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About AntoineBachy

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  1. We usually don't use any sedation for LISA. If the baby is big and vigorous, I prepare some remyfentanyl and use it only if needed.
  2. We do see sometimes such reversed pre/post ductal saturations in our NICU in children without any heart defect. It is usually below 5%. Unfortunately I haven't find any explanation yet.
  3. Hi everyone, I would like to get some enlightment on pratical aspect of the metabolic bone disease of prematurity or neonatal osteopenia. I have tried to find some reviews but I must confess that, in clinical situation, i am sligthly lost. - Do you perform systematic screening? To whom? How? - How do you diagnose this condition? Based on x-ray, ALP, Ca / P serum, urine Ca / P? - How do you treat? For how long? How do you monitor treatment? and... do you have a nice guidelines for dummies? 😉 Many thanks in advance. Antoine
  4. Excellent topic again! A lot to discuss about. In the same vein, do you have skin-to-skin experiences when your mom is in ICU? that she is in a state of coma? We do practice skin to skin but adult intensivists are not very sensitive to these practices and are anxious about the risk of infection (multiresistant bugs). Do you have knowledge of any articles in this regard? Many thanks in advance for your comments, thoughts and opinions.
  5. Many thanks to all of you. Those informations are of huge value. I couldn't have find these in any review or article. I never heard before about Biatin Alginate or sodium chloride cleansing for example. I feel also better to kwow that i'm not alone to be in trouble with skin care in those baby's 😉 There is nevertheless already many publications on this subject (e.g. some uses chlorexidine 0.2% with good results for < 26 weekers http://fn.bmj.com/content/103/2/F97) but i couldn't find anything on sodium chloride cleansing or general skin care (e.g. ECG leads, SpO2 probes, NIRS). Does any of you have any reference that i could submit to my team? I would anyway be pleased to read or even to modestly participate to an RCT (multicentric i guess due to the small number of those tiniest baby). regards Antoine
  6. We recently had unpreprared 23+6 twins who suffered severe skin lesions due to electrode pads. We had to completly remove those for few days. They also had skin burns from antiseptic chlorexhidine prep (which is unfortunatly well known). What are your protocol or tips for managing skin care of the extremly preterm infant? Thank you in advance
  7. we also plot them on fenton growth charts. Has any of you experience intergrowth charts?
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