Resuscitation

Hello, I wonder if do you use CPAP at birth in apparently healthy (with good inspiratory efforts) preterm newborns (32-36 weeks G.E.,) to improve lung recruitment or "to prevent" RDS and how (for e.g. do you use sustained inflation?). Thanks for your answers Marcello De Filippo Neonatologist II level NICU - Grosseto - Italy

Dear Friends and Colleagues, I am a Peruvian Neonatologist very pleased to return to 99nicu (where I belong since 2006). I am back online after some years searching a PhD in Epidemiology in Brazil... Now, mixing neonatology with research, I am presenting a couple of ideas to the contest "Grand Challenges" - Canada. Each video is 2 minutes long and I would like to invite you to see and give your vote for them. A neonatal breathing PAD : This video proposes a cushion-pad to offer a postural support of the neonatal head and ease breathing at birth. This device might prevent neck hyper-extension or hyper-flexion. FIRST BREATH: with a little help : This video shows a de…

Hi I am looking for an interesting neonatal textbook with covering all possible topics in detail worth reading if considering neonatal fellowship advise please

Hi, we had a (more academically) discussion about APGAR scoring. I would like to hear your opinion about scoring breathing effort: A fullterm infant breathing spontaneously but needing CPAP via a T-piece device. Would you score it as APGAR 1 or 2? Would the need of extra oxygen affect your decision? Greetings Dirk

I am looking for deffination of still born...Do we have any reference related to those who are born almost like a still born(with 10-20 heart rate) and could not be resuscitated by NRP protocol effectively in next 20 minutes or so...are they also in still born category ? Kindly provide reference.

hi, I want to ask the group if you use the Silverman score to assess respiratory status in preterm and term infants. in our service we stop using it a few years ago. thanks Daniel Argentina

Hi all: Any one using Mastisol to secure the ETT? We've had couple of incidents were it looked like "chemical burns" may be because of the a bit too much of Mastisol. So what is the census here ? Do you use it or not ? or we can make up another question: How do you secure ETT esp. in VLBW? Do you use any liquid adhesive?, if yes , what kind?

We recently had a newborn( Term, 3.9 kg)brought from nearby hospital with ET in situ after sudden apnoea . She had no cardiac activity.needed 3 boluses of adrenalin followed by 40 ml /kg NS (twice) After 20 mts CPR heart rate picked up , colour returned and baby needed mechanical ventilation for 3 days. Now in nasal o2. Baby had congenital pneumonia and PDA. Neurosonogram today normal. Had an episode of seizure on day 1,controlled with phenobarbitone. My questions are; 1. when do you start rehabilitation programme?and how do you do it? 2. Can we start gentle exercises for the limbs early on? 3.Do we have any structured programme to follow ? 4.investigations to progno…

I want to ask from group what is the recommendation (WHO or AAP or European) about maintaining delivery room temperature or OR temperature. I know that it is 26 degree celsius, but what about those countries where summer is much hotter like mine in Dubai, Saudi arabia etc . I know countries where there is winters most of the times even sitting in 26 degree feels good but in hot countries it is very difficult to sit at room temperature of 26. Any evidence in this regards will be much appreciated.

Dear All, we have great controversies in openion regarding; is that necessary for neonatologist to attend all meconium stained liqour deliveries ? knowing that these deliveries are normal without any evidence of fetal distress, not IUGR, normal CTG and fetal HR . please i need your feedback with evidence if possible . best regards Dr. Alaa specialist neonatology UAE