anja stein

We have been using analgosedation for AntiVEGF-Injections for years. We start with 0,1 mg/kg Midazolam (sedation) during preparation time (desinfection, draping inspection), the give Atropine (1:10 0,1 ml/kg, also to avoid oculocardiac reflex-bradycardia), shortly before injection 0,5 mg/kg Ketamine (analgesia) slowly iv (time when ophthalmologist marks injektion site). If the baby is still moving too much add 0,05-0,1 ml/kg Propofol 10%. Respiratory support during procedure ist mononasal CPAP via Perivent T-piece (option to manually ventilate in case of apnea, sometimes as reaction to ketamine, especially if injected to fast). As the usually do both eyes: repeat Midazolam/Ketamine/Propofol as needed.

We had congenital Echo11 Sepsis/Encephalitis (symptomatic from 4th day of life) in a term male infant (mother had vomiting/diarrhea approximately 7 days before delivery). We had a nosocomial transmission. To a preterm infant with sepsis like illness and diarrhea. Both infants recovered.

The link to register does not work. There is no button to register on the N3 homepage?

you may find this brochure helpful: https://www.draeger.com/Library/Content/jane-pillow-hfov-br-9102693-en.pdf

I would be really interested in the full article. Could somebody maybe provide this?

We also use the Seldinger technique with pigtail catheters, much less traumatic, almost no scar, easy to learn. For premies we use 6Fr, 8 Fr for older children is also available. Not only for pneumothorax but also effective for pleural effusions. Complete sets are available.

Me too: anja.stein@uk-essen.de

This ventilator is suitable for neonates and pediatric patients. It has pressure and volume targeted ventilation options, but no HFO. This is why we are using this ventilator in our PICU and the VN500 in our NICU. You can go to the Dräger website for online and downloadable offline trainers for the different ventilator types. They have also loads of informative booklets. You will find the Evita4 only on the German website.

We laser in a separated room on the ward (also used for postnatal care/resuscitation). We simply hang signs on all doors, drape all windows, all staff in the room wears laser goggles. We lase in conscious analgosedation with ketamine and dormicum, so no intubation is necessary.

We implemented Pulseox-Screening 1 year ago, because we missed one child with critical pulmonary valve stenosis. It was the weekend, vaginal delivery was uneventful, systolic murmur was detected on the first day of life, the child well without dyspnea, due to the weekend echo was not available without contacting the cardiologist on-call, second well-child check was planned on monday, cyanosis was not detected my the nurses, although they did not see the child very often due to rooming-in. The doctor who did the examination on monday confirmed the systolic murmor and did Sat-Screening because she found the child cyanotic (preductal SO2 80%). From this case we learned that skin color is not very reliable and a child with CHD may be missed especially in a setting with family-rooms and rooming in. So far we did not identify a child with CHD by screening.