emad shatla

In our unit we are using paracetamol in dose 10-15 mg every 6-8 hours for 3 days HFO can be used or you can increase PEEP TO 6-7 intratracheal adrenalin can be used FFP can be used cover of antibiotics surfactant can be used dr Emad Shatla senior consultant neonataolgy MD/ MRCPCH

It is not uncommon for preterm baby to get greenish aspirate , be sure that OGT not very low position , consider sepsis all the time as one of UR DD , try to start feeding with mother milk. Try metclorpromide it may help.

lumbar puncture is necessary in gram negative sepsisbut If there are signs of meningitis and sign of increase intra cranial tension , CT Scan is needed