99nicu Forums http://www.99nicu.org/forum en Sat, 26 Jul 2008 16:25:40 GMT vBulletin 30 http://99nicu.org/forum/images/misc/rss.jpg 99nicu Forums http://www.99nicu.org/forum 1874989http://www.feedburner.com Arterial hypertension in pregnancy http://feeds.feedburner.com/~r/99nicuforums/~3/346688623/showthread.php Sat, 26 Jul 2008 14:15:35 GMT I am preparing a short lecture for obstetritians from our hospital about influence of maternal hypertension on the condition of the newborn baby.... I am preparing a short lecture for obstetritians from our hospital about influence of maternal hypertension on the condition of the newborn baby. Could you recommend me any articles or books in this field?:confused:
]]> prenatal care and fetal growth Agnieszka Domanska http://www.99nicu.org/forum/showthread.php?t=12274 http://www.99nicu.org/forum/showthread.php?t=12274 Free Neonatal Articles http://feeds.feedburner.com/~r/99nicuforums/~3/342827294/showthread.php Tue, 22 Jul 2008 18:50:34 GMT I thought that I will start a thread with links to free journal articles on neonatology. Everyone is invited to add their links also. You could give... I thought that I will start a thread with links to free journal articles on neonatology.
Everyone is invited to add their links also.
You could give the title of the article, authors, name of journal, publication date, a short abstract if needed and then the link for download
]]> education, organisation and evaluation JACK http://www.99nicu.org/forum/showthread.php?t=12204 http://www.99nicu.org/forum/showthread.php?t=12204 radiation with xrays in nicu http://feeds.feedburner.com/~r/99nicuforums/~3/340095728/showthread.php Sat, 19 Jul 2008 18:40:46 GMT I came acrross an article that neonates exposed to xray abdomen had 1:500 chance of developing malaignancy later, 3 times more that of c skull. Xray... I came acrross an article that neonates exposed to xray abdomen had 1:500 chance of developing malaignancy later, 3 times more that of c skull.
Xray chest is the most often radiological intervention in nursery, for individual nicu baby, the number increases with ventilation, respiratory failure and development of complictions of ventialation;pneumonia, chronic luhg disesase, and air leak etc.Small size of neonates, a part of abdomen is mostly exposed to radiation.
I would like to know, if there is any method to prevent radiation to abdomen while taking xray chest.Also what about preventing radiation to other babies in nicu. Any studies?
]]> technical equipment sudershan.kumari http://www.99nicu.org/forum/showthread.php?t=12168 http://www.99nicu.org/forum/showthread.php?t=12168 <![CDATA[Transcutaneous PC02 & PO2 probe placement]]> http://feeds.feedburner.com/~r/99nicuforums/~3/337760151/showthread.php Thu, 17 Jul 2008 04:47:48 GMT Hello 99ers, i would be curious to know if you place the heated probe on the babies abdomen or not. If not, why not? I recently followed a... Hello 99ers,

i would be curious to know if you place the heated probe on the babies abdomen or not. If not, why not?

I recently followed a discussion where a nurse argued, that the heated probe can lead to "inflammatory like" processes under the skin surface, because of the generated heat, which in turn can lead to a greater risk for NEC....:confused:

I cant imagine the mechanism of this theory and i havent heard of anything like that so far. I wouldn`t stick the probe onto a symptomatic belly, but i haven`t experienced anything in that direction when a probe was stuck onto a asymptomatic belly. I already searched my books and everything i found was always the same: Exclude bony areas such as the spine, the rib cage etc. exclude damaged skin areas, uneven areas and areas that need to be visibly assessed.

Maybe one of you can help me out with that

Cheers Norbert
]]> nursing the neonate Skysurfer http://www.99nicu.org/forum/showthread.php?t=12167 http://www.99nicu.org/forum/showthread.php?t=12167 Nail Patella Syndrome http://feeds.feedburner.com/~r/99nicuforums/~3/330870658/showthread.php Wed, 09 Jul 2008 14:37:20 GMT We have a intersting case,suspect to Nail patella sindromeis it posible to derminate this sindrome in neonatal period We have a intersting case,suspect to Nail patella sindromeis it posible to derminate this sindrome in neonatal period
]]> orthopedic problems bebi23 http://www.99nicu.org/forum/showthread.php?t=12047 http://www.99nicu.org/forum/showthread.php?t=12047 Good Review of Anti Microbials in NICU http://feeds.feedburner.com/~r/99nicuforums/~3/329665559/showthread.php Tue, 08 Jul 2008 08:47:01 GMT I found a good recent review of antibiotic use in NICU.
The Link is:

http://www.jchemother.it/cgi-bin/dig...IDCategory=128

It is freely available...just click "Read the full text in Adobe FlashPaper (SWF)" to read the full article...You can print it out for your personal use and reference

I hope you all will find it useful
]]> drug treatment and analgesia JACK http://www.99nicu.org/forum/showthread.php?t=12008 http://www.99nicu.org/forum/showthread.php?t=12008 Cephalosporin hemolysis http://feeds.feedburner.com/~r/99nicuforums/~3/329368661/showthread.php Tue, 08 Jul 2008 01:01:15 GMT Hello Forum, I would be grateful for your thoughts and experiences on a recent acute episode of hemolysis that was neither incompatibillity nor... Hello Forum,

I would be grateful for your thoughts and experiences on a recent acute episode of hemolysis that was neither incompatibillity nor sepsis, and was eventually attributed to the fact that the infant had been receiving a third generation cephalosporin.

Ali
]]> drug treatment and analgesia ali http://www.99nicu.org/forum/showthread.php?t=12007 http://www.99nicu.org/forum/showthread.php?t=12007 Neonatal Photos http://feeds.feedburner.com/~r/99nicuforums/~3/322811692/showthread.php Sun, 29 Jun 2008 21:37:45 GMT While surfing the web I came across a nice collection of copyright free photos related to... While surfing the web I came across a nice collection of copyright free photos related to neonatology

http://www.pedialink.org/pedialink/neopix/index2.cfm

This is a work in progress. There are many categories where photos are missing and users are invited to submit photos. (There are some conditions..Refer the website)
I think this is good start and being 'open' (without restriction) it should be helpful to many
]]> education, organisation and evaluation JACK http://www.99nicu.org/forum/showthread.php?t=11836 http://www.99nicu.org/forum/showthread.php?t=11836 Shall we open a neonatal Wiki?! http://feeds.feedburner.com/~r/99nicuforums/~3/322008411/showthread.php Sat, 28 Jun 2008 12:12:16 GMT I guess you all know about the success of Wikipedia (http://en.wikipedia.org/wiki/Main_Page), the world-wide, free and open dictionary, where anyone... I guess you all know about the success of Wikipedia, the world-wide, free and open dictionary, where anyone can contribute with expertise and knowledge (and des-information too...).

Anyway, the 99nicu Team has discussed whether to open a Neonatal Wiki. In contrast to the discussion forums that deals mainly with clinical questions and advice, a neonatal Wiki would focus on guidelines, protocols etc.

I personally think the idea is good. Software is available. Many people would probably be interested to contribute with their knowledge, skills and experience. As the database grows, I am sure a lot of people would be find a neonatal Wiki increasingly useful.

What do you think about such a project?
]]> Feedback and support Stefan Johansson http://www.99nicu.org/forum/showthread.php?t=11835 http://www.99nicu.org/forum/showthread.php?t=11835 New location for Google adverts. http://feeds.feedburner.com/~r/99nicuforums/~3/321861505/showthread.php Sat, 28 Jun 2008 05:58:00 GMT We have changed the location of adverts from the Google Adsense program. Previously, there were Google adverts at the bottom of all web pages, and... We have changed the location of adverts from the Google Adsense program.

Previously, there were Google adverts at the bottom of all web pages, and sometimes also at the top beside our logo.

Adverts (link-type dito) are now only displayed after the first post in every discussion.

Adverts are not displayed for Supporting Members and Premium Members.

If may wonder why Google adverts are displayed at all... In 2007, we earned about 300 USD for those adverts, money that helps to pay bills for web hosting, domains etc-etc.
]]> News Stefan Johansson http://www.99nicu.org/forum/showthread.php?t=11834 http://www.99nicu.org/forum/showthread.php?t=11834 Gonadal shields during plain chest x-ray? http://feeds.feedburner.com/~r/99nicuforums/~3/321364777/showthread.php Fri, 27 Jun 2008 14:15:58 GMT We are discussing whether we should protect infants from unintentional (primary) radiation, using gonadal shields during chest x-rays. Currently, we... We are discussing whether we should protect infants from unintentional (primary) radiation, using gonadal shields during chest x-rays. Currently, we do not use such shields.

This interesting article was published in Journal of Perinatology (see abstract below)

Quote:
OBJECTIVE: To evaluate the extent of unintentional exposure to X-rays performed during routine diagnostic procedures in the Neonatal Intensive Care Units (NICUs).

STUDY DESIGN: During a 1-month period, 157 consecutive neonates from five level-III NICUs were recruited for this study. The mean birth weight was 1747+/-911 g (range: 564-4080 g), and gestational age was 31.6+/-3.6 weeks (range: 24-41 weeks). A total of 500 radiographs were performed including chest (68%), abdomen (17%) and combined chest and abdomen (15%). The average number of radiographs taken per infant was 4.2+/-3.6 (range: 1-21). Unintentional inclusion of body regions other than those ordered was determined by comparing the areas that should be included in the radiation field according to International recommendations, to those that appeared in the actual radiograph.

RESULT: A comparison of the recommended borders to the actual boundaries of the radiographs taken show an additional exposure to radiation in all three procedures: 85% of chest radiographs also included the whole abdomen, 64% of abdomen radiographs included both thigh and upper chest and 62% of chest and abdomen radiograph included the thigh. (The range in all procedures was from ankle to upper head.) Between 2 and 20% of the relevant targeted body tissues were not included in the exposed fields resulting in missing data. The gonads of both sexes were exposed in 7% in all chest X-rays. Among male infants, the testes were exposed in 31% of plain abdomen radiographs and 34% of chest and abdomen radiographs.

CONCLUSION: In the NICUs participating in the study, neonates are currently being exposed to X-ray radiation in nonrelevant body regions. Higher awareness and training of the medical teams and radiographers are required to minimize unnecessary exposure of newborns to ionizing radiation.
Pubmed-link: http://www.ncbi.nlm.nih.gov/pubmed/17625572

Would be interested to hear your opinions and experiences on this topic.
]]> practical procedures Stefan Johansson http://www.99nicu.org/forum/showthread.php?t=11833 http://www.99nicu.org/forum/showthread.php?t=11833 Nasogastric tube routine aspiration http://feeds.feedburner.com/~r/99nicuforums/~3/321146746/showthread.php Fri, 27 Jun 2008 06:46:56 GMT Hello Neonatologists, Is routine nasogastric aspiration of the stomach done by you, if so why? Hello Neonatologists,
Is routine nasogastric aspiration of the stomach done by you, if so why?
]]> practical procedures drprasadrao http://www.99nicu.org/forum/showthread.php?t=11756 http://www.99nicu.org/forum/showthread.php?t=11756