Practical Procedures

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

Hello Everyone, Does your unit change IVF from an old central line ( UVC fluid) to a new central line (PICC)? On rare occasions we ran into a problem where a UVC fluids was infusing with TPN fluids and a new PICC line was inserted a few hours later. To minimize the cost to the patient, fluids are switched until new TPN comes available on the next pm shift. Our TPN comes at 2100 every day. The IV tubing is not changed when the switched is made because there is not enough fluids to prime it again. We have been zero CLABSI for the past two years, our last incident was from a UVC line. Any guidance would be greatly appreciated. Thank you,

Dear colleagues Just a naïve question. Endotracheal, nasopharyngeal and oral suctioning in infants -- what first, second and third? My idea was 1. Trachea 2. Oropharyngeal 3. Nose. But some colleagues told that oropharyngeal suctioning first because we need to clean upper airways in order to avoid risk of microaspiration by ETT during the endotracheal suctioning. For example guidelines from Ireland https://www.olchc.ie/Healthcare-Professionals/Nursing-Practice-Guidelines/Suctioning-Guideline-Sept-2017.pdf support my opinion. But the other opinion sounds reasonable too. Where the truth? Many thanks!