drakjaleel

Thanks for the input Kid hemodynamically stable

For the baby with bilateral PDA ,stent placed successfully

I have a neonate with critical cyanotic heart disease on prostaglandin infusion after that perfusion improved Now the kid is hemodynamically stable Cardiac CT confirms Pulmonary Atresia and double PDA supplying lungs Shall we stop infusion? What are all options available for the baby survival?

Good information great work please update further about the drug

Please include my name in this study neocarejaleel@yahoo.com

Dear members Are you still recommending prophylactic eye drops for opthalmia neonatorum(esp Gonococcal conjuntivitis)? What is the rational in doing so. What is the current recommendation. Still silvernitrate eye drops in practice any where! Dr jaleel

Dear Dr Stefan Greetings Ever heard about this Could you please tell us something more about this innovative therapy!

Organic Acidemia is a lethal disease ,we have few confirmed cases of OA diagnosed for years when the facility of TMS in our country is available by using dry sample and again cinfirming the disease with enzyme assay. So far no survival or follow up of these infants. Once you have an index case confirmed and that was a mae baby then you can very well plan and counsel the future pregnancy and managed in the postnatal period (avoiding metabolites) in this way we have come out with a good results Challenging the infant after the metabolic screen result.

Is there any recommended or evidence based sibling/any other attender visiting policies available for NICU

We have one such unit in our Nicu

Dear dr Selvam many times our nicu ac units are under worked so we dont get into hypothermia but still you can regulate the required temperature in the ac unit.....

Hi Servo-i , SLE perfect. For beginners SLE5000 (HFO)can be used as dual and rescue ventilation ,cost effective .

Thanks ,the HPE report as Osteofibrous dysplasia . Suggestion for further line of management.

Male neonate at birth noted bony hard swelling right lower limp with few creases over lower end of leg(? amniotic band).All joint movement are free.Reflex complete. Imaging pictures are posted for comments. Plan for HPE examination. All maternal serology negative. ?Neonatal Osteofibrousdysplasia

Dear dr selvan we also tried Mgso4 for MAS/PPHN but many times it is not encouraging outcomes.As of now we have HFO with oral Sildnafil with reasonable intact survival.To Prof Jack- would like to know how one should suspect Pulmonary Alveolar Dysplasia.Thanks.

How many days old ? By this time natural resolution might have occured ,simple early nasal CPAP at the delivery room itself will do wonder effect as for HMD is concerned in a set up where ventilation also available .PPROM has to be addressed .Many preterm steroid covered will do well with noninvasive ventilation.

We have a 40 days old male baby born to consang couple At the age of 10 had abcess over left lower thigh for which I&D done Staph isolated & treated with Vancomycin ,resolved. At the time of presentation to our NICU baby had biphasic stridor,virtual bronchoscope revealed retropharyngeal abscess which was drained and PCR ,Blood C/S isolated Staph (not MRSA) Responded well to Teicoplanin,Amikacin.Clindamycin (14days) Now occassional stridor feeding well Wonder that this could be CGD (NBT not done) Need your advise regn further workup and management Jaleel

Thank you Jack & Stefan for your valuble suggestion.Greetings and prayers from India for wonderful 2010. After connecting to icd bottle instead of collapsable bag now lung expanded but CXR showing ? Early CLD started on low dose dexamethazone and frusimide Now the kid is hemodynamically stable We don't have true HFOV We have dual one with CMV/HFO(SLE2000) Started in minimal trophic feeds thro RT What else i can do Regards Jaleel

Hi all i just wanted to share your opinion on this baby Delivered by emergent CS needed resque SRT for HMD ,initially needed higher ventilator setting for target SPO2 85-90% Noted labile SPO2,early PPHN started on Silsnafil,MgSo4 ,Ianotropes. Developed spontaneious tenson pneumothrax- ICD done Now developed moderate biliiary stasis with thrombocytopenia Given FFP.PLT concentrate,PCV transfusion for low Hct,partial TPN. Cranial imaging Grade11 ICH on left parital region Pneumothrax still not resolved only partial expansion,ICD working well As of today completed 10th day of ventilation Parents want to support the infant Kindly give your suggestions ?kid going for early CLD/PIE what is the further approch Baby GA 34WKS/SGA Regards DrAKJ Ahamed

Thank you dr M.Bharathi I just wanted to know is there any evidence based on this molecule ,have you ever tried Allready gone thro the article just want to know the current trend in using this newer molecule thanks once again DRAKJ Ahamed

Are they delivered in an institution like yours Some time preparations make lot of difference Some authors suggest you can go upto 5 mg Did you check D-dimor ? Any long term antibiotics? Very crucial situations is altered perfusion states we need to monitor BP preferably invasive??

Hi all i just want to know how safe this molecule in non hemolitic jaundice in newborn When to start? What is the dosage? How long to continue? How safe? DRAKJ Ahmed Coimbatore,S.India

Sclerema in a neonate is a frustating end results if we pick up early as it first appears on the cheek decends down with good appropriate iv antibiotics will improve where overwheming sepsis with sclerema may get some benificial effort fron ET again an risky invasive procedure.Are these babies are premies??

This photo is showing baby with extensive wasting of both lower limb with multible bullae .Provisional diagnosis is ?Epidermolysis Bullosa/ ?Dermatoembryopathy drakjaleel

Baby born to NC couple with bullous lesion ,muscle wasting ,shortening,dysmorphic features not willing for biopsy