Author Archives: neonataltips

Tip 61b: benign sleep myoclonus

The myoclonic jerks, mainly affecting the distal upper limbs, can be unilateral or bilateral, and usually last for 10–20 seconds. Sleep is not disturbed and they stop abruptly when the baby is awakened. There are no other clinical manifestations of … Continue reading

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Tip 61a: benign sleep myoclonus

Neonatal benign sleep myoclonus is a common non-epileptic condition, starting between day one and three weeks of age. It normally subsides by a few months of age, with no treatment needed. Reference: Panayiotopoulos, C.P., 2005. The Epilepsies: Seizures, Syndromes and Management. … Continue reading

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Tip 60: pneumothorax

Pneumothorax is more frequent in the neonatal period than at any other time in life, significantly more so in infants <1500g. The risk for pneumothorax is increased in infants with: respiratory distress syndrome meconium aspiration syndrome pulmonary hypoplasia infants who … Continue reading

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Tip 58: long line tip position

Long line tips should ideally lie in the SVC or the IVC. If access is difficult, tip position in the subclavian or femoral veins may be sufficient but have a greater risk of extravasation. The tip must not lie within the … Continue reading

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Fun 5: meetings

The consultant tried some different faces before deciding which one to wear to handover.

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Tip 57: posterior urethral valves

In bilateral antenatal renal pelvis dilatation, an urgent ultrasound scan is needed after birth to look for residual significant renal pelvis dilatation (over 10mm) and any dilated ureter or thickened bladder wall that may signify posterior urethral valves. A normal … Continue reading

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Tip 56: hyperglycaemia in prematurity

Hyperglycaemia has been estimated to occur in 45% to 80% of premature infants. The underlying mechanisms causing hyperglycaemia are multifactorial and may be the result of high glucose concentrations in the infusion fluids or low glucose uptake rate. Other causes … Continue reading

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