Respiratory Disorders

Why on HFO we can manage a larger leak better than conventional ?

is it necessary to restrict ivf in case of RD in neonate "FT or PT" in 1st 48 h on NCPAP inspite of humidifier presence.

We have a new Babylog 8000 plus ventilator in our NICU for the first time and I have 2 questions about it: 1- What is the commonly used values regarding volume triggering ? 2- what is the acceptable percentage of leak ? ــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــ Mohamad Ismail, Neonatology resident, Mansoura, Egypt .

We are trying to implement VAP (Ventilator associated pneumonia) protocols in our NICU including elevating head of bed. Questions: Do you apply your VAP protocol to only intubated babies, all babies on oxygen, or babies on any heated oxygen source? Also, what do you use for oral care? If you have evidence to support your practice, I would greatly appreciate it. Thanks, Elizabeth Curry

FT baby delivered elective CS and develop respiratory distress for 3 days , after that we noticed poor activity and suckling reflex CBC , CRP -ve perinatal Hx -ve do MRI brain revealed basal ganglia calcification only what is possible diagnosis????

I would like to hear about your choices when it comes to diuretics as BPD treatment. Which drugs and doses do you use?

PPHN could be idiopathic or secondary and leads to increased pulmonary vascular resistance.There is no clear consensus on the management of PPHN. The goals of treatment are to improve oxygenation, reduce pulmonary vasoconstriction, maintain systemic Blood pressure and perfusion and pulmonary vasodilator therapy. How do you manage a term newborn baby with PPHN in your institution? Please note that multiple options/replies can be ticked.

We currently use sterile water in our Fisher & Paykel Bubble CPAP system. We have noticed a lot a rain out lately in our circuits, with some of our infants getting "lavaged" at times, and are somewhat worried about infection. What liquids are other NICUs using in their BCPAP systems - 0.25% acetic acid, vinegar mixed in the water, etc, and has any one noticed increased infection rates because of this rain out in the circuits?

Is a male newborn at 34 weeks gestation with respiratory distress without infecting circumstances. Caesarean section on labor started. He comes from the twins pregnancy, he is the second born and sister is without symptoms. What suggest the radiologic image?

I would love to hear your local practice in regards to repeated doses of surfactant in neonates with respiratory distress? The study publish by Soll in cochrane showed benefits of multiple vs single dose, but the RCT were done in the 90's when gentle ventilation and antenatal steroids were not standard in the NICU! What do Neos across the world do in this regard? If you do repeat the treatment, what is your criteria? GA, time after birth, degree of respiratory distress or respiratory modality? Thanks for you feedback on this interesting topic. I am a neo neo trained in the post surfactant era, support trial and nCPAP to treat very small preemies with RDS, so is not ha…