEEG became a more important tool to initiate TH , as its challenging to differentiate clinically between mild and moderate HIE. Of course together with one of the three perinatal sentinal events Stefan mentioned.. But if we lower the threshold for TH to 35w or even below, a moderately abnormal aEEG will become normal and again it would be hard to make the sometimes tiny difference between mild/moderate... -
Arianna Giacomelli joined the community -
PaulaA joined the community - Earlier
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Let me fix the quiz, but only on Friday. I just need to survive until Thursday night and then I'm available again. -
@piatkat i read through the revision more closely and it does not fit 100% with the Quiz software, e.g. in a Study Mode Quiz, only one answer can be marked correct, and if we go for a regular "hit a score" quiz with multiple correct replies also possible, the partially correct replies are tricky... And there is now final info screen where we can post the last part, the Case Closure. I will have a think later, maybe possible to combine the Quiz with a forum thread, lets see. -
Thanks to our latest page about Latest Research with the automated feed on PubMed, this AAP Clinical Report came on my radar about Therapeutic Hypothermia for Neonatal Hypoxic-Ischemic Encephalopathy. Great write-up about the background and evidence about HIE and hypothermia treatment. In the recommendation (last page!), AAP recommends 1) blood gas aligning with asphyxia and 2) moderate-severe HIE, before initiating hypotherma. Here in the Outer Rim (i.e. Sweden!), we have a more diverse #1 criteria in our national guideline, Apgar score ≤5 at 10 min, need of ongoing resusc beyond 10 min, and/or acidosis (pH <7.0 or BE <-16 first 60 min). We published about those so-called initial criteria, and one main take home was that the acidosis criteria as such had little impact on the risk to need hypothermia treatment. Low Apgar score and prolonged need of resusc was much more predictive. Apologies for the long intro 🙂 to what I am thinking about - how do you select infant for hypothermia, i.e. what criteria do you apply before cooling down an infant with HIE? Do you have a local, regional or national guideline for this?
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Hello, We are a human milk bank in South Africa and feed premature infants, so the issue of medications and supplements is tricky as it is commonly agreed one needs to be extra careful when the breastmilk is going to premature infants, but finding information specifically addressing this is seldom available. If anyone can recommend where we can find more information that includes the extra risks or things to be cautious about for premature infants, I would be grateful if you would share it. We look at a variety of sources including Medications and Mothers Milk by Thomas Hale, Lactmed, e-lactancia, and information shared by other milk banks. In addition there is a helpline of pharmacists whom we can call on and they look things up on all their resources and advise and doctors and Lactation Consultants are another source of guidance. -
Much better, I will edit all once I have some new time for copy/paste.
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it's not difficult to make this quiz less easy (no more gondola quizzes for you, lady!!!) and (maybe?) more applicable in practice, it's all about prompt rewriting ;) Revised Quiz.docx
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i think the issue to give give ROTA vaccine or not must depend on where you are working and balanced to your unit population and logistic . this is true especially in NICU with less nursing staff and one nurse taking care of 2-3 recovering and surviving . we are not giving it in our NICU while in patient but if on discharge the baby qualify for it we are giving it on the day of discharge . we are fearing from spread especially with less number of nursing staff and possible spread between recovering preterm babies
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Hi @Famke, your survey has just been sent to our community via an email newsletter :) Good luck!
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Sufentanil is a very potential pain killer with very little side effects (except cummulation and withdrawal). Morphine has not such a high analgetic potential and a lot more side effects (very emetic, reduced bowel movements) -
We use morphine or dexmeditomedine, in rare cases both. No benzodiazepine. I am curious: why fentanyl? Half life is so long. -
MariAnne joined the community -
we also do the same -
I thought it was OK to start a discussion about the subject. I did have some problems while answering, because it would just leave the quiz unexpectedly, and I had to go back to the start... -
Nicoleta Barbu joined the community -
We do not give any live viruses in our NICU. WE WAIT UNTIL BABY GOES HONE -
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Agree re: quiz about paper and follow up with discussion/author interview 🤩 -
Thanks @Vicky Payne - there are many things one can do in a gondola :) And of course you are right, AI is what it is... But maybe a quick and dirty thing is good enough at this time point? What we can do is something along our old idea, that we try to get some forums disc going, and promote the quiz, and... interview the authors. @all - what is the final verdict, ditch or distribute this Quiz to the world?
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Dear NICU health care professional, You are invited to participate in the survey: Stress Management for Newborns and their Parents at the Neonatal Intensive Care Unit. The aim of this survey is to explore current practices, challenges, and opportunities to reduce stress for premature and term newborns and their parents during NICU admission. Your input will help shape recommendations for clinical practice. The survey takes approximately 10-15 minutes to complete. At the end, you may choose to provide your contact details if you wish to join the study group, which will be included in the scientific publication. Link to the survey: https://esurvey.erasmusmc.nl/servicebedrijf/ls/index.php?r=survey/index&sid=342415 Kind regards, Famke van Erkel, MD, PhD candidate Gerbrich van den Bosch, MD, PhD, Consultant Neonatologist Sinno Simons, MD, PhD, Consultant Neonatologist Sophia Children’s Hospital, Erasmus University Medical Center Rotterdam, The Netherlands
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Not a bad score given that I only skimmed the abstract whilst on a gondola 🚠 🤭😬🫣😂 I guess I am the cynical middle aged-educationalist woman now. I think ChatGPT MCQs are ok for facts, but not so great at generating questions that test reasoning or judgement…. I think the distractor questions can be easy to game. I guessed an ok score having read the abstract only! Also, if we want to test facts from the paper, fine, if we want application to practice, maybe less so- although I didn’t even read the full paper and did ok 😬🤭 I’m afraid I’m am currently re-designing an assessment based upon MCQ design for Level 7 MSc exam, so probably viewing this too strictly as an academic rather than something easy! 😂🤣 I am going to be using assertion-reasoning style questions for M level, and have tried to use ChatGPT to write them but do not think they are very good. But they get you started with something to scaffold from and help generate ideas to get me started. it will be interesting to see how much activity the quiz gets AND if it starts up any debate on the forum?! That would be ideal! Eg rates of antibiotic use already low (compared to some countries) staffing resources required, is it implementable etc
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IS IT FINALLY TIME TO DITCH THE DUCT? Find out at Global Neonatal Journal Club Wednesday 4th February at | 17:00 Melbourne | 14:00 Perth | 19:00 Auckland | 14:00 Singapore | 06:00 London | 11:30 New Delhi | 08:00 Cape Town | 22:00 Los Angeles | 14:00 Beijing | There are no topics more controversial in neonatal intensive care than the diagnosis and management of the patent ductus arteriosus (PDA) in very preterm infants. Through the years (and around the world) practice has varied dramatically, from early screening echocardiogram and universal treatment (including surgical closure), to completely ignoring the PDA. It is only in recent years that large randomised trials with important clinical outcomes have emerged to help guide practice. We will review the latest large RCT of expectant vs. medical management of the PDA, including an interview with the first author Prof Matthew Laughon (USA) and input from an expert international panel including Dr Tim Hundsheid (The Netherlands - PI of the BeNeDuctus PDA trial) and A/Prof Koert de Waal (Australia), as well as our hosting panel Prof Brett Manley, Prof Ju Lee Oei and Dr Shiraz Baduradeen. Don't miss the first GNJC of 2026 as we discuss this hugely controversial topic! Read more and register here!
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Thanks for sharing this question. I translated our national guideline in Sweden, hope this helps. Indication for rotavirus vaccination: born at gestational age ≥ 25+0 weeks: can be given in the neonatal unit. first dose given from 6 weeks of chronological age, and must be given before 12 weeks of chronological age. the first dose may be given from gestational week 34 together with other vaccines if such are needed if possible, give the vaccine 2–3 days before discharge. second dose should preferably be given at least 4 weeks after the first dose and no later than 16 weeks of chronological age. contraindications: previous intestinal surgery, previous intussusception, congenital malformation of the gastrointestinal tract, a history of NEC regardless of stage and treatment (consult pediatric surgery), immunodeficiency (SCID), and/or congenital sucrase deficiency.
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WORK IN PROGRESS! NOT YET READY FOR RUNS! This Journal Club Quiz is about a paper about clinical examinations and whether repeated such examinations could reduce the need of antibiotics exposure. It was published by a Norwegian team in 2025, and available in as open access in full text. First read the paper and then take this educational quiz, to get the main learning points! In this quiz, choose the one alternative you think is the right answer. Reference Vatne A, Eriksen BHH, Bergqvist F, et al. Serial physical examination to reduce unnecessary antibiotic exposure in newborn infants: a population-based study. Archives of Disease in Childhood - Fetal and Neonatal Edition Published Online First: 19 November 2025. doi: 10.1136/archdischild-2025-329639 https://fn.bmj.com/content/early/2025/11/19/archdischild-2025-329639
Latest Topics
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Thanks to our latest page about Latest Research with the automated feed on PubMed, this AAP Clinical Report came on my radar about Therapeutic Hypothermia for Neonatal Hypoxic-Ischemic Encephalopathy. Great write-up about the background and evidence about HIE and hypothermia treatment. In the recommendation (last page!), AAP recommends 1) blood gas aligning with asphyxia and 2) moderate-severe HIE, before initiating hypotherma. Here in the Outer Rim (i.e. Sweden!), we have a more diverse #1 crit
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Dear NICU health care professional, You are invited to participate in the survey: Stress Management for Newborns and their Parents at the Neonatal Intensive Care Unit. The aim of this survey is to explore current practices, challenges, and opportunities to reduce stress for premature and term newborns and their parents during NICU admission. Your input will help shape recommendations for clinical practice. The survey takes approximately 10-15 minutes to complete. At the end, you may choose t
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what is your guidelines in giving Rota virus vaccine inside NICU in due time
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Hello Guys, I consider giving brief anaesthesia for administration of Lucentis in babies already imi-intensive ward . Do you rely only on local anaesthetic given by ophtalmologist ? Would oral 20 % glucose be sufficient, or perhaps some midazolam apart form local ? Thank you
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