tiniest micropreemie

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Well just when you thought you've seen it all!!! I've seen some small babies, but this has to be the smallest. She is a twin, but her sister is still happily in utero. She is now 33 hrs old and still alive an kicking! She was born at 23 wks, ruptured since 22 wks., at was 360 g. The neos were unable to intubate at delivery so they left her with her parents. We received a call 3 hrs. later and she was still ALIVE!! Our neo decided to put her on a nasal cannula. She is still on a nasal cannula...1 liter and 70%. And of course she has lines, has received a transfusion, insulin drip, and the usual NICU hoopla!! I'm just amazed. The other twin is apparently over 1 lb. and hopefully she can keep her in utero a bit longer. I will be even more amazed if she's still there when I go back to work on Friday. I'll keep you posted.

I asked our Neo what the smallest surviving baby was and he said 25 wks around 400 something grams. The smallest before this baby I think that I saw was 420g, but that baby didn't make it. I did take care of a 26 wk. IUGR that was 480g and she did great. She self-extubated 1 wk after birth and was on a nasal cannula. Age does make a difference!!

Specializes in NICU.

Oh! We also had a 480g twin, whose brother was 1400g. They were born together, with her basically tucked behind his knee. She obviously stayed longer than he did, with a touch of BPD, but as far as I know they did okay.

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Specializes in NICU.
Funny, our arguement is, "Do you want the baby to be blind or have crappy lungs?" The peds want us to keep the micros on vents sating between 85-95%! Always yelling at us about ROP if they see a sat >98.:rolleyes: And no we don't use steroids. And we have all those long term vent kids.......

That's where micro's are suppose to sat. Posted as I sit by my ex 500g, 24 weeker on HFOV who is satting 86% in 46%. Mucho improvement from three days ago!!!

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That's where micro's are suppose to sat. Posted as I sit by my ex 500g, 24 weeker on HFOV who is satting 86% in 46%. Mucho improvement from three days ago!!!

Thanks for the info, but you do realize that my post is almost five years old, before the change in concensus was made.

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Specializes in NICU, Infection Control.

I used to ask the baby, "Do you want to be blind or stupid? Make up your mind!!". (After I'd adjusted the O2 for ~ the 95th time...

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Specializes in Telemetry & Obs.

Interesting thread!

My premie was 2 lb 2 oz and 28 weeks.....she's now 30 years old:yeah:

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Specializes in NICU.
I used to ask the baby, "Do you want to be blind or stupid? Make up your mind!!". (After I'd adjusted the O2 for ~ the 95th time...

That's really funny....

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Specializes in NICU.
Thanks for the info, but you do realize that my post is almost five years old, before the change in concensus was made.

Nope. Didn't realize.

In my old unit. we'd get torn a new one if a preemie in 02 was satting higher that ~92%. Alarm limits set 84-95% or else!

Many nurses in my current unit haven't quite caught on to this. It's a big issue. Hard habit to break.

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Specializes in NICU.

I recently took care of a 24 4/7 weeker who was 380g. Lived for 5 days. It was very sad. I took care of him for 3 days. I hated touching him because I felt like my touch definitely had to hurt him.

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Specializes in NICU, PICU, educator.

I took a look at that data base.....we have 2 kids on there and they haven't been up dated in years. Not a reliable tracking source.

Our kids limits are set at 84-92....drives us NUTS with the alarming!

We have had 23 weekers in the 300's...and all we do is torture them for days before they die. It is awful.

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our little one is still kickin it. She is 450g now... still on the osc and now on abx.... her 800g sis is doing much worse... I am sure she will do just fine as long as they dont blow her gut :)

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We have a tiny 27 weeker of 400g,in our unit at the moment - day 5 today and she is doing amazingly well, intubated for 1 day curosurf given at delivery, day 2 on 21% O2, no CPAP needed, we are just getting concerned about her gut now, but she is a fighter came out shouting apparently!

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Our little kid is a whopping 580g now. She just cleared up a serratia blood infection that her and her twin apparently got from mom- found out mom's incision was infected. GREAT! They are both colonized with MRSA and both have it in their blood. How they are still alive, I do not know. This one extubated 2 days ago when they were re-taping, so now she is on 5L NC... FiO2 is climbing to over 60%. They are going to blow her gut no doubt... it's probably going to happen tonight for me :(

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