Respiratory Disorders

We are a group of international neonatologists from various parts of the world with a common interest and goal of improving the knowledge and current evidence regarding pulmonary hemorrhage (PHEM). Pulmonary hemorrhage (PHEM) is a life-threatening event in extremely premature infants. Currently, treatment of PHEM is mainly supportive. There is a lack of conclusive evidence regarding specific management strategy for PHEM because of the rarity of its occurrence and significant mortality associated with it. This leads to a wide variation in care practice across the institutions. Through our survey, we aim to identify the various therapeutic interventions used in managem…

Hello 99ers, I have recently encountered a difference of opinion as to the factors that dictate the approach to removal of chest drains. One train of thought is that when there is no bubbling or swinging then clamp leave for a period of time, CXR and blood gas and then remove. Another is to simply clamp, leave for a set period of time and if the infant remains clinically stable then remove. Also do you have a set approach of using pig tail or straight as first line use for air leak? Appreciate thoughts on approach and any evidence to support. TIA. Many thanks Alistair

Hello everybody, Does anyone use lung recruitment maneuvers during CMV or CPAP to achieve optimal FRC and oxygenation? If so, do you have a procotol and/or any practical tips? I've read some articles and the Cochrane Review, but I'd to hear your opnion.. Thanks!

Does somebody use, the new diagnosis of BPD published in 2019 by Jensen, Dysat, Gantz,Bamat and keszler?? What do you think about? Thanks

Dear colleagues, do you see post-extubation stridor regularly at your NICU? We recently had 2 quite severe cases of late preterm babies who at that time already were around 40+0 and that only had been on the ventilator for a few hours (1 for minor surgery and 1 for an MRI). They were treated with nebulized adrenaline and corticosteroids and luckily got better pretty fast. How do you treat it? Do you have any protocol on that and do you have a protocol or guideline on how to prevent it like some of our PICU colleagues (i.e. https://secure.library.leicestershospitals.nhs.uk/PAGL/Shared Documents/Post Extubation Stridor UHL Childrens Intensive Care Guideline.pdf )? …

How does PPHN cause low systemic blood pressure?

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

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

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 40’s/high 30’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.

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?