Neonatal Guidelines 2017 - 19
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ADMISSION AND DISCHARGE
Admission to neonatal unit 16
Death and seriously ill babies 83
Discharge from neonatal unit 89
Follow-up of babies discharged from the neonatal unit 115
Labour ward calls 205
Transport and retrieval 338
CARDIOVASCULAR
Cardiac murmurs 48
Congenital heart disease duct-dependent lesions
[Including hypoplastic left heart syndrome (HLHS) and left-sided outflow tract
obstructions] 65
ECG abnormalities 96
Heart failure 132
Hypotension 161
Patent ductus arteriosus 257
Pericardiocentesis 260
Supraventricular tachycardia New guideline 316
Vascular spasm and thrombosis 357
CRITICAL CARE
Babies born at margins of viability (previously Extreme prematurity) 2 8
Golden hour - preterm babies <28 weeks’ gestation 124
Hydrops fetalis 140
Hypothermia 164
Massive haemorrhage |New guideline 212
Pain assessment and management 247
Resuscitation 290
Subgaleal haemorrhage (SGH) |New guideline 310
Sudden unexpected postnatal collapse in first week of life 313
DEVELOPMENTAL CARE
Developmental care 85
Down syndrome - initial management New guideline 93
Environment and noise 101
Kangaroo care 203
Non-nutritive sucking (NNS) 233
Positioning 266
ENDOCRINE/METABOLISM
Hyperglycaemia 142
Hyperkalaemia 145
Hypernatraemic dehydration 147
Hypoglycaemia 151
Hypokalaemia 159
Hypothyroidism 166
Inherited metabolic disorders (IMD) 184
Intravenous fluid therapy 190
Medium-Chain Acyl-CoA Dehydrogenase Deficiency (MCADD) - early management
of babies with family history 215
Metabolic bone disease 217
Thyroid disease (management of babies born to mothers with thyroid disease) 328
GASTROENTEROLOGY
Ankyloglossia (tongue-tie) - division for breastfeeding |New guideline 18
Gastro-oesophageal reflux (GOR) 117
Jaundice 200
Liver dysfunction in preterm babies 206
Nasogastric tube administration of feed, fluid or medication 223
Necrotising enterocolitis (NEC) 229
HAEMATOLOGY
Blood group incompatibilities (including Rhesus disease) 33
Coagulopathy 60
Polycythaemia 264
Thrombocytopenia 324
Transfusion of red blood cells 334
INFECTION
BCG immunisation 30
CMV 58
Conjunctivitis 73
Hepatitis B and C 135
Herpes simplex 137
Human immunodeficiency virus (HIV) 138
Immunisations 172
Infection in first 72 hours of life 175
Infection (late onset) 178
Multi drug resistant organism colonisation (MRSA, ESBL etc.) 219
Palivizumab 252
Syphilis - babies born to mothers with positive serology 321
Tuberculosis (investigation and management following exposure in pregnancy) 341
Varicella 354
NEUROLOGY
Abstinence syndrome 13
Congenital hypotonia |New guideline 69
Cooling in non-cooling centres - referral and preparation of eligible babies for active cooling 78
Hypoxic ischaemic encephalopathy (HIE) 168
Post haemorrhagic ventricular dilatation |New guideline 269
Seizures 298
Upper limb birth injuries including brachial plexus injury 350
NUTRITION
Bottle feeding in the neonatal unit 36
Breastfeeding 38
Breast milk expression 40
Breast milk handling and storage 42
Nutrition and enteral feeding 234
Parenteral nutrition 254
Progression to oral feeding in preterm babies New guideline 271
PRACTICAL PROCEDURES
Arterial line insertion 24
Arterial line sampling 26
Cannulation - peripheral venous 47
Chest drain insertion (traditional) 52
Chest drain insertion - Seldinger technique 49
Consent 75
Endotracheal tube (ETT) suctioning 99
Exchange transfusion 106
Extravasation injuries 112
Growth monitoring New guideline 127
Intubation 195
Intubation - difficult 198
Long line insertion (peripherally sited) 209
Nasogastric tube insertion 225
Prostaglandin infusion 274
Skin biopsy for inborn errors of metabolism 302
Skin care 304
Transillumination of the chest 337
Umbilical artery catheterisation and removal 343
Umbilical venous catheterisation and removal 346
Venepuncture 359
RENAL
Renal failure 285
Urinary tract abnormalities diagnosed antenatally 351
RESPIRATORY
Apnoea and bradycardia 22
Chest physiotherapy 54
Chronic lung disease 56
Nitric oxide 232
Oxygen on discharge 243
Oxygen saturation targets 245
Persistent pulmonary hypertension of the newborn (PPHN) 261
Pulmonary haemorrhage 276
Surfactant replacement therapy 319
Transcutaneous CO2 and O2 331
Ventilation: continuous positive airway pressure (CPAP) 360
Ventilation: conventional 364
Ventilation: high-flow nasal cannulae (HFNC) 367
Ventilation: high frequency oscillatory ventilation (HFOV) 368
Ventilation: synchronous positive pressure ventilation (SIPPV) 370
Ventilation: volume-targeted (volume guarantee/targeted tidal volume) 373
SCREENING
Antenatal ultrasound abnormalities 21
Bloodspot screening 35
Cranial ultrasound scans 81
Developmental dysplasia of the hip (DDH) 87
Disorders of sexual development 91
Examination of the newborn 102
Hearing screening 130
Pulse oximetry (universal) screening 278
Retinopathy of prematurity (ROP) 296
Sacral dimple 297
SURGICAL GUIDELINES
Anorectal malformation in NNU before transfer to surgical centre 19
Broviac line insertion 44
Congential diaphragmatic hernia (CDH) New guideline] 62
Exomphalus - initial management 109
Gastroschisis 119
Inguinal hernia 183
Intra-abdominal cysts 188
Myelomeningocele (MMC) New guideline 221
Oesophageal atresia 240
Rectal washout using syringe method 281
Recycling stoma losses via a mucus fistula 283
Stoma management (gastrointestinal) 306
