<![CDATA[Respiratory Support & Monitoring Latest Topics]]>https://99nicu.org/forums/forum/26-respiratory-support-monitoring/enCar Seat Tolerance Screening - do you do it and will your practise change now?https://99nicu.org/forums/topic/2890-car-seat-tolerance-screening-do-you-do-it-and-will-your-practise-change-now/The so-called predischarge Car Seat Tolerance Screening is practised in some units, I think it is less common in European NICUs, at least, I have never come across in the Stockholm units where I have worked (during ~30y 🙂)

A recent systematic review an meta-analysis came suggested that the NICU stay was extended without clear benefits (https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2844812)

Curious to know - what is your practise now and will your practise change?

respiratory_monitoring.png

]]>2890Sat, 14 Feb 2026 12:21:38 +0000Extremly preterm and ventilationhttps://99nicu.org/forums/topic/2836-extremly-preterm-and-ventilation/We recently welcomed many extreme preterms (23 24 GA) with particularly complicated respiratory insufficiency. The initial management was ok but secondary degradation often led to intubation and finaly aggressive ventilation with HFO due to high oxygen dependancy. we're used to use NAVA or volume ventilation but these different modes didn't work for our last patients.

In the end steroids were attempted but not always successful.

Do you have a specific respiratory management in these gestational ages in case of secondary intubation in terms of ventilation mode, general prescriptions...?

Thank you for your help,

respiratory_monitoring.png

]]>2836Wed, 30 Jul 2025 10:16:36 +0000Neo Pod T Transport Humidifier out of stockhttps://99nicu.org/forums/topic/2712-neo-pod-t-transport-humidifier-out-of-stock/ We just learned, that the Neo Pod T Transporter Humidifier, will not be produced anymore. Which is a big issue for transporting our preemies. 
To my knowledge there is no other humidifier for transport available. Any thoughts or ideas?

Yours Katja

]]>2712Fri, 19 Jul 2024 11:42:23 +0000Continuous glucose monitoring in newbornshttps://99nicu.org/forums/topic/2669-continuous-glucose-monitoring-in-newborns/ Hi,

I am managing a child with persistent hypoglycemia. While balancing carbohydrates, feeding etc. there have been a bit to many blood samples for me to be comfortable with. I was reading Gomella (Gomella's Neonatology 8th edition, 2020 pp 588-589) and they mention CGM:s being approved for the use in newborns, although not routinely used in clinical practice. I would like to ask if any of your units have implemented continous glucose monitoring? Which are the indications, at what gestational ages and weights? Which are your experiences with CGM, positive or negative? Are there any limitations?

Best, Gustaf

]]>2669Mon, 18 Dec 2023 12:28:39 +0000Nasal Intubation and Macgills Forcephttps://99nicu.org/forums/topic/2701-nasal-intubation-and-macgills-forcep/ Dear Colleagues

The smallest macgills forceps that I can see online is the 6" 15cm (Infant). Is anyone using anything smaller for LISA and or nasal intubations please.

 

Alok Sharma

draloksharma74@gmail.com

]]>2701Tue, 14 May 2024 10:57:49 +0000Microstream capnographyhttps://99nicu.org/forums/topic/2593-microstream-capnography/ Anyone here is aware or have a standard operating procedure to share, regarding the use of Microstream capnography in neonates, please?

 

]]>2593Thu, 06 Apr 2023 20:59:42 +0000Neonatal ventilation simulator?https://99nicu.org/forums/topic/2606-neonatal-ventilation-simulator/ Hi,

As a fellow I would like to learn more about ventilating the preterm infant in a safe setting. Does anyone know about any good neonatal ventilation simulation software, for training and learning different ventilation strategies?

Best regards,

Gustaf

]]>2606Thu, 01 Jun 2023 07:40:39 +0000DIY Incubators / Incubadoras Artesanaleshttps://99nicu.org/forums/topic/2572-diy-incubators-incubadoras-artesanales/ I was wondering if anyone has come across a good/realistic design for a DIY incubator to be used in a rural low-resource setting to transport premature newborns to a 2nd or 3rd-level neonatal ward. 

Similarly, could anyone share a link for a low-cost DIY incubator to be used in a neonatal ward (not for transport).  Specifically for preterms 33-34 weeks in their first 72 hours of life or for more premature babies (26-32) who are several weeks old and already weaned off respiratory support, and receiving hospital kangaroo care. Basically a design for a safe, heated low-cost DIY incubator design where a stable premature baby can avoid hypothermia while their mother is getting something to eat or getting much-needed rest. Needless to say, it needs to be able to be built  with materials easily found at a good hardware store. I’m open to any ideas. 

 

]]>2572Sun, 22 Jan 2023 23:59:50 +0000role of I E ratio in HFOVhttps://99nicu.org/forums/topic/2290-role-of-i-e-ratio-in-hfov/ hi all 

Can anybody please explain to me the role of I:E ratio if high oscillatory ventilation.

and also  what is PEEP in HFOV?

 

thanks

 

]]>2290Sun, 05 Apr 2020 13:10:29 +0000Survey: vital sign monitoring systemshttps://99nicu.org/forums/topic/2529-survey-vital-sign-monitoring-systems/ We got this email from colleagues in Cambridge UK, looking into novel ways to monitor vital signs and would like to ask all 99nicu members to join a short survey.

Please consider to take this survey here: https://cambridge.eu.qualtrics.com/jfe/form/SV_23RCMdtgVhYaFAG

Quote

We are exploring current clinical practice relating to the use of ECG monitoring in routine neonatal care with a view to developing technology more bespoke for preterm babies.

We would be grateful for your input through this short survey. It should take no more than five minutes to complete.

Dr Oliver Bonner, Sister Lynn Thomson, Dr Wilf Kelsall, Dr Bryony Bambrough, and Dr Kathryn Beardsall

If you have any questions, please email: ob298@cam.ac.uk

 

]]>2529Sat, 26 Mar 2022 14:12:27 +0000