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Posted on August 10, 2016 by winnineo I don’t know about your place of work but our centre is busy and by busy I mean our resources and staff are almost always working at full capacity. There is a shift afoot though in modern Neonatal care to shift some of the responsibility for care to the parents. You might say it always should have been this way but as with any speciality we grow, learn and evolve over time. The most recent stage of evolution is the development of the FiCare philosophy. This is not the first time (and likely not the last) that I will reference this s- 1 comment
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How many preterm infants can we safely care for at once?
AllThingsNeonatal posted a blog entry in All Things Neonatal
We have been seemingly under siege over the last year or so by a relentless flow of preterm infants through our units in the city. Peaks and valleys for patient census come and go for the most part but this almost unwavering tendency to be filled to the rafters so to speak is unusual. Much has been said and will continue to be acknowledged that we are all doing incredible work, that we are dedicated and putting patients first but where is the breaking point? When does fatigue lead to errors no matter how well intentioned and selfless we are. In those cases when it is not a matter of being -
I have been mulling over this piece for some time. In my own practice I have long questioned the role for standard phototherapy (the equivalent of a single light source) vs intensive phototherapy (delivering >30 microwatts/cm2/nm and usually two light sources) when treating jaundice for all patients. I have bolded that last part to emphasize that I am not just talking about newborns with severe hyperbilirubinemia but rather all infants with treatable jaundice based on local treatment curves such as shown in the CPS and AAP statements. When newborns are only 30 - 50 micromol/L above the tr