Practical Procedures

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 …

Useful resources on managing a difficult airway developed from the British Association of Perinatal Medicine....practical flow charts and equipment to have to hand! https://www.bapm.org/resources/199-managing-the-difficult-airway-in-the-neonate

Register here https://www.eventbrite.co.uk/e/the-use-of-videolaryngoscopy-in-neonatal-difficult-airway-management-lisa-tickets-141404146609?ref=eios Videolaryngoscopy in Neonatal Airway Management Webinar Friday 1pm GMT https://www.eventbrite.co.uk/e/the-use-of-videolaryngoscopy-in-neonatal-difficult-airway-management-lisa-tickets-141404146609?ref=eios

Hello! Happy New Year! I would be really grateful if you could help me with tips for placing an UVC and an UAC. We in our unit turned out to be placing it - incorrectly.We work with NG as we don't have Vygon catheters. How could we determine the position and depth of the catheter? Thank you in advance for your help.

I’m looking for advice/ protocols on antibiotic prophylaxis for chest drains in babies with pneumothorax.The Cochrane review was last updated in 2012. we recently treated a baby with spontaneous bilateral pneumothorax. we inserted pod tails bilaterally and chose not to give antibiotics. Do any of you routinely prescribe antibiotics in term newborns with no risk factors for sepsis, but on chest tubes, MV, sufentanyl and a urinary catheter ? Can any of you share their protocols ? please share your experience. many thanks,

Does somebody use Repplogle tube for continium aspiration before surgery?? What about drenaige thorax tube after surgery? Some bibliography?

Is there any point in delaying clamping the cord after the placenta has been delivered which sometimes happens before 3 minutes, the time recommended for term babies in the webnar Also neither AAP nor WHO or Gynecological societies mention 3 minutes as the recommended time as yet. So can there be medico legal issues

We got this question on our FB page, please share your advice:

I’m trying to identify a good fool proof method of securing ET tube and there doesn’t seem to be a consensus. I’d like to hear what methods do you all use on your units and if you could share any thoughts, experiences and ideas here please. Sent from my iPhone using Tapatalk