Practical Procedures

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 …

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?