frohlocke

... what I believe to observe over the last years is that aEEG became a more important tool to initiate TH , as its challenging to differentiate clinically between mild and moderate HIE. Of course together with one of the three perinatal sentinal events Stefan mentioned.. But if we lower the threshold for TH to 35w or even below, a moderately abnormal aEEG will become normal and again it would be hard to make the sometimes tiny difference between mild/moderate...

Perri A, Tiberi E, Giordano L, Sbordone A, Patti ML, Iannotta R, Pianini T, Cota F, Maggio L, Vento G. Strict glycaemic control in very low birthweight infants using a continuous glucose monitoring system: a randomised controlled trial. Arch Dis Child Fetal Neonatal Ed. 2022 Jan;107(1):26-31. doi: 10.1136/archdischild-2020-320540. Epub 2021 May 26. PMID: 34039690. ...seems to work also in VLBW, some papers like the above mentioned appeared concerning optimizing glycaemic control with parenteral nutrition .... so also from the UK REACT collaborative

We've been practising LISA from 2007 on in the dpt i was til 2016 an the meds were Coffein Atropin Propofol, later we saw it worked well without caffein- unfotunately i'm not up to date concerning neuro(developm.) issues with using Propofol in preemies, if ist's still safe i would use it again, worked well titrating 1mg/kg Up to 2 or 3

Impossible to joint despite of normal Email-adress

We let Babys Born > 35 wks with their mothers making Sure temperature and blood Glucose are normal - sometimes an 34+6 got accidentaly through - there was an Level 1 (Germany - means Level 3 in most countrys ) Team on the same floor of course so we would have been able to act every time - if you can rely on the nurses / midwifes you can trust the Babys 35 weeks or more most of them will make it! 10 years in a northern Germany tertiary Center made me believe in this

Thank You for the link

Has anyone out there experience in using the NIPE-system to asess pain in preterm infants?Wish You all the best for the upcoming year 2016!