Respiratory Disorders

Hello I am working on implementing Nasal Intermittent Positive Pressure Ventilation (NIPPV) in my hospital and would like to hear if anybody out there is using it and what ventilator you are using to accomplish this mode. I have the Servo i and planning to use the Hudson infant nasal CPAP cannula. Can anybody please tell me about their success or failure with it and if anybody has a P & P to use with the servo i, i would really appreciate your help. Thx

We've recently begun using hi flow nasal cannulas with the Fisher-Paykel humidification system. I've noticed the water vapor changes to water droplets at times sending small to moderate sized drops of water into the babies nares. Fisher-Paykel recommends using their invasive mode (temp 37 degrees C) for ETT, CPAP and hi flow nasal cannulas. It's been noted that no droplets seem to form at the noninvasive temp (31 degrees C), but this goes against the manufacturers recommendation so we aren't permitted to decrease the temp. Any suggestions/comments regarding this problem are appreciated. I fear the water, unknown amounts at unknown times, could be harmful.

How can we prevent septal necrosis during the use of the Infant flow driver, in VLBW neonates? Thanks, Petri Mansvelt

HOW TO TREAT A BABY WITH ATELECTASIS ?

Hi all i just wanted to share your opinion on this baby Delivered by emergent CS needed resque SRT for HMD ,initially needed higher ventilator setting for target SPO2 85-90% Noted labile SPO2,early PPHN started on Silsnafil,MgSo4 ,Ianotropes. Developed spontaneious tenson pneumothrax- ICD done Now developed moderate biliiary stasis with thrombocytopenia Given FFP.PLT concentrate,PCV transfusion for low Hct,partial TPN. Cranial imaging Grade11 ICH on left parital region Pneumothrax still not resolved only partial expansion,ICD working well As of today completed 10th day of ventilation Parents want to support the infant Kindly give your suggestions ?kid going for…

hello all Do you use sedation during MV(SIMV,A/C) routeinlly. I mean if baby not agitated for example. If yes wich sedation do you use. Thank.

Does anyone have any experience with a baby with Russell-Silver syndrome and chronic pulmonary hypertension? Would you be willing to share your experiences? Sue

We recently had a Nicu gratuate who had laryngomalacia presenting with severe stridor. He had GERD in neonatal period and he didn't ventilation. Now ,Since he was desaturaing and in resp. failure he was ventilated and trasferred to the nearby bigger city. He was found to have grade 3 subglottic stenosis. Now he is 5 months old but the consultant pediatrician did not have willing ENT to do tracheaostomy.Meantime he needed reintubation . And the parent's decided to withdraw support. What best could have been done for this Kid in a well resourced place? Thanks for time, selvan.r

dear, what are your indications for use of CPAP in NEO Level II? Thanks M. Barbaglia Neo -Borgomanero (NO) Italy

hi all , how many times can we administer surfactant in a neonate suffering from rds ? how often does a full blown rds recovers after single admn of surfactant ?