Francesco Cardona

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!

14 hours ago, bimalc said:

Helsinki?  Finland is the happiest country per the UN Happiness Report

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

As I understand the question relates more to the moment the PICC-line is inserted.

We had contact with the company last week, they said they are not planning on a smaller blade than the Miller 0, because their Macintosh 0 is thinner and measures similarly to most Miller 00.

23 hours ago, tarek said:

PSV is the worst choice for VLBW babies

 

We have used PSV with success in VLBW infants as well.

22 minutes ago, Pototo said:

 I would like to hear about  PEEP limits in CPAPn . Does people realy us 8-10 cmH2O en CPAPn for  SDR???

 

Interesting topic indeed - unfortunately we will not be able to squeeze it in this upcoming meetup, but maybe the next?

The wrath of combined outcomes!

We tested the Accutronic system an liked it :-)

Quote

Dear all
I work in a level 3-4 in Copenhagen Denmark. We have over the past few years started to use video assisted intubation using a C-Mac. We have a Miller 0 blade which I believe is the smallest available for C-Mac. However it is sometimes too big for a 500 g baby. I have heard about a Miller 00 for C-Mac but can't find any information in their catalogue about this blade. I was wondering if anyone out there knows about a Miller 00 blade for C-Mac or perhaps uses a different type of videolaryngoscope with 00 blades.
Many thanks in advance

I am cross-posting this from our FB-page. Anyone have experience?

This is such beautiful news!

14 hours ago, Aymen Eshene said:

Application of EEG monitoring in Nicu 

Interesting indeed! For clarification, do you mean EEG or aEEG?

Any more ideas? Or lecturers you would like to hear?

This is more a subject in the adult world, but anecdotally it is being done all over medicine... In any case, a good read!

http://nautil.us/issue/51/limits/getting-googled-by-your-doctor

@Josephine you might find this article helpful or as a starting point for further literature review: https://www.ncbi.nlm.nih.gov/pubmed/27032610

Quote

J Pediatr Surg. 2016 Aug;51(8):1262-7. doi: 10.1016/j.jpedsurg.2016.02.090. Epub 
2016 Mar 12.

Gastroschisis: Bellwether for neonatal surgery capacity in low resource settings?

Ford K(1), Poenaru D(2), Moulot O(3), Tavener K(4), Bradley S(5), Bankole R(3),
Tshifularo N(6), Ameh E(7), Alema N(8), Borgstein E(9), Hickey A(4), Ade-Ajayi
N(10).

Author information: 
(1)King's Centre for Global Health, London, UK; King's College Hospital, London, 
UK.
(2)MyungSung Christian Medical center, Addis Ababa, Ethiopia.
(3)Centre Hospitalier Universitairee, Treichville, Cote D'Ivorie.
(4)King's College Hospital, London, UK.
(5)St George's Hospital, London, UK.
(6)George Mukhari Academic Hospital, Pretoria, South Africa.
(7)National Hospital, Abujah, Nigeria.
(8)St Mary's, Lacor, Uganda.
(9)Queen Elizabeth Hospital, Blantyre, Malawi.
(10)King's Centre for Global Health, London, UK; King's College Hospital, London,
UK. Electronic address: adeajayi@doctors.org.uk.

INTRODUCTION: Economic disadvantage may adversely influence the outcomes of
infants with gastroschisis (GS). Gastroschisis International (GiT) is a network
of seven paediatric surgical centres, spanning two continents, evaluating GS
treatment and outcomes.
MATERIAL AND METHODS: A 2-year retrospective review of GS infants at GiT centres.
Primary outcome was mortality. Sites were classified into high, middle and low
income country (HIC, MIC, and LIC). MIC and LIC were sometimes combined for
analysis (LMIC). Disability adjusted life years (DALYs) were calculated and
centres with the highest mortality underwent a needs assessment.
RESULTS: Mortality was higher in the LICs and LMICs: 100% in Uganda and Cote
d'Ivoire, 75% in Nigeria and 60% in Malawi. 29% and 0% mortality was reported in 
South Africa and the UK, respectively. Septicaemia was the commonest cause of
death. Averted and non-avertable DALYs were nil in Uganda and Cote d'Ivoire (no
survivors). In the UK (100% survival) averted DALYs (met need) was highest,
representing death and disability prevented by surgical intervention. Performance
improvement measures were agreed: a prospectively maintained GS register;
clarification of the key team members of a GS team and management pathway.
CONCLUSIONS: We propose the use of GS as a bellwether condition for assessing
institutional capacity to deliver newborn surgical care. Early access to care,
efficient multidisciplinary team working, appropriate resuscitation, avoidance of
abdominal compartment syndrome, stabilization prior to formal closure and
proactive nutritional interventions may reduce GS-associated burden of disease in
low resource settings.

https://resident360.nejm.org/content_items/note-to-self-principles-for-better-documentation/

A useful introduction to the problem.

I would like to hear about: 

* sedation / analgesia,

* expanding roles for ultrasound,

* genetic testing - state of the art,

* hypoglycemia

Sounds like a very interesting programme!

We switched last year. Generally it is pretty comparable, although there are quite a few extra alarms when comparing the two. Once, when you need to bag the patient intermittingly, the system alarms almost every minute, secondly when starting with iNO there are - in my opinion - unnecessary alarms as the iNO delivery overshoots initially before settling at the desired dose.

The deadline to sign up for the conference is approaching! I hope to see many of you follow 99nicu'ers in Stockholm!