Dexamethasone Administration

[ali]

Hi everyone,

I am intrigued as to whether other units preferentially use an oral or iv preparation when attempting to wean ventilator dependent infants. Our oral preps result in such small doses as the regime tails off I am now concerned that even the smallest vomit/posset/aspirate could inhibit the efficacy of outcome. Would it be more pragmatic to curtail administration to purely iv. Value any thoughts.

Best wishes

Alistair

[madhav]

Working in Africa means we do not have access to why we need all the time. We, in our setup, have tried IV low dosedexamethasone with good results. However due to increasing concerns over the long term outcomes we use it as a last resort after failure with diuretics.

[Plyon0962]

Hi everyone,

I am intrigued as to whether other units preferentially use an oral or iv preparation when attempting to wean ventilator dependent infants. Our oral preps result in such small doses as the regime tails off I am now concerned that even the smallest vomit/posset/aspirate could inhibit the efficacy of outcome. Would it be more pragmatic to curtail administration to purely iv. Value any thoughts.

Best wishes

Alistair

we always use zantac with decadron, and very rarely do we have problems with vomiting the med or feeding up. but we also only use it in certain

cases.

we use dexamethosone very sparingly

[ph-adil]

The best recommendation is to use the dexamethason iv for ten days using dart protocol.