corks

Amazon.com has one for $39 if thats any help.:)

You guys should become sales reps for Alaris - you've sold me. :up:Will access there web site and see what they have to offer here in the UK:typing Hey might even get a free lunch out of it!!!!!!!!

i worked as a midwife for years and could not practice to the standard that i wished cos of work load and pressure from management to achieve so may home bookings, home confinements, on top of 24 hr on calls. then one day i went on duty, only midwife on the postnatal ward with a nursing auxillary and whilst helping a first day section breast feed, one of the antenatal ladies delivered down the toilet, she rang the emergency bell but by the time i got there it was all over. later that day i went straight to my manager's office to hand in my notice but she did not wish to loose me so asked me would i work in nicu and they would train me up. so i decided to defect from midwifery. :yeah:never looked back, that was 12 years ago, now i am doing my masters to be an advanced neonatal nurse practitioner.:typing kismet, things happen for a reason and i honestly love the rollercoaster ride of a nicu and the relationships that you develop with families. it is the best job in the world and the job satisfaction is second to none even through the bad times as we are very privileged to have spent time with those babies whose time with us is limited

Don't beat yourself up about it. Have just been reading some articles about it and this is a quote from one of them 'it is a common misconception that occlusion alarms on infusion pumps will signal infiltration. In fact, pumps will alarm only when downstream pressure reaches a specified value, and elevated pressures resulting from infiltration are typically far lower than occlusion alarm triggering levels. In infants, monitoring of inline intravenous pressure is not useful for predicting or detecting infiltration of peripheral catheter sites. Resistance measurements may be useful in detecting infiltration injuries, but are not widely available and at present there are no commercially available infusion pumps that can reliably detect infiltration'

Sorry, my last thread is behind the times, read the first page of replies and did not realise that the babe had turned the corner.Having several senior moments today!!!!!H Good News about babe:yeah:!!!!!!!

We try half EBM and half low birthweight formulas (LBW). We start with the EBM and then give the LBW on top. We don't mix the two in the same bottle. Then we would try progestermil and finally as steve said Soya. Has the babe been investigated e.g pH studies? We had a babe like yours recently, turned out to be pyloric stenosis. Good luck,sometimes these pucky babes need several experimental feeding regiemes before you crack it. lets us know how it goes:up:

Who makes Neoprep? Googled it but came up with nothing. Cheers Corks

Hi Guys, Yet another question from me!!!! Can anyone tell me what the current reccomended pressure limits are for infusion pumps? we use Graesby's and we have low (77-105mmHg), med (200-240 mmHg approx), high (400 mmHg approx). Do you use different settings when administrating TPN? We recently had an extravasation injury with Dex 10% and the pump was at a medium pressure setting:cry:Is there any research on pressure settings?? What type of volumetric or syringe pumps are suitable for neonatal use????? Sorry to bombard you loads of questions but the staff who were involved in the incident were very upset and I have been asked to review the circumstances and make reccomendations. So I would be mega thankful for any help. Ta:bow:

Thanks guys. We don't use bethadine cos of the risk of iodine absorption through the skin with the risk of thyroid problems. It is hard trying to strke a balence between infection control and protecting the integrity of the skin!!!:

Hi Guys, When inserting a peripheral line what do you use to cleanse the skin with? We currently use sterets which contain 70% isopropyl alcohol. :down:That aint gud!!!!!!!!Do you use different solutions dependant on gestational age? Cheers

MgSo4 is a pulmonary vasodilator because of this it can cause hypotension so you end up having to infuse inotropes on top. Hopfully we will start using NO in our unit soon.

Yep we do. We don't have the facility in my unit and would have to transfer the infant to our sister regional unit. Have worked in other units were NO was used sometimes sucessfully sometimes not.

For nNCPAP we run the tubing through the length of the incubator and set the temp control to 40 and the chamber control to minus 3. We have found that reduces rainout.

Viagra is slowly becoming fashionable here in the UK but MgSo4 is still one of the first choices for pulmonary hypertension in our unit. Our consultants are a bit too stiff to try anything up and coming:jester:or am I being too naughty!!!!!!!!!!

For PPHN.