Respiratory Disorders

Dear 99nicu friends Please give your comments on this pioneer study. J Pediatr. 2008 Jun 3. [Epub ahead of print] A Randomized Controlled Trial of Theophylline Versus CO(2) Inhalation for Treating Apnea of Prematurity. Al-Saif S, Alvaro R, Manfreda J, Kwiatkowski K, Cates D, Qurashi M, Rigatto H. Departments of Pediatrics, University of Manitoba, Winnipeg, Manitoba, Canada. OBJECTIVE: To determine whether inhalation of 0.8% CO(2) in preterm infants decreases the duration and rate of apnea as effectively as or better than theophylline with fewer adverse side effects. STUDY DESIGN: A prospective, randomized, control study of 42 preterm infants of gestati…

It's not the first time we have isolated P. Aeruginosa from pulmonary mucus in intubated preterms. Everytime we have this germ, we asked ourselves the same question: Is there enough evidence to treat with antibiotics to this preterm babies with a cronic lung disease, if there isn't a bloodstream infection and the child evolution is good?

A series of articles published recently have indicated the danger of nCPAP on our premies' ears Surenthiran SS. Arch. Dis. Child. Fetal Neonatal Ed. 2003;88;315-318 Karam O. Arch. Dis. Child. Fetal Neonatal Ed. 2008;93;F132-F134 Trevisanuto D et al. Arch. Dis. Child. Fetal Neonatal Ed. 2008;93;F396-F397

A new article is going to be released soon on facial nerve palsy as a complication of flow driver CPAP in ELBW infants by Maffei G, et al. J Perinat Med 36 (2008). Did experinece this complication in your practice?

The very concept of aerozolized sufactant sounds very interesting. I went through this and found it promising. Donn SM, Sinha SK.Aerosolized lucinactant: a potential alternative to intratracheal surfactant replacement therapy. Expert Opin Pharmacother. 2008 Feb;9(3):475-8. Review. LINK

Dear Colleages, especially in Sweden, I would like to know if you use INSURE technique (intubation, surfactant, extubation) for babies around 27-28 wks GA (# 1 kg) whose mothers are unbooked and didi not receive antenatal steroids. Best Regards

what is the latest trial of steroid course in chronic lung disease?

Dear All, In our hospital we have come across newborns presenting with respiratory distress. Their septic screen is invariably negative. Their Xrays have patchy opacities mostly on left side. Our senior radiologist feels that to be unlikely to be pneumonias but local lung fluid collection lung (like Opaque Rt lung )They needed O2, antibiotics and some ventilation. Please see the xrays in the folder intrauterine pneumonias and give your opinion Thanking you DR.R.SELVAN LOTUS HOSPITAL ERODE-638002 TAMIL NADU ,INDIA selvanr4@yahoo.com

bromhexine inhalation for atelectasis what do you think?

Hi All, we have an infant with CCAM. Do You have any experiences with treatment of this disorder? Thanx.