Stefan Johansson

@Ebru Ergenekon @fcardona Any ideas about speakers on those topics?

@jagdish1313 I'd suggest you download the xls-sheets provided by NICE in the UK, those are more up-to-date https://www.nice.org.uk/guidance/cg98/resources/treatment-threshold-graphs-544300525 Or @Ruth , maybe you could email the charts you use ?

Mark your calender 12-15 June 2017 for the 99nicu Meetup, an educational IRL meeting centered around the 99nicu community! Maybe you attended the 1st Evidence-Based Neonatology conference in Stockholm 2011. Although the EBNEO conference partly originated within 99nicu, that project has now further developed into its own society (http://ebneo.org). Now is the time to meet again, to further stimulate engagement and the community feeling of 99nicu - we want to invite you and all other members to the 1st 99nicu Meetup, 12-15 June 2017, in Stockholm, Sweden. And most importantly, we want to involve you in making the program. We would like to have a mix of really high-profiled key persons, and less well-known younger neonatal staff who are talented speakers. Please share your ideas about the program on what topics should be included and whom should we invite to speak about those? The structure of the meeting would be a large-group program between 0830 and 1500, and small-group optional workshops between 1530-1700. In all we plan for 24 lecture sessions á 45 minutes during those four days, and workshops after the regular sessions on day 2 and day 3. A lot of details are not yet set, including venue and price. We will get back about that when such details are definite.

For preterms we use a pigtail that is 6Fr that is very easy to use. I think Cook does also thicker drains like 8Fr but for larger babies we use Vygon Easydrain, also very handy. I am work now, and took a few pictures, I guess you can find imagen on the web on the actual drains (not packed up ) I have used a seldinger techn drain a few times but have felt the insertion to be quite "wonky" (OT I posted this on my phone, the mobile interface works great 👍)

@gayle omansky @livesynapse Do you add heparin to your infusion solution (used at 0.8 /1.0 ml/h)? The "Stockholm tradition" has been: hospitals on the northern side adds heparin, whereas those on the south side don't use heparin. I changed employer in 2014 and is now with a non-heparin NICU Since I came from a pro-heparin hospital I was a bit skeptical about not adding heparin to our low-flow saline in central catheters/lines. But, it seems to work equally well.

@fcardona my answer is simple - we don't use locks for central ven catheters, we keep infusions going (at least 1 ml/h) until we take them out.

There might be. The programme was originally planned and developed for Android but I think there were some technical problems (or problems with the Android store) that made the group changing its mind. Let's hope for an Android version!

I have a clever consultant colleague who has developed NeoTap, an app (for Ipad) for neonatal resuscitation. The idea that one person in the team uses NeoTap for recording vital signs, Apgar score etc, and records what interventions are done during resusc. The app is yet only available in Swedish but I know there are plans to make the app multi-lingual. It is only available for Ipad (iOS), but the technical requirements are low, i.e. it can be used on older Ipad-models. The organisation behind NeoTap is Tap4Life (http://tap4life.org), a non-profit organisation in Sweden, dedicated to simple technical tools for resuscitation in low- and middle-income countries.

Have sometimes come across increased/instable temp in younger BPD-babies, have always thought this is due to the inflammatory activity, But this seems long-lasting! Have no better input than this... Anyone else?!

@mahatma - great to read this thread! And hope the infant is recovering well now. ( I was on vacation in Sardinia last week but managed to get a member's email out, glad it worked from the free wifi at www.badus.it, BTW a simple but nice place)

Thanks for posting about this. I sort of both disagree and agree! In Swedish language there is now (since a few years) a gender-unspecific pronoun, to be used when neither "he" or "she" is a suitable pronoun for a person (rather than using "it") This pronoun gains ground, especially in media and public documentation when statements refers to "any person" or "he/she". When I do maternity ward rounds (well baby checks) I usually ask parents "How is your baby doing" and I have never met parents responding anything else than either he or she. So, then I also use the pronoun parents use. A more philosophical thought of mine is also that we, as pediatricians, have a responsibility to judge whether an infant is of male of female sex. Diseases may be sex-specific, sometimes we need to flag for uncertain sex (ambiguous genitals) and make medical investigation to find out the biological sex. Therefore, I believe it is uncomplicated and even correct for myself as a neonatologist to refer to an infants as "a boy" or "a girl". Gender is a different story for me, rather the sex in a societal context. For example, we had a lengthy discussion about nursing blankets being blue and pink, and whether boys should be given a blue blanket and girls a pink one. The end of that discussion, all babies were to get the same color and now they all have orange blankets. That was a good decision I think. As same-sexed parents have children, we are also reminded to have open minds about gender and parenthood. Would be great to hear more peoples comments about this topic!

See this great blog post by @AllThingsNeonatal

Good point @Rizalya - I also wonder about the lung mechanical principles why this would work, to me this feels like a "HFNC 2.0" But I have also heard about cases handled succesfully (post-extubation). I guess there will be more publications coming out (and companies promoting it...)

Def. See my reply in startup-thread. Have also update our DB doc of the editorial board

I don't know the Neofax terms & conditions but I would guess it is copyright-protected material. However, all drug dosages and indications are really available in "the public domain", i.e. Pubmed, so we should be able to create our own Pharmacopedia relatively easy.

@amirmasoud2012 Thanks for being around here! @selvanr4 Great images and thanks for being part of the family! @Leonora DEsposito the Carribean... maybe we should re-locate the 99nicu Headquarters

I am a professional nomad, bouncing between clinical and research work in two different ends of Stockholm. Sometimes, like many of you, I am also travelling within and outside Sweden for meetings. Besides the Cloud (i.e. Dropbox) I bring along some plenty of vital gear when I commute around... My oldish laptop backpack was completely worn out and I needed something new to accommodate “my office” (one-two laptops, tech stuff like phones, cables, 4G modem etc, printouts, notebooks, keys, pencils etc-etc). My aim was to get a briefcase made to wear and tear that would fit onto my bike and scooter as well as being representative enough for smarter dress codes. I had heard about happy users of Waterfields bags and despite that their bags are costly, I decided to buy the Waterfield Bolt Briefcase. The company gave me a discounted shipping cost to Sweden, for the return of this review (@sfbags - thanks ). In total, I got the briefcase for 350 USD, a hefty but affordable price for me. Over the last four weeks, I have used the Bolt briefcase on a daily basis. During this field test I have brought the briefcase with me by bike, scooter, car and public transports. It has even been in the air as I attended at a meeting in Vienna last week. The build quality and materials (black ballistic nylon and leather) are very good! The nylon apparently stands wet weather; I “tested” 40 minutes of rain on my bike... and my gear was kept dry inside the briefcase. The water formed drops on the nylon surface but the leather absorbed water as expected, however without soaking the inner foldings. I guess there is some water protection layer in-between the leather and inner material, or that the inner lining material itself if waterproof. The briefcase is a rather sturdy and rigid build even though it is made of “flexible” materials. It can stand reasonable well unsupported, it lies steady on my bike rack, and it gets only slightly curved behind my back when I carry it across my shoulder when driving the scooter to work. Carrying comfort is fine. Speaking of bringing along, when I flew to Vienna I also had the opportunity to thread the handles of the cabin bag through the dedicated cabin bag holder - it worked great! There are many compartments and pockets. The back of the Bolt briefcase has an open pocket, typically for newspapers or a big notebook that you want to reach with ease (but unsecured). The front has a zipped large pocket (great for keys and phones) and two smaller pockets closing with smaller magnetic tabs. I have not found a use for the two smaller pockets yet, simply because I am uncertain how secure stuff is there. Design-wise these magnetically locked pockets are clever, but I would not keep valuables there, like wallet, phones etc, especially not while biking to work with the briefcase lying flat on the bike rack. The main briefcase space is closed by a zip and comprises several compartments. The back compartment is clearly meant for a computer, the large middle compartment can hold lots of printouts, a binder, a second laptop etc, and the two front-situated pocket-like compartments are perfect for chargers, cables, small notebooks etc. My things get well organised in there! However, I dislike two design features. Firstly, the major computer compartment would be largely improved with a short closing velcro flap that would tighten the computer space. I typically put my 11-inch Macbook Air there (in a large-sized Bolt briefcase) while I keep my research machine, a not so slick Windows-laptop, in the larger middle compartment. I feel that my Macbook Air would be kept better in place with a closing velcro. Secondly, I miss pen holders. My Pelikan fountain pen and Rotring pencil would deserve a dedicated place . Now I tend to put them “somewhere” and often need to look for them among papers and stuff in the great middle compartment. Despite those two design issues (IMHO), I am a very satisfied owner of the Bolt briefcase! It serves my nomadic lifestyle really well and receives a strong 4-star rating! The back open pocket for newspapers etc. The front, with a zipped large pocket and two smaller pockets closed by magnetic tabs. The inside, with compartments for a laptop, a large middle space, and two front-pocket. Bolt back on the bike rack! Arrived at the hospital after a wet scooter ride. At the airport.

You mean nasal HFOV? Have never tried it... Are you trying it?

Thanks for posting this request on 99nicu, hope you get many responders!

We would do echo's liberally, because many neonatologist have learned echo and we have our own machine on the ward, i.e. the availability is 24/7. Our current guidelines (in Stockholm, Karolinska included) is to do an echo no later than the 3rd postnatal day in all infants <27 weeks regardless of respiratory support all preterm infants on needing mechanical ventilation, regardless of gestational age This is our pragmatic approach but there is some scientific support for it, see this paper in JAMA from last year http://jama.jamanetwork.com/article.aspx?articleid=2338255