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What the Evidence Tells Us About Risk, Reality and Current Practice Enteral feeding tubes are a mainstay of neonatal intensive care, particularly for very preterm and critically unwell infants who may rely on tube feeding for weeks or months. While these devices are...
Since its introduction in the early 1970s, continuous positive airway pressure (CPAP) has become a cornerstone of neonatal respiratory support. A 2003 review by De Paoli et al. highlighted its physiological benefits while emphasising significant uncertainty around...
The question of whether neonatal peripherally inserted central catheters (nPICCs) can safely be cut to length continues to arise in clinical practice. Although some clinicians shorten lines to assist with dressing application or reduce external looping, available...
Endotracheal intubation in neonates is a high‑stakes procedure where millimetres matter, and the margin for error is incredibly small. Optimal outcomes depend on correct tube selection, precise insertion depth, operator experience, and meticulous ongoing airway...
In Neonatal Intensive Care Units (NICUs), vascular access is not optional, it’s essential. Over 85% of NICU patients require some form of Vascular Access (VA) during their stay. Yet, the choice of device and insertion technique can dramatically affect outcomes....
Helping Neonatal Teams Assess Their Preparedness for Less Invasive Surfactant Administration Less Invasive Surfactant Administration, known as LISA, is becoming an increasingly important technique in supporting preterm infants with respiratory distress syndrome. It...
Less Invasive Surfactant Administration (LISA) has transformed the respiratory care of preterm infants with respiratory distress syndrome (RDS). It offers a method of delivering life-saving surfactant while avoiding endotracheal intubation and the potential...
Article summary of Ghouri M, Ali I. Reducing hypothermia in high risk infants: ongoing challenges in later preterm and term neonates. Infant. 2025;21(6):160‑3. Neonatal hypothermia remains common due to newborns’ immature thermoregulation and physiological...
Respiratory Distress Syndrome (RDS) remains one of the most common and challenging conditions in preterm infants. Surfactant replacement therapy has been a cornerstone intervention for decades, traditionally delivered via endotracheal intubation followed by mechanical...
The first hour of a premature baby’s life is known as the ‘Golden Hour’. Research shows that what happens in the first hour of a premature baby’s life is the most crucial and can make a difference between a good outcome and a poor outcome or, the worst-case scenario...
Longline catheters are commonplace in neonatal and paediatric care, providing reliable access for delivering parenteral nutrition, medications, and fluids over extended periods. Traditionally, these catheters are inserted using direct introducer or peelable cannula...
In our previous article on Longline Catheter Insertion Using the Modified Seldinger Technique (MST): Clinical and Economical Advantages, we explored how the use of MST optimises placement and reduces procedural complications. Now that the longline catheter is...
Safe removal of a longline catheter is a critical step in neonatal care. Improper technique can lead to serious complications, including air embolism, bleeding, infection and, in rare cases, catheter embolus. Neonates are particularly vulnerable due to their small...
Sustainability is becoming a critical priority in healthcare, driven by ambitious targets such as the NHS commitment to achieve Net Zero by 2040 and the EU Green Deal objectives. Medical devices contribute significantly to the healthcare sector’s carbon footprint,...
Premature birth frequently results in complications for both infants and their families and so continues to be a pressing topic in global neonatal healthcare. While medical advancements have significantly improved outcomes for many preterm babies, simple yet effective...
Finding ways to streamline NICU care while improving the quality of care is essential, especially for these most vulnerable patients. Custom packs promote standardised insertion procedures, ensuring maximum barrier precautions and reduced risk of infection....
Based on a presentation by Dr Keliana O'Mara, PharmD, NICU Pharmacy specialist WakeMed Health and Hospitals, United States In neonatal intensive care units (NICUs), where the tiniest patients rely on technology for survival, precision isn't a luxury, it’s a...
Definition of NEC Necrotising enterocolitis (NEC) is a serious condition that can occur following preterm birth, characterised by bowel inflammation that prevents milk feeding and may require surgery. It is associated with high mortality rates, exceeding 20%. The...
From delivery to the NICU, hospital to hospital and even unplanned home deliveries, neonatal transport is crucial for making sure babies receive the care they need at the right time, and at a unit suited to their needs. Maintaining normothermia during transport has...
Neonatal peripherally inserted central catheters (PICC) are commonly used in neonatal intensive care units to administer vasoactive drugs and hyperosmotic solutions such as parenteral nutrition1. These catheters are often maintained in place for 2 to 3 weeks and play...
Pulmonary surfactants along with other therapeutic measures are the treatment of choice for various respiratory conditions. A surfactant deficiency in preterm infants leads to respiratory distress syndrome characterised by poor lung expansion, inadequate gas...
Neonatal care often necessitates reliable vascular access for the administration of parenteral nutrition, medications, and other critical therapies. The Modified Seldinger Technique (MST) has emerged as a valuable method for inserting neonatal peripherally inserted...
The following article offers an in-depth analysis of the scientific evidence on enteral nutrition in infants, focusing in particular on the methods of administration. Nutrition in infants is a vital component for their development and well-being, and the choice of the...
For the treatment of patients, from adults to infants and premature babies, admitted to healthcare facilities, it is often necessary to place probes and catheters whose use includes the administration of enteral nutrition in addition to the infusion of drugs and other...
Enteral nutrition tubes are used in healthcare facilities to administer nutrition, fluids and medication to patients who cannot be fed orally. For years, these patients have been subjected to the risks of misconnections, defined as incorrect administration of an...
Nutritional needs are understood as the amount of each of the nutrients required by an individual at each stage of life to maintain a correct nutritional status and, thus, prevent disease and ensure proper growth. Ensuring that these nutritional needs are met in the...
The introduction of ENFit® connectors in neonatology units, with the aim of avoiding connection errors between systems intended for different clinical therapies, has generated much debate among experts in the field. The new connector for enteral nutrition poses a...
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