Practical Procedures

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.

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…