Respiratory Disorders

hi all, I had baby 36 weeks completed gestation, on admission severe respirstory distress,given surfactan , distress not setteled after 24hrs of ventilation (invasiveSIMV ). Xray still shwing complete white out, repaeat surfactant given still no improvent CT chest done its normal. Sepsis screen negative. what could be reason for complete white out and not improving lung fields? thanking you.

Dear all As all of us are preparing ourselves to form potential strategies to mitigate and manage SARS CoV2 positive neonates, we come across various challenges. Our NICU has Sophie ventilators which do not have a expiratory filter. So the potentially infectious aerosols would be released in the NICU environment. We have not been able to devise a way to circumvent that yet. Though thankfully there have been no suspect cases so far in Delhi. But in order to prepare for a possible surge it is essential to look at such issues. Please suggest what is being followed in other units who are currently managing such neonates and suggest the possible soluti…

Hi everyone, I am quite new to this forum but I really lik ehow the forum and site works. Although it seems quite silly but I need to understand the basics of pre and post ductal saturation what do they actually measure! Blood from the heart or to the heart? Thanks guys!

anyone using ipratropium nebules in newborn ? dose ?

what is salbutamol (albuterol) nebules dose in newborn ?

I would like to get the opinion of our respected colleagues regarding management of Bronchiolitis in NICU. Do you use hypertonic saline, salbutamol or ipratropium nebulizers? Please share your thoughts. Thanks.

What are the outcomes of congenital acinar dysplasia ( severe pulmonary hypoplasia ) in terms of resuscitation and mortality?

Check out this great lecture by @Nathan Sundgren about recent advances in neonatal resuscitation, i.e. sustained inflation and minimal-invasive surfactant therapy.

For those of you having follow-up clinics with children born preterm and affected by BPD, check out these European guidelines. A very thorough document. In short, most recommendations (screen shot below) are graded as low or even very low evidence. So there are lots of room for good research! Find the full document here (and yes, it is available as open-access): http://doi.org/10.1183/13993003.00788-2019

Hello dear doctors Kindly can you recommend for me a source of data about lung ultrasound . Thanks in advance