Practical Procedures

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

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