Well Brett J. Manley 🤷🏼‍♂️ you appear to be moving ever closer to that day of enlightenment and bravery when you replace CPAP with High Flow for all non-invasive respiratory support. Meet us on the other side! You know you want to. Peter Reynolds @ccroehr

Parents might just appreciate seeing more of their baby’s face and not have to worry at all about nasal injury. Try putting it to a vote with your hard working nurses. Brett J. Manley 🤷🏼‍♂️

In the land of giants, I appear to have slipped into the same Parisian hole as Brett J. Manley 🤷🏼‍♂️

Tough team talk for Oxford as they slip behind Manchester United and, most irritatingly, the Royal Women’s Melbourne in the neoGastric Premier League Table. Calum Roberts Brett J. Manley 🤷🏼‍♂️ neoGASTRIC Trial Dr. Amit Gupta

Possibly better but not the best. That is why we apply nasal High Flow within the first minute of life in all preterm babies requiring non-invasive support. Make the logical leap - you know you want to. Brett J. Manley 🤷🏼‍♂️ Peter Reynolds

The weekend workers and Barista Bretty? Brett J. Manley 🤷🏼‍♂️ The Royal Women’s Hospital

Lunch! You should be so lucky. When I were lad on’t surgical firm, I’d go days without a meal. Good to hear you are having fun Olivia Ray but don’t be tempted away from your career path towards a Chair in Neonatology.

Used in Oxford on up to 10 babies a year with apnoea resistant to caffeine of up to 20mg/Kg/day. Having ruled out other causes of apnoea, it almost invariably works. IV for 1 week. Can switch to oral at 30% higher dose. Keep up Brett J. Manley 🤷🏼‍♂️

To be highly recommended (getting fit for the future)….Great posts Peter. I’ll spread the word amongst the youngsters.

Quite right Peter. I was corrected on the spelling of fetusby Prof Andrew Wilkinson the first day I stepped into the Oxford (English) Neonatal Unit. But it is time you learned the correct abbreviation nHFT rather than the shortened slang on the streets of Chertsey and Melbourne.

Call me old fashioned, but I consider it cautionary to define which precise orifice you are applying the therapy to. Brett J. Manley 🤷🏼‍♂️ @ccroehr

We all know you Rowena, but who is Charles? Hi Rowena! x

I would ask why they had been intubated and not received LISA or MIST in the DR whilst on nHFT, transferred to the NNU on nHFT and thereafter maintained on nHFT. Or am I too New Age?

And the neoGASTRIC Premiership as of today: Monash drop to 3rd and Oxford battling with Melbourne Royal Women’s in mid-table. Brett J. Manley 🤷🏼‍♂️ Calum Roberts

‘Nobody does it better, Makes me feel sad for the rest, Nobody does it half as good as Oxford, Our Experience is the best.’ Been doing this for years. Keep up guys! Brett J. Manley 🤷🏼‍♂️ Calum Roberts Peter Reynolds @ccroehr Dr. Amit Gupta

#neotwitter friends and Brett J. Manley 🤷🏼‍♂️ @ccroehr Peter Reynolds Calum Roberts Fiona Thompson 💙 struggling to decide how to answer this poll as I approach my 70th birthday next week whilst on service. Any suggestions?

Very emotional to do my last ever interview before this momentous election with Jonathan Pie #VoteTory

Honoured to be presented with a Neonatal Nurses Association Badge at #REASON2024 Roisin, your input in the past and now Diane’s as committee members have been key to the success of this unique event as it enters its 31st year. Many many thanks. Dianemk Roisin Neonatal Nurses Association (NNA)

Two very talented Professors of Neonatology and an old man who appears to be dancing with himself. Another fabulous Reason Conference. Many thanks to CFS Events - Medical Educational Events Dominic Wilkinson Roisin and the the ever popular guest of honour- Professor Ian Laing.

Congratulations to Norwich Paul Clarke and team. I recall your presentation at #REASON about a decade ago. What happened to the Birthday Cuddle? If there has been a PC shift don’t attempt to explain to me. Wake me up again when DRC reaches the Democratic Republic of the Congo.