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  1. Today
  2. Great discussion here, and it was also a very interesting discussion in our live event. See the recording below.
  3. Yesterday
  4. Last week
  5. We don’t have parents holding cooled infants either. But I like the idea, despite mech ventil, cooling matress, lines etc, why not?
  6. Hello Everyone, A shout out to any Units that utilise a Neuro Care Bundle for your extreme premmies and/or HIE. Would you be kind enough to share or send me a PM on your approach please? Many thanks Alistair
  7. Hi Everyone, Given the infants remain servo controlled in either jacket or mattress and central lines can be visualised (provided no coagulopathy) it seems extremely harsh to ask a parent to not be able to hold their child for almost four days (if you include rewarm period). A study into aEEG response to cuddles might reveal some interesting results?? https://pubmed.ncbi.nlm.nih.gov/30721531/
  8. Hmmm, not in my unit (UK). Will be very interested to see what other units do.... but we also don't get babies out for cuddles with umbilical lines in either, and most of our babies having therapeutic hypothermia would have umbilical lines in too. Looking forward to seeing others responses....
  9. We are doing. QI project regarding parental holding while being cooled. Do you allow and if so do you have a holding protocol?
  10. We mostly take blood gases, but if using other methods it tends to be capnography. We have trialled some transcutaneous CO2 recently that appeared to be quite good for monitoring trends without the skin burns that were seen in the past. Personally I think alternative methods like capnography or tcm for measuring CO2 are underutilised, and would be useful for monitoring trends.
  11. Many thanks @Vicky Payne and @ali Great to know this. Vicky how do you monitor CO2 mostly - by transcutaneous device as Alistair et al. do or by taking blood gases? @ali how are you satisfied with trascutaneous monitoring in unstable VLBW infants in terms of accuracy and complications (burns first of all)?
  12. Earlier
  13. Greetings to all 🙂 I hope You all are doing fine and soon having your summer holidays! Interesting topic, and I will take part in the webinar tomorrow. I am an anesthesiologist, intensivist with special interest in neonatal resuscitation and airway management. I have also recently written an article about the unexpected difficult airway in neonates (in the resuscitation setting) but the same practical experiences can be used in the NICU or ER (infants) when doing intubations there. As the article is sent to a journal for consideration for publication, I cant say so much more.
  14. @Andrej Vitushka, @Vicky Payne, Hi, we don't have NIRS, but there is clearly a growing interest in it's validity and use in HIE & TH (neurodevelopmental prognostication) and end organ perfusion in the face of a HsPDA. One of our Consultants is keen to examine it's use on the Unit. We have gone full circle and use Transcutaneous monitoring on most of our babies, including Transport, it had gone out of favour (for no valid reason) in the face of EtCO2 capnography. I am sure the circle will turn again🙄. Kind regards Alistair
  15. Join Monivent webinars on June 18 and listen to presentations related to topics in Delivery Room Management held by Professor Georg Schmölzer, University of Alberta, Edmonton, Canada and Dr Michael Wagner, University Hospital Vienna, Vienna, Austria. ✅ Webinar session #1 "Respiratory monitoring in the NICU and during training" presented by Dr Michael Wagner. Date and Time: Friday, June 18th at 09:30-09:50 CET ✅ Webinar session #2 "Respiratory Management in the Delivery Room" presented by Professor Georg Schmölzer. Date and Time: Friday, June 18th at 13:15-13:35 CET
  16. Thanks @Andrej Vitushka! At our NICU, EtCO2 is not used routinely on all babies- we use it on a case-by-case basis, and during surgery/transport. We do not use NIRS yet. Other UK NICUs may have a different experience and may use it more frequently.... @ali?
  17. The Neonatal Department at the Karolinska Unviversity Hospital, Stockholm, Sweden is advertising 3 senior and 3 junior Consultant Posts in Neonatal Medicine. With 48 cots on three sites we are one of the largest neonatal unit in northern Europe and still expanding. We work in close collaboration with Obstetrics and Fetal Medicine teams as well as Cardiology, Surgery, Nutrition, ENT, Ophthalmology, Neurology, and Neurosurgery. We also host neonatal transport with a commitment for land, and air based transport. There are about 28000 deliveries each year in the Stockholm where about 22000 d
  18. There is anectodal evidence that phenytoin should not be given via PICCs as it may enhance the risk for catheter occlusion and the same may be true for etoposide (not the typical NICU drug, I know...). Additionally very high concentrations of IV dextrose (40%) should be avoided for the ssame reason.
  19. A podcast where clinical experts discuss how they provide care for the critically ill newborn. https://www.neonatalconversations.com
  20. We start iron supplements at 6 weeks and find most babies not requiring blood transfusions after this time. But should need arise we don't pause them.
  21. More and more studies on the procedure of intact cord resuscitation and physiological-based cord clamping emerge. In this Talk, Dr. Ola Andersson will discuss whether we are sure enough of the positive effects to start implementing the procedure, or if, and what more could be needed. @olamedmac June 8th at 3:00 pm CEST. Register via: https://concordneonatal.com/concord-talk/
  22. Dear colleagues There is an idea to investigate deeply correlation between EtCO2 and NIRS data and probably to develop some device for extracting, coupling and analysing these data. That's why I am kindly asking you, dear colleagues: 1. Please share your experience about how often do you use capnography in intubated and non-intubated infant at NICU. Is it like a standard for intubated infants? 2. What EtCO2 measurement device provides you with more accurate measurements vs PaCO2? 3. Do you use capnography and NIRS simultaneously in most severely ill infants? Do you
  23. Hi Nestor, did you get my message about your bouncing email, please email me on stefan.johansson@99nicu.org :)

  24. Join our Webinar Journal Club on neonatal airway management, 9 June at 1630-1715 CET After the initial Journal Club on neonatal airway management in our forum, we would like to engage with you in a live Webinar together with Joyce E O'Shea, Alexandra Scrivens, Gemma Edwards, and Charles Christoph Roehr, the authors of review article on "Safe emergency neonatal airway management: current challenges and potential approaches". The review article examines how to acutely manage the neonatal airway, and the challenges related facemask ventilation and intubation. In this 45min Webinar
  25. The Incubator Ben Courchia & Daphna Yasova Barbeau A weekly discussion about new evidence in neonatal care and the fascinating individuals who make this progress possible.Hosted by Dr. Ben Courchia and Dr. Daphna Yasova Barbeau.
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