Author Archives: neonataltips

Tip 3: Meningococcal B immunisation

In 2015 MenB vaccine was added to the UK immunisation schedule at 2 months, 4 months and 12 months of age. MenB vaccine should be accompanied by prophylactic paracetamol (3 doses from the time of vaccination unless contra-indicated) at 2 months … Continue reading

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Tip 2: ROP screening

100% neonates <32/40 or <1501g at birth need to be screened for retinopathy of prematurity (ROP). <27/40, the first screening should be at 30-31/40 CGA. For all other eligible babies, the first screening should be at 4-5/52 age, before discharge from … Continue reading

Posted in Ophthalmology, Prematurity | Leave a comment

Tip 249: hypoglycaemia 4

Ward based blood gas analysers should be used to guide the management of neonatal hypoglycaemia, as most handheld glucometers are not sufficiently accurate in the range of 0 – 2.0 mmol/l. Reference: British Association of Perinatal Medicine. (2017). Identification and … Continue reading

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Tip 1: anaemia

The haemoglobin nadir for term babies is at 8 – 12/52 age. External link: anaemia of prematurity (eMedicine) (updated 2016)

Posted in Haematology | Leave a comment

Feedback?

Dear followers, So, we’ve reached the end of the tips that I (or some co-writers) have already written and I’ll begin the tips again from number one on Wednesday. If you have any comments, feedback or requests for certain tips … Continue reading

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Tip 248: osteopenia of prematurity 2

The following all increase the risk of fractures in association with osteopenia (or metabolic bone disease) of prematurity: NEC Taking >30 days to establish full enteral nutrition Conjugated hyperbilirubinaemia Chronic lung disease Receiving chronic furosemide The most common period for fractures … Continue reading

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Tip 247: gestational borderline viability

The Nuffield Council on Bioethics produced a framework for clinical practice in 2006 regarding the resuscitation of premature babies <26/40. <22/40 =  any intervention must be within an approved research study. 22 – 22+6/40 = standard practice NOT to resuscitate. … Continue reading

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