yalsaba

i think it is not only sarnat. We should consider infants had evidence of perinatal depression with at least one of the following: 10-minute Apgar score <5, need for resuscitation at 10 min, pH < 7.00 in an arterial or venous cord or infant gas performed by 60 min of age, or base deficit ≥15 mmol/L in a cord or infant gas performed by 60 min of age. if the baby does not have any of the above criteria in addition to sarnat, can be defined as mild

I think they are not related to each other. if no reaccumulation of pneumothorax after clamping, remove the tube. if fit for extubation, extubate whichever comes first

As long as there is no enough evidence about hazards of few formula feedings till the breast milk is available, We use normal formula when there is no enough breast milk.

Are you sure it is CDH OR diaphragmatic eventration. Differentiation is not easy ???

Start Calcium in the first day but only in central line. Calcium should not be given through peripheral line..

no , but maintain the calories ratio ..25 non protein calories to every gram protein ..

We start by reducing the dextrose infusion rate, if the condition did not resolve by 2-3 days, we resume the normal dextrose infusion rate and start insulin infusion 0.05u/kg/h and monitor blood glucose hourly, then titrate the insulin infusion accordingly. Example; if blood sugar less than 6, reduce infusion by 0.01u/kg/h. Hope this is helpful

In veiw of new GBS guidlines, I have a question; what to do with a term baby with history of prolonged ruptur of membrane for 4 days and maternal GBS status was negative, no chorioamnionitis, and baby is asymptomatic. what to do if mother received anitibiotics and if she did not receive antibiotics. Thanks

Babylog 8000, SLE 5000

Where and when will you deliver the lecture in dubai. Hope to see you.

1- we are doing the same, limited evaluation + observation for 48 hours 2- I think we should restrict our antibiotics use to the minimum as we are seeing a lot of resistant organisms nowadays Thanks

You should set TV to the least which maintains accepted blood gases. If this requires high PIP, try to increase IT or flow rate which increase the delivered TV

This is a difficult question everywhere. To resuscitate or no. I think there is no clear answer for this question. The best is to have your own guidelines according to your facilities and experience and these guidelines should be discussed thoroughly and agreed from all staff and hospital committees.

Recent studies showed no benefit and this is my observation too. My advice is not to use diuretics unless in special situations like heart failure. Thanks Dr. Yaser Elsaba SSR Dubai hospital

Hi I want your experience in adjusting inspiratory time in SIPPV mode Thanks