Respiratory Disorders

Dear all: Recently we start to use the gentamycin 40 mg nebulaization 2 times daily. We take 1 ml from amp 40mg/ml and adding 3 ml normal saline to it(total volume 4 ml). The dose given 30 mins post ventolin 0.25 ml(1.25mg) nebulazation. And chest massage post genta dose. the patient has a lot of white clear excretion. We sent the sample of that secretion to the lab the result is negative. The patient has been incubated more than 2 weeks. We started the dexamethason inj (dart protocol). But still the patient not improved. Any one has experience with genta neb. And for how long it should be used.

What's the criteria to start prophylactic caffeine citrate

This article was recently published in ADC, a systematic review about volume-targeted vs pressure-limited ventilation. The message is that volume-targeting has advantages, as this mode is associated with... Personal reflection: finally there is enough research data to show that volume-targeting seems to be superior over pressure-limited ventilation there are a lot of less good research out there; only 18 of 59 potentially relevant studies were included in this review the authors of this systematic review are not the "usual suspects" (guess whom!) - but a research group in China - the country quickly climbing the research ladder Link to the article in f…

Any literature advising use or contraindication of HFVO in acute pulmonary hemorrhage? Would persistent respiratory acidosis be an indication to discontinue HFVO?

hello every body .. i need some help in managing preterm baby 35 weeks gestation .. and here is the story baby delivered at preterm 35 weeks , to 31 weeks old mother , there was history of leakage 3 days prior to delivery . delivery was by c/s (variable deceleration ) . apgar 9 10 10 . b.wt2.200 i admit the baby to NICU .. ampicillin and claforan started 1hr later baby got apnea ,desat70..and it wasn't responded to touch , improved by manual baging . over the next minute observation .. baby has no spontenous breathing .. baby connected to M.V , UVC inserted , X RAY( ordered normal heart shadow , no pulm.infiltrate , not HMD) . although on low sett…

We are having discussions about the hemodynamic effects of HFOV. Do you believe there is a threshold where one has to expect cardiovascular compromise if you turn up MAP on HFOV? How best to counter this? Or would you consider this a contraindication for HFOV?

dear all i would like to ask if anyone have experience with high flow nasal canaula,when to use it,adjusment of flow,complications andis it an alternative to nasal CPAP??? thanks

Term AGA baby was noted to have mild stridor on D2 of life . On D3 baby developed acute worsening of stridor with desaturation. No h/o birth asphyxia, trauma, intubation CXR,CT Thorax and neck wnl. please discuss management . we dont have facility for laryngoscopy.

Hi dear friends... I'm looking for advice. Our Hospital is facing a hard financial time. We use Survanta as our brand surfactant. Administrators wants to buy a cheaper surfactant ( Richet... from Argentina ) . We want to make sure we are using in our babies products that are safe and effective. Really concern .... Wellcome your opinions. Kind Regards... Leonora.

Good Morning 99Nicu, I would be grateful for an educational leg up! Very often a term PPHN is normocarbic yet we struggle with PaO2. What are the underlying factors that allow CO2 clearance but fail to enhance PaO2? Best wishes Alistair