WBC 56/mm3 Glucose 77.6 mmol/L Protein Gram stain showed no organisms Ĭase 2 Water soluble contrast material (Lobitridol) was injected via UVC and x-ray showed 14 mm cavity in the right hepatic lobe with spillage to the peritoneum cavity TPN ascites. Ĭase 2 On day 13 of life cystoperitonial shunt was inserted Nine hours after operation: Marked abdominal distension Signs of dehydration several NS boluses Hyponatremia and modest hyperglycemia Ĭase 2 Abdominal US: Massive ascites Hypoechoic lesion in the right hepatic lobe Ĭase 2 Paracentesis: 100 ml of clear yellow fluids. Ĭase 2 On day 3 of life UVC + UAC were inserted. Ĭase 1 Biochemichal analysis Glucose 80 mmol/L Sodium 142 mmol/L, Calcium 2.3 mmol/L Protein undetectable No organism Composition similar to the fluid infused through the UVC Ĭase 2 Preterm baby boy 35 weeks Uneventful Pregnancy Referred from a secondary affiliating hospital Ĭase 2 Multiple congenital anomalies: Dandy Walker cyst Brain atrophy Large midline cleft palate Micrognathia Low set ears, low posterior hair line, webbed neck. Heart started to beat, perfusion improved. Ĭase 1 On day 4 of life : HIE: Sarnat stage 3 Minimal ventilatory support Normal blood gas Never needed inotrops Ĭase 1 Rapid deterioration within 3 hours: Metabolic acidosis Poor perfusion Fluid bolus Desaturation Bradycardia Cardiac arrest Ĭase 1 Management: Standard resuscitation Epinephrine, NS bolus, NaHCO 3 After 15 min, empirical pericardiocentesis resulted in 30 ml of clear fluids. UVC was inserted Ĭase 1 UVC was pulled 1 cm. VS (vital signs): Temperature, pulse, respiration (breathing), and blood pressure.Umbilical Venous Catheter Ayman Abou Mehrem, MD, CABP Neonatology Fellow University of ManitobaĬase 1 Mom: 36 yr-old, G 4 P 3, uneventful pregnancy Presented in labour Good CTG Sudden Fetal Bradycardia Emergency LSCS Ĭase 1 Baby: Apnoeic, No Heart Beats Resus: PPV, Chest Compression, ET Epi Apgars: 0/1’, 4/5’, 4/10’, 4/20’ Cord pH: 6.9 Birth Weight: 4.260 kg Ĭase 1 Management: Mechanical Ventilation Body Cooling Judicious Fluid Restriction BC + Abx Double lumen 4 Fr. It is put in at the stump of the umbilical cord. UVC (umbilical venous catheter): A tube put into a vein. UAC (umbilical arterial catheter): A tube put into an artery.
TPN (total parenteral nutrition): Nutrition fed straight into the bloodstream. TPR: Temperature, pulse, and respiration. SIMV (synchronized intermittent mandatory ventilation): IMV timed with the baby’s breaths. Radiant warmer bed: An open bed with a heating device. Peripherally inserted central catheter (PICC) or percutaneous central venous catheter (PCVC): A type of tube that is put into a central (large) vein. It goes through the mouth into the stomach. OG tube (orogastric tube): A feeding tube. O2 (oxygen): A gas in the air we breathe. NPO (nil per os): No food or liquid given by mouth. NICU (neonatal intensive care unit): Part of the hospital for newborns with extra medical needs. NG tube (nasogastric tube): A feeding tube. LP (lumbar puncture): A test in which a small needle is used to remove fluid from around the spinal column. IV pump: A machine used to give IV fluids. The needle comes out and the catheter stays in the vein. IV catheter: A tiny flexible, hollow plastic tube inserted into a vein over a needle. IMV (intermittent mandatory ventilation): A way to help babies breathe using a ventilator to give a set number of breaths per minute. HFV (high-frequency ventilator): A machine that gives hundreds of tiny breaths per minute. Grams and kilograms: Metric units of weight. It goes through the mouth or nose into the windpipe. This can be done with a ventilator (breathing machine).ĬPR (cardiopulmonary resuscitation): A way to get the heart and lungs working again if they have stopped.ĮT or ETT (endotracheal tube): A breathing tube. 30 mL equals about 1 fluid ounce.ĬNS (central nervous system): The brain and spinal cord.ĬPAP (continuous positive airway pressure): A way to give a steady, gentle supply of air into the airway while a baby is breathing on his or her own. ML (milliliter): A metric unit of volume. This is caused by the heart beating and by the muscles inside the blood vessel walls. BP is the force of the blood on blood vessel walls. Below are words that you will hear used in the NICU.īP (blood pressure): A type of measurement. Your baby is getting special medical care. This stands for neonatal intensive care unit. Your baby is in a special part of the hospital. Common Terms and Abbreviations Used in the NICU
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