Neonatal Intensive Care
Kanalga Telegram’da o‘tish
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
Ko'proq ko'rsatish📈 Telegram kanali Neonatal Intensive Care analitikasi
Neonatal Intensive Care (@newborn) Ingliz til segmentidagi kanali faol ishtirokchi. Hozirda hamjamiyat 17 902 obunachidan iborat bo'lib, Tibbiyot toifasida 1 360-o'rinni va Eron mintaqasida 19 277-o'rinni egallagan.
📊 Auditoriya ko‘rsatkichlari va dinamika
невідомо sanasidan buyon loyiha tez o‘sib, 17 902 obunachiga ega bo‘ldi.
22 Oktabr, 2026 dagi oxirgi ma’lumotlarga ko‘ra kanal barqaror faollikka ega. Oxirgi 30 kunda obunachilar soni 127 ga, so‘nggi 24 soatda esa 8 ga o‘zgardi va umumiy qamrov yuqori darajada qolmoqda.
- Tasdiqlash holati: Tasdiqlanmagan
- Jalb etish (ER): Auditoriya o‘rtacha 18.63% darajada jalb etiladi. Nashrdan keyingi dastlabki 24 soatda kontent odatda umumiy obunachilar sonining 5.54% ini tashkil etuvchi reaksiyalarni to‘playdi.
- Post qamrovi: Har bir post o‘rtacha 3 334 marta ko‘riladi; birinchi sutkada odatda 991 ta ko‘rish yig‘iladi.
- Reaksiyalar va o‘zaro ta’sir: Auditoriya faol: har bir postga o‘rtacha 14 ta reaksiya keladi.
- Tematik yo‘nalishlar: Kontent است, مراقبت, نوزادان, برای, نوزاد kabi asosiy mavzularga jamlangan.
📝 Tavsif va kontent siyosati
Muallif resursni shaxsiy fikrni ifoda etish maydoni sifatida ta’riflaydi:
“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”
Yuqori yangilanish chastotasi (oxirgi ma’lumot 23 Oktabr, 2026 da olingan) sababli kanal doimo dolzarb va katta qamrovli bo‘lib qoladi. Analitika auditoriya kontent bilan faol hamkorlik qilishini, uni Tibbiyot toifasidagi muhim ta’sir nuqtasiga aylantirishini ko‘rsatadi.
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Thanks to My lovely Wife for great effort ❤️ | 1 207 |
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| 10 | 🫁 Can a ventilator adjust oxygen by itself?
One of the major challenges in caring for extremely preterm infants is maintaining SpO₂ within the target range.
Both hypoxemia and hyperoxemia can be harmful. Therefore, NICU clinicians continuously adjust the FiO₂ according to changes in the infant’s oxygen saturation.
But what if the machine could do this automatically?
🔬 What does the latest evidence show?
A large multicenter randomized controlled trial published in The Lancet Child & Adolescent Health evaluated automatic versus manual oxygen control in extremely preterm infants.
The study included more than 1,000 infants born at 23–27+6 weeks of gestation across 32 NICUs.
In the intervention group, a closed-loop automated FiO₂ control system continuously used SpO₂ data to adjust the oxygen concentration.
Interestingly, the primary clinical outcome was not significantly different:
🔹 Death, NEC, BPD, or severe ROP:
39% with automated oxygen control
vs.
41% with manual control
There was also no significant difference in the individual outcomes of:
• Mortality
• Necrotizing enterocolitis (NEC)
• Bronchopulmonary dysplasia (BPD)
• Severe retinopathy of prematurity (ROP)
📌 So, does automated oxygen control not work?
Not necessarily.
Previous studies have shown that closed-loop systems can increase the amount of time infants spend within the target SpO₂ range and may reduce episodes of both hypoxemia and hyperoxemia.
They may also reduce the workload associated with frequent manual FiO₂ adjustments.
However, the 2026 trial suggests that better oxygen targeting does not automatically translate into better major clinical outcomes.
⚠️ Clinical message
Automated FiO₂ control should not be considered a replacement for clinical judgment.
The technology may become an important tool for reducing oxygen fluctuations and supporting bedside clinicians, but careful monitoring and appropriate clinical decision-making remain essential.
🔑 The future of neonatal oxygen therapy may not be
Human vs. machine
but rather:
Human + intelligent technology.
The goal is not simply to achieve a target SpO₂ value, but to minimize the dangerous swings between hypoxemia and hyperoxemia.
📚 Reference
Franz AR, Maiwald CA, Niemarkt HJ, et al. Automatic versus manual control of oxygen and neonatal clinical outcomes in extremely preterm infants: a multicentre, parallel-group, randomised, controlled, superiority trial. Lancet Child Adolesc Health. 2026;10(3):179–188. doi:10.1016/S2352-4642(25)00351-7.
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- Dexmedetomidine for shivering, low-dose opioids; MAP 40-50 mmHg; glucose 2.6-8.0 mmol/L
- Abort: refractory hypotension on inotropes, persistent hypoxemia despite 100% O2/iNO, severe coagulopathy
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- Tachypnea cutoffs: RR >80/min or tachypnea-apnea = instability; RR <60/min = stable.
- OSST: weekly 4-domain score (Respiratory, Neuroregulation, Infection/Inflammation, Nutrition/Growth).
- CCBPD model cut Bayley <70 rates: cognitive/language 49.8% to 15.2%, motor delay 41.7% to 10.9%, no rise in accidental extubation.
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| 17 | Neonatal Vascular Access: UVC & IO – Indications, Timing, and Team Coordination in Advanced Resuscitation
UVC and intraosseous access for emergency neonatal resuscitation
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- Epinephrine 0.1 mg/mL via UVC/IO every 3-5 min if HR <60 bpm
- Ventilation 40-60 breaths/min; PIP 20-30 cm H2O, PEEP 5 cm H2O
- SpO2 targets: 60-70% at 2 min, 70-75% at 3 min, 75-80% at 4 min, 80-85% at 5 min, 85-95% at 10 min
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