Dr. Saad Ahmed Seth

Usually inpissated bile syndrome resolves with in few weeks, so it is unlikely.. If liver enzymes are still high, I suggest to rule out bilirubin transport disorder like PFIC..Thanks

Hi, Earlier in our unit we used to to clamp CT for 6 hours —-remove and do CXR. But recently we remove chest tube if pneumothorax resolved and no bubbling without clamping and order CXR after removal. Most important thing is the baby should be clinically stable…

Hi, If the baby successfully extubated, we shorten the course and discontinue after 2-3 days after extubation.

IVH? If WBC counts are showing upward trend I would do LDH.. if it high I would suggest to repeat flow cytometery, as there are 2 cell lines involved or consider bone marrow.

Your are setting high tidal volumes on HFOV. Usual TV on HFOV is between 1.5 -2.5 ml/kg. As a recommendation for very small babies you start with frequency of 12-15. In VG mode changing the Hz is not going to make any meaningful difference as your tidal volume is already guaranteed. there are studies about safety and Benefits of HFOV in preterm population. https://clinicaltrials.gov/ct2/bye/rQoPWwoRrXS9-i-wudNgpQDxudhWudNzlXNiZip9Ei7ym67VZR0R-g0VOg08A6h9Ei4L3BUgWwNG0it.

Hi Asma, I have recently gone through the process. Go to site http://www.carms.ca/program_PSM_2014/program_en.jsp?path=default_en.jsp&p=1g it has list of universities offering NPM programs, with their requirements, contact and email of program directors and program secretaries. Regards Dr. Saad Ahmed Seth

premature infant have myocardial dysfunction in first 24 hours, using dobutamine after NS 10 ml/kg is better choice. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2672709/ After 24 hours dopamine is better. Inotropes should be used when really needed clinically. Treating just numbers is not recommended.

http://www.sciencedirect.com/science/article/pii/S0378378210007218

We also use Ciproflox in our unit. Results are promising without any major side effects.

Dear All, I am new to this forum. In our unit it was frequently used on almost every baby 3-4 years back. But recently the trend has changed and it is rarely used. I prefer using it in sick VLBW babies, with PH below 7.2, and BD of more than -10. Regards