rehman_naveed

I would go for exchange transfusion after intensive phototherapy failed after 4 hrs while keeping the blood ready with UAC and UVC in situ, IV immunoglobulins and in the end of exchange will transfuse 5ml/kg as extra PRBC.

I am writing a new policy for our unit regarding "Attendance of Neonatologist at Elective C Section ", IF any one can help me in making this policy or want to share your current hospital/unit policy regarding this issue, I will be greatful. Currently our practice is that we are attending all elective C Sections and the evidence is that a neonatologist need not to be present at the elective c section but can be approachable on contact. Thanks

I think no body has attended the conference, or else maeaning no body liked it

Dear Colleagues I was wondering if any one has attended the conference held in The Omni Shoreham Hotel, Washington, DC on December 6 - 8th, 2009,http://www.hottopics.org/. Interested topics were presented, but unfortunately the presentations on the web are password protected. If any attended , can you please share your experience and update us. many thanks

We use morphine for babies needing ventilation as it is painful to intubate the baby and if still baby is agitated, we add midazolam. We do not use paralytic agents. If baby is not agitated, and not fighting the ventilator , or not having spontaneuous breaths, other causes needs to look for.

If newly born , SIPPV with VG is better, Since your Baby is washing PCO2, needs to put on Lower VG i.e 3.5 or even 3 ml/kg, and monitor blood gases, if still washing PCO2, remove VG and decrease the PIP to 13 or 14 and keep on monitoring blood gases till u get good blood gases. Initially SIMV is not a good mode, as it will only support the preset breaths, and will make the baby to work hard

Does it matters whether one uses 2ml,3ml 5ml or even 10ml syringes to confirm the NG tube palcement. What you need to check is to push small amount of air through any syringe and listen over the epigastrium. I am afraid there will be no evidence in literature or any trial addressing this issue.

I also agree with the above comments. In our unit if baby is already on high doses of epinephrine, dopamine and dobutamine and has poor outcome, we dont give epinephrine during chest compression as giving epi during resuscitation will not add benefit to already continous infusion of epinephrine. and truely speaking CPR will not be fruitful. Thanks

Short anasthesia, Chloral hydrate for CT scan, not for MRI

In my experience it does not matter whether you put bag and mask in the isolette, on the warmer, outside isolette etc. Causes and pathogenesis for VAP( Ventilator associated pneumonia ) are different. In my unit , it is kept outside the isolete, in the side on the shelf specially designed for it , in complete plastic wrap. Regards

Sunlight is not at all recommended for babies with hyperbilirubinemia. See this journal. MJA Vol 178 21 April 2003. There is no evidence based to suggest or recommend it.