Practical Procedures

In the nursery, how many times do you have to exam the well newborn? We exam the baby twice: in first 24 hours and before discharge. I have been told that only one exam is needed. Any reference?

Hi all! Our NICU just remodeled into private rooms. Since this has occured our number of self extubations have gone through the roof. So I'm wondering if ayone has had this experience, and what you have done to help remedy this problem. We use tape to secure our ETTs, but I would love to trial some other option if anyone has suggestions for that as well. I know babies self extubate all the time, but our rate is 80% of vents self extubate since we've moved to private rooms. Thanks guys I really appreciate the help!!!

Good day, I just want to know if there's anyone using a fisher & paykel HHNC or vapotherm? do you have guidelines for the flow rates? thanks Rudimar

POLL: What is your policy/practice for collecting blood culture specimens when a central line is in place? Specifically, I am interested in knowing if you collect any specimens for blood culture from the central line (PICC, CVL) or if you prefer to collect any specimens for blood culture from peripheral venipuncture sites.

It rarely has to be performed at our hospital, but here I found a great review and step-by-step approach to all aspects regarding EXIT procedure (ex-utero intrapartum treatment) at birth http://journals.lww.com/co-pediatrics/Abstract/2012/06000/EXIT_procedure_for_fetal_neck_masses.17.aspx

Ive heard some recommendation to use smaller ETT with down syndrome babies secondary to their risk of developing subglottic stenosis . Any ideas?

Dear all, in our units most extremely preterm infants get umbil artery catheters (UACs), high position, and we tend to keep those for quite many days. In the most immature infants (23-24 weeks), sometimes up to 10-12 days, but usually we take it away at the end of the first week of life. We place peripheral radial artery catheters if those infants deterioate later (sepsis etc). Although we hardly see complications such as distal gangrene och symptomatic aortic thrombosis, I have a feeling that this practise of keeping UACs for many days is different from the routines in other units. What is your routines/protocols for UACs?

I open this thread for the member sasa, who originally posted this topic in the Blog section. In our house-keeping of 99nicu.org, we aim at publishing all discussion topics in the forums, whereas the Blogs are meant for more personal reflections.

We´re revising our instructions on nutrition and one thing came up: Do you let your newly extubated patients eat or do you let them wait a certain time to prevent aspiration?

Hello!! greetings from Hyderabad India what sedation or anaesthesia do you use in neonates for procedures like MRI.