Respiratory Support & Monitoring

I came acrross an article that neonates exposed to xray abdomen had 1:500 chance of developing malaignancy later, 3 times more that of c skull. Xray chest is the most often radiological intervention in nursery, for individual nicu baby, the number increases with ventilation, respiratory failure and development of complictions of ventialation;pneumonia, chronic luhg disesase, and air leak etc.Small size of neonates, a part of abdomen is mostly exposed to radiation. I would like to know, if there is any method to prevent radiation to abdomen while taking xray chest.Also what about preventing radiation to other babies in nicu. Any studies?

What do you think about Medin CNO ? Is a CPAPn generator with benveniste sistem. Has anybody expirience with nasal VAFO. Any guidelines?

Hi I wonder if anybody is using fabian evolution for non invasive neonatal ventilation? There seem to be so many views / variation about the start up settings for DUOPAP mode? some use the same settings as in a ventilator mode. Others start with I-time of 1 second and frequency of 10-20/minutes There is also wide variation about start up Pduo setting and what would be max Pduo There are several devises in the market such as BIPAP & SIPAP..etc. Can they all be used in the same way when it comes to bi-level non invasive neonatal ventilation? I would appreciate sharing your local practice? and whether backed by evidence?

Does anyone have experience using a proximal flow sensor with an AVEA ventilator in Volume Guarantee mode? What is the smallest volume that can be reliably delivered?

Next generation sequencing (NGS) can have a high diagnostic yield in the patients admitted to NICU with suspected genetic disorder. However, because of cost (and other reasons) this testing is not always available.

Neonatal incubators are important tools for sick newborns in the first few days of life. Nevertheless, their electric engine, often very close to the newborn's body, emits electromagnetic fields (EMF) to which newborns are exposed. Aim of this paper is to review the available literature on EMF exposure in incubators, and the effects of such exposures on newborns that have been investigated. We retrieved 15 papers that described the EMF exposure in incubators and their biological effects on babies. EMF levels in incubators appear to be between 2 and 100 mG, depending on the distance of the mattress from the electric engine. In some cases, they exceed this range. These …

Hi all: In our Neonatal Unit We have a new Babylog VN500. Someone who has experience with handling? Thank You. Fernando Agama C. Unidad de Neonatología Hospital "Dr. Enrique Garcés" Quito-Ecuador

I am cross-posting this from our FB-page. Anyone have experience?

q1.can anybody suggest a good neonatal fingertip pulseoximeter or any lowcost pulseoximter working well for neonates for outpatient and postnatal ward use ? q2.what is the difficulty in making a fingertip pulseox for neonates when pediatric models are available ?any body know technical details,mechanism of finger pulseox/ links ?

The HIPSTER trial was published in NEJM the other week and it showed clearly that HFNC was inferior to nasal CPAP in the initial management of preterm infants (≥28 weeks). You can read the paper here: http://www.nejm.org/doi/full/10.1056/NEJMoa1603694 @AllThingsNeonatal wrote a great blog post about his reflections on the paper. I would be great to hear about your non-invasive ventilatory support practises. Does anyone use HFNC as initial support, if so, what are your strategies and guidelines?