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unsatisfied relatives
thats true . i think communication is the key . how often do u face such i situation in ur hospitals ?
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unsatisfied relatives
i wonder how often u deal with unsatisfied relatives . many times patients attendents go violent in this part of the world on the death of their relatives . sometimes they can even gather a mob to create violence . in my hospital if a newborn is brought in a serious condition i have to make sure that the attendents are sensible enough to understand the situation !
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physician grief
i believe when we r out to save some we r surely going to lose a few . the point is put in ur best effort , the best way possible . make sure that death of one pt does not adversly affect mx of other ones . i prefer to go for a long run longer than my usual distance when something unexpected happens in my nicu .
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Donor Breastmilk
in our setup there are strong cultural influences regarding donor milk . generally parents are not too keen . mothers are easily available in most cases . in the rest we have to give top milk .
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surfactant
hi all , how many times can we administer surfactant in a neonate suffering from rds ? how often does a full blown rds recovers after single admn of surfactant ?
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general care
hi all , dry cotton swabs and baby sheets are commonly used in nicus . how should we sterilise them before usage? should we also sterilise diapers before using them ? can we sterilise these items by keeping them in formalin chambers ?
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antifungals
hi all, is there any role of giving antifugals iv prophylactically in lbws or vlbws ? if yes which one is preferred?