Respiratory Disorders

Check this out, from todays issue of NEJM! Clinical research at its best! Caffeine Therapy for Apnea of Prematurity, Barbara Schmidt et al Editorial comment by Eduardo Bancalari Caffeine as BPD treatment!? I think this finding was a bit surprising for the research group, given that authors stress the possibility of a potential harmful effect of xantines in the Intro of the paper. I think the (ongoing) follow-up studies will be of great interest, I hope they'll publish results soon.

Dear Colleagues!!! Please, share with me your experience with Infasurf as surfactant replacement therapy in RDS. Still now, we are using Curosurf for this purpose. Probabaly, some of you used both these surfactants. I would like know to what is better as medicine of choice. Leonid

Dear Colleagues, Has anyone recently been into revised clinical strategies related to reduction of BPD in VLBW/ELBW babies in your institution? If so I would like to know more about it and happy to share some of the thoughts. We are planning to revise our management lines. Grateful if you could also share your new plans. Thanks. Dr S Chandran Singapore

Now we are writting the guide for the bronhopulmonary displasia and there are discussion about the terminology: BPD or pulmonary chronic lung diseases. Which term is correct?

we have had 2 newborns one recently and another one 9 yrs back. Both of them were delivered vaginally with no antenatal steroids . Both of them didn't need any ventilatory support. Had normal x rays. Aminophylline given prophylactically. Didn't need PPN or TPN. Slowly adapted to EBM. Now doing well. What helped these babies to have normal surfactant production in view of normal x rays? I am eager to know your reasoning for this phenomena.

Hi everybody I want to ask if there is an optimal or cutoff level of FiO2 after which I can remove nasal cpap to headbox or incubator O2 . afaf korraa prof of pediatrics and neonatology

Dear Stefan, Hope you are doing fine. Heartfelt congratulations for amazing grand success of the EBNEO. I am afraid that today, I am annoying you with a stupid question. Honestly at first I was not even confident enough to place the topic in our forum. Probably ashamed to acknowledge my invincible ignorance -publicly. Some how I am bit confused. The problem was simple but when I started to figure it out, got bit uncomfortable –may be for no reason; But then I thought it's better to make it clear the fundamentals from the best person [May be I am having serious problems with my basics]. The problem was framed something like that, tagged with a piece of u…

Hi, From time to time the pressure/volume loop displays a figure of 8, when I quiz the clinicians as to what it is we are witnessing they draw a blank. The closest answer I've found is that of flow starvation, but is anyone able to break it down further for me so I can enlighten my colleagues? Many thanks Alistair

Neonates with Respiratory Distress (Viz., in case of RDS, TTN, MAS & So on): 1. CXR needs to be done at the time of NICU admission? 2. (Or) After 4-6hours of birth? Which would be the ideal way of management?

Dear All, The Diagnosis - "Respiratory Distress Syndrome" and/or " Surfactant Deficiency Lung Disease" , which is the most preferred term to use while writing the Diagnosis column? Regards, Mk