Stefan Johansson

First of all, my sincere thanks to everyone involved in the 99nicu Meetup, delegates for attending, speakers for giving great lectures, and partners for support! Despite a lower number of delegates than we had planned for (we did not pick the perfect dates for the Meetup...), I think we managed very well. We needed to downsize and slimline a lot, including changing the venue. But, content was king thanks to great lectures, and all interactions and networking. Given the great feedback we had from delegates, we are committed to continue with this IRL forum for the 99nicu members. Stay tuned for information about the next Meetup, preliminary scheduled for April 2018 in Vienna. Almost all lectures were videorecorded and they will be added over the summer on the Meetup page here: https://99nicu.org/meetup2017/ Right now you can see David Sweet lecturing about RDS management and Rebeccah Slater lecturing about pain in preterm infants. The only downside was the financial results, not yet definite but estimated to be a loss of ~5000 USD. Despite "the pain to open the purse" and our original plan to raise funds for IT work for this web site, I believe we shall regard this first meeting as an investment for future Meetups. We will also be trying to crowd-fund to cover some of the deficit. Those who value the videos as a learning experience are able to make a small donation. That was all my reflections for now. Until we meet in Vienna, see you here on 99nicu.org

We do not use it and rely on echo (and clinical scenario). but I found this systematic review - hope that helps http://pediatrics.aappublications.org/content/early/2015/01/13/peds.2014-1995 looking fw to hear others experience!

@matok Glad you liked it! Actually you can view all broadcasts on the Periscope web site, you find them on https://www.periscope.tv/99nicu/ We also videorecorded all sessions and if the quality is sufficient, we will post all lectures here later, like next week

During the 99nicu Meetup, @Ryan McAdams lectured and he had a large image on his last slide. One of the delegates asked about it and Ryan then told the most amazing story about his experiences in developing countries and the great gap between different health care settings in the world. Find his painting and story below in the Gallery. I add the image below the link. @Ryan McAdams, thanks a lot for sharing this, on the IRL meeting as well as here.

@Sutirtha Roy thanks a lot for sharing this paper. And, you can join in through Periscope

There is now only 24 hours until until the 99nicu Meetup starts. The roll-up arrived in time Today, I and @Francesco Cardona are printing and packing delegate folders, preparing USB-sticks and getting snacks for the welcome reception tomorrow night. We are very excited to meet some of you tomorrow IRL, it will be a great meeting! Now back to our work here in the HQ's!

I have only come across this once IRL, in a private delivery unit where I did a few extra shifts some years ago, but have heard about it occasionally. My opinion - seems more like part of a Yoga trend of "naturality" than anything else. Like things, despite seemingly whacky, we "can afford" to do nowadays since all related risks to child-bearing and -birth are so small regardless what parents choose to do. Just to check what was on Pubmed by a text search, almost only papers in midwifery journals that seems to be more of statements than original research. Also found this write-up in Huffington Post with a few comments from the Ob&Gyn profession.

Ping @spartacus007

There's a lot going in at the 99nicu Headquarters right now, as we prepare for the 99nicu Meetup starting on Monday 12/6. USB-sticks and lanyards in preparation Really looking forward to the meeting. Depending on how things run, we may twitter semi-live, and we will also video-record as many lectures as our memory cards allow. It won't be pro-quality but good enough to view and learn. Ciao for now! Stefan

I guess nothing has changed from a medical point of view, i.e. universal vitamin K prophylaxis is recommended. There is a relatively new position paper by ESPGHAN, here: https://www.ncbi.nlm.nih.gov/pubmed/27050049 ( if you need the paper in full-text, try http://unpaywall.org/ )

Thanks for an interesting question! I think you will be able to find some useful resources in our Link Directory https://99nicu.org/links/, like some very nice blogs, NICUniversity etc. You should become a member (free) in EBNEO https://ebneo.org/ and you can also view all lectures still from the 1st conference in Stockholm (see link in this post https://ebneo.org/ebneo-2011/). On EBNEO web site you also find the web casts of most lectures from the 3rd conference in Philadelphia https://ebneo.org/?s=EBNEO+2015 We hope the 99nicu Meetup will also be video recorded, hope to provide most lectures as films (on Youtube), we will let everyone know. Another new idea - maybe it would be possible to have a mentor outside Libya, that you could discuss with over Skype - just to connect with people outside your context and get some new input! I am sure someone here would be interested

During final preparations for the 99nicu Meetup (yes, there are still empty seats, so you can still register ), we have discussed how to think out-of-the-box for future Meetups. Is it really the best idea for us to run by the classic conference format and setup? Given the experience for this years Meetup, maybe not. Especially since regular meetings are connected to larger financial risks, and 99nicu is still an project that runs on philanthropic fuels. One idea is that the 2018 Meetup would be a more crowd-sourced event, and much much cheaper, like #FOAMed but IRL. In addition to one or two high-profiled keynote speakers, the program would include lectures by attending delegates, who volunteer to give talks on a subject they suggest themselves. I have heard so many great lectures by fellows and young consultants and believe we should get a fantastic program with a great variety of topics. However, as you know there is no free lunches, a small fee to cover lunches would still be needed. But without any real budget work, I think a full three day CME-accredited meeting should be possible to run for ~150 euros/USD. Delegates contributing with a lecture should of course be coming free of charge. And naturally, all delegates would need to cover and arrange their own travels and accommodation. Just some thoughts from the 99nicu HQs! Please share feedback below.

The 17th Annual Saudi Neonatology Society Conference was held 11-13 April, 2017. All lectures, including the four lectures I had, were recorded and is now available as a Youtube channel. Please find the link below! http://www.youtube.com/playlist?list=PLJ8UU7ncYL9R7J8LWUXswkil8TVur9EDS

@selvanr4 As I have understood, the etiology is commonly unknown (although UVC is a risk factor) and the outcome is generally also good. Given that liver function is maintained reasonably well, the liver and venous flow will recover over time (recann or new routes) To my knowledge, anticoagulation is not know to work. I have this article in my collection, I guess there are newer reviews out there though: https://www.ncbi.nlm.nih.gov/pubmed/21925985

The backside of whatsup is the limitation of users within a group. We believe that quite many people may join the 99nicu Slack channels

We now 99nicu to Slack Find more info on the link below. To be added there, send me or @Francesco Cardona a message or email info@99nicu.org You can also respond to this thread, please include the email address we shall send the invite to. The team address is 99nicu.slack.com

I agree, if you also read the blog post by @AllThingsNeonatal above, I believe that the topic still interesting. After all, NEC is such a multifactorial disease.

In case you have not yet read the blog post below by Michael Narvey, do it! In my twitter feed I just read about the very recent meta-analysis of transfusion-associated NEC From the original paper: In short, confounding by indication is the likely conceptual mistake here. Here's the pubmed URL to the paper: https://www.ncbi.nlm.nih.gov/pubmed/27866662

I guess many took impression by data from the TIPP-trial, that suggested that surgical ligation of PDA was associated with increased risks of BPD, ROP and neurosensory impairment. http://www.jpeds.com/article/S0022-3476(06)01108-5/abstract Data from a recent and relatively large cohort in Canada, where postnatal preligation morbidities where taken closely into account, has now showed that previous research may be explained by confounding by indication. http://jamanetwork.com/journals/jamapediatrics/article-abstract/2606520 In other words, surgical PDA ligation as such may not be associated with adverse outcomes. Nevertheless, I personally believe that PDA surgery is a very invasive procedure and should used only if the clinical scenario is complex and the PDA is considered to have a major role for that scenario.

For the 99nicu Meetup, not only the venue but also the budget is down-sized So, there won't be funding for the kind of web cast we originally planned. Instead we plan to use Periscope, the live streaming service that (I think) is a Twitter-owned service. It seems from the Periscope test run below, that the image quality from using a smartphone is not superb (despite having the latest model!) but if you plan coming to the 99nicu Meetup and are experienced with Periscope Producer, please drop me a PM or an email. PS. The video is cropped... go to here https://www.periscope.tv/w/1ynJOWYbnaWJR to view it with the full width

@Khaque we had no data on lactate, it is not routinely measured in umbilical cord blood. @tarek although we did not formally investigate the components of pH, I'd say that PCO2 and BD would explain they differences over gestational age. We plan to dig further into the prognostic value of acidosis but the literature and My clinical experience too: I am not so convinced that acidosis alone is a good prognostic factor.