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Dr Bhushan Korde started following Francesco Cardona
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European Academy of Paediatrics (EAP) Congress and Mastercourse 202
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The European Academy of Paediatrics exists to promote the health of children and young people in Europe. It aims to improve standards in training, service and research and to represent the professional interests of paediatricians in the EU. It incorporates the section of paediatrics of the European Union of Medical Specialists and therefore has influence in the political arena to advocate for children and young people as well as for the profession. Vision & MissionThe European Academy of Paediatrics exists to promote the health of children and young people in Europe. It aims to improve standards in training, service and research and to represent the professional interests of paediatricians in the EU. It incorporates the section of paediatrics of the European Union of Medical Specialists and therefore has influence in the political arena to advocate for children and young people as well as for the profession. To learn more about the EAP click here. EAP MembershipThe individual members of a national paediatric organisation which is a full member of EAP, are by default, without any subscription fee, non-voting individual members of EAP and they can participate in the activities of the Permanent councils and strategic advisory groups. Affiliated Individual Membership is open to citizens of all countries. These members shall have a university degree; they may be board-certified paediatricians/specialists in paediatrics (or equivalent) or any other physician or scientist with a special interest in paediatrics. Active affiliated individual members may assign themselves to one of the Permanent Councils but they do not have any voting rights in the General Assembly. They can participate in the strategic advisory groups of EAP. To read more about EAP membership or to become a member, please click here. https://eap-congress.org/ -
Hyper-inflated lungs of ELGANs (I:E ratio on HFO)
Hi, I think it also depends on which frequency you are using. I would refer to these publications: Sanchez-Luna M, Gonzalez-Pacheco N, Santos-Gonzalez M, Tendillo-Cortijo F. High-frequency Ventilation. Clin Perinatol. 2021;48(4):855-68. https://www.ncbi.nlm.nih.gov/pubmed/34774213 Also helpful in this aspect (Hibberd et al 2024): https://www.ncbi.nlm.nih.gov/pubmed/37726160 On I:E ratio: The I:E impacts both inspiratory and expiratory VT, with ratios of 1:2 (inspiratory time half as long as expiratory time at any given frequency) or 1:1 (inspiratory and expiratory time equal) most commonly used. At any given frequency, I:E of 1:2 will deliver a lower VT, and PAW, than an I:E of 1:1 and introduces a variable PAW drop of 2–4 cmH2O between the airway opening and the lung, which may enhance gas transport (online supplemental figure S2).52 Clinical data on the setting of I:E ratio are lacking, but preclinical and bench studies provide a rationale to use a ratio of 1:2 when gas trapping is present. IMHO I personally would not be to worried about more atelectasis solely because of IE-ratio if you are using volume-guarantee. But probably there are smarter people out there who know more about HFO and may be able to help better.
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Francesco Cardona scored 66% in a quiz: Neonatal Cyanosis: A Diagnostic Challenge
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Ultrasound guided vascular access and deep access PVC.
Hi Pontus, agree with all comments before. we have lots of experience with US-guided central lines, less with peripheral (but some) and arterial lines. It is only done by doctors at our department. We use both approaches: out-of-plane and in-plane. Regarding the canulas: we use both, most commonly we use the neoflon/venflon. but personally I think the one on the left is superior as it is a lot sharper and has less issues with not being able to puncture the skin or vessels adequately. Though my favourite is the Jelco iv. Once you use it you dont want to go back - especially in kids with thicker/tougher skin. Although it needs some practice as it does not have the "wings" of the neoflon which allows for a better grip. We have some experience with the guidewire, it comes in handy at times, but needs some practice to handle optimally. Although aimed at adults, I think this article has lots of good practical advice: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9886173/ or also here https://www.pocus101.com/ultrasound-guided-peripheral-iv-insertion-placement-and-access-made-easy/
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Should every newborn be tested genetically?
You might have come across this editorial in the Journal "Nature Medicine". Most countries have implemented newborn screening and with affordable genetic testing available, there have been studies looking into screening with genetic tests. But what should be tested for? How do we handle markers for diseases that occur later in life? How do we deal with the emotional aspects for parents, children and care givers? And how do we deal with requests from third parties? https://www.nature.com/articles/s41591-024-03227-9
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Webinar on surveillance of hospital-acquired infections in the NICU
Very interesting, thanks for sharing!
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SURVEY: Seeking intensivists views of ethical challenges of rapid genomic sequencing
Very interesting study. Looking forward to the results and further work on this topic!
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Antibiotic choice in 22 week babies
We give Ampicillin / Gentamicin. Dose of Gentamicin is 5mg/kg first dose, then 36h later 3.5mg/kg @24h intervals. Step up from Ampicillin if there is evidence of other bacteria (resistant?) from mother
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Survey: vital sign monitoring systems
Done 🙂
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Survey on post delivery room care
Done
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Transport Issues
Francesco Cardona replied to Francesco Cardona's post in a topic in Support NICUs in Ukraine's DiscussionsIrish colleagues airlifted Ukrainian patient to Ireland. https://twitter.com/transport_neo/status/1505611005312831494?s=20&t=fP2I3GwnBeaK60jwfwvomA
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What is the current situation for NICUs in the Ukraine?
Francesco Cardona replied to Francesco Cardona's post in a topic in Support NICUs in Ukraine's Discussionshttps://www.euro.who.int/en/media-centre/sections/press-releases/2022/who-is-working-day-and-night-to-keep-medical-supply-chains-open-and-preserve-ukraines-health-system
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Transport Issues
Please add any information or resources you have for transporting infants or pregnant women out of Ukraine. We have compiled lists of material for example. Here is a list of needed items for neonatal transport as recommended by Rosemarie Boland, Australian Neonatal Transport Nurse https://twitter.com/piatkat/status/1501482359748706305?s=20&t=RiFIoWIiu5ak4M6HUWYnhw https://docs.google.com/document/d/1vA1Ixm-j7LtbU5nrGULW5zZE5avklXLnRpv9ihsDBlk/edit?usp=sharing Equipment list for neonatal transport.pdf
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What is the current situation for NICUs in the Ukraine?
Francesco Cardona replied to Francesco Cardona's post in a topic in Support NICUs in Ukraine's DiscussionsIrish news have shared images of maternity ward / NICU in the basement of a hospital in Ukraine Twitter link
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What is the current situation for NICUs in the Ukraine?
Francesco Cardona replied to Francesco Cardona's post in a topic in Support NICUs in Ukraine's DiscussionsA report in Time magazine on the situation in the children's hospital in Kyiv https://time.com/6152374/children-hospital-kyiv-ukraine-russia/
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I can offer help!
What is the best way to contact travel nurses best?