In order to minimize barotrauma short inspiratory times should be used along with minimal peak inspiratory and expiratory pressures. Abdominal distention and feeding intolerance - Minimize by using continuous drip feeds along with placement of the infant on the stomach or side. Nasal continuous positive airway pressure facilitates extubation of very low birth weight neonates. Your baby is getting special care. CPAP (continuous positive airway pressure). suggest new definition. Get the top POA abbreviation related to Medical. J Pediatr, 1986;109:733-741. Adjust Power/Amplitude/delta P to keep PaCO2 45-55. The slipping of an IV needle out of the vein; IV fluid can build up in surrounding tissues. Normal values for systolic and mean aortic pressures are found on pages 1 and 2. Meconium aspiration syndrome occurs in approximately 2% of these deliveries (1). APA All Acronyms. N Engl J Med, 1971;284:1333. The greater the delta P, the larger the contribution of the PIP to the MAP. Pharmacologic Therapy - The most common drugs used to treat apnea are the methylxanthines: Mechanism of Action - Methylxanthines block adenosine receptors. If conventional rate is greater than 60, decrease rate to 40 and increase PEEP by 1 to 2 cm, before adjusting the amplitude. May become occluded or plugged with secretions despite suctioning. Risk factors for Chronic lung disease in infants with birth weights of 751 to 1000 grams. Increasing O2 requirement or episodes of desaturation and apnea - "plugged tube." It is caused by a lack of surfactant, the substance that keeps the lung air sacs, or alveoli, from collapsing. Looking for the definition of POAL? IT IS VERY IMPORTANT TO KEEP MAP CONSTANT DURING THE CONVERSION TO HFV TO PREVENT EXCESSIVE ATELECTASIS AND LOSS OF OXYGENATION. This can be done with a ventilator (breathing machine). Recommendations for the initial respiratory settings for other neonatal conditions will be found on the following table. Pediatr Clin North Am, 1986;33:221-237. Apnea: When breathing stops for 15 seconds or more. Inadequate oxygenation (low PO2): Manage by increasing the FiO2, increasing the MAP by increasing the PEEP (i.e. Level 4 NICU. It goes through the nose to the stomach. This is a way to get the heart and lungs working again if they havestopped. Red blood cells (RBC) RBCs are a part of the bodys blood that contains hemoglobin and carries oxygen to all the cells and tissues of the body. If PaO2 drops below 60 mm Hg, restart NO at previous dose and maintain until shunting has resolved. A new device for CPAP by nasal route. Respiratory Distress (i.e., tachypnea, and/or retractions) - RDS, TTN and chronic lung disease (CPIP and BPD). If the patient's transcutaneous PO2 stays outside of these limits for more than two to three minutes, the nurse shall increase or decrease the FiO2 by no more than 0.05 until the patient's reading returns to the desired range. The formula for calculation of the base deficit is: mEq of NaHCO3 = base excess x 0.6 x body weight in kg. . An order should be written documenting the desired range of transcutaneous oxygen levels for a given patient. Its called the NICU. Use a stepwise process to set MAP: Thus, adjust MAP by decreasing conventional rate (by 5 bpm) while increasing PEEP (by 1 cm H. Also decrease PIP of Sigh breaths at the same time and by the same amount that you decrease the PEEP (e.g., PIP 16 and PEEP 10 to PIP 15 and PEEP 9). Lubricate tip of ETT with water soluble lubricant. ), Retrolental fibroplasia (RLF) An eye disease of premature babies; see retinopathy of prematurity (ROP), Rh factor A type of protein that may or may not be present on a persons red blood cells, ROP Abbreviation for retinopathy of prematurity, RSV (respiratory syncytial virus) A common virus that gives most people a cold, but can be more serious in premature babies, causing infections such as pneumonia or bronchiolitis, Rubella A virus that causes German measles and severe intrauterine infections, Seizure Abnormal electrical activity of the brain that may be associated with involuntary muscle movements, Sepsis An infection of the blood or other tissue, Shunt 1. Expiration on HFJV is passive from elastic recoil. Use I.T. A. Tolazoline is an alpha-adrenergic blocking agent. It is used to measure the babys oxygen level. This is a way to give a steady, gentle supply of air into the airway while a baby is breathing on their own. Lung compliance usually improves, sometimes quite rapidly. It is put in at the stump of the umbilical cord. Apnea in premature infants can result in a failure of the mechanisms that protect cerebral blood flow, resulting in ischemia and eventually leukomalacia. to improve alveolar recruitment while keeping I:E ratio constant. Polyclonal Antibody + 1. This is IMV timed with the babys breaths. This is a feeding tube. This is a metric unit of volume. Rall TW. These rapid pulses of fresh gas generate the tidal volumes, which allow ventilation to occur primarily from flow streaming (Taylor Dispersion), which allows ventilation to occur even with below dead space tidal volumes. It's called the NICU. ), DIC See disseminated intravascular coagulation, Disseminated intravascular coagulation (DIC) A condition in which the platelets and clotting factors of the blood are consumed because of infection, hypoxia, acidosis or other diseases or injuries (Without enough platelets and clotting factors, there is a tendency to bleed excessively. In either case, close surveillance of chest wall movement and frequent monitoring of blood gases, especially during the first 3 hours after dosing, will minimize the complications of either volutrauma or atelectasis. NO affects vascular smooth muscle relaxation by interacting with guanylate cyclase (GS) and increasing cyclic guanosine 3'.5-monophosphate (cGMP). The Importance of Having a Relationship With Your Child's Pediatrician, Questions to Ask When Choosing a Pediatrician, Attention Deficit Hyperactivity Disorder (ADHD), Ear, Nose & Throat (Otolaryngology) Services, Gastroenterology, Hepatology & Nutrition, Hematology, Oncology & Blood and Marrow Transplant, Preparing for a Primary Care or Clinic Visit, Your Guide to Single Ventricle Heart Defects, Health Numeracy: Understanding Numbers in Health, Grocery Store Video Guides to Healthy Eating, Newborn intensive care unit (NICU NBISU, NBIC, ICN), Partners For Kids: Pediatric Accountable Care, The location is currently closed. 200 Hawkins Drive The Bunnell Life Pulse (www.bunl.com) is a flow interrupter that uses a pinch valve to generate a stream of high frequency pulses. It is used to give medicines or nutritional solutions that would irritate smaller veins. C. HYPOTENSION- decrease PEEP to decrease MAP to improve venous return if low BP is due to hyperinflation. Thus, an increase in PIP will increase delta P and improve ventilation and a decrease in PIP will decrease delta P and decrease ventilation. This is a gas in the air we breathe. It gives hundreds of small breaths per minute. However, stimulation of these same receptors in the premature infant results in apnea. It is needed for life. The University of Iowa. VC (Volume Control) set a tidal volume usually 5-7 cc/kg for premature infnats and 7-10 cc/kg for term infants: High frequency positive pressure ventilation (HPPV, rate 60-150/minute); Axial and Radial Augmented Dispersion (Taylor Dispersion); Respiratory failure unresponsive to conventional ventilation (compassionate use). Pediatrics Clin North Am, 1987;34:15-38. Rossaint R, Falke KJ, Lpez F, et al. Aim for 9 rib expansion. Always place Jet on standby to suction or to give surfactant. b) Infants/Children - Initial MAP should be 4-6 cm above the MAP on CMV. IMV (intermittent mandatory ventilation). In: Avery GB, (ed). NO is a potent vasodilator of vascular smooth muscle and when delivered by the inhalational route is a selective pulmonary vasodilator. To increase alveolar ventilation when the patient has severe hypercarbia despite increased PIP, when there is no evidence of air trapping. Common Terms and Abbreviations Used in the NICU Your baby is in a special part of the hospital. Developmental Care for Babies in the NICU. ), Continuous positive airway pressure (CPAP) Pressurized air, sometimes with additional oxygen, that is delivered to the babys lungs to keep them from collapsing as the baby inhales and exhales; usually delivered by nasal prongs or face mask, Corrected age 1. ), Diuretic A medication that increases the amount of water that passes out of the body through the urine, Down syndrome A chromosomal abnormality, sometimes referred to as mongolism, characterized by physical malformations and varying degrees of mental retardation; often caused by an extra number 21 chromosome, Dx The medical abbreviation for diagnosis, Echocardiogram An ultrasonographic method of recording a picture of the heart as it is produced by the echo of sound waves (This can be used to evaluate both the structure and function of the heart. It can put pressure on the other lung and the heart. VS (vital signs). O2 (oxygen). If oxygen required is greater than 50%, consider endotracheal intubation with surfactant replacement (see relevant section). AVOID: HYPOXIA, HYPOTHERMIA, ACIDOSIS, ANEMIA, Maximize Pulmonary Vasodilatation (Decrease pulmonary vascular resistance), ALKALINIZATION - METABOLIC ALKALOSIS (pH > 7.55), Support Cardiac Output and Blood Pressure, INOTROPIC AGENTS: Dobutamine, Dopamine and Epinephrine, SEDATION: Lorazepam, Chloral Hydrate, Phenobarbital, Midazolam and Thorazine, Small tidal volumes with high rates (i.e., HFOV), Avoid hyperventilation (pCO2 30) to minimize barotrauma. Use initial frequency of 10-12 Hz, Power of 3.0 - 4.0 (delta P 30-40 cm H2O), MAP 2-4 cm above MAP on HFJV or 4 cm above the MAP on conventional ventilation. Geggel RL. initially at 30% to minimize air trapping by also using a longer initial I:E ratio (30%:70% or 1:2.3). CPAP is for a spontaneously breathing, PPV is assisting the . Pulse oximeters determine oxygen saturation noninvasively through absorption spectrophotometry. 5. Thus, you set the PIP that you want the jet to achieve. ), Hydrocephalus An abnormal accumulation of cerebrospinal fluid in the ventricles (fluid-filled spaces) of the brain (In preemies, hydrocephalus most often occurs after a severe intraventricular hemorrhage or IVH. 4) Management of ABG's (Ventilation - Ve) Guidelines: a) Change POWER by 0.2-0.3 to change CO2 2-4 mm Hg or amplitude/delta P by 2-3 cm H2O, b) Change POWER by 0.4-0.7 to change CO2 5-9 mm Hg or amplitude/delta P by 4-7 cm H2O, c) Change POWER by 0.8-1.0 to change CO2 10-15 mm Hg or amplitude/delta P by 8-10 cm H2O. Parenteral Nutrition (PN) allows us to meet a neonates requirement for growth and development when their size or condition precludes enteral feeding. The clinical response is unpredictable. Radiant warmer bed. Pediatr 1991;88:999-1003. A. Obstructive Apnea - A pause in alveolar ventilation due to obstruction of airflow within the upper airway, particularly at the level of the pharynx. Consider decreasing frequency to 8 Hz and then to 6 Hz if ventilation and oxygenation remain problematic. Below are words that you will hear used in the NICU. PICC (peripherally inserted central catheter) or PCVC (percutaneous central venous catheter). ), ECMO (Extra Corporeal Membrane Oxygenation) A type of life support that uses a machine to add oxygen to the blood to help the babys heart and/or lungs, Edema Fluid retention in the body tissues that causes puffiness or swelling, EEG (electroencephalogram) A tracing of the electrical impulses of the brain, EKG (electrocardiogram) A tracing of the hearts electrical activity, Electrodes Small patches taped to the babys chest, arms or legs connected to a monitor to measure the heart and breathing rates, Electroencephalogram (EEG) A tracing of the electrical impulses of the brain, Electrolytes Chemicals that, when dissolved in water, can conduct an electrical current (The main electrolytes in the human body are sodium, Na, and potassium, K. They play important roles in the proper functioning of the cells. Perkins R.M. Holtzman R.B., et al. 2023. Its called the NICU. (*See procedure for nasogastric tube placement.) Lancet 1992; 340:819-820. The electrode will be applied by the nurse to the anterior chest wall or other acceptable site. It goes through the mouth or nose into the windpipe. Do not apply suction to the tube by your mouth. The needle comes out. Other infants can be referred for developmental therapy on a case-by-case basis, as needed. Decrease CPAP pressure gradually to 4-6 cm and maintain the pressure at this level until tachypnea and retractions have resolved. The optimal range for most premature infants will be 50 to 70 mm Hg. 5. Always observe chest wall after a decrease in AMPLITUDE to confirm vibrations, if vibrations have ceased the AMPLITUDE is too low and should be readjusted to previous settings. Advance lubricated ETT nasally while maintaining placement of suction catheter. After PaO2 improves (> 70-80 mm Hg) wean oxygen until FiO2 0.70 decrease NO to 30 ppm, if PaO2 remains > 70-80 mm Hg, decrease NO to 20 ppm and maintain. Transiently tolerate increased FiO2 requirements (0.6 - 1.0) by reducing MAP as tolerated in order to minimize overdistention from excessive MAP. ), Low birth weight infant (LBW) Baby who weighs less than 5 pounds (2500 gm) at birth (The baby can be premature or full term. (1) Inspiratory Time--All neonates should have aninspiratory time of 0.3 to 0.5 seconds and an expiratory time not less than 0.5 seconds unless the rate exceeds 60/minute.At rates above 60, use equal inspiratory and expiratory times (I:E=1:1). Medical POA abbreviation meaning defined here. Infant and Young Child Feeding: Model Chapter for Textbooks for Medical Students and Allied Health Professionals. Cardiorespiratory Monitor This is sometimes referred to as a heart monitor or C-R monitor. Below are words that you will hear used in the NICU. Keep MAP constant during the conversion to HFV to avoid excessive atelectasis and concomitant loss of oxygenation. Chronic lung disease (CLD) is injury or scarring in a preemie or sick infants lungs. After the first breath, the infant will deposit the aspirated meconium stained fluid further down the bronchial tree and therefore cause a mechanical blockage of alveoli and small airways with a resultant ball-valve type obstruction. 2. It is similar to heartburn in adults. A baby with RDS is not able to breathe well on his own as small air sacs (alveoli) tend to collapse (atelectasis). It is excreted, largely in the unchanged form, by the renal tubules. HFV (high-frequency ventilator). It is put in at the stump of the umbilical cord. 2023. Kraybill EN, et al. Ostopenia A condition like rickets, in which minerals are lost from the bones (The bones become weak, and break easily. Medical Director, Infection Prevention and Clinical Epidemiology See the following Use of Mechanical Ventilation in the Neonate table for details. University of Iowa Stead Family Childrens Hospital is part of University of Iowa Hospitals & Clinics. Significant apnea or increasing respiratory acidosis or O2 requirement of 80-100%; NPCPAP failure - intubate and ventilate patient. The transcutaneous PO2 monitor (TCM allows for non-invasive measurement of arterial oxygen tension. A repeat dose should be given within 4 - 12 hours if the patient is still intubated and requiring more than 30 to 40% oxygen. Wean power/amplitude/delta P to keep PaCO2 45-60 mmHg. It is used to give fluids, medicines and nutrients to the baby. 2. This means no food or liquid given by mouth. Crit Care Med, 1975;3:76. C. Dose: 1.0 mg/kg IV over 10 minutes followed by a constant infusion of 0.5-2.0 mg/kg/hour via a scalp, or an upper extremity, vein. Gregory GA, Kitterman JA, Phibbs RH, Tooly WH, Hamilton WK. RDS (respiratory distress syndrome) Also called hyaline membrane disease, it is the result of a preemie having immature lungs. Newborn.Retrieved April 29, 2023, from https://www.allacronyms.com/newborn/abbreviations/medical Chicago All Acronyms. (It is a shortening of a Latin term.) This is caused by the heart beating and by the muscles inside the blood vessel walls. stream The age a premature baby would be if he had been born on his due date (For example, a baby born three months early is, at the actual age of 7 months, only 4 months old according to his corrected age. Also decrease PIP of conventional sigh breaths at the same time and by the same amount that you decrease the PEEP (e.g., PIP 16 and PEEP 10 to PIP 15 and PEEP 9). (Martin et al). This condition is sometimes seen in premature babies who receive tube feedings for long periods. Also reflex apnea can lead to bradycardia within 2 seconds of onset, thus setting off the cardiac alarm 10 to 15 seconds ahead of the apnea alarm. ), Pulmonary interstitial emphysema (PIE) A complication in which there are many tiny tears in the air sacs or small airways of a babys lung, causing air to leak out of them, Pulse oximeter A monitoring device used to show the level of oxygen in a babys blood (This device is taped to the skin, usually a finger or foot, for oxygen level readings. Drugs - Prenatal exposure with transplacental transfer to the neonate of various drugs (narcotics, beta-blockers). Prevent by routine suctioning,and adequate humidification. Subsequent changes in settings will be determined by arterial blood gases and pH values and the clinical course. Once oxygenation is adequate and the patient is ready to be weaned follow these steps: 1) First wean FiO2 until 0.60 unless hyperinflated. Below are words that you will hear used in the NICU. * Check ABG's every 15-20 min until PaCO2 40-60 or within target range, i.e., titrate Power/Amplitude setting based on PaCO2 desired. BP (blood pressure). J Pediatr 1984;105:511-522. Minimal HFOV settings tend to be reached around a MAP of 7 cm with an O2 requirement that is less than 40%. The servocontroller is set at 36.5C. Pediatr Res 1993; 33:341-346. Clin Perinatol 1987;14:509-529. *, The location is currently closed. Obstructive apnea A pause in breathing that occurs because a babys airway is blocked and little air can get through (It can happen even when a baby is moving his chest to breathe. ), PVL (periventricular leukomalacia) Cysts in the white matter of the brain near the ventricles (The cysts are a sign that these areas have been permanently damaged. Boynton BR et al. Oxygenation on HFOV is directly proportional to MAP which is similar to conventional ventilation, however with the SensorMedics HFOV the MAP is directly ordered and generated. Minimize the power/amplitude/delta P to keep PaCO2 adequate (e.g., 50-70 mmHg). & Accessibility Requirements and Patients' Bill of Rights. To improve oxygenation by increasing lung volume from decreased expiratory time (i.e., shorter I:E ratio), leading to increased lung recruitment. Increase MAP as high as necessary to keep FiO21.0. Edward F. Bell, MD The infant should be monitored and observed carefully for signs of respiratory distress, i.e., cyanosis, tachypnea, retractions, and grunting. Pediatrics, 1987;80:409-414. Correct hypothermia, hyperviscosity and metabolic problems. This is a type of tube. J Pediatr 1993; 122:803-806. Prophylactic therapy (before chest radiograph) can be considered in patients with respiratory distress who are intubated and are < 26 weeks gestation. Respiratory therapy andinhaled or IV drugs may be used to relax the lungs tight vessels to help treat this condition. To improve oxygenation by increasing lung volume from decreased expiratory time (i.e., shorter I:E ratio). Infants requiring increased ambient oxygen concentration, and who are breathing spontaneously, can be placed on NPCPAP. Vote. B. This is a type of measurement. The shunt carries excess fluid from the ventricles in the brain where it builds up, down to the abdomen, or peritoneum, where it can be absorbed by the body. AaDO2 = PAO2 - PaO2, PaO2 = arterial PO2, PAO2 = alveolar PO2 = FiO2 (713) - PaCO2/0.8. Tobin MJ. Inhalational nitric oxide: A selective pulmonary vasodilator for treatment of persistent pulmonary hypertension of the newborn. and Anas N.G. The pharynx collapses from negative pressure generated during inspiration, because the muscles responsible for keeping the airway open, the genioglossus and geniohyoid are too weak in the premature infant. If not vibrating, increase power. CMA = chromosome microarray . It may be due to periods of low blood flow to the brain of the fetus or an infection the mother had while pregnant.). This means no food or liquid given by mouth. J Pediatr 1993; 123:76-79. Appropriate NP tube size is usually the same or smaller than that required for intubation. If no improvement is documented, slowly increase the dose of Tolazoline by increments of 0.5 mg/kg/hour. J Pediatr 1993; 123:103-108. ), Grunting A noise made by the baby indicating respiratory distress, Head ultrasound A painless test that uses sound waves to show the structures in the brain; used to detect bleeding into the brain or other suspected problems, Heel stick A method of obtaining blood samples by pricking the babys heel, Hematocrit (Crit) A test done to measure the concentration of red blood cells in the blood to check for anemia, Hemoglobin (hgb, hb) A substance in red blood cells that contains iron and carries oxygen, Hernia A weakness in the abdominal wall that causes a portion of the intestines to protrude into the umbilical or inguinal area (This may also occur with a problem of the diaphragm that causes the bowel to enter the chest cavity, resulting in underdevelopment of the lung. Getty Images / Anthony Saffery. Apnea at UIHC is defined as cessation of breathing for 20 seconds with the above symptoms. This is the brain and spinal cord. Your baby is getting special care. Oscillating ventilator Also called a high-frequency ventilator, it works differently than a regular ventilator. Given IV, the onset of action is within minutes. Thus, to avoid hyperoxia, we would decrease the oxygen concentration for saturations greater than or equal to 95%. Please note the values for infants <1000 grams. Chen TY, et al: Inhaled nitric oxide: A selective pulmonary vasdilator of heparin0-protamine vasoconstruction in sheep. ET or ETT (endotracheal tube). Oxygen desaturation can also occur from loss of MAP leading to alveolar derecruitement. ), Blood Gases A test to determine the oxygen, carbon dioxide and acid content of a sample of blood; used to adjust respiratory care, Bonding The process by which parents and baby become emotionally attached, BPD (bronchopulmonary dysplasia) See Chronic Lung Disease (CLD), Bradycardia (brady) A heart rate that is slower than normal, Brain bleed Bleeding or hemorrhaging into some part of the brain, Brainstem Auditory Evoked Response Test (BAER) A method of detecting hearing loss in infants in which the babys brain wave responses to various sounds are measured, Bronchodilator Drugs given to relax or widen the airways to the lungs to improve the flow of air in and out of the lungs, Bronchoscopy A procedure that involves looking inside a babys trachea and bronchi (the large airways of the lungs) with a fiber optic scope, to see whether there is a problem that is making breathing more difficult, Bronchopulmonary dysplasia (BPD) See Chronic Lung Disease (CLD), Caffeine A stimulant drug used in the treatment of apnea, Cannula A method of delivering oxygen (A thin flexible tube goes over the babys face and head and is connected to an oxygen source. This increased TV leads to increased alveolar ventilation (on HFOV, Ve (TV)2f). Anesthesiology 75:990-999, 1991; with permission.). At rates above 60, use equal inspiratory and expiratory times (I:E=1:1). Initial PEEP start at 5 cm to avoid hyperinflation, can increase as needed if still poorly aerated and requiring FiO2> 0.40 after surfactant therapy. E. Cardiology consult, if indicated for echocardiography to rule out cyanotic congenital heart disease. If the infant does not respond, bag and mask ventilation, along with suctioning and airway positioning, may be needed. Start with frequency of 12-15 Hz depending on EGA/birth weight and I.T. Nasal CPAP This stands for continuous positive airway pressure. NICU (neonatal intensive care unit). The oxygen monitor consists of a TcPO2 channel, for which high and low alarm limits can be set, a temperature display channel and a heat channel. EFFECTS OF CHANGING FREQUENCY ON VENTILATION USING THE SENSORMEDICS HIGH FREQUENC OSCILLATORY VENTILATOR. IV pump. Am Rev Respir Dis 141:A686;1990. It goes through the mouth or nose into the windpipe. At this point depending on the patient, you can remain on the HFOV while the patient grows, you can convert the patient back to convention ventilation at a low respiratory rate (usually 15-20 bpm), or you can extubate the patient to Nasal CPAP. Chronic - The management of apnea of prematurity always involves diagnosing and correcting other potential etiologies, before attributing a specific neonate's apnea to prematurity alone. However, to avoid barotrauma alkalinize metabolically and then use gentler ventilation (PaCO2 35 mmHg) with HFOV. Pediatr 1993; 91:997-998. Naso-gastric tube (NG tube) A small plastic tube inserted through the nose or mouth and into the stomach (This tube is used for feedings when an infant is unable to breastfeed or drink from a bottle. Your baby is getting special care. 100% oxygen and transient hyperventilation with goal of an arterial pH value greater than 7.55 (1), and PaCO2 of 30-35 mm Hg, and a PaO2 of 55 mm Hg or greater. NPO (nil per os). Those vessels are the aorta and the pulmonary artery. Sudden Infant Death Syndrome (SIDS) One type of sudden unexpected infant death (SUID), SIDS is the sudden death of an infant younger than 1 year of age that cannot be explained even after a full investigation that includes a complete autopsy, examination of the death scene, and review of the clinical history. E. APNEA- Increase amplitude or frequency, increase sighs to 4-6 BPM, or consider converting to conventional ventilation. Indomethacin An aspirin-like drug sometimes used to close the patent ductus arteriosus, Infiltrate 1. After a full investigation, these deaths may be diagnosed as suffocation, entrapment, infection, ingestion, metabolic diseases, cardiac arrhythmias, trauma, or SIDS. Lancet 1992; 340:818-819. ECHO documentation of pulmonary arterial hypertension. High frequency ventilation. new search. ), OG (oral-gastric) tube A soft tube that goes through a babys mouth down into his stomach (It can be used for feeding or to empty the stomach of gas. It is theoretically capable of ventilating patients up to 35 kg. Wean delta P by decreasing PIP to keep PaCO2 45 - 60 mm Hg. Always follow your healthcare professional's instructions. It's called the NICU. Pediatrics, 1973;52:114. Jonathan M. Klein, MD, Julie Lindower, MD The biologic half-life is approximately two hours. ), Neonatal period The first 30 days of life, Neonate A baby during the first month of life, Newborn intensive care unit (NICU NBISU, NBIC, ICN) A section of a hospital with trained staff andspecial equipment to care for critically ill newborns (See NICU. ), Congenital heart disease (except incidental PDA, ASD, or VSD), Diagnosis of persistent pulmonary hypertension of the newborn (PPHN), Sufficient cardiac evaluation to r/o congenital heart disease, may need echocardiogram to r/o structural disease. Start at a frequency of 10 Hz and a Power of 3.0 to 5.0 (amplitude/delta P 35-45 cm). The change in FiO2 and response of the infant will be documented in the nurse's notes. Common Terms and Abbreviations Used in the NICU Your baby is in a special part of the hospital. These are metric units of weight. FiO2: 0.4 to 1.0, depending on the clinical situation. The TcPCO2 analyzer operates on a principal similar to that of the TcPO2 analyzer. Following suctioning of the oro- and nasopharynx by the obstetrician, the infant's oro- and nasopharynx should be immediately suctioned by the pediatrician followed by endotracheal intubation and suctioning of any meconium that is present below the cords.