qcumba

Hi, we have a 23 month old kiddo in our unit, who developed Chylothorax post TOF and ASD +VSD repair, he was transferred back to our hospital,his home town, he had to go out of town for the procedure, his abnormalities were to complex for our surgeo...

Hi, we ar trying out these B.Bruan SPACE pumps, and I was wondering if anyone else out there has used them and what their thoughts are, firsthand they seem great,but we have only just started the trial so haven't had a chance to find fault yet. What...

Hi NICU nurse here, sorry if I'm invading your forum... We recently had a very sad loss in my unit, one of our micro's, a former 25wkr, 820g at birth we fought really hard along side him and his parents to get him to discharge -his initial stay with ...

Hi, I was just wondering if those of you in bigger units have seen this condition before? we are due to be admitting a baby this week with suspected gastroschisis or omphalocele, it will be the first time we will be having a child with either of thes...

Hi there, Just dropped by to let you know how our little guy is doing, he is still npo, on tpn and went for his secondary closure last week the surgeon says all he bowels looked good, no necrosis or any thing, so for he is doing well, no complicatio...

Hi there, thank you Averysangels, will be in contact if I have any more questions, sory that I have been quiet, have been off from work with flu for the last few days, so am a bit out of the loop as to what is happening back at work, but when I left ...

Thank you prmenrs, for that referance and I will do a more specific search as well,I will definately be back I'm sure, asking questions is kinda my thing. And I will try and keep you updated on how our little guy is doing Thank you again to all of yo...

thank you for all your replies and advice, I had a giggle at the tact and the emphasis on conveying said advice with respect :) us South African's have very thick skins and dont get offended easily,so none taken, I just appreciate the insight you can...

We use axillary temps on most of our patients, Bladder temps on our open hearts and our very untstable pyrexial patients get rectal temp probes which connect to our monitors

Hi,yes I tend to agree,I don't really think it's the best option either,sometimes we have to use huge doses to get the patient out enough to intubate,that we end up with a patient with no blood pressure, very often they don't have much of a bp to sta...

Ok I seeI have caused some debate, let me clarify what I mean't, We use a stat dose of 10-15mg midazolam,intubateand then once the patient is intubated and ET is secured, position checked etc we commence morphine and midazolam infusions titrated to e...

Reading through all these replies, it seems that we are the only unit who uses Midazolam/Dormicum, for intubations,and then dormicum and morphine post intubation for sedation, is there anyone else who does this?

To a 9 year old brat, post cardiac surgery, after a long night of being ordered to lift/ lower the head of the bed, fetch that, bring this,refusing her oral meds and being a general PITA..eventually just prior to shift change, while I am busy getting...

Hi from a fellow south African :) Good luck with the rest of your studies :)

Thank guy's for all your input,sounds likethe manufacturing of air out of nowhere is a common problem with these pumps then, at present we are using the Baxter pumps,the colleague I think, and they are soooo heavy and you can only run 3 infusions thr...

To be honest, I actually am not sure why we don't leave our pt's on thier sides after rubbing them, we do it with our baby's and kids but not the adult's - our unit is mixed we get all age's. I think we're just scared of the risk of extubating the pa...

How do you manage to turn every 15 - 30 mins?? when do you do everything else you need to do and who has time to help you? Your unit must be really well staffed and you surely only have 1 patient. We turn 2-4 hourly but we just turn and rub and then ...

hi there, does any one know of a blood gas calculator that uses kPa instead of mmHg? I am stuck on a gas which indicates that the pH is elevated - 7.55- therefore showing alkalosis, with a pCO2 of 6 kPa - borderline normal, pO2 of 11 kPa - normal an...

thanks I will give that a try :)

not sure what bag baths are but all our ICU (mixed SICU and MICU)patients get bathed twice a day once for each shift usuing a chlorhexidine solution soap and we have very few cases of line sepsis.

please explain what a swaddled tub bath is how do you wash them if theyre swaddled in something?

thank you love 2 learn, sounds interesting, wish they would implement that here, the constant charging is quite tiresome especially when you have other more important things to do, we usually have trays at each bed space, with a few commonly used sup...

sorry for being obtuse, but are you talking about used supplies?? if not first of all why would you have more than one ETT, specifically for one child, surely they are ward stock? as should saline flushes and IV's, if this is not the case surely you ...

Why dont you just send it home with the baby? Thats what we do.

Hi, just wondering if anyone has evidence of surfactant being effective when used in older babies and children ie 12 month old? thanks in advance