99nicu Forums http://www.99nicu.org/forum/ 99nicu.org Internet community for professionals working in neonatal medicine and research en Fri, 18 May 2012 13:53:55 GMT vBulletin 30 http://www.99nicu.org/forum/images/misc/rss.png 99nicu Forums http://www.99nicu.org/forum/ EXIT procedure for fetal neck masses http://www.99nicu.org/forum/showthread.php?24398-EXIT-procedure-for-fetal-neck-masses&goto=newpost Thu, 17 May 2012 21:06:47 GMT It rarely has to be performed at our hospital, but here I found a great review and step-by-step approach to all aspects regarding EXIT procedure... It rarely has to be performed at our hospital, but here I found a great review and step-by-step approach to all aspects regarding EXIT procedure (ex-utero intrapartum treatment) at birth

http://journals.lww.com/co-pediatric...masses.17.aspx ]]> practical procedures fcardona http://www.99nicu.org/forum/showthread.php?24398-EXIT-procedure-for-fetal-neck-masses Book review: Alcohol, drugs and medication in pregnancy: The long-term outcome for the child (2011) http://www.99nicu.org/forum/showthread.php?24396-Book-review-Alcohol-drugs-and-medication-in-pregnancy-The-long-term-outcome-for-the-child-(2011)&goto=newpost Wed, 16 May 2012 05:17:50 GMT Attachment 519 (http://www.99nicu.org/forum/attachment.php?attachmentid=519) *Alcohol, drugs and medication in pregnancy: The... CDM 188 Preece Riley.jpg


Alcohol, drugs and medication in pregnancy: The long-term outcome for the child. Preece, P. & Riley, E. (2011).
Clinics in Developmental Medicine, No. 188. London: Mac Keith Press.


Many NICUs are reporting that infants experiencing prenatal exposure to alcohol and drugs (including tobacco and prescription medications) are a constant and growing sub-population within their units. The research in this area continues to move forward and it is important for practitioners to stay aware of advances related to not only neonatal care but also pre and postnatal support of women.

This book was written by an international team of contributors, including geneticists, pediatricians, neuropsychologists, occupational therapists, and social workers. The content is organized in four main sections: (1) epidemiology and pathology of neuroteratogenesis, (2) long term effects of major prescribed medications, (3) long term effects of drugs of abuse, and (4) intervention strategies to reduce the impact of drugs and alcohol in pregnancy.

The intervention chapters focus not only on interventions for the infant and child, but also for supporting the mother during pregnancy and early parenting. Chapters in the final section on interventions address some of the challenges of practice research and policy in this area – defining patterns of exposure, methodological challenges in conducting long-term research and delivering sustained interventions, addressing the ethical issue of balancing the rights of the child with that of the parents, determining appropriate use of child protection services, and the complexity of developing public health messaging.

A strength of the book is that the editors and authors acknowledge the complexity of the subject and the wide range of factors that influence long-term outcomes for this population of infants. They also promote actively exploring not only medical interventions, but also social interventions, as early as possible. A limitation of the book is that sometimes the challenges that mothers experience are often presented as lifestyle choices. Research is increasingly demonstrating that social determinants of health such as poverty, intergenerational impacts of trauma and violence, concurrent mental health challenges, and lack of access to health and social supports impact greatly on a women’s ability to have a healthy pregnancy and to parent successfully. Macrory and Murphy’s chapter is effective at highlighting the need for family-focused, harm reduction based services, and early connection to interventions, and Streissguth and Grant’s chapter highlights the effectiveness of intervention models such as the Parent-Child Assistance Program. A second limitation for neonatal readers is that the book does not include specific guidelines to support infants through withdrawal. For practitioners looking for more specific clinical guidelines supporting care of the infant during withdrawal, it is recommended that readers refer to local, regional and professional clinical guidelines for this specific information.

This book would be a useful adjunct text for practitioners to provide background on brain development, outcomes, and effective interventions to assist them with counselling parents and participating in multidisciplinary teams to organize both infant and family-focused services.


Lenora Marcellus, RN, MN, PhD
Assistant Professor, School of Nursing
University of Victoria
Victoria, British Columbia Canada
Attached Images
]]> Reviews Victoria http://www.99nicu.org/forum/showthread.php?24396-Book-review-Alcohol-drugs-and-medication-in-pregnancy-The-long-term-outcome-for-the-child-(2011) B Braun Infusion ans syringe pumps http://www.99nicu.org/forum/showthread.php?24394-B-Braun-Infusion-ans-syringe-pumps&goto=newpost Tue, 15 May 2012 15:22:13 GMT Does anyone out there in Preemie World use the B Braun pumps in their NICU? Please contact me if you do at babymover@hotmail.com. I would like to ask... Does anyone out there in Preemie World use the B Braun pumps in their NICU? Please contact me if you do at babymover@hotmail.com. I would like to ask you some questions. Thank you. ]]> technical equipment babymover http://www.99nicu.org/forum/showthread.php?24394-B-Braun-Infusion-ans-syringe-pumps 99nicu birthday! http://www.99nicu.org/forum/showthread.php?24392-99nicu-birthday!&goto=newpost Fri, 11 May 2012 06:31:57 GMT Today 99nicu has its birthday! Six years has passed since we officially opened 99nicu.org. Join the anniversary thread in the Lounge (members... Today 99nicu has its birthday!

Six years has passed since we officially opened 99nicu.org.

Join the anniversary thread in the Lounge (members only).

Greetings to everyone from the virtual Headquarter!


]]> News Stefan Johansson http://www.99nicu.org/forum/showthread.php?24392-99nicu-birthday! Persistent respiratory alkalosis http://www.99nicu.org/forum/showthread.php?24391-Persistent-respiratory-alkalosis&goto=newpost Sun, 06 May 2012 02:54:30 GMT Hi there, T/SGA with perinatal asphyxia/DIC/pneumothorax/mas/ sepsis-clinically improving-activity better, no bleeds, pneumo resolved, on SIMV(1:1... Hi there,

T/SGA with perinatal asphyxia/DIC/pneumothorax/mas/ sepsis-clinically improving-activity better, no bleeds, pneumo resolved, on SIMV(1:1 vent)-13/4/23(rate) /25%-latest abg-7.6/21/102/22.Respiratory efforts are poor/ ocassional. No sedation, phenobarbitone also stopped . Responds to physical stimuli with respiration going >60. what ventilatory changes do you suggest. ]]> pulmonary disorders and ventilatory support drdnarula http://www.99nicu.org/forum/showthread.php?24391-Persistent-respiratory-alkalosis Targeted neonatal echocardiography website http://www.99nicu.org/forum/showthread.php?24389-Targeted-neonatal-echocardiography-website&goto=newpost Sat, 05 May 2012 21:27:18 GMT Dear members I wanted to let you know about an iPhone/iPad app that we released yesterday. The project was spearheaded by myself and Associate... Dear members

I wanted to let you know about an iPhone/iPad app that we released yesterday. The project was spearheaded by myself and Associate Professor Patrick McNamara in collaboration with Ikaria who generously funded this initiative and our partners in corporate ventures and IT at The Hospital for Sick Children, Toronto, Canada.
It was released in the iTunes store on May 3rd and it is free to download. We hope that this app will be a great supplement to train neonatologists in echocardiography.


Please have a look and feel free to distribute to staff and trainees in your division.

Here is the link

http://itunes.apple.com/ca/app/tnecho/id522700359?mt=8 ]]> education, organisation and evaluation Afif http://www.99nicu.org/forum/showthread.php?24389-Targeted-neonatal-echocardiography-website Delivery room temperature http://www.99nicu.org/forum/showthread.php?24388-Delivery-room-temperature&goto=newpost Fri, 04 May 2012 11:33:59 GMT I want to ask from group what is the recommendation (WHO or AAP or European) about maintaining delivery room temperature or OR temperature. I know... I want to ask from group what is the recommendation (WHO or AAP or European) about maintaining delivery room temperature or OR temperature. I know that it is 26 degree celsius, but what about those countries where summer is much hotter like mine in Dubai, Saudi arabia etc . I know countries where there is winters most of the times even sitting in 26 degree feels good but in hot countries it is very difficult to sit at room temperature of 26.
Any evidence in this regards will be much appreciated. ]]> resuscitation rehman_naveed http://www.99nicu.org/forum/showthread.php?24388-Delivery-room-temperature 99nicu Poll: use of inotropes in preterm infants http://www.99nicu.org/forum/showthread.php?24386-99nicu-Poll-use-of-inotropes-in-preterm-infants&goto=newpost Fri, 04 May 2012 06:49:45 GMT The use of inotropes is a matter of discussion, and the 99nicu Poll for May 2012 is about the use inotrope use in preterm infant. This poll is... The use of inotropes is a matter of discussion, and the 99nicu Poll for May 2012 is about the use inotrope use in preterm infant.

This poll is inspired by a topic at the Evidence-based neonatology (EBNEO) conference in Stockholm, June 2011. Dr Alan Groves lectured about the use of inotropes, in an excellent and thought-provoking way.
You can see this lecture in the EBNEO web cast, as the first lecture on the 2nd conference day (4 June 2011)
http://web22.abiliteam.com/ability/s...bneo/speed.asp

A review article by Alan Groves is also promoted as the Leading article this month. ]]> cardiovascular problems Stefan Johansson http://www.99nicu.org/forum/showthread.php?24386-99nicu-Poll-use-of-inotropes-in-preterm-infants heated humidified nasal cannula http://www.99nicu.org/forum/showthread.php?24384-heated-humidified-nasal-cannula&goto=newpost Thu, 03 May 2012 06:02:34 GMT Good day,

I just want to know if there's anyone using a fisher & paykel HHNC or vapotherm? do you have guidelines for the flow rates?

thanks

Rudimar ]]> practical procedures marr http://www.99nicu.org/forum/showthread.php?24384-heated-humidified-nasal-cannula Infection Control http://www.99nicu.org/forum/showthread.php?24382-Infection-Control&goto=newpost Mon, 30 Apr 2012 13:46:07 GMT I want to ask this question to group that what is their practice of isolating RSV, Adenovirus, Infleunza and Para infleunza viruses infection in... I want to ask this question to group that what is their practice of isolating RSV, Adenovirus, Infleunza and Para infleunza viruses infection in their units.
1) Do you isolate the index cases in separate rooms by removing them from main stream?
2) What about those who are exposed to index cases? How long do you keep them isolated ( Gloves, gowns, mask etc)
3) Or you isolate them case by case, no need to isolate them in separate room, but practice contact or droplet precautions at the same place
4) What happens when you donot have rooms to isolate the index cases either they are large in number or you donot have isolation rooms.
Thanks ]]> infections rehman_naveed http://www.99nicu.org/forum/showthread.php?24382-Infection-Control Fat-soluble vitamins for TPN http://www.99nicu.org/forum/showthread.php?24381-Fat-soluble-vitamins-for-TPN&goto=newpost Thu, 26 Apr 2012 12:07:18 GMT Dear all! Tell me please, from what age do you give fat-soluble vitamins for TPN? Dear all!
Tell me please, from what age do you give fat-soluble vitamins for TPN? ]]> nutrition Darya http://www.99nicu.org/forum/showthread.php?24381-Fat-soluble-vitamins-for-TPN