Practical Procedures

Dear friends, we have a rather old-fashioned way of taping ET tubes, using safety pin. We will post pictures about our technique soon and ask others to do the same!

Studies show that there are more benefits with weaning nCPAP by decreasing pressure than having alternating "time-on and time-off" nCPAP. We wean by lowering the pressure gradually, in the preterm to as low as 2cm H20. I know that many use 4cm H20 as a lower limit. The argument for this is that the pressure measured in the pharynx is close to zero when CPAP is set lower than 4 cm H20 (thus believed to not have any positive effects). Still, we see many babies that benefit from low pressure CPAP (2-3). Do you know any studies that show negative effects using low pressures? (Theoretically, it could give increased breathing effort without any significant CPAP e…

NOVEL METHOD OF MIDSTREAM URINE IN NEW BORN COLLECTION ,I READ ON NET ,THE LINK IS AS FOLLOW FOR DISCUSSION AND EXPERIENCE OF OTHER MEMBERS http://www.medscape.com/viewarticle/779028_3 DINESH

The Image library from the Atlas of Neonatal Procedures - 5th ed ( 2013) is available at: http://thepoint-review.wkhpe.com/SRC/MacDonald_5e_Solution/Image_bank/image_bank.htm

hi In our service we are reviewing the indications for percutaneous venous catheter placement. Now, we are only using them for parenteral nutrition, but we are looking for information for use in case we need prolonged treatments (more than 4-5 days ,eg 10 days antibiotics). I would like to know your opinions and if you have guidelines in yours services, as well also literature about it. thanks in advance Daniel Argentina

Hi all! I would like to know, how you insert PICC -lines and how you treat them after that. Do you flush it regularly (like every 12 hours)? We have started to insert PICC-lines and I`m about to make instructions for my colleagues. BG Johanna from Finland

Hi all: We try to place PICC lines in upper extremities, if difficult then we go to lower extremities .. Sometimes scalp veins look very "tempting" to advance them through .. My Question for you: Do you have any advice in sense of indications, contraindications, complications etc ?? Thanks FA

hi all i found this site and would like to share with you hope it will be useful for practice:) thank http://www.wikiradiography.com/page/Neonatal+Lines,+Tubes+and+Catheters

Hi folks I have used an umbilical artery dilator (S-shaped)while working in the UK. Now am trying to find a photo of the same but am unsuccessful. Wondering if any one can help me as I need the same to fabricate it here in India. Kind regards Rahul Verma Consultant Neonatologist Bombay Hospital. Mumbai. INDIA

I have one question regarding the correct timing for inserting a UVC for realizing an exchange transfusion. Is there any literature regarding after how many days is it correct to insert a UVC, without a risk of NEC or other type of infections due to the colonization of the umbilical stump? Thank you