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Everything posted by vijayashankara
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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.
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When did he/she born?
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I am also interested My e mail vvshankara@gmail.com Sent from my iPhone using Tapatalk
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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
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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
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We have changed our practice from multiple doses to single dose, maximum 2 Doses Sent from my iPhone using Tapatalk
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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
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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.
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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?
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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.
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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
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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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I would discuss with the metabolic specialist and follow his orders.
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Due to the difference in diffusion capacity across the alveolar membrane fecilitated by the increasing ventilatory effort to maintain PaO2..
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If the urine output in PT with RDS is around 6-7 ml/ kg/ hr, what is done?
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We also do not use any scoring for respiratory distress
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Our primary antibiotics in Nicu penicillin and gentamicin
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It is a good plan, but we have certain reservations using bottles because it may interfere with breast feeding promotion and bottles the family may think formula feeds are OK.
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We still not ready to use probiotics, though informal discussions are going on; the limiting factor is the nonavailbility of the suitable preparations and the reluctance to start oral feedings on day one or two in sick preterm babies.
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are you not coming to Oman?
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Many happy returns of the day and we will see many more in to the future
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