Francesco Cardona

Try this:

http://www.nejm.org/doi/full/10.1056/NEJMvcm071974

This if for adults though...

We take our babies to the OR. Though now we have had a few cases treated with Anti-VEGF we also brought to the OR, but maybe in the future we will do that on the ward. I believe it would be a lot easier for patients & staff.

Anybody going to Istanbul for the conference?

the upcoming 4th Congress of the European Academy of Paediatric Societies to be held in Istanbul on October 5-9, 2012

http://www2.kenes.com/paediatrics/Pages/Home.aspx

Thanks for the info.

I have added the event to our calendar: http://www.99nicu.org/forum/calendar.php?month=9&year=2012&c=1

I hope to attend as well!

Looks very nice.

Interesting - I had never read about the distinction of early and late ROP..

We use Curosurf as well here at Medical University Vienna, Austria.

200mg/kg for first dose.

I was curious about the user guide. How do you apply Curosurf - all at once or fraction to both sides?

Questions I would ask are:

* price (not only the respirator but think also about consumables)

* complexity - if you are just starting with ventilators who will handle them, what is their experience etc.)

* CPAP yes/no

* HFOV or not

* should the ventilator be movable (e.g. possible to use for transport)

* what size of children do you want to ventilate: how small? older children too?

narrow down your choice to two machines - test them on the ward before buying.

Germany.

Sweden will upset England tomorrow!

I believe any information on experience with NAVA would be helpful for those who have no experience with it. Anyone want to share their experience with NAVA?

Great read! Thank you!

Might be an idea for this platform - open protocols :-)

It rarely has to be performed at our hospital, but here I found a great review and step-by-step approach to all aspects regarding EXIT procedure (ex-utero intrapartum treatment) at birth

http://journals.lww.com/co-pediatrics/Abstract/2012/06000/EXIT_procedure_for_fetal_neck_masses.17.aspx

LV dysfunction has been quoted a couple of times above - how do you assess and quantify that? Or is it more a "visual" pattern you are looking for?

Very interesting discussion. I personally prefer dopamine, if echo is available i might think about dobutamine. some at our department start norepinephrine (it leads to the least pulmonary hypertension) and again others believe hydrocortisone as first line is best.

What article by Murphy do you mean, Charles Paxson?

moved the article to technical equipment

I would love to see an android version of the app! Looks great!

We start vitamins on the 3rd day of life.

Here are my thoughts:

* first think of what data you want to have in the database

* what do you want to do with it (keep track of your clinical data, research etc.)

* how is the database going to be maintained

* security / access issues

once you have established that, go on to choose your software. there are quite a few options out there, but you definitely want to have somebody who is knowledgeable about the software you choose. You probably want to split database software and software for analysis.

I highly recommend this book.

but you cant hear my accent ;-)

Ah yes! I had the chance to meet the author in London - he said the paper was coming up. Nice bloke!

Ja, må han leva!

Ja, må han leva!

Ja, må han leva uti hundrade år!

Ja, visst ska han leva.

Ja, visst ska han leva.

Ja, visst ska han leva uti hundrade år.

Hurrah! Hurrah! Hurrah! Hurrah!

A warm welcome to all the new team members!

Here is the recommendation of ESPGHAN:

[enteral feeding]

http://espghan.med.up.pt/joomla/pdf_files/Enteral_nutrient_supply_preterms_print_version.pdf

and here the guidelines for parenteral feeding:

http://www.ncbi.nlm.nih.gov/pubmed/16254497

I believe it is all about documentation. Naturally we could just write down "all was ok at resuscitation", but due to the universal usage of the apgar score - the meaning of 3 simple numbers tells me alot more about what the child was like in the first minutes of life.