Practical Procedures

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.

Hi All: Happy new year 2022! Anyone used this Novayas UVC catheter? The company claims the catheter does not migrate at all after placement. I was intrigued by it and wanted to use the device.

Hi Everyone, I am a resident at St. Francis. We are seeing too many UVC migration. Wondering why no device manufacturer is addressing this problem? We have line monitoring protocol. Despite of that, we are putting ton of work. Do you guys face similar problems?

We are creating a new package for umbilical catheter insertion which will include videos in 4K. I am attaching a link to the old video. I am curious what peers would like to see in addition to what’s in it and a critique of it. Insertion of Umbilical Catheters in Neonates This video is 9 years old and things have moved on. Value opinions

hello everyone I want to ask about giving blood products ( Packed RBCs, Platelets and FFP) transfusion thorough PICC line. Any contraindications, any studies. anyone is practicing this. Many times in extreme preterm, we have only picc line and no other lines. Waiting for your valuable opinions Thanks

Just reading the NICE guidelines on exchange transfusion. This has Bilirubin thresholds for PT and Exchange. https://www.nice.org.uk/guidance/cg98 What it does not currently address is when the Jaundice after birth is predominantly conjugated. AAP guidance in yester years proposed taking off the direct Bilirubin when it exceeded 50% of the total but I have clinically seen cases in India develop Kernicterus even with a predominantly conjugated jaundice in Sepsis. We had a low threshold for exchange transfusion where we thought benefits exceed risks. I am just curious what the practice is in other units with regards to management of a baby with a conjugated hyperb…

On behalf of the 99nicu Team, I would like to invite you to participate in our 2nd Journal Club! The article we chose this time is a review article on "Safe emergency neonatal airway management: current challenges and potential approaches" by Joyce E O'Shea, Alexandra Scrivens, Gemma Edwards, and Charles Christoph Roehr. This artile is not Open Access, but I hope you can get it from your hospital library. The review article examines how to acutely manage the neonatal airway, and the challenges related facemask ventilation and intubation. Some of the key messages in this paper are: Intubation success rates are low, especially for inexperienced trainees …

On behalf of the 99nicu Team, I would like to invite you to participate in our newest initiative- a Journal Club. The objective of this club is to share and discuss articles of interest to all neonatal healthcare professionals. The article we chose this time (https://fn.bmj.com/content/early/2021/01/20/archdischild-2020-319709) describes the current practice regarding family presence during intubation of their infant in the NICU and examines association with the outcomes (e.g. success rate within the first attempt). Some of the questions we would like to discuss are below. What is current practice on your ward? What do you think are the strengths of …