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  1. Yesterday
  2. Francesco Cardona

    Next 99nicu meetup coming up in 2019!

    Here the official invite for all of you! See you in Copenhagen!
  3. Last week
  4. hehady

    Next 99nicu meetup coming up in 2019!

    Oh Copenhagen my beloved city, a lot of memories in Rigshospitalet Best wishes for the next conference
  5. Jelli KA

    Next 99nicu meetup coming up in 2019!

    Ahh Great! almost Copenhague What a treat 😍😎
  6. Stefan Johansson

    Next 99nicu meetup coming up in 2019!

    Dear all, as @Hamed and @Rizalya figured out, our next Meetup is located to Copenhagen in Denmark, at the Rigshospitalet 7-10 April 2019. With regard to the clues provided: Denmark is (as always) scoring high in the latest World Happiness Report Copenhagen is a city with more bikes than people Rigshospitalet was the scene for the praised TV series Riget by Lars von Trier, where a main character was a choleric Swedish neurosurgeon The statue of the Little Mermaid is one of the main tourist attractations in Copenhagen. The Little Mermaid is a classical fairytale, written by HC Andersen Stay tuned for more information! We'll get back with a lot of details about the Meetup during the autumn, and plan to open the registration in November.
  7. David

    Skin care of the tiniest

    Hi! We use octenidine, unfortunately we only have access to a solution contaning alcohol - although an alcohol-free preparation is possible to produce via the pharmacy. We rarely see necrosis and scarring (although reported in the literature).
  8. bimalc

    Surfactant lavage!

    No, but we will give bolus surfactant (RDS dosing) after pulmonary hem. with hypoxia
  9. What about the best position for extremely premature babies ! Our cocoons are not adequate 

  10. Who can share experience concerning  the use of NIRS? 

  11. Earlier
  12. M C Fadous Khalife

    Skin care of the tiniest

    We use chlorhexidine for extremely preterm babies and we use dakin for older ones but never had burns or any other problems for umbilical catheter insertion
  13. M C Fadous Khalife

    Surfactant lavage!

    We use surfactant bolus but never used surfactant lavage I find the idea only interesting in pulmonary hemorrage ; since we have high mortality , Does anyone have experienced surfactant lavage in pulmonary hemorrage?
  14. M C Fadous Khalife

    Dose of antibiotics for infant with hydrops fetalis

    I agree with dr hamed! There is no big difference between 4,3 and 4,1 .
  15. William Walsh

    Surfactant lavage!

    I wrote an article in Peds Research in 1992 describing LACK of efficacy of surfactant lovage at 10cc/ kg for MAS. In piglet model. Surfactant was beneficial but lavage never came back with meconium. I tried because of earlier saline lavage studies with worsening of disease with saline washing out surfactant. William Walsh
  16. M C Fadous Khalife

    VZIG not available, what can i do ??

    We give acyclovir we don’t have VZ Ig By the way I want to ask about time limits for this recommandation We recently had a mother who had chickenpox but was totally healed 12 days before labor ! The newborn case was debated ! And baby had chickenpox at J5
  17. M C Fadous Khalife

    Dose of antibiotics for infant with hydrops fetalis

    We use dopamine and donutamine . We use NO but no milrinone
  18. M C Fadous Khalife

    Post-discharge apnea monitoring in extr preterm infants?

    No we don’t ! Usually we don’t send babies home with any risk of apnea
  19. Stefan Johansson

    Next 99nicu meetup coming up in 2019!

  20. M C Fadous Khalife

    Next 99nicu meetup coming up in 2019!

    Amsterdam
  21. AllThingsNeonatal

    Next 99nicu meetup coming up in 2019!

    Amsterdam?
  22. Rizalya

    Next 99nicu meetup coming up in 2019!

    Yes, Copenhagen 😁
  23. Hamed

    Next 99nicu meetup coming up in 2019!

    Copenhagen
  24. POJ

    Next 99nicu meetup coming up in 2019!

    Poland?
  25. Stefan Johansson

    Next 99nicu meetup coming up in 2019!

    To the best of our knowledge, we won’t risk problems from any neurosurgeons at the venue (3rd clue)
  26. We send them on small spo2 monitor..we teach mother some basic resuscitation...we have kmc well established...kmc started at around 1 kg weight..so mother gets good time spent with baby under observation..and she gets good time to learn basics like what to do in case of apneas...we have very less rate of BPD and very less babies sent on o2...
  27. rajnandyal

    Post-discharge apnea monitoring in extr preterm infants?

    Very rarely, we send a baby home on home apnea/cardiorespiratory monitor, just for post-discharge monitoring for apnea. I don't think that, there is adequate evidence to support that practice on a routine basis (2016-AAP Guidelines). From our Level IV NICU, more than 90% of babies that go home on home apnea / CR monitors have O2 dependent chronic lung disease / BPD (That number is dwindling down). Remaining infants tend to belong to the following groups- a) babies that are otherwise ready to be sent home, but unable to be weaned off caffeine by 36 weeks PMA. We attempt weaning off caffeine by 32 to 34 weeks babies that had no "true apneic episodes" for a week (will stop caffeine if maintenance dose is 4 to 6 mg/kg/day, Or will decrease by 50% for 4 days, and stop it if remained asymptomatic, when the maintenance dose is 7 to 10 mg/kg/day, b) babies that are symptomatic at >36 weeks GA (apnea of infancy and other causes are ruled out), c) ALTE (apparent life threatening event- other cause are ruled out), and d) miscellaneous- babies that have very high potential upper airway obstruction, such as upper airway anomalies, severe GE reflux, CNS anomalies, central hypoventilation syndrome, s/p trach etc. Once on home apnea / CR monitor, we use the following criteria for discontinuing-- a) at 44 weeks (or more) corrected GA, and apnea free for 1 month, b) the reasons for using the monitors, have resolved, and c) off caffeine for 7 to 10 days, and remained asymptomatic. Yes, we have guidelines, but compliance is unsure. I guess, it tends to be individualized.
  28. Abdul kasim jaleel ahmed

    VZIG not available, what can i do ??

    It’s good protocol if IVIG ( zoster) not available How long we can wait?
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