hehady Posted March 14, 2007 Share Posted March 14, 2007 When would you consider giving Na Bicarbonate for your neonates? What is the dosage? and how fast would you give it? Link to comment Share on other sites More sharing options...
manuel perez valdez Posted March 18, 2007 Share Posted March 18, 2007 the use of na bicarbnate is very precise, and i think this papers are usefull to find the correct answer: 1) Effects of Rapid versus Slow Infusion of Sodium Bicarbonate on Cerebral Hemodynamics and Oxygenation in Preterm Infants Biol Neonate 2006;90:122–127. 2) Severe Umbilical Cord Acidemia and Neurological Outcome in Preterm and Full-Term Neonates Biol Neonate 2005;88:27–34. Link to comment Share on other sites More sharing options...
Alexander Rakow Posted March 18, 2007 Share Posted March 18, 2007 When would you consider giving Na Bicarbonate for your neonates? What is the dosage? and how fast would you give it? Do you refer to 1) the use of buffert at resuscitation or 2) treatment of prolonged but slight metabolic acidosis sometimes seen in (well) preterm infants? Link to comment Share on other sites More sharing options...
hehady Posted March 19, 2007 Author Share Posted March 19, 2007 Dear Alexander I meant both conditions Link to comment Share on other sites More sharing options...
mbenelisha Posted March 28, 2007 Share Posted March 28, 2007 Dear hehady Addressing Bicarbonate therapy: - During resuscitation, I suggest to follow the NRP guidelines ie. 4 cc/kd of BiC 4.2% during 10-15 mn. - The treatment of prolonged mild acidosis is more controversial. Sometimes is may due to dehydration and the treatment must be correction of dehydration instead of giving BiC with all its side effects. When the acidosis is pure metabolic and not in emergency I found that there are controversies and no concensus about the right way to treat it. I hope that I helped a little in solving part of the dilemma. Moti Ben Elisha Neonatologist Nahariya hospital for Western Galilee Israel Link to comment Share on other sites More sharing options...
kpsanghvi Posted March 30, 2007 Share Posted March 30, 2007 We almost always never use bicarb in neonatal resuscitaion or during normal care unless we document metab acidosis which does not correct even after fluid therapy and if the pH < 7.2 or ABE is > -10. Link to comment Share on other sites More sharing options...
Audrius Posted May 12, 2007 Share Posted May 12, 2007 Dear collegue, just my vision to your question: 1.During resuscitation in delivery room bicarb allows to save the live but not the brain, unfortunately. 2.In NICU first step would be most appropriate to try to find main cause of acidosis, after to try solve it and after - bicarb ... maybe. 3.In our practise we have very few indications for use bicarb - late shock with no responce to fluids and inotropes and some cong metabolic diseases(rare). Re AAP recomendations: if you follow them, they are in permanent process of changes( ventilation/chest compressions ratio, oxygen, prevention of MAS, etc.). I believe that bicarb will be removed from the list of delivery room drugs in the future. Audrius_LT Link to comment Share on other sites More sharing options...
thabit Posted July 9, 2009 Share Posted July 9, 2009 dear colleagues.. best wishes.. as for the use of Bicarbonate.. we try to limit it to minumum especially in delivery room for neonatal resuscitation almost nill...in nicu we try to correct the acidosis by improving oxygenation , perfusion , cardiac actions.. thanks Link to comment Share on other sites More sharing options...
drprasadrao Posted July 20, 2009 Share Posted July 20, 2009 Bicarbonate is not being used here in our NICU in resuscitation of a neonate and later unless used for documented metabolic acidosis as stated earlier, Link to comment Share on other sites More sharing options...
Guest Agnieszka Domanska Posted August 19, 2009 Share Posted August 19, 2009 Really worth reading: PEDIATRICS Vol. 122 No. 4 October 2008, pp. 831-835 (doi:10.1542/peds.2007-2400) Sodium Bicarbonate: Basically Useless Therapy Judy L. Aschner, MDa,b,c and Ronald L. Poland, MDd http://pediatrics.aappublications.org/cgi/content/abstract/122/4/831 Link to comment Share on other sites More sharing options...
Guest jammaltaleb Posted August 21, 2009 Share Posted August 21, 2009 hi,Agnieszka Can you send me the artical please. Thanks Email:jammaltaleb@hotmail.com Link to comment Share on other sites More sharing options...
Guest Agnieszka Domanska Posted August 26, 2009 Share Posted August 26, 2009 I have just send you the article, check your email box Link to comment Share on other sites More sharing options...
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