Stefan Johansson
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About Stefan Johansson
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99nicu Team
- Birthday 06/20/1966
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Great discussion here, and it was also a very interesting discussion in our live event. See the recording below. -
And here - the webinar recording!
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We don’t have parents holding cooled infants either. But I like the idea, despite mech ventil, cooling matress, lines etc, why not?
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Hi Nestor, did you get my message about your bouncing email, please email me on stefan.johansson@99nicu.org
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Join our Webinar Journal Club on neonatal airway management, 9 June at 1630-1715 CET After the initial Journal Club on neonatal airway management in our forum, we would like to engage with you in a live Webinar together with Joyce E O'Shea, Alexandra Scrivens, Gemma Edwards, and Charles Christoph Roehr, the authors of review article on "Safe emergency neonatal airway management: current challenges and potential approaches". The review article examines how to acutely manage the neonatal airway, and the challenges related facemask ventilation and intubation. In this 45min Webinar -
@piatkat A Pod-category now in the Links Directory https://99nicu.org/links/
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Check out The Incubator, a (first?) dedicated podcast for NICU professionals hosted by Dr. Ben Courchia and Dr. Daphna Yasova Barbeau. I have listened to two episodes and can highly recommend it. The pod is weekly and about new evidence in neonatal care and the fascinating individuals who make this progress possible. Find here https://www.buzzsprout.com/1739595
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Drugs contraindicated through PICC line.
Stefan Johansson replied to vrpatilisl's topic in drug treatment and analgesia
We foremost use PICC lines for 1) TPN and 2) for longer-term antibiotics / anti-viral (not for the initial doses, but after the first few doses) Apart for incompatibilities as suggested by @Vicky Payne, I am not aware of any specific pharmaceuticals that cannot be infused. -
Intubation, feels like a topic where science and art (and opinions!) meet! And, a sensitive topic as well, when intubation is discussed, it can almost feel we discuss a ritual rather than a medical procedure In my first years as fellow, doing intubations was something that was quite stressful for myself, and early on the learning curve also for the infants... so, I think the question on how and who to train is well put but this paper. In our hospital , we have a video laryngoscope, but as trained to do direct laryngoscopy I admit I have never tried in on a patient, only in a simulat
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On behalf of the 99nicu Team, I would like to invite you to participate in our 2nd Journal Club! The article we chose this time is a review article on "Safe emergency neonatal airway management: current challenges and potential approaches" by Joyce E O'Shea, Alexandra Scrivens, Gemma Edwards, and Charles Christoph Roehr. This artile is not Open Access, but I hope you can get it from your hospital library. The review article examines how to acutely manage the neonatal airway, and the challenges related facemask ventilation and intubation. Some of the key messages in this paper are:
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In the past, we paused iron supplementation during three days after a blood transfusion. However, we thought this routine did not really make sense as the iron load from a blood transfusion would correspond to ~1 month of iron supplementation In infants with many transfusions, we do check S-Ferritin, and halt iron supplementation if S-Ferritin is >350 μg/L.
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Big topic, and lots of available reads! I would suggest to start off with two review papers, the first one describing long-term outcomes from the key RCTs (like the NICHD and TOBY trials, and the other one about neuroimaging (like a historical overview). https://pubmed.ncbi.nlm.nih.gov/27863707/ https://pubmed.ncbi.nlm.nih.gov/27673422/
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Journal Club: Intubation in the presence of family
Stefan Johansson replied to piatkat's topic in practical procedures
I like the underlying principal, that we shall empower and engage parents. I see the major take-home message as being how few parents were present, something that can certainly be improved. From a methodology perspective, I think there are some major limitations (I know, I take the role as Reviewer #3 now...😞 the cohort is from 2014-7, so the findings may (hopefully!) be outdated, that more parents are present nowadays the association between parental presence and the lack of positive or negative impact on intubation outcomes: this may be baised by differences in who the profession -
99nicu has taken the step to Instagram! Follow on https://www.instagram.com/99nicu/ This idea was brought up by @piatkat in discussion within the new extended 99nicu Team. Our plan with this new channel... yet to be fully determined, but presence where many others are present is generally a good thing
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We have re-introduced our auto-generated Newsletter. It will come on Wednesdays, and include practically all updates in the forums, the blogs, the Links Directory etc-etc. I hope this will not be too frequent interval, and instead facilitate you to keep updated and also help you to join discussions, post your own topics etc-etc. Most of you probably subscribe to this since before. If not, go to your Account Settings and make sure to activate it. It is key that your email address assoiciated with your membership is up-to-date. A memberships with an invalid email address will be c
