Neurological Disorders
79 topics in this forum
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Hi, can anyone help me with a topic that I can't found and it's about " Neonatal Cerebral Depression". Already all I know about the theme is when the neonatal asphyxia criteria are not well established, in a patient with low apgar and border gasometric criteria. Regards. Edgar Samuel Aguilar-Figueroa, Resident of Pediatric's: Second Year. Tacubaya's Pediatrics Hospital. Mexico City.
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Magnesium sulfate to women in preterm labor (or with a medically indicated elective preterm birth) has been shown to reduce the risk of cerebral paresis, as I understand, at least in surviving infants. NICE in the UK writes extensively about the research and their conclusions in this guideline from 2015 (on page 276-289). Here is the summary of recommendations . It would be interesting to hear whether this is an established practise in your settings. To my knowledge, Mg sulfate is not yet implemented in Swedish guidelines (but as I have heard - a national guidelines should be a work-in-progress)
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We would like to promote one of our latest reviews, on antenatal magnesium for preterm delivery and risk of cerebral palsy. You find the full review on our web site, ebneo.org
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IVH and ELBW It is really a bad experience having a 600 gms baby with IVH grade 3 or 4 What is your best practice to minimize the risk of IVH? Management of hypotension and risk of IVH Intubation and IVH who should intubate it is not always the most expert will be there Delayed cord clamping really we should not miss its benifits Painful procedures and IVH is it helpful to give morphine before any painul and irritant procedure like suctioning PDA and IVH should i give prophylactic endomethacin in first few hours of life
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In your practice when managing a case of HIE, do you treat clinical seizures- electrical seizures?
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Is Recooling for Rebound Seizures After Rewarming in Neonatal Encephalopathy a common practice in your NICU? I could only find a case report to support this practice "Recooling for Rebound Seizures After Rewarming in Neonatal EncephalopathyPediatrics. 2012 Aug;130(2):e451-5". However, I know it is widely used in Canada and is stated in the CPS guideline posted in 2012 and reaffirmed in 2017.
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This paper was recently published in J of Pediatr, read it Thanks to @EBNEO that promoted it in this tweet. The headline and study question are both great, but I am sceptical to the design: SGA infant with brain sparing was (as I See it from my vacation balcony in Greece ) compared with a small group of term AGA infants. (96 + 32 infants) Not surprisingly, this small study found mostly no differences. but as you know - abscense of evidence is not evidence of abscense. would have been better if SGA infants with brain sparing had been compared with SGA infants without it (or study whether degree of SGA would be associated with outcomes). No…
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Dear colleagues. is well-known use of erythropoietin for neuroprotection HIE during therapeutic hypothermia. It is used in neonates of 35 weeks or more Unfortunately infants less than 35 weeks also sometimes suffer asphyxia and implementation HIE What recommendations has the use of erythropoietin in such cases?
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hi, Does anyone has the forms of uk toby cooling register?
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hi what are your views about a 3 month old baby with closed anterior fontanelle? no sutural over-riding. OFC at 50th centile.
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