Jump to content

JOIN THE DISCUSSION!

Want to join the discussions?

Sign up for a free membership! 

If you are a member already, log in!

(lost your password? reset it here)

99nicu.org 99nicu.org

Stefan Johansson

Administrators
  • Content Count

    2,561
  • Joined

  • Last visited

  • Days Won

    316
  • Country

    Sweden

Everything posted by Stefan Johansson

  1. I would recommend reading this page from CDC. Azithromycin seems the drug of choice. https://www.cdc.gov/pertussis/clinical/treatment.html This paper on nosocomial spread of pertussis is another good read: https://www.sciencedirect.com/science/article/abs/pii/S0195670113003253
  2. We never use it but I found a dose here: http://www.adhb.govt.nz/newborn/DrugProtocols/IpratropiumPharmacology.htm (on this web site: )
  3. When we try it, we typically give 0.1-0.2 mg/kg (as inhalation, through the CPAP). This resource / web site from NZ is always worth looking at for doses:
  4. The video clip from the link shared by @NRao was possible open for download. See below. 1-s2.0-S0002937820301976-mmc1.mp4
  5. @sueprul I found these two publications suggesting that vaccination alone would give a similar (same?) protection as vaccine+Ig https://www.ncbi.nlm.nih.gov/pubmed/27894717 https://www.ncbi.nlm.nih.gov/pubmed/25362571 As said in a previous post, the Swe guidelines is to give Ig+Vaccine asap after birth (typically within the first hours).
  6. I am really sorry to announce that we have decided to cancel our conference Future of Neonatal Care, AKA #99nicuMeetup. The reason is the spreading of the Covid-19 virus in Europe and the uncertainties related to this. If viral infections increase (currently a likely scenario), we may be forced to cancel at much shorter notice. Given the non-profit nature of the 99nicu community, we have no financial backup to manage a late cancellation. I was myself emailed yesterday by staff in some European citys that their hospitals had stopped all travels abroad for their employees. We are really sorry about this unexpected development. For delegates, speakers and partners directly affected by this decision: we are in discussions with the University of Vienna regarding practical details and implications of cancelling and will communicate back directly next week with more information. While we are now only focusing on getting through the current situation, we also believe that the Covid-19 pandemic will settle with time. Consequently, we hope to for a "Return of the Meetup" in 2021. Thank you for your understanding and support.
  7. am sorry but I don’t remember... I had the machine only for an hour and just made a quick test run
  8. Any case reports or experience on neonates/infants infected with covid-19?
  9. @Jose Ramon Fernandez thanks for sharing this link - very helpful.
  10. Thanks @BetsyP for sharing about NBS and also about the Hope for HIE-organisation. Great initiative to bring parents and neonatal staff together for the common mission to improve care and outcomes for infants affected by HIE.
  11. Amnion Life, our web and conference partner 2018 and 2019, is developing AmnioBed™, an innovative incubator system. AmnioBed™ Golden Hour is a novel neonatal incubator system incorporating a synthetic amniotic fluid bath to minimize environmental heat and water loss immediately upon premature birth and for up to 60 minutes during the transitional period (golden hour) prior to transport to the NICU. This survey by AmnionLife takes only 4 minutes to complete. As a NICU professional, your opinion is very important in helping AmnionLife assess an unbiased first impression of Amniobed Golden Hour. Click here to take the survey, or use this link: https://www.surveymonkey.com/r/WQKPKRH
  12. Thanks for posting! I am sorry but I cannot give advice on this matter as we don't keep/admit infants with bronchiolitis in the NICU, they are transferred to a PICU or a regular pediatric ward (to avoid viral spread in the NICU). Would be interesting to hear what bronchiolitis cases you have in the NICU. Also infants admitted from home? If yes, what is your policies/guidelines to avoid spread to other infants? Single rooming?
  13. And I admit, we take a lot of CRPs... and I would still regard the positive prediction as reasonably OK (but of course, very high CRPs usually goes with evident clinical symtoms too)
  14. To cut a long story short... see the tweet below on CRP as CRaP Here the link to the publication: https://jamanetwork.com/journals/jamapediatrics/article-abstract/2760411
  15. We would like to welcome Recordati Rare Diseases, Monivent and Lifecast Body Simulations as Supporting Partners of the 99nicu.org web site during 2020. Supporting Partners give unrestricted educational grants to 99nicu. Grants are used to cover costs for maintenance, development and technical support of 99nicu. As "there is no free lunch", we are very thankful for this financial support. Various levels of partnerships gives varying degree of visibility. As Bronze Partners, Monivent and Lifecast Body Simulations will be exposed on our Partner Page, in our landing page slider, and in the Newsletter footer. As Silver Partner, Recordati Rare Diseases will additionally have the opportunity to share one "Featured email" once during 2020, and to display an advertisement banner on the web site and in the newsletter during a limited time period. Visit the Partner Page to read about our Supporting Partners or click on the logotypes below.
  16. @chantal - do you check pre/post-feed weights in your NICU? We used to do it some years back but stopped as we felt it added more figures than guidance... Would be great to hear your experience.
  17. Dear @spartacus007, could you add the dates and then also post as an event in our Calender https://99nicu.org/calendar/ ?
  18. Echo! Come to the #99nicuMeetup, Yogen Singh from Cambridge/UK will lecture about PPHN (and run a workshop on echocardiography for neonatologists) https://99nicu.org/meetup
  19. I have experienced this once (diagnosis from autopsy) when resuscitation failed completely. There seems to be a few case reports published, like this one: https://onlinelibrary.wiley.com/doi/full/10.1111/jpc.13494_169
  20. Check this out in JAMA Ped, systematic review on ”Sustained Inflation vs Standard Resuscitation for Preterm Infants - A Systematic Review and Meta-analysis” https://jamanetwork.com/journals/jamapediatrics/fullarticle/2760413?guestAccessKey=b2009b9d-ddfc-478a-b681-14a83387dc94&utm_source=silverchair&utm_medium=email&utm_campaign=article_alert-jamapediatrics&utm_content=olf&utm_term=020320
  21. @felipeym thanks, I think this portable technology will be the future also in high-income settings. And yes, I think the probe was too large, not the handle as such but the "imaging surface" was like 2x3 cm, so practically too large for convex surfaces like the skull or chest in a small baby. But, this should be possible to solve. I think that the probe size is choosen by the company to fit a the targeted user base of staff working with larger children and/or adults.
  22. We don't measure breastfeeding volumes in infants given iv fluids or enteral NG tube feeds, but we make some assumptions. During the first 1-2 days of life, we don't take colostrum volumes into account at all, especially if the infant is just make some attempts to breastfeed. Later and when on NG tube feeds, we make a pragmatic plan and reduce the NG tube volumes with a reasonable volume. "Reasonable" in terms of ml? For a term infants with vigorous breastfeeding attempts we may reduce NG tube volumes withs with 1/3 per day (i.e. aim to take the NG tube out within 3 days). For a preterm infants, we usually reduce the NG tube feeds with 5-10 ml/feed after a good breast feeding attempt in preterm infants.
  23. Finally... my colleague brought the Butterfly probe and and Ipad, and I took some brain images and echocardiography views. The probe has a large surface and lot of gel is needed to avoid artefacts. Naturally, the quality is not comparable to our real machine. On the other hand, I think that the quality was surprisingly good, almost like the XP128 (back in the days... ) . Looking at the AV valves with color doppler also worked reasonably well. I did not go into any details in the software, but similar to a "real" machine, adjusted settings could probably increase the image quality. I attach two photos and a long axis echo-view (VLBW infant) Longaxis.mp4
  24. Check this out! https://www.ncbi.nlm.nih.gov/pubmed/21258818
  25. Thanks! Without you and all other members, there would be no community!
×
×
  • Create New...