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Stefan Johansson

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Everything posted by Stefan Johansson

  1. 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/
  2. 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 be outdated, that more parents are present nowadays the association between parental presence and the lack of positive or negative impact on intubation outcomes: this may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
  3. 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
  4. 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
  5. 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.
  6. Can you check here: https://www.karolinska.se/for-patienter/graviditet-och-forlossning/sjuka-nyfodda-barn/app/
  7. 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/
  8. 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
  9. 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
  10. 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.
  11. 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
  12. From prof Takeshi Arimitsu, invited speaker at our previously planned Meetup in April 2020 (but cancelled due to Covid), I got an email about an interesting case report from their large neonatal center in Tokyo. They have published about a 268 gram 24-weeker with intact survival. I share the last sentences of the summary below. The publication is available open-access and in full-text here: https://www.frontiersin.org/articles/10.3389/fped.2020.628362/full Looking fw to follow the discussion about this extraordinary case.
  13. Related publ out today: https://jamanetwork.com/journals/jamapediatrics/fullarticle/2775945
  14. @HickOnACrick thanks for sharing - have you considered to publish this experience? In Sweden (Uppsala, neighbouring city to Stockholm), there was an ex-preterm infant that came back to the ER a few weeks after discharge and ended up on the vent. Being Covid+. I don't know anything from first-hand sources, but read about this spring in the national newspaper https://www.dn.se/nyheter/sverige/sa-raddades-bebisen-i-uppsala-sveriges-yngsta-covid-patient/, maybe a Google translate would make the long article there possible to read in Google-English
  15. Thanks @Darwin Ranada Do you a webinar series, with an educational perspective?
  16. @LIA GRAVARI Thanks for suggestion about an online Journal Club. Would you think this should be best done on Zoom (or similar)? @Emilio Escobar Thanks for your feedback! Do you think we could do something to support your daily practise even more?
  17. Time really flies, and it now 15 years ago since we started to plan for the 99nicu forums, opening in May 2006. In many ways, this project has been a key part throughout my own neonatology carrier. I have learnt so much about the diversity of how to practise neonatology, and I have also learned to know many people around the world. I had not get to know you without this virtual platform. But with time comes age and I have started to think about how to future-proof the operation and development of 99nicu. I, @Francesco Cardona and @Vicky Payne have started to think about where to go
  18. Greetings from Stockholm! This systematic review may shed some light https://pubmed.ncbi.nlm.nih.gov/27109092/ or at least get you confused on a higher level We are rather liberal with both and with a pragmatic approach: surfactant if oxygenation is challenging (while hoping for no big air leaks), and antibiotics if inflammatory parameters get high and we feel uncertain whether it is pure inflammation or also caused by infection.
  19. Hi there! I believe we use the same monitors, is it OK if I fw the questions to our Philips contact in Stockholm?
  20. Based on the ELVIS findings, I would argue for a less conservative approach. https://pubmed.ncbi.nlm.nih.gov/29440132/, https://pubmed.ncbi.nlm.nih.gov/30878207/, https://pubmed.ncbi.nlm.nih.gov/32800815/ We follows VI in those cases. In our limited experience, the "tube of choice" by our ped neurosurgeons in Stockholm is a reservoir (that we empty on a regular basis) rather than a real shunt.
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