Katja

We use morphine or dexmeditomedine, in rare cases both. No benzodiazepine. I am curious: why fentanyl? Half life is so long.

Go down with PEEP and then change to High flow. Sometimes I wean directly from CPAP, depends how the child is doing during care. Why is your PEEP still that high? Just curious. Yours Katja

Perfect, thanx Stefan!

I'd like to discuss an old topic again. Which pain scale do you use for premature babies? And what are the consequences for you when dealing with pain in premature babies? We're currently having a discussion on this and I would be grateful for advice and discussion.

Thanks for the good topic @Stefan Johansson! I think we all probably treat them pretty much the same, but small differences may change the game. Therfore I am pretty much interested on how everybody does things? Our approach is: ventilate HFO and don't touch. Do you do it that way too? Do you treat the PDA preventively? What do you do with enemas? Any thoughts on this?

We learned today that the Neo Pod T humidifier will continue to be produced under a new company. It is unclear when exactly. @Erik Borgstrom

Will do the same. Let you also know, if we have any news. Thanx

We just learned, that the Neo Pod T Transporter Humidifier, will not be produced anymore. Which is a big issue for transporting our preemies. To my knowledge there is no other humidifier for transport available. Any thoughts or ideas? Yours Katja

We use it from vygon. I like the needle, which is very sharp. The older the babies are and the harder their skin is, the less comfortable I find it. So we use both devices.

Since there is some evidence that etomidate causes adrenocortical dysfunction with increased mortality in septic patients, we have stopped using it for a long time. However, we only used it in older children, not in neonates.

We use enemas on regulat base, for years glycerin and now Sodiumchloride every 12 hours. No problems and both safe to use. Only exception, where it is forbidden, is in NEC ( which we see rarely these days). What do you think about circulation? especially when you look at the data to blood pressure standards that favor the fifth percentile. I think it's actually less about the altitude and more about preventing circulatory fluctuations. Any opinions on this?

We have a different approach concerning fentanyl and inotropes. My thoughts were: less is more, don’t touch. But maybe I am wrong. And no phenobarb. In my experience, they all lack strength and are eventually intubated in the first hours. The approach of intubating immediately is probably better to avoid barotrauma. We dont bag mask @wackdiyes, we give caffeine in the delivery room.

Fantastic Delphi Talk from F. Namba I would be very interested to know what our differences are in terms of care for micropremies? how do you manage? what are your key points or differences? F. Namba, maybe you want to join the discussion? Would be great!

We saw this in two cases at the beginning years ago. Then we stopped giving probiotics for a time and changed the product and haven't seen any problems since, even with the small weeks. We are convinced of it

Salbutamol inhalative works fine.

We received an ECHO 11 meningitis alert from the National Reference Center today. has anyone seen cases? there is a high incidence of affected male twins. Is that coincidence or a low number of cases? I do not understand that. Any ideas?

COPRA is up for discussion. One of my colleagues has experience with it and says that there is practically no NICU module. Which means to invest a lot of time. I would like to know if there is a PDMS where there are better structures for NICU?

Dear colleagues, we are looking for a PDMS system that has to serve NICU and PICU. NICU seems to be the sticking point. What are your experiences? What is you recommendation?

Started with fentanyl, atropine and rocuronium. Over the years I am uncomfortable with fentanyl. I have seen some cases of wooden chests and people who couldn‘t handle it. Dropped atropine over the years too, because of unfavourable energy balance. Today Ketamine and midazolam and rocuronium. I am still struggle with the benzodiazepine. Maybe we should use ketamine alone? What do you think?

No ExTx. Urgent work up!

Is the underwater seal drain that same as for pleural drains? And which catheter do you place in the pouch? Thanks

I would totally agree, assment of the gap and if possible tracheostomy under EXIT procedure. Often it is not possible, because of the distal end of the trachea.

does anyone know if there are new devices for Replogle tubes for esophageal atresia? with intermittent suctioning