Francesco Cardona

One of the oldest forums for neonatal staff has to close because yahoo is discontinuing the groups feature. Would be nice to welcome some of the people from that group in our forum! I am sure they would settle in quickly and would love joining our discussions. https://groups.yahoo.com/neo/groups/nicu-net/conversations/messages

Thanks for sharing, looking forward to the results!

As I understand it, MRI is better at detecting who will NOT develop severe developmental abnormalities, so that might be of comfort to parents. But as so often - very few things are black and white...

Interesting subject. In Vienna, we prime insulin infusion systems before use. The insulin is prepared as ordered, we start off with 0.05-0.1 IE/kg/h. After 30min, the insulin in the infusion system is discarded and the same amount/dilution prepared with the same system before use. Let me know if you need more information @ChantalNICU

You might want to share this link with parents on your NICU: https://parenting.nytimes.com/health/nicu-care

Wonderful news!

A question reaches us via Twitter by Susanna Fustolo-Gunnink: Are there neonatal intensive care units in which hyperconcentrated platelet transfusions are administered? @EBNEO @ccroehr @DrCGale @NeonatalResearc @cwsbattersby @RizKhanahmed @TimWatts1964 @BSantamaria8 @drpaulclarke @Colin37377735

We used Protovit for some months when Soluvit wasnt available for us.

He's on the wishlist 😉

Start reading here maybe: https://www.nature.com/articles/nrdp201637

Hi, In the hospitals I worked in Austria, the rule was to increase by 10-20ml/kg/d and start on first day. If Colostrum is available this is fed as well. We start with enteral feeds right away on the first day. We give 2-3 hourly feeds. @Vicky Payne who is high/medium/low risk according to your tool?

@bimalc do you have some literature sources you can point to? would love to read up.

We perform LISA routinely on all preterms < 28 wks right after birth. We do not use any premedication or analgesia. We use a gastric tube and Magill forceps for application of surfactant intratracheally. We follow a slightly modified version of the original protocol from Cologne (as published here: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(11)60986-0/fulltext). You can find our publication on our experience with LISA here: https://www.ncbi.nlm.nih.gov/pubmed/23446061 Let me know if you need any more information.

Most studies I know use "bundles" - so insertion with maximum sterile precautions were used in most settings, but I have not seen any study that only looks at using cap/face-mask in incubators. I would say the possible research question is also one about equipoise.. how much hassle is it to put on cap and mask for a potential higher risk of infection that can have quite deleterious effects. Is sterile material also handled outside of the incubator (i.e. unpacking the catheter etc.)? Then it probably still might make sense.

Thank you for this comment! I was not aware of the 0.5

Very interesting, thanks for posting!

Cerebral sinovenous Thrombosis comes to mind. What do you mean by abnormal movements? Were you suspecting a seizure?

Here the official invite for all of you! See you in Copenhagen!

We'll think about Finland for another time in that case 🙂 (promised!) Bicycling is pretty popular in this city (2nd clue).

Great news coming up.. After our successful conferences in Stockholm (2017) and Vienna (2018) we will soon announce the location and dates for the next upcoming 99nicu conference. Can you guess where the next 99nicu meetup in 2019 will take place? Post your answer below. ... Solution will follow soon..

Fantastic this will work out! Looking forward to your blog posts!

There is some research on these issues: Different practices for infant resuscitation: https://www.ncbi.nlm.nih.gov/pubmed/27787506 Possibly it doesnt make any difference if you interrupt for ventilations or not: https://www.ncbi.nlm.nih.gov/pubmed/24161768 but that may only count for piglets 🙂 A free readibly review on the issue can be found here https://www.ncbi.nlm.nih.gov/pubmed/28168185 #FOAMNeo One more review from the same group on ventilation strategies: https://www.frontiersin.org/articles/10.3389/fped.2018.00018/full #FOAMNeo

Anyone have experience with atraumatic lumbar puncture? Does anyone know if there is a needle available for puncture in neonates? After reading this I am very curious: http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(17)32451-0/fulltext