NICU of ThingsJul 13, 2024
A 24 week boy , weighing 370 grams. Came out in good condition and responded well to NIV (CPAP/ NIPPV)
And received surfactant via LISA ? What will you?
#NICU99 #ELGA #ELBW
Intubate regardless
0%
Continue NIV unless baby need more support
100%
Something else? In the comments
0%
Poll ended at .
Show threadGustaf LernfeltJul 15, 2024
@NicuofThings Since it’s not what I’ve been thaught. What would be the benefit of choosing intubation in this case?
Show threadNICU of ThingsJul 17, 2024
@Gotped There are various protocols and care bundles for managing babies born before 25 weeks. The current trend is to intubate these infants prophylactically at birth for at least 72 hours before considering extubation. For babies born before 24 weeks, some guidelines recommend a longer period of invasive ventilation. What do you do in your current practice?
Show threadGustaf LernfeltJul 18, 2024
@NicuofThings
There would likely be a need for intubation after the first honeymoon week, but as for intubation in the delivery room numbers are going down in Sweden at the moment.
Show threadGustaf LernfeltJul 18, 2024
@NicuofThings Most are still intubated at some point during their care.
Show threadNICU of Things
@Gotped The argument for the "intubate prophylactically" team is that when these babies eventually require intubation, they will need higher ventilatory and haemodynamic support compared to being intubated at birth.
Jul 18, 2024 at 11:56amWeb
Show threadGustaf LernfeltJul 18, 2024
@NicuofThings Well it won’t save them from the natural progress of inflammation and RDS-development (yet), it will possibly be a less safe intubation, but there is more time for more gentle recruitment of the lung and you will pass the first few days of IVH risk of the ventilator. Don’t know if that is good or bad to be honest, as with everything in this field.