Stefan Johansson 652 Posted February 17 Share Posted February 17 From prof Takeshi Arimitsu, invited speaker at our previously planned Meetup in April 2020 (but cancelled due to Covid), I got an email about an interesting case report from their large neonatal center in Tokyo. They have published about a 268 gram 24-weeker with intact survival. I share the last sentences of the summary below. The publication is available open-access and in full-text here: https://www.frontiersin.org/articles/10.3389/fped.2020.628362/full Quote The present case demonstrates that intact survival of a marginally viable male infant with a birth weight of <300 g is possible with minimal handling and family involvement beginning shortly after birth. Our detailed description of the clinical course of this case should provide invaluable information to physicians around the world who treat such infants. This report will aid in the progress of neonatal medicine and help to address many of the social and ethical issues surrounding their care. Looking fw to follow the discussion about this extraordinary case. 4 1 Link to post Share on other sites
Stefan Johansson 652 Posted February 17 Author Share Posted February 17 1 Link to post Share on other sites
Stefan Johansson 652 Posted February 18 Author Share Posted February 18 Link to post Share on other sites
Leonora DEsposito 12 Posted February 18 Share Posted February 18 Could genetic play at this outcome ? Leonora D'Esposito. Link to post Share on other sites
Takeshi Arimitsu 8 Posted February 20 Share Posted February 20 Genetics may have something to play a role. Worldwide, survival rates are increasing and complication rates are decreasing. I believe that tomorrow's outcomes will be better than today's as a result of advances in treatment. I am studying publications written by all of you, and I am implementing what I have learned every day in my practice. 3 1 Link to post Share on other sites
Francesco Cardona 135 Posted February 23 Share Posted February 23 On 2/20/2021 at 10:16 AM, Takeshi Arimitsu said: Genetics may have something to play a role. Worldwide, survival rates are increasing and complication rates are decreasing. I believe that tomorrow's outcomes will be better than today's as a result of advances in treatment. I am studying publications written by all of you, and I am implementing what I have learned every day in my practice. Thank you so much for sharing. Where do you see room for improvement in your daily practice? What will you be improving to achieve better outcomes? Link to post Share on other sites
Takeshi Arimitsu 8 Posted February 24 Share Posted February 24 Thank you for your response. I try to reduce unnecessary examinations and treatments and perform only those that are necessary. In addition, I try to avoid treatments with low evidence levels and to include treatments for which new evidence has been shown. I am personally interested in circulatory management immediately after birth, early extubation, infection control, and factors that improve long-term prognosis, and so on. I would also like to promote more family involvement in our NICU. This is because it is the safest treatment with no side effects and has evidence that shows its benefit. 3 1 Link to post Share on other sites
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