Respiratory Disorders

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.

Does anyone have any experience on Vitamin A usage in VLBW premie. I would appreciate your input in this regard.

Dear Netters, We are suffering with babies who had severe MAS and PPHN, mainly treated by HFOV and iNO. After recovery they develop severe bronchospasm, we treat them by salbutamol nebs, inhailer, racemic epinephrine nebs, iv dexamethasone, and sometimes even iv salbutamol. I would like to share with all of you your experience in such cases. Thanks Ayman Abu Mehrem Assistant Consultant Neonatologist King Abdulaziz National Guard Hospital Al-Ahsa Saudi Arabia

Dear 99 friends: This is a case discussion, about a neonate that we received in my NICU at 45 days of life, with 34 weeks gestation initially,cesarean,Birth weight of 2000 grams, required mechanical ventilation because RDS, then complicate with pneumothorax, so he had a thorax drainage for 3 days, then he has pleural effusion,with a gramm negative infection, so he received 3 differente kinds of antibiotics, the last one was Imipenem with Vancomycin with good results initially but he had a residual pulmonary infection with cavitation with fibrosis, so he had to go to mechanical ventilation again. At this moment, the baby arrived to my NICU, we made a Tomography Scan that …

I am just curious to see if any units out there have a VAP (ventilator associated pneumonia) protocol for their NICU. I know that this has become an area of high interest in the adult world and now our unit is taking a look at developing a protocol for our NICU to prevent VAP. Any suggestions or resources that you have would be very helpful. Jennifer Tucker RN, BSN Hennepin County Medical Center Minneapolis, MN

How do you practice CPAP weaning?. Gradual weaning of pressure? Cycling time off CPAP?

Hi everybody. i am trying to find some information about lung compliance and resistance in the neonatal/premature population. So far my research in that matter led me to an article where someone studied 7 preterm infants with RDS and different lung diseases!!! But i am searching for "normal" values in the "healthy" population for teaching purposes.... I know that this is a hairy thing, because i haven´t seen such statements in any of the books i have read so far, and we all know how fast this values change in the preterm an neonatal population, but maybe one of you experts can provide me with something i haven´t found. Thank you in advance Norbert

we just had a full term with sever neonatal pneumonia been ventilated on sippv for hypoxia and fortuntaly we succeeded in weaning him .. however after weaning all his blood gases show respiratory alkalosis although he is not tachypniec for example for the last 2 days he shows ph 7.49 pco2 15 hco3 14 be -17 ....... ph 7.49 pco2 14 hco3 10 be -20 can u explain