Respiratory Support & Monitoring

When should we not use muscle relaxants?which is best and side effect of each one?

We are taught in fellowship and by many publications that barotrauma is a factor for VILI in neonates. As a general rule, I use many pointers in management of a ELBW infant during mehanical ventilation to prevent VILI, inluding optimizing lung volume, volume-target ventilation and permissive hypercapnea. I use HFOV as a rescue option when pt develop worsening respiratory acidosis despite implementing the criteria above, or worsening lung compliance as indicated by requiring increase driving pressure on the vent to meet target tidal volumes. I also use the HFOV in air leak syndrome, pulmonary hypoplasia with pulmonary hypertension, among other indications. I do not general…

Peace be upon you all.I'm in a bad need for any article ,paper about NICU design and equipment.for my master.thxs aloooooooooooooooooooot

Happy new year 2012 for all of you and your beloved ones. I know that this could be controversial, sometimes we would have bad blood gases results (or other labs) that will get back within normal limits if we control the same test after warming the baby's heal. I wonder if some of you warm the baby's heal before capillary sampling? if yes, what is the most practical and safe method you would use for that? Any available litterature on this subject? Ibrahim Mohamed, Neonatologist CHU Sainte Justine, University of Montreal Montreal, Canada

Hi I want your experience in adjusting inspiratory time in SIPPV mode Thanks

We have seen an increase in unplanned extubations in our NICU. The manufacturer of the tape we used stopped making it, and we are having a tough time finding a good product. I know unplanned extubations happen for a multitude of reasons, but a decent product would be a start. Does anyone have any ideas?

Do any of the hospitals out here have access to their equipment user manuals via the hospital intranet and has anybody used the following service http://bioclinicalservices.com.au/ Thanks

Hello, Does use of LED phototherapy brings down bilirubin level faster than doble surface or blue light phototherapy? What is the preference in your unit? dr.r.selvan

Hi all, anyone here who has experience with different equipment for neonatal cooling and can advise us all about the pros and cons of the respective products? In the TOBY-trials Tecotherm equipment was used, but since there are some other manufacturers pushing into the market I am curious about the actual or possible advantages/disadvantages of the different models that will show up during clinical use. Our unit is about to purchase a system, but as we have not decided yet which one I am looking for your valued input. Many thanks! Cheers

I am curious to know more about Ipad use in neonatal care and research. I read about the application "Papers", which can be used for collections of PDFs. http://mekentosj.com/papers/ipad/ Please share your experiences here! PS. We are also interested to have reviews of the actual Ipad, medical/research software etc. If you're interested, please email info@99nicu.org