About treatment for neonates with IVH (Intraventricular hemorrhage). Is there a particular aspect of treatment that, if improved, would dramatically improve outcomes? What are the gaps in the current treatment strategy?

And is it any real

1. How does your NICU manage intraventricular hemorrhaging (IVH)?
2. On average, how many IVHs does your institution encounter in a month?
3. How could improvements be made in IVH management?
4. If a clinical trial were performed to improve treatment protocols for IVH, what parameters would you want to be tracked?
5. What are the most significant issues in neonatology today that you want addressed?

Hi! Im a pediatric resident going in to neonatology. I’m considering geting a hand held device for POCUS. Something like a V-scan Air or a butterfly IQ+. Mainly for ultrasonically guided venipuncture and as a supplement to my clinical surveys in critically il patients. But also some echos and brain imaging. I was wondering if someone here have experience using handheld devices like this in neonates and would like to share them?

Hello! I am starting fellowship soon and I was wondering if someone can share the names of important studies I need to be familiar with; for example, DART protocol.

Thanks.

Hello all…

For context, my son was born at 29 weeks and we spent 75 days in the NICU. The length of stay is primarily attributed to feeding-related issues, namely, reflux. It took us a while to find a feeding solution that contained the extra calories my son needed to catch up on weight (breastmilk alone does not accomplish this) and ultimately we also needed a thickened formula for his incessant spitting up. However, my son continues to have “silent reflux” symptoms AND occasionally still shows signs of bradycardia while feeding or refluxing. Since we kept such a close eye on him during our time in the NICU, it’s obvious to us when these episodes are happening as we used to watch his cues and then his monitor would alarm.

All that to say… I am so curious about the connection between feeding (especially liquids, namely thin liquids), the vagus nerve, and bradycardia. One of our nurses in the NICU would use the term “vagaling” when describing what my son was doing when his heart rate would drop around or during a feeding time. What does the vagus nerve have to do with it? Is it possible that my son’s is still extra sensitive? He is now 12 days old corrected, almost 3 months old since birth.

https://t.me/neonatology

Hi I’m just trying to get an idea of what other practices are using for both prevention and treatment of diaper area dermatitis in the ELBW population. Specific brands of products would be super helpful. Also if you don’t mind sharing where you’re practicing I’d love to know that also.

https://t.me/neonatology