AEDF = absent end diastolic flow . Correct hypothermia, hyperviscosity and metabolic problems. 3. Persons with hearing or speech disabilities may contact us via their preferred Telecommunication Relay Small for gestational age (SGA) A newborn is considered small-for-gestational age if her birth weight is below the 10th percentile on the standard growth curve for his or her age. Synchronized Intermittent Mandatory Ventilation (SIMV). The catheter stays in the vein. Any acutely ill child in the NICU in an increased ambient oxygen concentration must have at least daily arterial or fingerstick blood gas sampling. Pneumothorax - minimize incidence by using minimal pressure needed to accomplish aims. Further dosing should be based on drug levels and clinical response. Expertise. O2 (oxygen). ), OT Abbreviation for occupational therapist. However, the most likely explanation is that CPAP splints the upper airway with positive pressure during both inspiration and expiration, thereby preventing pharyngeal collapse. IMV is most often used along with the babys own breathing rate in order to get enough oxygen into the childs body. PDF Glossary of NICU Terms - UMass Memorial Health (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. This refers to temperature, pulse, breathing, and blood pressure. Am Rev Respir Dis 1993; 147:1078-1079. Pediatr 1991;88:999-1003. Nasal cannula A set of plastic prongs and tubing that can give extra oxygen into a babys nose. ), Radiant Warmer An open bed with a heat source that allows immediate access to newborn and sick preemies while maintaining a warm air temperature. Am Rev Respir Dis 1988;138:1625-1642. A flow meter regulates the amount of oxygen that is given to the baby through the two prongs that extend from the tube into the babys nostrils. A baby with RDS is not able to breathe well on his own as small air sacs (alveoli) tend to collapse (atelectasis). Access resources for you to use during your baby's hospital stay and at home. Please see our Nondiscrimination If PaO2 continues to remain > 70-80 mm Hg for more than 24 h consider weaning NO to 10 ppm and maintain until shunting has resolved and FiO2 0.60 . HFV is not an optimal mode for the management of apnea. Initial Settings - Use either nasal prongs or a nasopharyngeal tube to deliver a CPAP of 5 cm H20. *, The location is currently closed. Perinatal management of meconium staining of the amniotic fluid. Many HFOV centers have you order amplitude or delta P (P) to regulate ventilation instead of power. PEAK PRESSURE (sighs): The PIP is usually set at a pressure equal to MAP +6 cm. It is attached by tubing to a bag of fluid. An infant without an arterial line who is not severely ill can have his oxygenation status monitored by continuous pulse oximetry or by transcutaneous PO2 monitoring. Di-Di twins = dichorionic -diamniotic . Your baby is getting special care. Sudden Unexpected Infant Death (SUID) The death of an infant younger than 1 year of age that occurs suddenly and unexpectedly. 2) Conventional ventilation Importantly neonates are ready for conversion to conventional mechanical ventilation when they meet the following criteria: a) MAP 16-17 cm, FiO2 0.40 - 0.50 and power 4.0 (delta P < 40 cm H2O. THIS IS NOT THE TIDAL VOLUME DELIVERED! & Accessibility Requirements. This is a breathing machine. ), or from shunting (cyanotic heart disease), Pulmonary - Impairment of oxygenation and ventilation from lung disease (surfactant deficiency disease, pneumonia, transient tachypnea of the newborn, meconium aspiration, etc. Increase fluid administration gradually over the first week of life to 120-130 cc . Lung compliance usually improves, sometimes quite rapidly. Pediatrics 1987;79:26-30. PICC (peripherally inserted central catheter) or PCVC (percutaneous central venous catheter). UVC (umbilical venous catheter). Common Terms | NICU Resources | Nationwide Children's Hospital al. Peer Review Status: Internally Peer Reviewed. ), Hyperbilirubinemia Excess bilirubin in the blood; a condition common in newborns, Hypercalcemia An excess amount of calcium in the blood, Hypercapnia (hypercarbia) An excess of carbon dioxide in the bloodstream, Hyperglycemia Abnormally high sugar levels in the blood, Hyperkalemia Excess amounts of potassium in the blood, Hypernatremia Excessive amounts of sodium in the blood, Hyperthermia Abnormally high body temperature, Hyperventilation Abnormally rapid breathing, Hypocalcemia Abnormally low levels of calcium in the blood, Hypoglycemia A condition that occurs when not enough glucose (sugar) is in the babys blood to use as a fuel for energy, Hypokalemia Too little potassium in the blood, Hyponatremia Too little sodium in the blood, Hypotension Abnormally low blood pressure, Hypothermia Abnormally low body temperature; a frequent problem with low-birth weight premature babies, Hypovolemia An abnormally low volume of blood in the body, I and O Abbreviation for input and output (It refers to the amount of fluids given by oral feedings or by IV, and the amount of fluid excreted in the urine or stools, as well as blood removed for testing, over a given period of time. Central nervous system stimulants. a) Neonates - Initial MAP should be 2-4 cm above the MAP on CMV. This is a tube put into a vein. C. Secondary surfactant dysfunction, inactivation or post surfactant slump. For more information or to reach the NICU at Parkland, please call 469-419-3721. Pediatrics, 1987;79:915-921. If bagging has to be done, the PIP while bagging if possible should be 8-10 cm above the MAP and a PEEP of 6-8 cm should be maintained as tolerated. Pass suction catheter nasally as if inserting a nasogastric tube to 10-12 cm. |8O >_,_"d|Mr#MKvz x[~2|W'_(0Cp@-z. ), Oxygen hood (Oxyhood) A small plastic hood placed over the babys head, giving the infant a measured amount of oxygen and warm mist, Parenteral nutrition (PN) Nutrition that is given by IV, rather than through the stomach and the intestines, Patent ductus arteriosus (PDA) A blood vessel in the fetus that allows oxygen-rich blood from the placenta to bypass the left side of the heart and lungs (Before birth, blood flows through this blood vessel to the rest of the body. Grams and kilograms. Pharmacologic intervention with Priscoline (Tolazoline) may be indicated if ventilation, correction of acidosis, and treatment of the primary lung disorder do not lower pulmonary arterial pressure. mL (milliliter). NG tube (nasogastric tube). NICU Glossary | Terminology Used | CHKD | Pediatric Health & Medicine To decrease the delta P needed and thus minimize the delivered TV in micro-preemies when air trapping is not a concern. This is an open bed with a heating device. 47-70; Hernandez, J. 1. It is put in at the stump of the umbilical cord. 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. IT IS IMPERATIVE THAT FLUID THERAPY BE READJUSTED EVERY 8 TO 12 HOURS, BASED ON INTAKE AND OUTPUT, CHANGE IN BODY WEIGHT, SERUM ELECTROLYTE CONCENTRATIONS AND SERUM AND URINE OSMOLALITY DETERMINATIONS. The transcutaneous PO2 monitor (TCM allows for non-invasive measurement of arterial oxygen tension. In a clinically well-appearing, vigorously crying newborn without meconium at the level of the vocal cords, intubation may not be necessary. Your baby is getting special care. Subsequent doses are generally withheld if the infant requires less than 30% oxygen. This is a tube put into a vein. The infant may need to remain on a minimal rate for a few weeks while the respiratory control system matures. IV pump. Adjust Power/Amplitude/delta P to keep PaCO2 45-55. ), Genetic counseling Advice and information provided by trained professional counselors on the detection and risk of occurrence of genetic disorders, Gestation The length of time between the first day of the mothers last menstrual period before conception and the delivery of the baby, Gestational age The length of time from conception to birth (A full-term infant has a gestational age of 38-42 weeks. Arrow. Dwortz A.R., et. ABBREVIATIONS HIC High-Income Country HIPAA Health Insurance Portability and Accountability Act HIV Human Immunodeficiency Virus HNN Healthy Newborn Network A repeat dose should be given within 4 - 12 hours if the patient is still intubated and requiring more than 30 to 40% oxygen. Check CXR 1-2 hrs after converting to HFOV, then adjust MAP to achieve optimal lung volume (9 ribs expanded with improved aeration). The age of a premature baby that is found by adding his postnatal days to his gestational age at birth (A baby who is 14 days old and was born at 26 weeks would have a corrected age of 28 weeks.) Normally used for premature infants < 2.5 kg. & Accessibility Requirements and Patients' Bill of Rights. Within the ICU specialized medical and nursing care is provided to patients, there is enhanced monitoring, and several methods are utilized to provide the body's organs with full support to sustain life. This means no food or liquid given by mouth. Higher resistance to spontaneous breathing. Gerstmann DR, de Lemos RA, Clark RH: High-frequency ventilation: Issues of strategy. ), Ultrasound (sonogram) An imaging technique that uses echoes of high frequency sound waves to produce a picture of body tissues, Upper respiratory infections (URI) A cold; an infection that affects any part of the respiratory tract above the larynx (voice box), UTI Urinary tract infection; usually refers to infections of the bladder, Ventilator A machine, also called a respirator, that sends warmed, moist air to a babys lungs (The sickest babies receive mechanical ventilation, meaning that the ventilator breathes for them while their lungs grow and recover. GA, PMA, PCA, Chronological Age, Corrected Age - Using the Correct A PICC line (peripherally inserted central catheter) is a type of central line that is placed in one of the major blood vessels. High-frequency ventilation in newborn infants. CPAP is for a spontaneously breathing, PPV is assisting the . Common Terms and Abbreviations Used in the NICU This is an open bed with a heating device. 5) Manual Ventilation: Hand bagging while on the SensorMedics Ventilator should be minimized secondary to the risk of barotrauma due to shear force injury from higher TV and possible hyperinflation. 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. ), APGAR A means of evaluating, on a scale of 1-10, how a newborn baby adjusts to the environment outside the uterus immediately after delivery, Apnea A pause in breathing that lasts for more than 20 seconds, or is accompanied by a slow heart rate (bradycardia) or a change in skin color (Apnea is common among preemies who still have immature control of their breathing.