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Stefan Johansson

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Stefan Johansson last won the day on May 5

Stefan Johansson had the most liked content!

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About Stefan Johansson

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    99nicu Team
  • Birthday 06/20/1966

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  • Occupation
    consultant neonatologist, associate professor
  • Affiliation
    Sachs Children's Hospital
  • Location
    Stockholm, Sweden

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  1. 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:
  2. 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.
  3. 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/
  4. 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 be outdated, that more parents are present nowadays the association between parental presence and the lack of positive or negative impact on intubation outcomes: this may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
  5. 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
  6. 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
  7. Hi! This is not done in Sweden either. Regarding treatment of maternal primary infection, I don't think so but am not 100% sure. Will see if I can find out some info about this.
  8. Can you check here: https://www.karolinska.se/for-patienter/graviditet-och-forlossning/sjuka-nyfodda-barn/app/
  9. Everything in the NICU is not about the complicated level-3 cases. I learned something new over the weekend shift, that umbilical granuloma can be treated with regular table salt (!). Another colleague had read about this and tried on one of our ex-preterm graduates with a granuloma. Seemingly good outcome. Had to do some Pubmed-browsing and found two papers on the topic, the latter being a systemic review https://pubmed.ncbi.nlm.nih.gov/31120144/ https://pubmed.ncbi.nlm.nih.gov/33154632/
  10. We welcome Vicky Pane @Vicky Payne and Katarzyna Piatek @piatkat to the 99nicu Team! Vicky is an Advanced Neonatal Nurse Practitioner (ANNP) and Principal Teaching Fellow from the U.K. She teaches trainee ANNPs on the MSc of Advanced Clinical Practice at the University of Southampton, and is interested in the translation of evidence into practice and implementation of evidence in practice. She is currently undertaking a PhD studying the implementation of care bundles to reduce central line-associated bloodstream infections in the neonatal intensive care unit. Katarzyna is a polish p
  11. I think about the connection between PPHN and low BP as related to several possible mechanisms: cardiac (impacted left ventricular function due to other increased to right sided pressures) and vascular (vasodilatation from PPHN treatment). As PPHN is also rather a symptom, the underlying etiology as such may also impact cardiac function. For example, in the case of asphyxia/mec-aspiration, reduced myocardial function may be more related to that than the actual PPHN as such. Here a nice review of PPHN! https://neoreviews.aappublications.org/content/16/12/e680
  12. This would depend on the baseline risk of maternal hepatitis B-infections. We do not give HB-Ig and/or HB-vaccines in this situation. But, we have a good understanding of whom needs HB-Ig/vaccines. The maternity health care checks serologies and practically all pregnant women in Sweden visit such maternity health centers.
  13. until
    The so-called Dresden Symposium is held online this year. Free of charge! Check out the PDF for more info. Programm-12.-Symposium-on-DR-Management-2021.pdf
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