Yes, the family can disagree with the recommendations of the critical care specialist. If this occurs it is important to have a conversation with the specialist to address the family's concerns and the specialist's recommendations so that everyone understands the recommendations and the consequences of not following them as well as the family's wants and expectations.
Michael V. Jackson, MD
Specialty: Critical Care Medicine
- critical care medicine
- pulmonary & respiratory medicine
Location and Office HoursPulmonary Medicine Associates
236 W 6th St Ste 301
Reno, NV 89503
- Anthem BlueCross BlueShield
- BlueCross BlueShield
- Great-West Healthcare Cigna
- HomeTown Health Plan
- United Healthcare
- Banner Churchill Community Hospital
- Northern Nevada Medical Center
- Renown Regional Medical Center
- St Mary's Regional Medical Center
- Can the family disagree with the critical care recommendations?
How does the NICU handle bottles and pacifiers?
Intermountain Healthcare answeredOnce your baby is taking most of her feedings by nursing, she’ll be offered bottles when you’re not available to breastfeed. Babies often take both breast and bottles without a problem. Keep pumping and bringing your milk to the newborn intensive care unit (NICU).
During your visit, don’t give your baby a pacifier. It’s best if you comfort your baby in the NICU. However, the NICU staff will give your baby a pacifier if you’re not here, especially if she is fussy or having a painful procedure. The pacifier can help comfort her.
What are the advantages of a PICC line for a baby in the NICU?
Intermountain Registered Dietitians, Nutrition & Dietetics, answered on behalf of Intermountain HealthcareA peripheral line is an IV placed into the baby's arm, hand, leg, foot, or scalp. Unlike peripheral lines, a central line is placed in the blood vessel that leads directly to the heart. A common type of central line is a PICC line. PICC stands for peripherally inserted central catheter -- meaning a central catheter that is inserted through the skin and into a vein. It is then guided into a larger vein.
A PICC line has advantages over a peripheral line for NICU babies:
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- It allows higher concentrations of nutrients and medications to be given, with less irritation to the veins.
- When IV therapy is needed for a long time, the PICC line eliminates the need for multiple attempts to place IVs for nutrition, fluids, or medications.