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  1. Natascha Pramhofer

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    Stefan Johansson

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    Dr. Omayma Hemida

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    Monivent

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Popular Content

Showing content with the highest reputation since 09/29/2020 in Posts

  1. Dear colleagues! There is a burning question on my mind. Has anybody done one oft these two part-time distance learning MSc programs - MSc Neonatology (University of Southampton - https://www.southampton.ac.uk/courses/neonatology-masters-msc) or MSc Neonatal Medicine (Cardiff University - https://www.cardiff.ac.uk/study/postgraduate/taught/courses/course/neonatal-medicine-msc-part-time)? If so, what was your experience with it? Would you do it all over again? Was it worth its money? Was it compatible with working full-time? Initially I wanted to join a PhD program, but unfortunately
    3 points
  2. Hi, I did MS in Neonatology with the University of Southampton, it is an excellent experience. I am a better neonatologist after completing each module, this is the bottom line. Of course, the degree depends hugely on self learning, but who and how can motivate you, that is the essence of how effective that kind of learning. Each module is divided into 3 parts: 1- online discussion about a subject , the tutor starts a thread and stimulate the participants to engage in the discussion and show your expertise, your knowledge and your efforts to search new evidence. So it is n
    3 points
  3. Dear collegaues! I´m very curious if things have changed and wanted to ask you all around the globe three questions on ventilation in the DR and also in the NICU? 1. What device do you mostly (only) use? a) Self inflating bag b) Flow inflating bag c) T-piece like Neopuff or other d) Ventilator 2. Do you also use some kind of respiratory function monitor and in that case, what parameter(s) do you primaly take in consideration for adjusting your actions (PIP, PEEP, Ti, Vte, Rate, leak%, other)? Yes/No 3. What adjunct to your ventilatory device do you
    2 points
  4. For preterm infants born before 32 weeks postmenstrual age the point of assessment is at 36 weeks postmenstrual age (or at discharge, whichever comes first). For preterm infants born ≥ 32 weeks postmenstral age you assess at >28 days (but <56 days postnatal age or at discharge home, whichever comes first). Then you have to consider the treatment with oxygen >21% for at least 28 d plus for mild BPD: Breathing room air at 36 weeks postmenstrual age/by >28days (<56 days) age or at discharge, whichever comes first for moderate BPD: Need for<30% at 36 weeks postm
    2 points
  5. 1. DR c, NICU c or d. We don't have heater integrated in our T-Piece setting so on the ward NICU we prefer warm and humidified gas (ventilator) if possible. 2. Not now in DR - we asked for budget to implement RFM next year but it's formal only for research ;-). Main issue is that there is no one with full approval/certification for clinical use in our population. Is well CE (technical) but a grey zone for our purpose (high risk intervention while stabilisation/resuscitation). If we use ventilator we can use measurements from this devices (Fabian). 3. We regularly start wit
    2 points
  6. 1c 2 No 3 for an asphyxiated baby: a For a premature baby: b (prophylactic nCPAP)
    2 points
  7. 1c 2 no 3a - might though be different in special situations
    2 points
  8. And... Does the RAM Cannula Provide Continuous Positive Airway Pressure as Effectively as the Hudson Prongs in Preterm Neonates? Neetu Singh et al AM Journal Perinatol Compared with the standard nasal interface for CPAP, the RAM cannula is made of softer material with a thin prong wall resulting in a larger caliber and less nasal trauma. However, there is increasing concern that the RAM cannula interface delivers suboptimal pressure compared with the standard nasal prongs, and the high expiratory resistance of the system increases expiratory workload and risk for hypercapnia
    1 point
  9. Continuous positive airway pressure and high flow nasal cannula: the search for effectiveness continues Hany Aly1 and Mohamed A. Mohamed2 Pediatric Research (2020) 87:11–12; https://doi.org/10.1038/s41390-019-0626-y ...Since nasal cannula is convenient to use by caregivers and comfortable for infants when attached to their nose, a newer version (RAM cannula, Neotech, Valencia, CA) that has a back hub to attach to the ventilator has been designed with the hope to deliver CPAP to the infant. However, this type of interface does not allow laminar gas flow since both inspirato
    1 point
  10. My unit has just started prophylactic low dose hydrocortisone for all infants < 28 weeks with aim to improve survival without BPD and neurodevelopmental impairment. What is the general opinion and practice elsewhere?
    1 point
  11. Soon to come: Monivent Neo100 – providing feedback and guidance during manual ventilation of newborns. Monivent Neo100 product teaser
    1 point
  12. 1. C 2. No 3. A. mask. I am starting to use an (C) LMA in special circumstances as first line for ventilation.
    1 point
  13. PHi everyone. I have read articles on the definition (old and new) of BPD but I am still unclear in certain aspects. A 26 week old preterm infant needed supplemental oxygen for more than 28 days but was successfully weaned of this before 36week postmenstrual age; does this baby meet criteria for BPD? Or is it mandatory for the 36 PMA criteria to be met before considering BPD at all? Thank you
    1 point
  14. 1/ in DR C, in NICU A or Ventilator In NICU Depending on situation and fastest availability. (when baby was on ventilator the ventilator is fastest with mask and I can see all items as suggested in question 2) 2/ In DR not, In NICU when mask is connected to ventilator 3/ A or C, depending on situation. (And I'm a nurse who is not qualified to intubate)
    1 point
  15. 1c 2 No 3 depends on the context (pre-birth history, antepartal course, gest age etc-etc) but non-invasive startpreferable. In preterms, we apply nasal prongs and CPAP directly after birth (and soon, there may well be a nasal prongs/device for nasal ventilation, and connected to the NeoPuff/similar )
    1 point
  16. Sounds like a case report.
    1 point
  17. Check this classical paper out: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(14)60197-5/fulltext It does not refer to your actual scenario but Maybe findings can be extrapolated
    1 point
  18. Hi everyone. What are the possible options for providing therapeutic hypothermia to newborns with moderate-to-severe hypoxic ischaemic encephalopathy? Any idea from other centres with no standard cooling devices?
    1 point
  19. 1 point
  20. 1) Surfactant in a PPHN situation will give a transient endogen NO-release in the lungs improving SpO2 in the short term. For the long term it is better to start iNO. 1) Surfactant might be indicated in a situation of meconium aspiration syndrome driven PPHN. 1) Regardless, if oxygen index is above 20 (30) = start iNO.
    1 point
  21. I agree with Dr. Mohan. We have started cooling in India in a resource poor set up. We were able to overcome many challenges with lots of training and infrastructure changes. The process is going smooth. There are cheaper options for cooling babies.
    1 point
  22. We have done the supplementation with 3 % Nacl , and works well . WE mix n EBM and give. Perceiving that this would not taste good we prefer to give 4 hrly instead of 6 hrly . Would be interested to know , what s the avg time experience for the correction . (Usually it takes between 1 to 3 weeks ,,,,,is t the same for others ) Also, what is the wait time period on which the dose is increased ( 1 day or upto 72 hrs)
    1 point
  23. You can, in the sense that it is physically possible, however this is likely not advisable as the volumes involved are too large. 0.9% NaCl is 154mEq/L. 1mEq Na = 1mmol. 1mmol Na/kg = ~6.5mL/kg. Over the course of a day 4mmol/kg/d is ~25mL/kg/d. By way of comparison, our local liquid NaCl preparation is 2.5mEq/mL so 4mmol/kg/d is <2mL/kg/d. My advice is that if NaCl tablets are not available in your country but you have a pharmacy capable, see if you can source NaCl powder. 146g NaCl plus QS sterile water to 1000mL final volume will give you a bulk solution of the appropriate con
    1 point
  24. Dear Mohan, from all studies by the team of Professor Stuart Hooper and Professor Arjan te Pas, we know that aeration of the lungs is the master switch to transistion a baby from placental circulation to autonomous circulation. As long as the placenta is not delivered, there is gas exchange and the newborn receives oxygen-rich blood via the placenta. It is therefore important that the baby aerates its lungs before cutting off placental circulation - to ensure that baby's heart receives sufficient oxygen rich blood from the placenta during transition. When the placenta has been delivered, there
    1 point
  25. The film is showing our soon to be released product for clinical use in the delivery room - Monivent Neo100. It measures flow via a sensor module wirelessly integrated in the face mask and provides continuous feedback on several ventilation parameters, including tidal volume and mask leakage. We have already a product on the market, Monivent Neo Training intended for ventilation training on manikin. The products are based on the same technology but the major difference is that Monivent Neo100 is intended for clinical use.
    1 point
  26. Dear all, Karolinska University Hospital has published their tube taping practise on Youtube. @Karolinska and Anna Gudmundsdottir - thanks so much for sharing! Nasal tube fixation Oral tube fixation
    1 point
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