manberbenitez

In our unit we have very few cases of Candida sepsis, so we really dont ue fluconazloe prophylaxis. we have a infectious committe and they check the rowth in cultures everyday, so if there is any suspicious of growing we start treatment.

Hi Susan, for years we are using the Inca Prongs that have a security system for the tubes, in my opinion very comfortable for the baby we dont have any problems, and we cover the nose with Duoderm extra thin and make the holes for the cpap, by this way we prevent malfunction of the cpap and protect the nose. Hope this help.

Dear Stefan Thanks a lot for your opinion, in my opinion I disagree with this, but in my hospital there is a tendency to do it in all the patients. thanks a lot Manuel

DearNICU friends. I want to know your opinion about take a Urine culture like a control of antibiotic response in such cases of urine infections. Does this decision is really helpfull or we are waisting time and money. thanks a lot for your help Manuel

thanks a lot for your help and opinion, is very usefull for us. your friend. manuel

Dear friends: I have a problem with one pediatrician of my hospital, she is the head chief in the PICU and she want to standarized some rules that we are not agree in my NICU, so I want you opinio if I have to change it, I will. 1.- First of all, how frequent did you change your in line suction system in each ventilate patient. 2.- When you have a ventilate patient with this kind of system, always you have to increase your FiO2 (inspired oxygen) at 100% level, pre and post suction ???, 3.- What happen in those patients that we have in HFOV and in line suction system, did you change some parameters or you leave it like you have it, 4.- Do you have some protocol for in line suction in neonate that want to share with me. I give you my e mail, in case you want to send to me by this way Manberbenitez@yahoo.com.mx Manuel Bernal Thanks a lot in advance, but I have to demostrate others opinions in the world.

we have the same manner of work like mbayari, we only give medical information to the parents.and they are the only persons that can be in the nicu with the baby

Mariam: we have a similar case not a nurse but a neonatologist (women) and we decide with her Mom to be treated for my colleagues. I think is better a "cool head" to take better medical decisions. Here in mexico we have a famous phrase " newborn or child with medical parents is a point of bad prognosis".

Dear Norbert Here in mexico generally we use only water and soap during the bath, in the first 5 to 7 days we use sometimes a product name merthiolate, I think is timerosal and a mercuric salt. we repeat very frequently to our moms that do not cover with anything and ventilate very frequently. hope this help

thanks for your opinion kumari. I appreciate so much

Dear Nicu99 members: Yesterday I received and invitation to participate in a Radiology Congress, The topic is "The value of prenatal ultrasound in neonatology". Can you share with me your opinions about which can be the most importante topics that I have to take in account. thanks a lot for your opinions Manuel Bernal Benitez Head Neonatologist Hospital de Especialidades Miguel Hidalgo Aguascalientes Mexico Manberbenitez@yahoo.com.mx

Dear stefan : The congress is not in english ???

Here in my unit ( mexico) we dont use fungus prophylaxis in any case, we try to limite the time and reasons for antibitotics uses, and try to not stay with the catheters a lot of time. we use fluconazole initially if we only suspect the presence of fungus, but whne we have the isolation of Candida we use anphotericin. have a good day Manuel Bernal Benitez Centerario Hospital Miguel Hidalgo Aguascalientes Mexico Head Neonatologist Manberbenitez@yahoo.com.mx

Dear Alexey: We dont have any experience with the use of the SLE 5000. we use the 3100A, and with respect of the IT, the percentage of 33% give you a relation I:E of 1:2 for3 to 15 hertz. The percent of IT should never increased because it will lead to air trapping and fulminant barotrauma. Total IT should only be increased by decreasing frequency, thus leaving the I:E ratio constant I:T can be decreased to 30% to heal airleaks. Hope this help you Manuel Bernal Benitez Centenario Hospital Miguel Hidalgo Aguascalientes Mexico Head neonatologist Manberbenitez@yahoo.com.mx

we dont stop feeding during transfusions