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Francesco Cardona

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Everything posted by Francesco Cardona

  1. Here is a citation that might help: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4103976/ They used high dose with 9mg/kg - compared to standard dosing 1-2mg/kg for severe neonatal Kawasaki. May I ask in what clinical setting you are thinking about using it?
  2. Grand master - that sounds just about right for you, Stefan 😉
  3. After reading this: https://rdcu.be/cqY8Y .. we decided to try for ourselves. It does work! Who uses ultrasound to guide lumbar puncture as well? Do you prefer to access out-of-plane or in-plane? Did you run into any unexpected difficulties? Have you identified any helpful landmarks?
  4. I wonder what the share of babies going home in cars is in different countries.. Might this have an effect? I will add this survey from the US where >96% of NICUs perform a predischarge car seat tolerance screen (CSTS). https://pubmed.ncbi.nlm.nih.gov/32044465/ Does it help at all? In any case it seems to prolong the stay if an infant fails the screening test. https://pubmed.ncbi.nlm.nih.gov/29269198/
  5. The definition of bronchopulmonary dysplasia that best predicted early childhood morbidity categorized disease severity according to the mode of respiratory support administered at 36 weeks’ postmenstrual age, regardless of supplemental oxygen use.
  6. I highly recommend the research group around Rebeccah Slater https://pubmed.ncbi.nlm.nih.gov/?term=slater+neonatal+pain&sort=date She presented at the 99nicu meetup 2017 in Stockholm, too. I think it is a wonderful introduction to the topic incl caveats on currently used scores.
  7. We do not pause iron supplementation
  8. Unfortunately we have seen a few cases, including some that needed further operations by our ENT. We think we see it more often with cuffed tubes we sometimes use (esp. for patients undergoing surgery). We treat if symptoms or if intubation was difficult and we fear swelling, mostly dexamethasone or prednisolone. Most resolves within 6h.
  9. do you mean HIV as in IVH (Intraventricular hemorrhage) or as in human immunodeficiency virus?
  10. Here in Vienna, we use humidified heated air with our T-piece in preterms below 32 weeks with a Fischer-Paykel humidifier. Mode: normal.
  11. 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?
  12. In suspected cases, yes.
  13. Hi, interesting! This finding has been described in a few studies: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2774428 https://onlinelibrary.wiley.com/doi/10.1002/jmv.26622 Even IgM against SARS-CoV2 were sometimes found in infants, although a lot rarer than IgG. Most of these placental transferred IgGs seem to disappear by age 2 months. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7510696/
  14. We use the Neo TEE here in Vienna as an alternative for bag-mask-ventilation on our unit. It works, but is a bit more frail and I am not sure about reliability. In studies it does ok.
  15. Do you use X-ray or ultrasound to determine position of UVC/UAC? Do you use a formula to determine distance? UVC: correct depth: tip at the level of the diaphragm on the lateral X-ray). UAC: Mid-descending aorta, at T8 level on X-ray (range T6-T10)
  16. Here is a recent review by the Dutch group https://www.jpeds.com/article/S0022-3476(20)30978-1/fulltext#secsectitle0015 Here is the editorial https://www.jpeds.com/article/S0022-3476(20)31152-5/fulltext
  17. And if you find time you might want to watch this webinar today (3.30pm - 5pm GMT): Preterm births in a COVID-19 world: Science, Systems and Social impact https://www.lshtm.ac.uk/newsevents/events/preterm-births-covid-19-world-science-systems-and-social-impact
  18. The servo-i has the same modes as far as I know. At least with the new servo-i the modes are the same (we use this machine in our PICU). Older machines have slight aberrations of the names, but its possible to figure out. https://highlandcriticalcare.files.wordpress.com/2020/03/servoi-pocket-guide.pdf
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