Respiratory Disorders

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 ?

Hi all, Just thought you might be interested in this conference happening NYC on Oct. 16. Looks to be interesting. Here's the link www.neonatalcme.com Should be really great for folks in the New York area. The date is fast approaching. I'd register soon and buy plane tix. Hope to see you there.

i wonder always about the use of steroids in peripartum period about it's side effects and effects. 1. When antenatal steroids are harmless and help in reducing RDS how post natal steroids have become dangerous in RDS ? 2.When steroids are used for BPD without serious consequences how the same steroid is dangerous if used post natally for RDS ? I will be happy to get the right answers for this nagging questions. thanks selvan rathinasmy ERODE,INDIA

Dear all, Are there any studies looking at long term effects of hypercapnea in chronic lung disease ? I am looking after a baby (corrected gestational age - term) who is beginning to cycle on CPAP. PCO2 remains around 16 - 19 kpa. However, pH is compensated around 7.31 to 7.32. regards Dr. Shankar

I work in a Sleep Unit, and I manage sleep disorders in children. We bought a CO2 transcutaneous monitor to monitoring CO2 levels during the sleep, to assess sleep apnea or obstructive hypoventilation. Somebody has experience about CO2 transcutaneous in sleep apnea in children? I would really appreciate any advice you can give me regarding the above query. Kind regards, Maria Jose Jurado