Specialties NICU
Published Jun 15, 2018
Hi, I was wondering if anyone took care of a 23/24 weeker that was not on a vent?
I was talking with the neo I Work with on how I rather take care of a 24 weeker than a term infant. she agreed and I said, 'you know to intubate right away.' The nnp then had to correct me and said, actually not right away and we might be intervening too soon.
So, I would like to know how many nicu nurses took care of micro premies that weren't on a vent. Thank you for your time! I really appreciate it
Pgapple
3 Posts
?????
NICUmiiki, DNP, NP
1,774 Posts
Under 25 gets incubated. 25 and over gets a NIPPV trial (in & out surf if needed).
So no, no 23/24 weekers not intubated (although NIPPV & CPAP uses a vent so the age is actually a lot higher without the vent)
*In my unit. YMMV
Ugh autocorrect....
*intubated
I even fixed it and it autocorrected back to incubated.
babyNP., APRN
1,922 Posts
Volutrauma is a real thing and contributes to BPD. If the baby can handle it (i.e. no terrible apnea spells, growing well, etc), keeping them off the vent is the best thing.
PeakRN
547 Posts
I have yet to see a premie that early not require intubation, but I also don't think that was the NPs concern. We should be providing care as it is needed on an individual basis, not simply based on gestation. Intubation, just like any other invasive procedure, has risks and benefits.