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Everything posted by Stefan Johansson
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N3 (Neonatal Nutrition Network - https://neonatalnutritionnetwork.org/) is arranging the next annual meeting on 2 October 2024! Join a very exciting programme covering many different areas on neonatal nutrition and growth. The day includes several interesting lectures and afternoon workshops. In response to previous feedback the workshops will run twice in the afternoon so as to maximise the chances for attendance for our delegates. The meeting will be held in a hybrid format and all relevant information with details on registration can be found on the attached flyer. There is still time for the early bird fees N3 24 autumn flyer programme.pdf
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Hi @Katja, the Stockholm ANTS (neo transport service) do use this humidifer too. I checked with my colleague @Erik Borgstrom (ANTS doctor) and they try to save their small supply while they look into alternatives. This means that "shorter" transports for infants ≥30 weeks are going without humidification. I keep you posted what alternative they will go for, please also share any updates from you search.
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Please join us at FICare 2024, the 7th International Family Integrated Care Conference, Glasgow, UK & Virtual, October 2-3rd, 2024. FICare 2024 brings together international neonatal families, researchers and clinical teams to share the latest research, innovations and practical approaches to put families at the heart of neonatal care. Key themes for FICare 2024 include: Personalising FICare – does one size fit all? Communication with families – what works, what doesn’t Music and signing in the NICU Parent-led co-design and innovation in FICare Implementing FICare: regional and national approaches Making FICare a strategic priority: Parent & Political Advocacy Sustaining FICare: getting past the 3C’s Culture, Covid & Capacity For more details including our international expert faculty please visit: https://cfsevents.eventsair.com/7th-international-family-integrated-care-conference-2024/ Abstract submission is now open until 31st July 2024: https://cfsevents.eventsair.com/7th-international-family-integrated-care-conference-2024/abstracts Early bird registration available until Tuesday 3rd September 2024. For more information and any questions, please contact: terrie@cfsevents.co.uk -
We do not use olive oil for energy fortification at all, but sometime MCT oil. There a discussion about MCT oils recently, see link below.
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I found this reference: https://www.sciencedirect.com/science/article/pii/S0009898121004447 The given ref value for infants is wide, from 180-1400 picomol/L, the 50-percentile is in the range around 400 picomol/L. (the lines repr 2.5, 50 and 97.5 percentiles)
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Good article in Washington Post about this topic! with these law suits (and several more Seems to come up), there can be significant ”collateral damage” for infants. https://www.washingtontimes.com/news/2024/jul/2/tort-bars-newest-collateral-damage-preterm-babies/
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This is also my first thought, that the DAT+ is not related to the AB0 type but another antigen.
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This paper (video abstract below!) came on my radar recently, that antibiotic stewardship works in the NICU, that initiation of antibiotics is reduced, length of tx is reduced etc. A recent UK paper is a nice example of this, although most preterm infants in this paper still recieved antibiotics I think we are pretty restrictive with antibiotics (as illustrated by this paper), but I feel we could have a more systematic approach... How do you tailor antibiotics, and what tools do you use? what makes you start? what makes you stop?
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This is the smallest Magill we have too. A little clunky with small infants...
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We pull the Venflon out after the line is placed through it, and attach it to the proximal end of the PICC line, so only the line goes into the vein
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Thanks @Roland for sharing and thanks for your workshop contribution to our recent conference too! our nurses (like NNPs) use a Venflon and then insert the PICC line through that. Would you recommend us to investigate this new device? Any ideas where to get it in Europe? BTW, I move this topic form the Society Lounge (closed space for Society members) to the Procedures forum, to allow also those with only the web site account to reply. If anyone wish to join as a Society member, it is 10 EUR per year, click here to do it! https://99nicu.org/subscriptions
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Hi! How do you notice this increase in the daily fluids ? More hypernatremias and larger weight losses? We live in the sauna land (well, at least neighbouring 🇫🇮) but stick to closed incubators and high humidity
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Still, medical care is about balancing benefits and risks. When preterm infants are fed formula, the other alternative is not always breast milk (being unavailable), so there would be no “choice”. IMHO this legal case is just a bad example of a legal culture with few, if any, benefits. I sincerely hope we will never see anything of this in Europe. BTW, we also transition to formula around 32-33 weeks if there is insufficient mother’s own milk.
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We have an issue with emails going out from the web site dashboard. This is due to a faulty plugin in the software and a fix is underway. The web site as such is working as usual. This email issue leads to a few things: we cannot share Newsletters until this is fixed no topic email subscriptions is going out if you register for a User account, there are no email confirmations going out We will keep sharing the latest topics etc in the NICUVERSE, and on LinkedIn, Facebook and X. If you have any questions, please email info@99nicu.org -
Thanks for sharing this @chandas - NEC is such a terrible disease but law suits like this one is just a sign of cynism IMHO, lawyers "milking" the system so to say. You raise an important question, would be interesting to hear from US staff about the implications of this law suit.
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Not regularly any longer. (I am also non-believer after the Neurosis trial) But sometimes, someone (not me!) starts inhalations, I'd say typically at ~32 weeks post-conceptionally if BPD-development is more complicated ("higher" FiO2 [I'd say >50% and increasing] and "higher" CPAP-pressure dependency). We have guideline about this though.
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Thanks for posting. Where you thinking about the short-term challenges, before discharge from the NICU, or post-discharge challenges. Handling nutrition to achieve reasonable growth/development will be key. Need of (partial) parenteral nutrition may prevail for some time, and how the remaining gut process oral/enteral feeds can also be a difficulty. Support from a dietitian is usually needed in my experience. In my local experience these infants and families are usually connected the pediatric gastro department.
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We have come across that medicinal products have become unavailable. Our three latest examples are dextrose gel used for hypoglycemia management (I think this is a food supplement, but still) iron drops for supplementation preterm infants (so, used a lot!) multivitamin drops for preterm infants (finally back on the shelf...) @Bernhard Csillag also posted about phenobarb (see link below) Do you share this experience in your various contexts? I understand that newborns and especially preterm infants are small patient groups for companies to "build business around", and that we have less "power" than say cardiologists working with much larger numbers of patients. However, if this is a trend, that availability of products we need is challenged, that would be very worrying
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@selvanr4 would you know?
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Hello! We do not change the TPN composition while increasing enteral feeds. But, at a level of ~75% enteral feeding, we usually switch from TPN to 10% glucose (+electrolytes). (we do not prepare TPN inhouse, but use commercially available ready-made TPN)
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With the new year just starting and on behalf of the 99nicu team, I would like to take the opportunity to share our best wishes for 2024 to everyone here! Virtual snacks served in our Lounge 2023 was a year of milestones for the 99nicu community. In addition to all activity in our forums, we organized several webinars, converted the community into a properly registered non-profit organisation, linked up with EBNEO to promote their work, and made final plans for our upcoming conference, 3-6 April in Lisbon. For myself, being the initiator of 99nicu back almost 20 years ago (!), I am just glad to see how this project keeps developing. From the beginning we had the ambitions to build a professional network being accessible, independent and truly international. We have come far on that journey, and I am really looking forward to see what to see what the future holds. Last but not least - the world has grown into a complicated place, with several conflicts impacting newborn health. Let us hope for constructive and positive developments in 2024, with less war and more peace.
