STABLEize - The STABLE Program1.1.2

In addition to The S.T.A.B.L.E. Program Module Guidelines: Sugar, Temperature, Airway, Blood pressure, Lab work, Emotional support for the family, this app includes a BONUS menu of 22 severe cardiac anomalies to increase understanding of how blood flows through the heart in the setting of ductal dependent and not ductal dependent congenital heart disease (CHD).

- 4 calculators: corrected gestational age, temperature converter (Fahrenheit to Celsius and vice-versa), umbilical artery and venous catheter insertion depth, weight converter (grams to pounds/ounces and vice-versa).
- Under Cardiac Anomalies you’ll find animations and information on 22 severe forms of congenital heart disease. The MP4 videos demonstrate how blood flows through the heart with the various forms of CHD, and for ductal-dependent lesions, the severe impact of ductal closure on blood flow. Other animations feature normal heart anatomy, hypercyanotic (tet) spell, and balloon atrial septostomy (Rashkind procedure). Also included are illustrations of palliative procedures (PDA stent, balloon valvuloplasty, BT shunt, RVOT stent, central shunt, pulmonary artery band).

STABLE stands for the 6 assessment and care modules in the program: Sugar, Temperature, Airway, BP, Lab work, Emotional support. This app includes the following items:

- Sugar module: General Guidelines for sick infants and infants at increased risk for hypoglycemia, IV treatment of a blood sugar less than 50 mg/dL (2.8 mmol/L), useful information about umbilical catheters and actions to correct umbilical artery catheter malpositions.
- Temperature module: General Guidelines (hypothermic classifications, monitoring, rewarming after accidental hypothermia), and neuroprotective hypothermia checklist and neurologic exam.
- Airway module: monitoring guidelines, respiratory distress descriptions, endotracheal tube sizes and insertion depth, blood gas evaluation, signs of a pneumothorax, and treatment of a pneumothorax.
- Blood pressure module: assessment for shock and treatment of shock, including how to mix dopamine hydrochloride to constitute an 800 microgram/mL IV fluid solution.
- Lab work module: risk factors for neonatal infection, clinical signs of infection, and laboratory evaluation prior to transport to an intensive care unit. How to calculate the absolute neutrophil count and immature to total ratio.
- Emotional support for the family module: the various emotions that parents may be experiencing and how to help families who are experiencing the crisis of a sick newborn.

The Cardiac Anomalies menu includes short descriptions and MP4 videos and illustrations for:

- Normal Heart and Lungs
- Aortic Valve Stenosis
- Atrial septal defect
- Atrioventricular canal
- Coarctation of aorta
- Double outlet right ventricle
- Ebstein anomaly
- Hypoplastic left heart syndrome
- Interrupted aortic arch - type B
- Patent ductus arteriosus
- Pulmonary atresia with intact ventricular septum (IVS)
- Pulmonary atresia with IVS and sinusoids
- Pulmonary atresia with ventricular septal defect
- Total anomalous pulmonary venous connection (TAPVC) - Cardiac, Supracardiac, Infracardiac)
- Tetralogy of Fallot (moderate stenosis)
- Tetralogy of Fallot (ductal dependent)
- Transposition of the Great Arteries
- Tricuspid atresia
- Truncus arteriosus
- Ventricular septal defect

Includes illustrations of palliative procedures: balloon atrial septostomy (Rashkind procedure), PDA stent, balloon valvuloplasty, Blalock-Taussig (BT) shunt, right ventricular outflow tract (RVOT) stent, central shunt, pulmonary artery band.

Version History Version 1.1.2

Updated to the 7th edition S.T.A.B.L.E. Program modules. Includes new guidelines for treatment of hypoglycemia when an infant is sick, updated HIE cooling candidacy and neurologic exam checklists, a table with normal BP values in stable NICU patients, and a link to the Early-Onset-Sepsis Calculator (for use in infants who are > 34 weeks gestation). In the Cardiac Anomalies folder, Prostaglandin E1 dosing was also added. 1.1.2 03/13/2025 Updated to provide the latest Candidacy for Cooling Checklist, and Neurological Exam for Evaluating information. 1.0.49 05/07/2023 Fixed an issue that prevented viewing cardiac anomalies 1.0.48 05/06/2023 Updated temperature module cooling candidacy PDFs 1.0.45 04/18/2023 Various small content updates 1.0.44 02/17/2023 Fixing cardiac anomaly videos in iOS 15. 1.0.31 12/14/2021 Fixing an issue where images/video occasionally do not load 1.0.26 06/15/2021 Improving stability of cardiac anomalies
Fixing search bug 1.0.25 06/05/2021 Improved logging and user experience 1.0.18 05/13/2021 Fast-following update to improve user experience 1.0.16 05/11/2021 1.0.0 05/10/2021