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99nicu.org 99nicu.org


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spartacus007 last won the day on February 8

spartacus007 had the most liked content!

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About spartacus007

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  • Birthday 11/27/1974

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    Consultant Neonatologist
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    Princess Anne Hospital Southampton UK
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  1. Dear Colleagues, We had published the first quality improvement exercise called Project NIK (aimed at standardising the intubation process in neonates) 8 weeks agao. This includes how to standardise premedications and human factors in elective intubation. We have now developed the 2nd quality improvement exercise called Difficult Neonatal Airway management which looks at standardisation of teams, approach when you encounter difficulties with face mask ventilation, intubation or the placement of the airway adjuncts in neonates. There are 9 modules with a number of videos to access for training purposes. Dr Alok Sharma Consultant Neonates Southampton
  2. We are using it for 34 weeks and above
  3. Dear Colleagues, We are organizing a Difficult Neonatal Airway Course in Southampton on the 23rd of April 2019. The course addresses Newer methodologies in neonatal intubation using videolaryngoscopy Glidescope use in neonates Sedation for Videolaryngoscopy Sedation and paralysis in neonatal airway management The Vortex Approach and its applicability Developing difficult neonatal airway algorithms for your environment DNA trolleys Choosing your VL .....and lots more For more details go to Difficult Neonatal Airway Course Southampton Course Details
  4. Dear Stefan We are doing PROSPECTIVE STUDY ON premade intubation drugs (Project NIK) and have collected data on 168 interventions with the combination of Fentanyl Atropine Suxamethonium. More details here https://www.mproveacademy.com/quality-mprovement/toolkits Register and click on Toolkit 1 elective neonatal intubation
  5. The European Neonatal Ethics Conference is one of the premier events discussing issues involving ethical care around a variety of aspects in neonatal care. It is held every 3 years and is being held in Southampton United Kingdom this year. Besides addressing a number of different topics including issues of neonatal palliative care, organ donation and extremes of viability it is opportunity to share ethical practice across Europe. Venue -St Mary's Stadium Southampton UK Dates 14th & 15th November 2019 Initial Flyer Call for Abstracts-We are calling for abstracts for oral presentations, poster presentations, debates and round table discussions. More details are available here Website-http://www.wonepedu.com/NeoEthics-Conference.html Video-
  6. Dear Martin, I am curious what saturations to you target in the delivery room and first 2 hours Martin Do you start with an FIO2 of 100 My assumption if you use AC is you want the baby to trigger. Do yo use any sedation and have you stopped using routine paralysis? Alok
  7. Where is the evidence that it reduces CLABSI rates
  8. Dear Satyen We will be running it India next March Alok
  9. MPROvE Neonatal Simulation Instructor Course Dear Colleagues, We have 8 places for the next Neonatal Simulation Instructor Course to be run in Antrim near Belfast in 2019-Course Details Course Background This course is run to accredit and train neonatal staff in delivering simulation, debriefing moulage and high fidelity simulator use. The course addresses the following over 2 days- •Educational principles in simulation, Adult learning theory, •Modelling delivery of your simulation programme •Scenario design, Packaging of Scenarios, Manikin Modification and Moulage •Debriefing principles, Debriefing styles, Difficult Debriefing •Running high fidelity simulation and equipment training •Issues of confidentiality and ethics •Simulating death Course Dates 31st January and 1st February Registration Moulage is taught and all the resources provided For instructors wanting to take things further there is accreditation programme. The course comes with a full package of neonatal scenarios, toolkits for quality improvement and videos for use. More details are on https://www.mproveacademy.com/
  10. Dear Colleagues, I hope this email finds you in the best of health and good spirits. For those of you who run simulation related activity in neonatology we have a website where resources can be accessed. Simulation scenarios are added every month and can be accessed here https://www.mproveacademy.com/mprove-academy/scenario-bank Moulage to improve your neonatal scenarios can be accessed here https://www.mproveacademy.com/mprove-academy/scenario-bank If you just want to access videos to teach and train your trainees and colleagues they can be accessed through the scenarios or on this website below https://www.youtube.com/channel/UC22LMIG5Bwqhreic_DFHATw?view_as=subscriber There are playlists on Neonatal Procedural Skills, QI initiatives, and Human Factors training in neonatology. Hope this helps. If anyone has any ideas about using technology enhanced learning in neonatology that we can share please dont hesitate to be in touch. Alok Sharma Consultant Neonatologist Southampton UK
  11. Thanks Zuzanna we already have. We have implemented standard practice of placing the resuscitaire temperature probe in the baby's axilla after birth. The resuscitaire is switched to servocontrol at 37 C. At 5 minutes if the baby is still hypothermic a gel matress is added. The key is there is a dedicated person monitoring the temperature throughout the resuscitation. We have had a significant improvement in our thermal outcomes over the past year. The key thing is whether this is sustained.
  12. Gayle that's fantastic. We use servocontrol as well just like you and cannot monitor in transport. We do however do a digital temperature just before we leave the delivery area to make sure it correlates and on arrival in the NICU because distances are large. It just means that if a baby is hypothermic at any point that becomes a point at which to intervene. Using this we have had only one preterm baby with a temperature under 36.5C last year. This was without increasing rates of hyperthermia on our NICU. We used a standardised protocol (www.mproveacademy.com go to scenarios and look at https://www.mproveacademy.com/mprove-academy/scenario-bank) You are looking for Thermal Care. Alok
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