Hello and Welcome to Neonatal Nurse UK

Welcome to Neonatal Nurse UK

• Tip 124: subconjunctival haemorrhage
  March 13, 2020 by neonataltips
  Subconjunctival haemorrhage at delivery is frequent and normal. It results from the breakage of small vessels during the pressure of delivery. It is always confined to the limits of the sclera, is asymptomatic, does not affect vision, and spontaneously resolves in … Continue reading →
• Tip 121: capillary haemangioma
  March 11, 2020 by neonataltips
  Capillary haemangioma describes a benign condition affecting cutaneous blood vessels. They are proliferative lesions that develop shortly after birth. Over 80% occur on the head and neck area. They grow to 80% of maximum size in the first three months. … Continue reading →
• Tip 120: cryptorchidism
  March 9, 2020 by neonataltips
  The prevalence of neonatal cryptorchidism in the UK is approximately 6%. All infants with bilateral undescended testes on routine examination, should be seen by a paediatrician within 24h and investigated if not palpable. References: Acerini, C. L., Miles, H. L., Dunger, D. … Continue reading →
• Tip 119: neutropenia
  March 4, 2020 by neonataltips
  Bacterial infection may induce a transient neutropenia, especially in preterm infants. If it persists >12 hours in the presence of clinical sepsis, it is a poor prognostic sign. Reference: Rennie & Roberton’s Textbook of Neonatology, 5th Ed, 2005. London: Churchill.
• Tip 118: criteria for ECMO
  February 28, 2020 by neonataltips
  The patient criteria for neonatal ECMO are: ≥ 35 weeks of gestation Weight ≥ 2Kg Severe hypoxic respiratory failure (OI >40 despite maximum conventional treatment, including high frequency oscillation, surfactant, nitric oxide) No irreversible organ dysfunction (e.g. severe HIE, major cardiac malformation) No … Continue reading →
• Tip 115: indications for ECMO
  February 26, 2020 by neonataltips
  Conditions which may require ECMO (extracorporeal membrane oxygenation) in the neonatal period include the following causes of respiratory failure: Respiratory distress Syndrome (RDS) Meconium Aspiration Syndrome (MAS) Persistent Pulmonary Hypertension of the Newborn (PPHN) Sepsis, including pneumonia Congenital diaphragmatic hernia … Continue reading →
• Tip 114: pre- and post-ductal oxygen saturations
  February 24, 2020 by neonataltips
  Pulse oximetry from the right upper limb (pre-ductal) and lower limbs (post-ductal) can identify a right-to-left shunt through the ductus arteriosus. In a right-to-left shunt, the post-ductal circulation contains mixed blood from the right-side (pre-lung) and the left-side (post-lung) and hence the … Continue reading →
• Tip 111: BLISS
  February 21, 2020 by neonataltips
  BLISS is a charity set up to help parents and carers of babies born premature or sick. They aim to improve the quality of care delivered on neonatal units by medical and nursing staff, as well as providing a support … Continue reading →
• Tip 110: polycythaemia 2
  February 19, 2020 by neonataltips
  Risk factors for polycythaemia include: IUGR Infant of diabetic mother Twin-to-twin transfusion recipient Delayed cord clamping Reference: Rennie & Roberton’s Textbook of Neonatology, 5th Ed, 2005. London: Churchill.
• Tip 109b: Listeria 2
  February 17, 2020 by neonataltips
  Listeria infection in neonates has a poor outcome: spontaneous abortion (10-20%), preterm delivery (50%) and intrauterine fetal death (11%). At birth 34% of infants affected had signs of fetal distress, with 75% having meconium at delivery – particularly those who … Continue reading →