Clinical scales in NICU really used

[Andrej Vitushka]

Dear colleagues!

What clinical scales or scores do you use in NICU (exept Apgar score:)) ? Silverman, Downes, GCS pediatric, Sarnat? What else? We are rethinking our approaches and willing to be more precise. Thank you in advance.  

[tarek]

When i was practicing in Egypt we were using Down score for Respiratory distress this was 12 years ago

We are using Sarnat staging for HIE

In Pediatrics they are using GCS and modified GCS

In USA some areas using sepsis calculator ( i went through it but we are not using) 

[Andrej Vitushka]

Thank you, Tarek!

[piatkat]

I'm not sure, but I think that in @Francesco Cardona's unit they use Thompson score for monitoring HIE, right?

[CHAKRADHAR MEDDELA]

I am using the following scores in my NICU.1.Drowne RD scores & Silverman scores for TB & PT babies.2. Sarnat and Thomson's scores for HIE, 3septic screen 4.pain scores.

[bimalc]

I know our nurses are using many scales because of regulatory/payor requirements, but as a physicians rounding in the NICU I (and my physician colleagues) mostly use Sarnet staging for HIE, NAS scoring for withdrawal after in utero opiate exposure, WAT scoring for withdrawal after sedation.  If dates are uncertain I will Ballard a baby a few times a year (usually more as a teaching exercise with trainees, but occasionally when some features seem discordant or the given GA by OB is very discordant with my impression and I want to document the basis for my disagreement).  We are also discussing the Kaiser sepsis risk calculator but not using it routinely and some of the researchers in our group are looking at real time calculation of risk of decompensation based on vital sign monitors but this is research only right now.

[Andrej Vitushka]

On 5/27/2018 at 9:25 AM, CHAKRADHAR MEDDELA said:

I am using the following scores in my NICU.1.Drowne RD scores & Silverman scores for TB & PT babies.2. Sarnat and Thomson's scores for HIE, 3septic screen 4.pain scores.

Dr. Meddela, what is septic screen? Thank you!

[mariamarta]

Do you use any pain score for premies?

[bimalc]

2 hours ago, mariamarta said:

Do you use any pain score for premies?

Our nurses use NIPS

[Aymen Eshene]

can you post here the pain score you are using >??

[Stefan Johansson]

We use the ALPS pain scale (more of a local Swe scale; AL stands for Astrid Lindgren  )

https://www.ncbi.nlm.nih.gov/pubmed/24813238/

[Andrej Vitushka]

On 5/31/2018 at 2:17 AM, Aymen Eshene said:

can you post here the pain score you are using >??

Unfortunately we do not use any pain scales. Still failed to find the best one 😊

12 hours ago, Stefan Johansson said:

We use the ALPS pain scale (more of a local Swe scale; AL stands for Astrid Lindgren  )

https://www.ncbi.nlm.nih.gov/pubmed/24813238/

Astrid Lindgren is cool! 😊