Prematurity
Neonatology
The NICU Graduate
Patent ductus arteriosus (PDA)
Respiratory distress syndrome (RDS; surfactant deficiency, hyaline membrane disease [HMD])
Encephalopathy: from bleed (periventricular, intraventricular, intracranial haemorrhage [PVH, IVH, ICH] or ischaemia [periventricular leukomalacia, PVL])
Metabolic immaturity (hypoglycaemia, hypocalcaemia, hypomagnesaemia)
Apnoea of prematurity
Thermoregulatory immaturity (importance of neutral thermal zone [NTZ])
Umbilical line requirement for those under 28 weeks
Retinopathy of prematurity
Infection/Immunological immaturity
Transient anaemia (anaemia of prematurity)
Yellow (jaundice)
Inguinal hernias
ROP screening for <32/40 or <1500g, from 31/40 but not before 4/52 old, then every 0-3 weeks as per ophthalmologist based on findings
Cease once fully vascularised to zone 3 (not usually before 37/40)
(Stage 3 needs treatment, or permanent visual loss)
HUSS if <30/40 or <1250g on d5, d28 and 36/40 / discharge, increase to weekly if Grade III/IV to monitor for hydrocephalus
Pentavite D14 if birth <35/40 or <2kg
Iron if birth wt <2.5kg and not on fortified feed
TPN if <1.5kg
All SCN ex <32/40 or <1.5kg get MDT AH FU at 3,6,9,12 months
The NICU Graduate
Patent ductus arteriosus (PDA)
Respiratory distress syndrome (RDS; surfactant deficiency, hyaline membrane disease [HMD])
Encephalopathy: from bleed (periventricular, intraventricular, intracranial haemorrhage [PVH, IVH, ICH] or ischaemia [periventricular leukomalacia, PVL])
Metabolic immaturity (hypoglycaemia, hypocalcaemia, hypomagnesaemia)
Apnoea of prematurity
Thermoregulatory immaturity (importance of neutral thermal zone [NTZ])
Umbilical line requirement for those under 28 weeks
Retinopathy of prematurity
Infection/Immunological immaturity
Transient anaemia (anaemia of prematurity)
Yellow (jaundice)
Inguinal hernias
ROP screening for <32/40 or <1500g, from 31/40 but not before 4/52 old, then every 0-3 weeks as per ophthalmologist based on findings
Cease once fully vascularised to zone 3 (not usually before 37/40)
(Stage 3 needs treatment, or permanent visual loss)
HUSS if <30/40 or <1250g on d5, d28 and 36/40 / discharge, increase to weekly if Grade III/IV to monitor for hydrocephalus
Pentavite D14 if birth <35/40 or <2kg
Iron if birth wt <2.5kg and not on fortified feed
TPN if <1.5kg
All SCN ex <32/40 or <1.5kg get MDT AH FU at 3,6,9,12 months