Respiratory Disorders

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

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…

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 people‘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 …

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)?

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

Hi all doctors ..hope all fine ...i need to hear your experiences in this case Female 1 day old 2.4 kg .c/s .apgar score 2 ,5,7 ar 1st 5th 10th mins respectively ...severe RD in mechanical ventilator simv mode 26 pip ..peep 4..RR 60..fio2 70%.... RESOLVED respiratory acidosis with multiple skeltal dysplasias ..with absent intestinal sounds and absent colonic gases in x ray ..

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 ?