Pneumograms

BittyBabyGrower, MSN, RN · Jan 2, 2006

We do them on the majority of our kids. Anyone that is on caffeine or Theo...yes. On Reglan...yes. Under 34 weeks, has any history of a-b's, was or is on O2 for an extended period of time, all get one.

We don't do ph probe studies on a regular basis, the sleep study will show what kind of apnea it is (ie obstructive). When we do ph probe studies, GI comes and places the probe and the kids have to be off their reflux meds for 24 hours prior. We have a sleep study tech that does our studies...it is all computerized now, and it has cut down on the number of monitors we send kids home on....the tech is there fore the whole study and documents everything that the kids does or has done. When parents are there, no holding, cooing, bathing, etc. Only out for feeds and then right back to bed (on their back).

Sweden · Jan 2, 2006

I have never seen one done in our unit.......

Anna

dawngloves, BSN, RN · Jan 2, 2006

Nope. Only if the kid is close to going home and has a lot of brady's, especially after feeds.

walkingrock, ADN · Jan 16, 2006

ph probe studies and pneumograms are not the same, although some places they do a ph probe study at the same time as a pneumogram. A ph probe study is to determine the amount of GER, a pneumogram is to determine if a baby is having apnea (that may or may not show up on a monitor) and helps to determine whether it is central (brain caused) or obstructive apnea. We seem to be doing less peumograms and more car seat challenges these days, although we still do occasional pneumograms. I'm sure it depends on the type of patients a particular unit has and the resources available to the unit, as well as the mind set of the neos. Sometimes, we want to see if the apnea is related to GER, that is why one would do a pneumogram with a ph probe at the same time...frequently these tests in the past were to document for the insurance companies so we could get equipment or resources for the baby... all the above is just my opinion, from my 26+ yrs of experience in various units...