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Everything posted by Stefan Johansson
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@amirmasoud2012 The documentation used in the TOBY trial is still available at the NPEU web site https://www.npeu.ox.ac.uk/toby I think you can find useful info there.
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An old idea/feature I would love to launch is an eHandbook here on 99nicu. Accessible as a "tab" in the menu above. A pharmacopedia would be a piece of cake to create with a crowd-sourced approach. There are plenty of Pubmed'ed info that we could refer to (i.e. of course we need to create our own text, not copy&pasting from copyrighted sources).
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After a long sleep, I have re-launched NeonatalStaff.com, a dedicated the job board for NICU professionals! For recruiters to advertise vacant job positions related to neonatal care. The web site is developed and maintained by myself, and any revenue is directly granted 99nicu and its maintenance and development. In other words, NeonatalStaff.com is a sort of charity project for 99nicu It is free to post vacancies there, but it is also possible to feature jobs. Featured vacancies are cross-posted to 99nicu and its social channels. UPDATE 2017-01-30 - as the activity on NeonatalStaff has been very small, I have closed NeonatalStaff. The URL re-directs to 99nicu.org -
There is an big and relevant topic started in the forums, about how to avoid that malnutrition develops in infants with congenital heart disease. @Aymen Eshene works in a NICU in Libya and often see that infants with congenital heart disease is becoming malnourished. He searches for input on strategies and interventions how to reduce the risks of malnutrition. If anyone has experience or knowledge within this field, please post in the thread here: http://99nicu.org/forums/topic/1887-malnutrition-in-chd-infant/ -
Thanks for posting about this, sounds like a bigger and very relevant question. I will promote it on "Home" I would advice to connect with a nutritionist (if there is one), or alternatively some nursing staff, to set up a working group that could both investigate, set up interventions, implement and follow-up. A good first step would be to analyze potential causes. The nutritional/dietary histories are key, and how intake relates to cardiovascular symtoms. I guess the problem could be related to either low intake or high (disease-related) demands.
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Thanks for posting! Please also post in the Calender http://99nicu.org/calendar/ (I assist you if you need help, drop me a PM if so)
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The ROP Trial has become a Supporting Partner to 99nicu! The ROP Trial needed to distribute material to potential NICUs that would be willing to enroll preterm infants to the trial on IGF-1 and whether IGF-1 would reduce the risk of ROP. If you are interested to join the ROP trial and enroll preterm infants at risk of ROP - visit http://www.roptrial.com and find more information in the attached PDF. In return, the ROP Trial gave an unrestricted educational grant to us, very timely as another round of technical upgrades is close in time. @ROPTrial, thanks for considering 99nicu for a channel of communication and becoming a Supporting Partner! 10352269_ROPP_99NICU_Email_HCP_v1.027Oct2015.pdf -
@marycam - wished I could share something with you in English, but I googled and found two good lectures (slides as PDF) and one document from somewhere in the UK https://www2.aap.org/sections/perinatal/PDF/PerinatalWorkshop2010/DunnGolden.pdf http://angels.uams.edu/files/2013/10/Neonatal-Golden-Hour.pdf https://www.networks.nhs.uk/nhs-networks/staffordshire-shropshire-and-black-country-newborn/documents/golden hour 2011-13.pdf If anyone has a clinical protocol that could be shared - please do!
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As they write on http://www.hottopicsinneonatology.org/ Visit the conference website for more information. -
Have you explored what are the differences compared to the previous version?
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@Martin.Keszler - you're right about small preterms. Our masks are designed for infants 2000 grams and up, but it has been said that a tiny mask will be around, allowing use down to 800 grams. I work in a level2-unit right now and we care for babies from 28w and up, so a smaller device would be great. When infants <31w are delivered we have a neonatologist on site though, and if needed these babies are intubated. But for unexpected near-term/term infants, and when fellows are at the front line, they commonly use laryngeal masks if they are uncomfortable with intubation.
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The 17th of November each year is the World Prematurity Day. Originally started by parent organisations in Europe in 2008, the World Prematurity Day is an international event aiming at high-lighting the ~15 million infants born preterm each year. Read more about this day on the March of Dimes web site, and on Facebook.
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I switched hospital ~2 years ago and even if our resuscitation tables are equipped exactly the same as in the previous hospital, I have noticed that fellows here use laryngeal masks more often during resuscitation, instead of going directly from mask (+NeoPuff ventilation) to intubation. I must say that my experience has grown very positive, laryngeal masks can be applied with little training and gives good airway support. EBNEO has published a review here : https://ebneo.org/2015/09/airway-support-during-neonatal-resuscitation-how-effective-is-a-laryngeal-mask/ on a RCT on this specific question, laryngeal mask vs face-mask-ventilation. I fully agree with the conclusion that: Do you have similar or other experiences to share?
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the European Neonatal Ethics Conference 2016 to be held in Oxford United Kingdom on the 1st and 2nd June 2016. For further details go to http://www.wonepedu.com/NeoEthics-Conference.html -
It is easy to post on the job board - it works just as any other forum. Log in. Go to the Job Board (under the Message Board). Click on the green button "Start new topic" in the top right corner here Add the title and description of the job position offered/wanted, and click "Submit" Done! All job positions are promoted in the emailed newsletter, sent on a regular basis. If you post jobs, please consider to contribute 10 EUR/year, as a Society Member.
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In the NICU we change every ~3 hours, and use alternate between hand/foot on both sides.
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@safaa5@hotmail.com and @Melanie - the link to the PDF had changed as a result of the IT work last week, I have corrected it know, and download works
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The 99nicu make-over has been a process that has included lots of work, also from professional IT consultants. As 99nicu is a free service, i.e. everyone can use everything at no charge, this re-launch had not been possible without a dedicated grant from Acta Paediatrica. I would like to publicly thank professor Hugo Lagercrantz and the foundation of Acta Paediatrica, for this great contribution to 99nicu. Without this grant, the future had not seen so bright for us. Now, we have modern technical platform and the web site works great on all devices (computers, tablets, and smartphones). Now, we can focus on the great content 99nicu generates. If you have manuscript for publication, consider submission to Acta Paediatrica. -
@alyelayyat Have a look at this video: http://www.neoknowledge.org/chest-tube-pigtail/ Regarding knowing when you enter the pleural space - you'll feel it As you insert the tube rather high on the chest you will be certain that the tube is in the pleural cavity when you insert it, the "reciept" will be that you can aspirate air.
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It is great to visit a conference, but I believe I am not the only one who attends conferences infrequent. But one can follow conferences through new social technologies like Twitter! As many of you know, I am deeply involved in the EBNEO Society (together with others in the 99nicu Team, like Francesco Cardona and Hesham Abdel-Hady) and one strategic idea has been to live-tweet our conferences. We did so already during the 1st and 2nd EBNEO conferences in Stockholm 2011 and Istanbul 2013, and also during the recently held 3rd conference in Philadelphia. Have a look at the hashtag #ebneo2015 on Twitter. I see know that the jENS-meeting in Budapest also has an official Twitter account @2015_jens, and there are live-tweets on the hashtag #jens2015. So, don't miss the chance to learn about what's going on in Budapest!
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