Neonatal Intensive Care
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Neonatal Intensive Care Channel @newborn Administrator: @Vafaeeali Technical Supervisor of the Channel: Ali Vafaee, M.Sc. in Neonatal Intensive Care Ph.D. Candidate in Nursing Ms. Aida Safaei Fakhr M.Sc. in Neonatal Intensive Care
Show more📈 Analytical overview of Telegram channel Neonatal Intensive Care
Channel Neonatal Intensive Care (@newborn) in the English language segment is an active participant. Currently, the community unites 17 668 subscribers, ranking 1 329 in the Medicine category and 18 839 in the Iran region.
📊 Audience metrics and dynamics
Since its creation on невідомо, the project has demonstrated rapid growth, gathering an audience of 17 668 subscribers.
According to the latest data from 03 September, 2026, the channel demonstrates stable activity. Although there has been a change in the number of participants by 93 over the last 30 days and by 3 over the last 24 hours, overall reach remains high.
- Verification status: Not verified
- Engagement rate (ER): The average audience engagement rate is 9.18%. Within the first 24 hours after publication, content typically collects 4.92% reactions from the total number of subscribers.
- Post reach: On average, each post receives 1 622 views. Within the first day, a publication typically gains 869 views.
- Reactions and interaction: The audience actively supports content: the average number of reactions per post is 3.
- Thematic interests: Content is focused on key topics such as است, مراقبت, نوزادان, برای, نوزاد.
📝 Description and content policy
The author describes the resource as a platform for expressing subjective opinions:
“Neonatal Intensive Care Channel
@newborn
Administrator: @Vafaeeali
Technical Supervisor of the Channel:
Ali Vafaee, M.Sc. in Neonatal Intensive Care
Ph.D. Candidate in Nursing
Ms. Aida Safaei Fakhr M.Sc. in Neonatal Intensive Care”
Thanks to the high frequency of updates (latest data received on 04 September, 2026), the channel maintains relevance and a high level of publication reach. Analytics show that the audience actively interacts with content, making it an important point of influence in the Medicine category.
17 668
Subscribers
+324 hours
-57 days
+9330 days
Data loading in progress...
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| Date | Subscriber Growth | Mentions | Channels | |
| 03 September | +6 | |||
| 02 September | +1 | |||
| 01 September | 0 |
Channel Posts
Repost from NeoFast | Neonatal prescription
Intravenous Fluid Therapy in Neonates: Guideline 2025-28 West Midlands & Digital Bedside Execution via NeoFast
Intravenous Fluid Therapy in Neonates – West Midlands 2025-28
- Day 1: 60 mL/kg (≥1000g) or 90 mL/kg (<1000g); escalate to 150 mL by day 3–4
- 10% glucose day 1; from day 2: potassium 1-2 mEq/kg/day; from day 3: sodium 2-3 mEq/kg/day
- GIR: 5–7 mg/kg/min standard, 5–8 mg/kg/min (hypoglycemia), max 12 mg/kg/min
- Monitor: urine 2–4 mL/kg/hr, serum Na daily (avoid >0.5 mmol/L/hr), expect 5–10% weight loss week 1
Read the full guide on NeoFast
| 2 | Grand Rounds August 2026.pdf | 1 458 |
| 3 | #Neoreviews August 2026 | 1 238 |
| 4 |  No text... | 1 745 |
| 5 |  No text... | 1 533 |
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| 7 |  No text... | 1 198 |
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| 15 | #اطلاعیه
همکاران محترم پرستار و ماما در شهر تهران که متقاضی کار در بخش مراقبتهای ویژه نوزادان واقع در غرب تهران هستند، لطفا در اسرع وقت به این شماره پیامک ارسال کنند و اطلاعات زیر را در پیامک خود تکمیل نمایند:
پرستار یا ماما
سابقه کار مرتبط با نوزادان (به سال)
وضعیت طرح
شیفت درخواستی
شماره پیامک:
09373682937 | 1 591 |
| 16 | 🔴 Sodium Bicarbonate in severe metabolic acidosis!
Consider this scenario:
A 5-day-old preterm infant born at 30 weeks' gestation has required CPAP since birth with an FiO₂ of 0.25. He develops lethargy and frequent apnea and is treated empirically for presumed sepsis. He subsequently requires mechanical ventilation. Despite appropriate fluid resuscitation and treatment of sepsis, he develops severe metabolic acidosis and persistent oliguria.
Arterial blood gas analysis shows: pH: 6.95, PaCO₂: 43 mmHg, PaO₂: 65 mmHg, and HCO₃⁻: 12 mmol/L. As a temporizing measure, 1 mEq (2 mL) of 4.2% NaHCO₃ is administered.
Assuming an initial serum Na⁺ of 140 mEq/L and a normal intravascular volume, what is the expected rise in serum sodium concentration?
The short answer: 7 mEq/L, from about 140 to 147 mEq/L.
Why is this potentially dangerous?
In an oliguric infant, the kidney cannot readily excrete the sodium load accompanying bicarbonate. A small dose (only 1 mEq in a 1-kg infant) can represent a substantial sodium load. Repeated doses could result in:
Rapid hypernatremia and hyperosmolarity
Worsening intracellular dehydration
Additional electrolyte disturbances
Unnecessary volume expansion, if repeated bicarbonate-containing fluids are administered
Increased CO₂ generation, which can be problematic if ventilation is inadequate
A paradoxical worsening of intracellular acidosis despite an improvement in measured extracellular pH
Potential worsening of hypocalcemia, because alkalinization reduces ionized calcium
Bottom line : In a severely acidemic, oliguric infant, always remember that giving NaHCO₃ means giving Na⁺ that the kidneys cannot readily excrete.
If you’re interested in calculation, here it is.
For a 1-kg preterm infant, estimated blood volume is approximately 100 mL/kg, or 0.1 L. A 4.2% NaHCO₃ solution contains 0.5 mEq of Na⁺/mL.
Therefore: 2 mL × 0.5 mEq/mL=1 mEq Na+
Initially: 140 mEq/L×0.10 L=14 mEq Na+
After giving 1 mEq Na⁺:
Na_new≈(14+1)/0.102≈147 mEq/L
Thus, the estimated rise in serum sodium is ~7 mEq/L, from about 140 to 147 mEq/L.
@newborn
@newborn | 2 451 |
| 17 | Handbook of Paediatric and Neonatal mechanical ventilation 2nd edition | 2 601 |
| 18 |  No text... | 3 140 |
| 19 | ESPNIC Children’s Intensive Care Textbook 2025 (1).pdf | 3 183 |
| 20 | © European Society for Pediatric and Neonatal Intensive Care (ESPNIC) 2025 | 28 |
