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Respiratory Disorders

  1. Started by NICUlearner7,

    How does PPHN cause low systemic blood pressure?

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  2. Started by DTA,

    Is there always a pre/post ductal saturation difference in PPHN....what if there is no interatrial communication or pda has closed...in intra pulmonary shunting would you still see a sats difference

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  3. Greetings from Mexico and I wish you all a Happy New Year. Is the administration of intravenous antibiotics necessary in newborns suffering from meconium aspiration syndrome? , that is, is it useful to prevent pneumonia or sepsis in the newborn? How do you act in your intensive care units in this regard? -Thank you in advance for your kind attention

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  4. Started by RMM,

    Just wondering what experience fellow practitioners have when oscillating ELBW babies with the Drager VN500 and using VG? We have a 425g baby who is being gently oscillated with Hz 15 , VG = 0.5ml (lowest setting available), set amplitude of 10 and only requiring amplitudes of 5-7 to achieve volumes. Running with pCO2 in low 40ā€™s/high 30ā€™s. Still in 30% oxygen with MAP of 10. Not keen to extubate quite yet. Has anyone used Hz >15? Any thoughts would be greatly appreciated.

  5. Started by Marina22,

    My unit has just started prophylactic low dose hydrocortisone for all infants < 28 weeks with aim to improve survival without BPD and neurodevelopmental impairment. What is the general opinion and practice elsewhere?

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  6. Started by Peter Odion Ubuane,

    PHi everyone. I have read articles on the definition (old and new) of BPD but I am still unclear in certain aspects. A 26 week old preterm infant needed supplemental oxygen for more than 28 days but was successfully weaned of this before 36week postmenstrual age; does this baby meet criteria for BPD? Or is it mandatory for the 36 PMA criteria to be met before considering BPD at all? Thank you

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  7. Started by PRAKASH KABBUR,

    I would like to know what the forum members feel regarding these two scenario: 1. Term infant with signs of PPHN, CXR: dark lung fields ( idiopathic/primary PPHN), well expanded, on HFOV, ECHO: PPHN. Preductal sats in the 70s-80s. Do you give surfactant or go straight to iNO? There is expert opinion that giving surfactant in these situations worsen the clinical situation. Please share your experience/available literature. 2. Term infant with GBS positive mother. She was started on GBS prophylaxis as per ACOG guidelines when she was in labor and she gets one dose and miss subsequent two doses, prolonged labor. Last dose of antibiotic was given 8-12h ago. Baby i…

  8. I am currently writing my dissertation on the use of non-invasive ventilation to deliver nitric oxide in neonates and I was wondering: What are peopleā€˜s experiences of using non-invasive iNO with CPAP, Nasal cannula, oxygen hood etc? Which gestational have you primarily used it with? What were the indications/ underlying pathologies? Have you found this has reduced the need for mechanical ventilation or ECMO? Have you needed to deliver higher doses to achieve the same effect seen on mechanical ventilation? Which countries have you seen this being practiced? Any other insights or information …

  9. Started by Hamed,

    Any advice for diagnosis and management of case with Bronchopleural fistula? (and if the Bronchopleural fistula was in case of ChILD would your management differ)?

  10. Hello everyone, about 95% of our post ECMO CDH repaired babies end up on sildenafil Some of the cardiologists advocate leaving sildenafil on until outpatient follow up and up to 2 years of age regardless of ECHO findings but some stop as soon as the 1 month post repair ECHO shows no pulmonary HTN What is your institutional experience? Thank you, LIA IORDANOGLOU

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