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Found 10 results

  1. I am currently writing my dissertation on the use of non-invasive ventilation to deliver nitric oxide in neonates and I was wondering: What are people‘s experiences of using non-invasive iNO with CPAP, Nasal cannula, oxygen hood etc? Which gestational have you primarily used it with? What were the indications/ underlying pathologies? Have you found this has reduced the need for mechanical ventilation or ECMO? Have you needed to deliver higher doses to achieve the same effect seen on mechanical ventilation? Which countries
  2. I doubt there is a unit in the world where at least once a day a discussion ensues about whether an infant is ready to wean or come off their CPAP. For many years we have made the decision based on a variety of markers. Some people would comment on the work of breathing, others on the FiO2 or what the oxygen saturations are at the moment as we round on the patient. Our unit has been pulling oxygen histograms off the patient monitor for years now to provide a more objective measurement to determine if an infant is ready or not. What is a histogram? It is a bar graph representation of the percen
  3. To be sure there are fans of both HFNC and CPAP out there. I have often heard from other Neonatologists that they use HFNC and find positive results while other centres refuse to use it in favour of the tried and true CPAP. Turning to the literature you will find some conflicting results with some studies suggesting equity and others more recently favouring CPAP. There has been speculation as to why one would be superior to the other and now we appear to have some answers as to where the differences lie. A Physiologic Study Liew et al published Physiological effects of high-flow
  4. This past week, Canada lost a rock icon in Gord Downie of the Tragically Hip. My late high school, university and medical school days seem to have him and the band forever enmeshed in memories from that time. In honour of his passing I thought it suitable to pay tribute to him by using one of the band’s famous song titles as the title for this post. No this isn’t a post about the band but rather a controversial ventilation strategy. While CPAP has been around for some time to support our infants after extubation, a new method using high frequency nasal ventilation has arrived and just does
  5. This is becoming “all the rage” as they say. I first heard about the strategy of feeding while on CPAP from colleagues in Calgary. They had created the SINC (Safe Individualized Feeding Competence) program to provide an approach to safely introducing feeding to those who were still requiring CPAP. As news of this approach spread a great deal of excitement ensued as one can only imagine that in these days when attainment of oral feeding is a common reason for delaying discharge, could getting an early start shorten hospital stay? I could describe what they found with the implementation of t
  6. I had a chance recently to drive a Tesla Model S with autopilot. Taking the car out on a fairly deserted road near my home I flicked the lever twice to activate the autopilot feature and put my hands behind my head while the vehicle took me where I wanted to go. As I cruised down the road with the wheel automatically turning with the curves in the road and the car speeding up or slowing down based on traffic and speed limit notices I couldn’t help but think of how such technology could be applied to medicine. How far away could the self driving ventilator or CPAP device be from development?
  7. This may sound familiar as I wrote about this topic in the last year but the previous post was restricted to infants who were under 1000g. High Flow Nasal Cannula be careful out there had a main message that suggested the combined outcome of BPD or death was more prevalent when HFNC is used alone or with CPAP than when CPAP is used alone. The question remains though whether this applies to larger infants. Without looking at the evidence for that combined outcome most people would say there is unlikely to be a difference. Larger more mature babies have a much lower risk of BPD or death so p
  8. Dear 99nicu Member, We are an international academic research team comprised of clinicians, designers, engineers, and analysts coordinated from Seattle Children’s Research Institute. We are seeking your input as part of a landscape assessment survey about the current non-invasive respiratory support technologies used around the world. Our goal is to use the survey data to inform design and development priorities for durable non-invasive neonatal and pediatric respiratory support systems that are suitable for less-resourced healthcare settings. We expect also to publish the results and prov
  9. A one day study day covering hot topics in Neonatal ventilation Organised by the Evelina London Children's Hospital and King's College London Details: http://www.guysandstthomasevents.co.uk/paediatrics-training/neonatal-ventilation-updates-hot-topics-and-workshops/ A4 flyer - Neonatal Ventilation 2014 - low res.pdf
  10. We have Drager Babylog 8000plus in our unit for Mechanical Ventilation. Now we intend to acquire CPAP unit. My concerns 1. Bubble CPAP or Nasal CPAP? Is there any convincing evidence that the former superior to the latter? The former is more expensive though. 2.Can you recommend any particular unit? I have seen demonstrations from F & P ( Bubble) and Phoenix ( Nasal).
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