drgeojose

Hi I personally prefer robertson for practical neonatology.fanroff has given a detailed discription of perinatal aspects.

I agree with the viewers. I guess if there is.no gut hypoperfusion or stasis due to.sepsis. Then we may start on with feeds.preferably expressed breast milk

let us remember that the guidelines that are proposed are after proper research where they have weighed the facts of morbidity at each steps. and about the question of are we creating major disabilites, i think eithically we are bound to resuscitate according to the protocols and situations could be individualised and decided with parental consent.

the cdc guidelines suggest changing iv lines for parenteral nutrition daily, this will still be cost beneficial the cannula can be kept in tact for longer duration till indications arrise

the concept of optimal peep differs in different lung conditions,more for atelectatic lungs,can be counter checked with x ray for lung spaces,though dr wung has described the optimal peep of atleast 5 for all his cpap babies, i guess we can regulate with the case scenario, but it might be prudent to avoid overinflated lung,reduced venous return, barotrauma at one end and underinflation of lungs at the other

i totally agree to this writer about the use of 100% fio2, i believe free radical injury does occur on prolonged administration of high conc o2. but if you have caused a hypoxic injury to the brain by restricting o2 during resuscitation,that can be more detrimental to the infant.So practically even most units are not bold enough to abide by the room air guidelines at birth.I guess it would be prudent to start on 100% fio2 during resuscitation and to gradually reduce as per the requirement , thereby avoiding long standing radical injury and immediate hypoxic injury dr george jose SH medical centre kottayam,kerala,india