Practical Procedures

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 😊

How are you all I hope fine ...I would like to read your comments about this x ray according to UVC positioning ? Thanks in advance

MultiProfessional Neonatal Education (MPROvE Academy) We have a number of toolkits for people who would like to do QI in neonatal care on www.mproveacademy.com and have a number of videos on a variety of neonatal procedures on the MPROvE video channel above. We have also added difficult neonatal airway and videolaryngoscopy videos. These can be used for training purposes. https://www.youtube.com/channel/UC22LMIG5Bwqhreic_DFHATw Best Wishes Dr Alok Sharma Consultant Neonatologist Princess Anne Hospital Southampton UK

Hi 99ers, I am intending to formalise a teaching package for cUSS for both junior medical colleagues as well as our cohort of Nurse Practitioners, so was intrigued as to whether any members already have a teaching in place and how it looks with regard to theoretical/practical teaching and assessment? Many thanks Alistair

Is it more difficult than usual to insert a UAC catheter in 2 vessel cord and are there any reasons why the procedure is more likely to fail in 2 vessel cord situation?

I know initial setting is 8/5 mmHg Th 1sec and RR 20, my question is if there is co2 retention or still there is subcost retraction... What should we do increase pr or increase delta p or rate??? Sent from my MHA-L29 using Tapatalk

Hi 99ers, I am currently working on a Level 3 and we are considering adopting LISA so I would be particularly interested and grateful for opinions and guideline from our European (preBrexit) colleagues who already undertake LISA. Many thanks in advance Al

Dear Colleagues I was wondering whether anyone can provide me with an evidence based article justifying this for neonates in incubators and providing me the rationale. For a baby in an incubator how would a cap and mask reduce infection Alok