wowmeew

Probiotics in preventing bronchiolitis as compared to synagis ....who is cheap and who had best results

Non invasive nHFO as compared to invasive ventilation with HFO as its seem similar results and outcomes!!

APGAR scoring : reasons for low objectivity : Score during intervention: Skin color (respiratory support or O2 administration) Respiration (CPAP or surfactant) Heart rate (respiratory support or drugs) score in preterm infant: muscle tone reflex state So there is a need to assess condition of newborn regardless of GA or intervention this is done by using COMBINED APGAR description of baby condition: C: CPAP A: Appearance O : oxygen supplements P: pulse M&B: Mask and Bag ventilation G: grimace I: intubation A: Activity N: neonatal chest compression R: respiration E: Exogenous surfactant D: Drugs NO= 1 / yes=0 Best= 10 worse = 0 No intervention 7 / all intervention 0 Optimum of 17 point …….worse of 0 point Dr.Waad E. Louis Baghdad / Iraq wowmeew@gmail.com +9647702955370

we use sildenafel with very good result and we recommend its use , its cheap easy to give and well tolerated by the baby; but with disadvantaged of its must be given orally as till now no IV sildenafel available, also there is no long term study of its effect on the baby in late stages of life, also NO still the 1st choice its very expensive instrument as compared to sildenafel but combination of both is the best.