ram_jk

I tried once and was successful when I was a Royal North Shore, Sydney. All I needed was a good assistant who can stretch the skin when it comes to the angle of mandible and the neck bcos it was difficult to maneuver there. the risk am not sure (always look at risk - outcome benefit).

No issues with days, as long as you can successfully treat the problem. You know the risk - outcome benefit. a dose of flucloxacillin might help around the time of insertion.

Once before discharge is what we practice. We make sure we examine them thoroughly according to policy. But before that a 48 hour check is helpful since midwives and mother`s might not come up with subtle problems all the time. Apart from that I think daily check is really not needed.

Nasal intubation is the only way out I think! Or 1. You can get some good biomedical engineer who can connect an alarm to the ventilator and the nurses station. 2. Get a dedicated nurse for every room 3. teach parents if they are around about extubation (might not be a good idea for some) 4.may be for the future - robotics !

Dear, Good thought. I will try to capture in my next insertion (ICD).

It is all about the NICU, staff and economics. Any person (doc or staff) will accommodate to any ventilator as time goes on. Try Schiller (sophie), Puritan and Bennet.