Small Baby Environment
Cycled lighting should be implemented no sooner than this corrected gestational age
What is less than 32 weeks?
This procedure is limited to two attempts by advanced starter for infants 26-32 weeks
This is the most common type of brain injury in preterm infants
What is Intraventricular Hemorrhage (IVH)?
This can be considered when lactate is less than 4 and there is no evidence of intestinal obstruction
What is trophic feeding?
Consider the use of this when parents are unable to attend rounds in person
What is virtual rounds?
This isolette mode is deemed the safest method of maintaining thermoneutrality
What is servo-control mode/baby mode?
This can be used to prevent heat loss in infants <32 weeks until appropriate humidity levels are achieved
This is the number of people required to reposition premature infants in the 72 hour neuroprotection window
What is two?
The following are indicators of ______.
Tenderness, abdominal wall discoloration, new onset or frequent emesis, blood or bile in emesis/aspirates, significant abdominal distension, and lethargy
What is feeding intolerance?
This optimal position for infants in the neuroprotective window can help minimize changes in cerebral blood flow
What is neutral/midline positioning?
This is the recommended bedside noise level: (a) less than 45-50 dB, (b) 50-65 dB, or (c) 65-70 dB.
What is 45-50 dB? (library, bird calls, quiet conversation)
Medline protocol for infants < 29 weeks and/or <1000g (type of fluid and duration)
What is D5W for first week of life?
Clustering care, one physical exam (RN and MD), no 4 limb BP, no length, no abdominal girth, and avoiding LPs all fall into this IVH prevention principle.
What is minimal handling?
This feeding resource found on Inisite (Calgary Neonatology Policies) offers a standardized approach that may reduce the risk of NEC
This 60 minute systematic approach to the initial post-natal care of the preterm infant supports fetal to neonatal transition.
What is Golden Hour?
Instructions for how to make this positioning aid can be found on Insite (Calgary Neonatology Policies)
Procedural skin prep solution for infants < 31 6/7 weeks in the first 2 weeks of life
What is 0.5% Chlorhexidine with 70% alcohol?
Intubated infants in the neuroprotective window should meet criteria prior to extubation to prevent this, a significant risk factor for IVH
What is carbon dioxide fluctuations outside of target CO2 of 45-55 mmHg OR extubation failure?
Holding this during a PRBC transfusion may reduce the risk of NEC
What is bovine-based fortification?
This medication is used antenatally for fetal neuroprotection
What is Magnesium Sulfate?
During infant care, this should be provided by a parent/second caregiver during handling whenever possible
What is facilitated tucking?
This type of fluid loss puts ELBW at risk for weight loss, dehydration, and electrolyte imbalances.
What is insensible water losses (IWL)?
Use of these medications can increase the risk of severe IVH so should be used cautiously, especially when other clinical indicators of hemodynamic compromise are absent
What are inotropes?
This NSAID, used to treat hemodynamically significant PDA, is associated with a decreased risk of developing NEC
What is ibuprofen?
Almost all NICU babies qualify for this, an important intervention that supports immune function via administration of fresh breast milk
What is OIT?