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Everything posted by Stefan Johansson
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We are working on getting videos online. it won’t take too long
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Check this out - online Keynote lecture about "Probiotics in Preterm Infants” by prof Nicholas Embleton , on June 3 at the GOLD Neonatal conference. Sign up to view here! https://www.goldneonatal.com/conference/speakers/keynote-presentation
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I just realized that UpToDate is "open-access" in Norway. So, with a VPN-tunnel through Norway, it is possible to browse UpToDate as "logged in". Just something I wanted to share here in the Lounge 😎
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While at the #99nicuMeetup, I and @Francesco Cardona were filmed by Miris (one of our exhibiting partners). It was a one-time shot without rehearsal, so we spoke from the heart
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And we use this product from Unimedic (sorry for being in Swedish; you can probably contact the company through www.unimedic.se) https://www.kronansapotek.se/Multivitamindroppar-Unimedic-Orala-droppar%2C-lösning/p/366415
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First announcement of Recent advances in neonatal medicine IXth International symposium honoring prof. Richard B. Johnston, MD, Denver, US 1-3 Octobe 2021, in Würzburg, Germany Find more information in the attached folder. First_Announcement_01.2020.pdf -
Check out this blog post by Keith Barrington whether transfusions trigger NEC. Or does anemia. https://neonatalresearch.org/2019/04/16/do-transfusions-trigger-nec-or-does-anemia/ I would say that there are enough clinical research data out there to say that there seems to be NO association. Just check out the PINT trial, the RCT comparing a liberal vs a restrictive Hb level for transfusion in preterm infants. If anything, the more liberally transfused group of infant had less NEC. And read this paper by Patel et al that nicely demonstrates that there seems to be confounding of indication coming into play, i.e. it is not the transfusion but the underlying anemia is the problem. Despite research findings, this question (whether transfusions "lead to" NEC) is still troubling us. Why so?
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A week ago, we met up at the Future of Neonatal Care conference, AKA the #99nicuMeetup, in Copenhagen, DK. There were four day intensive days for myself, @Francesco Cardona and more than 200 people travelling from 32 countries - neonatal staff members, speakers and workshop leaders, and partner representatives. Topics included outcomes and ethics at the viability border, NEC prevention, neonatal transports, use of inotropes, hyperglycemia, cord clamping, high flow and pain management. And much much more! In short, everything went really well. Given that our vision is to "make the world smaller" and create a space for networking (in addition to a great learning experience) , I would like to share our sincere Thank You to all all delegates, faculty members and Partners for making the #99nicuMeetup the event it has become. Without You coming to "share and care", there would be no dynamics, no laughter, and no #99nicuMeetup. We did our best to share the conference over Twitter (see hashtag #99nicuMeetup). We also video-recorded the lectures, and we plan publish the set of lectures on Youtube in a few weeks time. If you attended and have photos you want to share, please add to the Gallery below (or email them to info@99nicu.org and I upload). See you next year ! -
@juan carlos vidal sorry that I did not see that you posted this question in this thread - but have shared over our social channels now. Anyway, it seems that you have adjusted the HFV as possible, with reduced freq and a higher d-P. Does your ventilator give tidal volumes? What approx levels of PCO2 (kPa) do you have? Have you tested regular tidal support, like SIPPV?
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@Francesco Cardona great paper! And reminds me of medical studies when I struggled with the coagulation pathways... (like the embedded image below) @Marina22 Did you have something special in mind?
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We have lead aprons.
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We base our fluid calculations on the birth weight until weight is increasing (from growth!) Naturally we also base our 24h plan on clinical signs and lab (esp S-Na) Here's a similar topic with lots of aspects.
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What a story!
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Neonatalappen from Karolinska University Hospital is a smartphone app for parents. It is in Swedish (naturally), but even for non-Swedish NICU staff I think it can serve as a "role model" for other similar projects. Looks great and works well Apple store: https://apps.apple.com/se/app/karolinska-universitetssjukhus/id1463165618#?platform=iphone Google play: https://play.google.com/store/apps/details?id=se.karolinska.myday&hl=en -
Thanks for a great blog post!
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Our medtech department gives the following advice: only staff and the xray technician takes on a shielding cover. Since the x-ray fields are so narrow, parents are only adviced to move away from the incubator/bed. For the same reason (narrow/limited x-ray field), we do not put nearby infants behind shields. Other questions about x-ray shielding were raised some time ago, maybe you can get some input there as well:
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We have fixed a new Activity Feed. If you click on LATEST UPDATES on the landing page of 99nicu.org, on your computer or your mobile, you will be directed to it. And, if you bookmark it, you will always keep updated when you open your browser There you will find the list of all ongoing activity, like new topics, new comments, new blog posts etc-etc. See the read arrows on attached screen shots. Best regards from the HQ's! -
@nashwa it seems that the link above only works from a desktop/laptop. I also tried the link on my mobile and then got re-directed to a "mobile log in"-page. So, visit https://plus.mcmaster.ca/EvidenceAlerts/Registration.aspx on your computer
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Here: https://plus.mcmaster.ca/EvidenceAlerts/Registration.aspx
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Do you mean that there are internal / abdominal adhesions that interfere with intestinal function?
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Could explain more what you mean by a Clinical Pathway? That certain things are done (like investigations) at certain time points?
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@mosarrat we do not use this practise but I don't know why. I searched pubmed but could not find any references on decompression. Anyone else knowing more about this?
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While we have been sharing updates here on Twitter and Facebook for some time, we finally also have a page on LinkedIn. Also follow 99nicu on LinkedIn The web link is https://www.linkedin.com/company/99nicu/ Best regards from the HQ's!
