Naveed

We heparinize all our central lines - UAC, UVC and PICC.

Our routine use of UAC and UVC is 7 days. We leave UVC longer in some cases. We go to 10 days if needed and occasionally to 14 days with UVCs. We have not seen any higher complication rates with 7 days vs 10 days. Naveed Hussain University of Connecticut/ Connecticut Children's NICU.

We do use MCT oil to increase caloric density of feeds.

A few other factors may be important to make that decision. Degree of illness, underlying pathology, Gestational age, BW and postnatal age of the baby. Of course the Threshold for ET will change based on these factors. For example we recently had a full term baby with liver failure due to GALD in which case ET will be needed. However for an otherwise healthy baby with those numbers ET may not be needed. We had a similar vcase of a baby with inspissated bile syndrome. The direct Bili was elevated for over a month!

When is the next discussion on this topic. I missed the May10th discussion. Naveed Hussain, MD. USA