Anoxic brain injuries on MRI? - page 2
Would this show up? Night shift had a baby brought in, delivered in the ambulance, breech, stuck for over 15 minutes. Got him back, transferred to tertiary care, no answers yet. There's got to be... Read More
Feb 28, '07Quote from TazziRNBabies with intact nervous systems can usually swallow and handle their secretions pretty well when vented. They require some oral suctioning, but not to a great extent, and need good oral care.Oh. No clue. Every vented baby I've ever had in the ER was either obtunded or sedated, so I've never seen that.
Sucking increases secretions, which triggers swallowing. How does a vented baby handle secretions?
If a baby is heavily sedated, paralyzed, or has a damaged nervous system then they tend to have copious, thick secretions that require constant attention.
So, if this baby is sucking and/or swallowing, that would be an encouraging sign.
Feb 28, '07Hm. I'll check on that next time I go to work. We do follow-ups on all pts we transfer out, so it wouldn't be unusual for me to call for an update. Thanks.
Feb 28, '07Quote from TazziRNNot necessarily. When I did my 6 months (admittedly not a long time) in the NICU, they never sedated babies, even on vents. Just didn't like to do it.Term. Came in with CPR in progress. I don't know about the reflexes but I'm thinking he's sedated since he's vented.
Feb 28, '07Ah. Geez, I've got a lot to learn about NICU!
15 minutes or more with his head trapped in the uterus........I'm thinking he may not even need sedation. There's gotta be some major damage.
Feb 28, '07Quote from climberrnGosh, I hope that was a long time ago. It is common now for babies (especially term babies strong enough to fight the vent) to receive some type of pain relief/sedation, often in the form of morphine or fentanyl drips.Not necessarily. When I did my 6 months (admittedly not a long time) in the NICU, they never sedated babies, even on vents. Just didn't like to do it.