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vijayashankara last won the day on August 26 2018

vijayashankara had the most liked content!

About vijayashankara

  • Birthday 12/30/1952

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    sohar hospital
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    sohar, oman

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  1. We still use Vitamin K prophylaxis for all our in hospital births. Most of private hospitals and nursing home do follow the recommendation. Home deliveries not attended by a healthcare worker may miss out on this. This is picture in India.
  2. New consultant arrived!!!! And of course CPAP with or without one dose of surfactant has become regular practice, extreme preterm term babies who needs intubation and ventilation, second dose are sometimes are ordered. Sent from my iPhone using Tapatalk
  3. Contamination of the pharma products are well known and only when serious complications or death occurs, it is noticed. Random checking of the products before it is used still not in vogue. One has to be careful. And always be alert to the possibility. Sent from my iPhone using Tapatalk
  4. I liked the idea of colostrum sublingual Will be easy to implement @Danielubin [emoji106] Sent from my iPhone using Tapatalk
  5. We have changed our practice from multiple doses to single dose, maximum 2 Doses Sent from my iPhone using Tapatalk
  6. We don't use bubble CPAP but raining out in to the tubes in ventilatory circuits is common, Needs regular draining, Sent from my iPhone using Tapatalk
  7. I fully agree with you Stefan regarding mastering the machine you have understanding the basics and using it well, will definitely better the outcome.
  8. Order a direct/indirect bilirubin levels to see it is conjugated or not, do liver enzymes level to rule out liver pathology, if everything ok wait bad follow up.
  9. We all have confusion over how best thar Apgar scoring is done, still all of us agreeing to continue to use in our clinical practice!!! Dr Apgar must be feeling happy up there!!
  10. Glucose gel appears to be interesting option Dr Stephen, but it is more of preventive rather a treatment strategy. Are we going to use this in all at risk late preterm and term babies?
  11. I agree with dr Sangvi, oral dextrose 5% or more can also cause osmotic diarrhea, if one wants Extra calories one can use HMF with EBM or polycose in proper dilution.
  12. First of all there is no need to keep on looking residuals when you start feeding the preterms unless there are other signs like abdominal distension which is more definitive indication of possible NEC. Tube in duodenum or in lower area can result in greenish aspirates. Feeding itself has certain pro kinetic effects. Sent from my iPad using Tapatalk
  13. There may not be any connection between BG calcification and present symptoms, sometimes BG calcification may be a incidental finding on imaging studies.
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