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  1. LUNG ECHOGRAPHY

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    • We have 7 bed NICU with one isolation room. We do admit patients upto age of 28 days. Patients with bronchiolitis are admitted from emergency room to the isolation. However if isolation room is occupied then these neonates are admitted to NICU. Our supportive treatment includes oxygenation, suction, hypertonic saline nebs and somtimes salbutamol nebs.
    • We admit patients with bronchiolitis ore other viral infections which are spread aerogen on our NICU from home, regional hospitals or other wards in our hospital.  I'm working in The Netherlands where Intensive Care is highly centralized in 10 NICU's and 7 PICU's. We had trouble with the nationally bed capacity (PICU) and transport distances.  So we started in our department treating these patients to solve this problem although we were not really happy about the risk we had to accept. This happend  from 2006 in an "Open Bay" unit and we used  strict  protocols which we developed together with our department for hospital infection control. The incubator is a goed first step for isolation and the next is distance of minimal 3 meters (1 bedplace) and very strict hand desinfection and management of contaminated equipment. Since 2012 we have a new NICU unit with single rooms (2 for really isolation)  where we admit also patients with RSV. Our population is up to 3 months if there is lack of PICU beds but we try to avoid as much as possible these patients on our unit. We had no proven transfer from one patient to another in the last 13 years.
    • Nice topic... we are really modern and innovative in our region (Eindhoven, Brainport region) and also in our department. I'm struggeling with all these innovative / niew devices aiming on the same population/situation where I cannot find the whole workflow and complexity of delivery and stabilisation / transition of the Baby. Our local colleagues form obstetrics are dreaming about developing an "artificial Womb" and     setting up  research network,, we (neonatology)  participate in a Nationwide study about cord clamping while patient is on respiratory support (device is called Concord, a start-up from the Netherlands, study from Leiden/Rotterdam) and this device (Amnion Life) tries to solve the temperature... I think we all share the same challenge:  Emerging technical possibilities and increasing complexity in our field are creating need for integration of systems. I think we need an worldwide network of people dealing with this. We need innovative leaders but also early adaptors and have to connect them to acdemic and industry (private-public partnerships) to succeed.  Wouldn't it be nice to start a groep thinking about this topic in wholistic way? Or is there an existing group I'm not connected with :-) Just some thoughts as neonatologist and CMIO. To support 99nicu I completed the survey.   Gr. Thilo   
    • A collective of the world’s leading newborn brain care providers have come together and launched the https://newbornbrainsociety.org/ (NBS). This new organization is focused on advancing newborn brain care through international multidisciplinary collaboration, education, and innovation. With founding leadership representation from prestigious programs such as Yale, Duke, Harvard, and UCSF, international representation from Canada, Brazil, and Ireland, and parent collaboration through the Hope for HIE Foundation, the goal is to bring together the resources of many programs to move the field forward in previously unattainable ways. “We started this idea originally through an existing group that was started in 2015 through the Neonatal Neuro Critical Care Special Interest Group (NNCC-SIG). We wanted to facilitate multidisciplinary, international collaboration between clinicians, parents, scientists, and others with a focus on newborn brain care; and no other society or organization currently exists in this structure and philosophy,” stated Mohamed El-Dib, MD, founding member and President of the organization. NBS has plans to sponsor, host and participate in educational events that will expand the field of neonatal neurocritical and neuroprotective care, and develop consensus publications including best practice guidelines and expert opinions in the field of newborn brain care. “We are also looking to provide a platform for members to exchange clinical practice guidelines and parent resources related to newborn brain care, and to support multi-center collaborative activities, quality improvement and research projects related to the field of neonatal neurology and brain development,” stated Donna Ferriero, MD, MS, chair of the NBS Steering Committee. Membership is now open for interested clinicians, researchers, trainees, parents and other community members. For more information, visit Newbornbrainsociety.org
    • Very interesting 👍👍 many thanks  Very good point ..thank you Dr.
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