Respiratory Disorders

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

hello everyone,i would like to know if magnesium sulfate can be used routinely in the treatment of PPHN ,and if so what is the recommended dose??? we have no inhaled nitric oxide and we tried oral sildenafil with unsatisfactory results.thanks:)

Hi, Stephan and all the members! In our unit we ran across the case of congenital laryngomalacia, associated with minor brain abnormalities (cariotype 46XX). This baby required intubation immediately after birth because of stridor, then was ventilated for 18 days. Several attempts to extubate the baby within 72 hours after birth failed. Our surgeons performed laryngotracheoscopy and the diagnosis of laryngomalacia was established. They recommended 14-day course of prednisolone 1 mg/kg/day for larynx maturation and then repeated extubation. Now baby is 1 month old, spontaneously breathing through ETT. We tried 2 attempts of extub on nCPAP mode, but severe stridor sign…

This is about a 2 days old baby 36weeks,delivered by C section. Mother with urinary infection. Dx with Pneumonia. Developed respiratory distress,managed with Survanta plus nasal CPAP. X rays with Pneumothorax.Evacuated by needle puncture .(32cc of air ). Persistent distress,intubated and with mechanical ventilation improved. New X rays with 30 % ?? pneumothorax .Attending decided not to place chest tube. Big controversy..I would like to hear your opinion in this case. Regards .

Best wishes for all... We somtimes use propylactic aminophylline in apnea of prematurity(after exclusion of pathological causes for apnea) any has experience about this topic thanks

Hi I know that in adult unventilated patients the trauma unit used to lavage the pleural space with lignocaine to achieve better analgesia for patients that required an intercostal drain. Yesterday one of our 880grammers on NCPAP developed a pneumothorax large enough to qualify for a ICD. We were wondering if anybody tried the lignocaine lavage in unventilated prems? Apart from the theoretical danger of being absorbed systemically, it seemed like a good idea to save this unventilated baby some pain with breathing and the consequences eg collapse, apnoea, blood pressure fluctuations??? Comments would be appreciated.

Dear all, I would like to have your views on the possible diagnosis for a preterm baby, who has recieved 3 doses of surfactant and pulmonary x-ray still is white out. I would be happy to receive your inputs Thanx.