Practical Procedures

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!

Does some body use it? Any report?

Dear Doctors ...😊 i am back.... missing 99nicu Kindly i would like to know your comments on this ..these are 2 xrays of a male full term neonate on mechanical ventilation neonatal spesis ..uvc was inserted in 1 st xray at the level of blue dot ..but after improvement of this severe abdominal distension the level become more deep as in 2nd xray blue dot ...so when inserting uvc how i can overcome the change that abdominal distension can affect the level of fixation Thank you in advance😊

Any one practice to give premedication before INSURE techniques or no need Sent from my MHA-L29 using Tapatalk

How are you all ☺👋hope you are all fine ..allow me to share this point of view with you Scene 1. Very critical baby and receiving ambu bag ventilation not improving ... Befor announcing failure of this step : ..check your equipment ;proper positioning of ambu mask ..ambu bag valves ..your oxygen flow meter is open and on proper oxygen level .. Any one like to share with me examples of equipment check befor announcing failure 😊