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.

Why should we restrict fluid ?

1 Humidifier add in total fluid intake.2 liberal fluid intake may increasing incidence of opening of PDA.

I USUALLY set fluid intake to keep U/O about 2-3 ml /kg /hr.

Dinesh

Edited May 21, 201312 yr by Dinesh N Patel

1 Humidifier add in total fluid intake.2 liberal fluid intake may increasing incidence of opening of PDA.

I USUALLY set fluid intake to keep U/O about 2-3 ml /kg /day.

Dinesh

1st what is mean of U/O ?

2nd this is true in PT but in FT

dear nashwa,

U/O mean urine output.we try to keep U/O about 2-3 ml /kg /hr. In privios post i wrought day in place of hour.please correct it.

sorry for inconveniency.

dinesh

If the urine output in PT with RDS is around 6-7 ml/ kg/ hr, what is done?

thanks for asking this important question .

we dont restrict fluid but Multicenter randomised trial proved that less hydration is better than more hydration

in terms of decreasing morbidity and mortality .

its better not to push fluid by 30cc daily , insteasd 20 is ok as long as you keep u,e,body wt normal.

also practicaly: more fluid more odema more risks PDA, more difficult line ,and finaly

theoritical risk for SIADH

We did not restrict fluids I/v in PTand FT babies we just giving the maintenance required and we have no complication