Practical Procedures

Hi..greetings to all. At what amount of enteral feeding (ml/kg/day) you start to adjust your protein/lipid TPN?

We received an ECHO 11 meningitis alert from the National Reference Center today. has anyone seen cases? there is a high incidence of affected male twins. Is that coincidence or a low number of cases? I do not understand that. Any ideas?

If the Umbilical Catheter Vein goes to portal sistem.... and the radiographics show your catheter in portal vein, in a preterm 25 sem with 8 h age with RDS and mecanical ventilation.... What do you usually do? Thanks

Dear 99nicu Members, I came to know that Better Evidence https://www.better-evidence.org/ donates UpToDate subscriptions for eligible applicants- please, see the details below! The application takes around 10 minutes, and then their verification takes up to 6 weeks. Please share with your colleagues who might benefit from this program. " To qualify for a free UpToDate subscription, applicants must: Be a physician, surgeon, nurse, physician's assistant, or medical student outside of the United States. Volunteer/work for a public or non-profit entity.* Have at least intermittent internet access. Be able to complete the application in…

… and how comfortable are you with your choice? So, we all know, that there has been and still is a wide variety of combinations for premedication for intubating a neonate - even more difficult when dealing with preterms. As far as I know, most current recommendations favour using an opioid, a muscle relaxants and mostly atropine. I “grew up” using thiopental and fentanyl +- Rocuronium and often times a second dose of fentanyl was needed until placing the tube (nasoteacheal) was tolerated. So for me, using Fentanyl and Rocuronium without an hypnoticum right away, makes me somewhat uncomfortable fearing too little medication effect and too much …

Dear colleagues, we are looking for a PDMS system that has to serve NICU and PICU. NICU seems to be the sticking point. What are your experiences? What is you recommendation?

My institution is preparing to conduct a trial of the Tenderfoot heel lancet. Has anyone had any experience with these lancets and how have they performed for you? We are also considering the NeoHeel from Smith Medical. Thank you for any feedback!

Hi everybody. Do yo have any experience using Kangaroo mode under phototherapy light (both mother and Newborn) ? Do you protect mother`s eyes ?? Thanks a lot.