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Sick Neonates by Trish Woods for SMACC MINI

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Get inside the mind of a newborn and go back to your fetal state to unlock the key to caring for sick neonates.

Published in: Health & Medicine
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Sick Neonates by Trish Woods for SMACC MINI

  1. 1. SICK NEONATES ARE SIMPLE
  2. 2. SICK NEONATES ARE SIMPLE
  3. 3. SICK NEONATES ARE SIMPLE A Nightmare
  4. 4. RUN AWAY!!
  5. 5. Get inside the mind of a newborn
  6. 6. Sweet IN-UTERO LIFE
  7. 7. Big Outside World
  8. 8. What Could Possibly Go Wrong ?
  9. 9. What Could Possibly Go Wrong ?
  10. 10. LOTS…
  11. 11. JUST BREATHE…
  12. 12. JUST BREATHE… PEEP OR NO PEEP ?
  13. 13. JUST BREATHE… PEEP OR NO PEEP ?
  14. 14. No PEEP Phase contrast x-ray imaging of the lung S.J.HOOPER et al SPring-8/SACLA 2012;17(3):232-237
  15. 15. No PEEP Phase contrast x-ray imaging of the lung S.J.HOOPER et al SPring-8/SACLA 2012;17(3):232-237
  16. 16. With PEEP
  17. 17. With PEEP
  18. 18. Don’t Be PEEP SHY
  19. 19. Going to intubate
  20. 20. Going to intubate
  21. 21. Going to intubate Does Depth Matter?
  22. 22. PULMONARY FLOW Ventilated Lung Non- Ventilated Lung Increase in pulmonary blood flow at birth: role of oxygen and lung aeration J.A.LANG et al J Physiol. 2016 594(5):1389-1398
  23. 23. PULMONARY FLOW Ventilated Lung Non- Ventilated Lung Increase in pulmonary blood flow at birth: role of oxygen and lung aeration J.A.LANG et al J Physiol. 2016 594(5):1389-1398
  24. 24. Clamp the cord ?
  25. 25. Clamp the cord ? early or delayed?
  26. 26. PULMONARY Blood FLOW Rise Cardiovascular transition at birth: a physiological sequence S.B.HOOPER et al Pediatric Research 2015;77(5): 608 - 614
  27. 27. failure To Transition
  28. 28. Switch the balance
  29. 29. SICK CARDIAC FUNCTION
  30. 30. SICK CARDIAC FUNCTION
  31. 31. SICK Filling & Pulmonary resistance SICK CARDIAC Filling
  32. 32. SICK Filling & Pulmonary resistance SICK CARDIAC Filling
  33. 33. SICK CARDIAC Output
  34. 34. Ductus Arteriosus Flow
  35. 35. Ductus Arteriosus Flow
  36. 36. TURN THE PDA WORM
  37. 37. TURN THE PDA WORM
  38. 38. lung Recruitment
  39. 39. lung Recruitment
  40. 40. lung Consolidation
  41. 41. lung Consolidation
  42. 42. Mirror image.. Screen the lungs for Air Leak Ribs pleural line More Ribs ??!
  43. 43. Mirror image.. Screen the lungs for Air Leak Ribs pleural line More Ribs ??!
  44. 44. Lack Pleural sliding A Line profile Absent B Lines sliding coarse pleural line Coalescent B Lines LUNG POINT
  45. 45. Lack Pleural sliding A Line profile Absent B Lines sliding coarse pleural line Coalescent B Lines LUNG POINT
  46. 46. Liver huge amount of Pleural fluid squished lung Pleural EFFUSIONS
  47. 47. Liver huge amount of Pleural fluid squished lung Pleural EFFUSIONS
  48. 48. The Essentials
  49. 49. The Adventure Begins…

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