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Everything posted by Francesco Cardona
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Sounds great! Will there be an android version, too?
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I think this is a good step to allow communication among our members.
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There is a study in rabbits comparing different flows with HFO which did not find any difference in effect with different bias flows (cant find the citation at the moment). In a course on HFOV they mentioned that there is no evidence to say which ratio would be more efficient for ventilating patients (Van Kaam). Thanks for the link!
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We use I:E of 1:1 with the Fabian (we also used 1:2 ratio with Sensormedics). The company suggests to use 8 lpm of bias flow for HFO.
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Thats what I had remembered as well - thanks for the link! I did not find anything related to newborns and stress-related mucosal disease. There is weak evidence for PPI to prevent gastric bleeding in pediatric patients http://www.ncbi.nlm.nih.gov/pubmed/19770788 PPI at least seem to be effective in achieving higher gastric pH levels in neonates http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3616221/ and http://www.ncbi.nlm.nih.gov/pubmed/17204951/ although best dosing advice seems elusive.
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We have been discussing this on our ward. Should we provide therapy to prevent SRMD ( stress-related mucosal disease) in our neonates that are ventilated, do not get any feeds or are otherwise severly ill? And what therapy do you believe is best? If you know any current evidence please share it!
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I totally agree this is an absolute recommendation for any neonatal staff. It shows how much we still need to learn about outcomes and how to predict outcomes better.
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Very impressive!
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From the website: The 13th European Conference on Pediatric and Neonatal Mechanical Ventilation will again be in Montreux (Switzerland), which will continue to provide the unique and ideal environment for our meeting. As in previous year, thematic sessions include lecturers by key experts and wellknown speakers on various topics related to ventilation and respiratory failure in newborns and children. With the previous very positive and exciting experience integrating nursing in the educational program. http://www.epnv-montreux.org/ -
We are very happy to announce we have reached over 1000 likes on facebook! We feel social media is an important channel to communicate with all of you and keep you up-to-date with what's happening on our 99nicu site! If you have not done yet, go ahead and follow us on facebook, twitter & linkedin!
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Interesting read indeed! I wonder if that means that we will see placebo-controlled trials in PDA studies in the future..
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We use an excel-file with our medications we could use as a list to start with. Further thoughts: a pharmacologist?
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This annual 5 day international meeting has grown to become one of the largest annual speciality meetings in neonatal medicine. As a forum for the discussion of state of the art clinical practice and new research, it attracts senior neonatal and paediatric clinicians from around the world. More information here: http://www.symposia.org.uk/neonatal/main.asp -
I agree with the posts above. The first step is to recognize the possible etiology of malnutrition. Possible mechanisms in the setting of cardiac patients are: inadequate intakepoor absorptionincreased lossincreased demanddecreased growth potentialextracardiac factorsThe list is taken from here: Nutrition and Heart Disease: Causation and Prevention edited by Ronald Ross Watson, Victor R. Preedyhttps://books.google.at/books?id=d8AzJo5FE3gC&lpg=PA260&ots=RqedD0iB1B&dq=cachexia cardiac infants&pg=PA255#v=onepage&q=cachexia cardiac infants&f=false
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http://jens2015.eu/ From the official site: The 1st Congress of joint European Neonatal Societies (jENS 2015) promises to be a unique event in the field of neonatology, serving as a hub for the wealth of knowledge amassed by four leading societies in the field of neonatology. -
Interesting point on "early stylet removal", had not heard that before.
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I cant talk about any own experience, but I know some physicians use these ventilators: https://www.hamilton-medical.com/en_IN/Products/Mecanical-ventilators/HAMILTON-T1.html http://www.acendis.eu/acendis/products/product.php?pid=68&cid=6&p=Heinen+%2B+L%F6wenstein&frompage=producers This one is very basic (we still use it at our ward..) but cant ventilate in synchrony among other issues: http://www.smiths-medical.com/catalog/mechanical-ventilation/pneupac/baby-pac/pneupac-babypac.html
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We also have liberal use of CPAP after birth, so if in doubt about respiratory effort of baby we support (with Perivent). No sustained inflations either in this age group.
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41. Jahrestagung der Gesellschaft für Neonatologie und pädiatrische Intensivmedizin Stuttgart, Deutschland most lectures and workshops will be in german. For more information: http://gnpi2015.de/ -
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Hi lmedina81, We have used remifentanil in other indications in neonates with mixed results. Thorax rigidity seems to be a bigger issue compared with fentanyl. Compare: http://www.ncbi.nlm.nih.gov/pubmed/20231228 furthermore, at the last EAPS conference in Barcelona there was a Dutch group reporting their experience with remifentanil (I dont recall where in the NL) and they reported high incidence (up to 50%) of thorax rigidity as well.
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Comment from our Facebook page link All Things Neonatal are you sure these are double PDAs and not MAPCAs? Would need to rule out the presence of other MAPCAs before deciding on whether prostin needs to be continued or not.
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I am interested. francesco.cardona@gmail.com
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