Stefan Johansson

Watching Spain - Ireland in the Euro2012 football tournament. Spain's dominating! But which country will be the Champions? My bet, Russia or Germany. Sweden... no chance

I would suggest that you start to wirhdraw phenytoin. If the baby is free from seizures, then wean off midazolam. If also phenobarb Should be stopped, depends on the clinical scenario as a whole and What the EEG looks like. We commonly " auto-wean" phenobarb , i.e. Keep the dose as such for 3-6 months, with no weight corrections as the baby grows.

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I read that all owners of leaked account pw's would get an email from linkedin. But, I have changed pw anyway, just to be sure

Mechanical ventilation - one of the corner stones of modern neonatal intensive care. We want to encourage exchange of knowledge, experience and opinions regarding equipment and therefore launch a 99nicu Poll about the subject. What ventilators do you use on your ward for mechanical ventilation (i.e. not HFOV)? Please share your comments below!

... is now available on Slideshare. BTW, it was an experience to have been there! Greetings to all 99nicu members I met IRL! New and Views on the Patent Ductus Arterious View more PowerPoint from Stefan Johansson

I'd say yes to your question, if blood is easily drawn from the catheter (without much pressure on aspiration).

We don't have written guidelines for this, but in principal we work like this: we re-admit infants discharged from maternity, if they need photo-therapy or feeding support the first days after discharge, if we have a single room for the family and baby. We also have quite a few babies transferred to our "home-care", typically ex-preterms but >34weeks and practising breastfeeding while reducing tube feeding. Sometimes we have backlashes, like poor weight gains or if the parents feel uncomfortable, for any reason, being at home. Then we offer a single room for these families as well, to come back, whenever needed.

Believe it or not, but I am sitting on 11000 meters in a jumbo-jet, on my way to Dubai. I fly Lufthansa - mit Internetz, to my surprise! 1 hour for 10 euros, I simply could not resist to try it It's not a superfast connection but enough to do some 99nicu house-keeping (i.e. validating a handful of new members), taking care of the latest emails and checking the news. Looking forward to this trip, planned since long. But, I nearly missed the plane in Stockholm, I jumped on the airport express at the same time a major power supply problem shut down all train and underground traffic in Stockholm. For two hours it turned out. I was lucky enough to make an early decision to leave the train. I and an Italian pasta producer shared a taxi (nice conversation, we were both against Low Carb High Fat-diets ) and I managed to check in super-fast just before the closed the desk. Greetings from... heaven!

We had a similar EXIT procedure about 6-8 years ago and it was succesful. The review is very good! It's unfortunate that it is not available in full text/as open access material

I got an update notice today, maybe version 1.0.1 fixes some of the problems. Q to @Afif: is there an Ipad version of TnEcho?

It's working on my Iphone 4, but on my 1 gen Ipad, it's just showing an iphone-sized window with "over-sized" text. Let's hope for some bug fixes, looks really promising (as I just about to be doing some PDA lectures and one of my messages is "Echo, echo, echo!")

PCA should prob be PDA (patent duct) But HSHC... Hydrocortisone?

During the Practical Pediatrics work shop at the Taj Palace Hotel, 26th of May, 1530-1615.

Even the best summer days in Sweden reach this kind of temp's! (and today, rain and +8 degr C...) Did you know that Facebook will build a large server hall in norther Sweden. Because we have Internet there. And long cold winters, perfect for cooling down servers.

And thanks to everyone else too for support and salutes!

Thanks Leonora !

Not this time. Hope for a 2nd tour !

I will go on tour to the Arabian Peninsula, and lecture about PDA diagnosis and treatment, 25-29/5. My ambition is to share news and views on ductal problems, from my dual perspective as neonatologist and clinical epidemiologist. It will be my first visit to the region, and I am looking forward to it very much, not only for my wish to go on a guided tour of the Desert . First of all, I hope to meet many of you, as I know that many neonatal staff in the Arabic countries are active members here. And, secondly, I will be able to meet the "99nicu co-driver" Habib, aka JACK, for the first time IRL. I am more than grateful to him for joining in 2007 and helping me to "resuscitate" 99nicu.org in 2008. I will give lectures in Dubai, Saudi Arabia and Kuwait, and I will post details on times and venues as soon as I get them. UPDATE - TIMES AND VENUES: Dubai: Practical Pediatric Workshop at Taj Palace Hotel, 26/5, 15:30-16:15 KSA: Marriott hotel in Riyadh, 27/5, 19:00 (07:00 PM) Kuwait:Mövenpick Hotel & Resort Al Bida’a, 28/5, 20:00 (08:00 PM)

Thanks for sharing ! Will check it out!

Interesting question! I am not sure about the setting but I don't think we keep rooms warmer than 22 degrees centigrade. Which means that babies needs to be dressed or preferably lying skin-skin with the mother/father.

The use of inotropes is a matter of discussion, and the 99nicu Poll for May 2012 is about the use inotrope use in preterm infant. This poll is inspired by a topic at the Evidence-based neonatology (EBNEO) conference in Stockholm, June 2011. Dr Alan Groves lectured about the use of inotropes, in an excellent and thought-provoking way. You can see this lecture in the EBNEO web cast, as the first lecture on the 2nd conference day (4 June 2011) http://web22.abiliteam.com/ability/show/khcichp/abbott_ebneo/speed.asp A review article by Alan Groves is also promoted as the Leading article this month.

Same here, they are added to the fat emulsion, usually started before 24 hours postpartum.

Sounds almost too good to be that close to work! Maybe you could also send your teenages when the're off, for some extra work - might give their wallets a rest too I usually bike to work (10 km). Being from the country-side ("rural Sweden") I have never become accustomed to commuting by bus/underground. Sounds silly, but I found that others (who have moved in from elsewhere to Stockholm) prefer to bike as well. Greetings from Stockholm!

During the last few days you might have noticed that 99nicu has been offline sometimes, due to technical maintenance. I needed to upgrade the software that 99nicu.org is based upon (vBulletin), and also need to compile new versions of the iOS and Android app. Since we started, I have done software installations and upgrades (auto-didactic with computers) but the more complex these softwares become, the more I sweat before I do this technical maintenance. And, I also feel kind of responsible for the hundreds of people browsing 99nicu every day. If things go wrong, I'd be like a man in a dark forest with the torch just stopped working. I.e. completely lost... and offline. Keep fingers crossed that we manage to get funding in the future to out-source the whole technical backend of 99nicu.