Dinesh N Patel

hellow

HFNC SOME TIME HELP Sent from my C6902 using Tapatalk

If baby gaining weight on Bf for last three day and mother is able to givebfherself wirhout supprt We plantodischage on kmcor we advise to maintain room temperature about 28 to 3 0 Advise close follow up 4 to 5days after discharge and than every wk till36 wk ga orcoss wt2.5 kg Than monthltly

Incaseof prolongedNBM without supliment of phosphatecan ecause hypercalcemiaasparental phosphorous iis not avaible in india

What about nutritional manage ment in this patient?

have you rule out inborn error of metabolism ?does baby is on oral feeding/parental feeding. IEM may present after starting oral feed same way as Sepis and improve transiently on parental fluid . sepsis like presentaion renal and hepatic involvement (direct sbil was high)

its really works , thanks

Epo , we use it first four wks of life in VVLBW.

we use heparin 1unit/ml of NS 0.5-1 ml/hr

Is it possiblble for you of actual procedure with plcture of securing ET. Fixation DINESH

NOVEL METHOD OF MIDSTREAM URINE IN NEW BORN COLLECTION ,I READ ON NET ,THE LINK IS AS FOLLOW FOR DISCUSSION AND EXPERIENCE OF OTHER MEMBERS http://www.medscape.com/viewarticle/779028_3 DINESH

aEEG is more simple in interpretation than EEG,became popular for cerebral function monitor in HIE . Here is a link for aEEG:http://www.neoweb.org.uk/CFM/CFM6000+manual.pdf NOTE NEUROLOGY MODULE is very good learning place on line learning for aEEG AND its role in neonatal HIE after perinatal asphyxia.continous cerebralfunction monitoring- aEEG after birth with h/o birthasphyxia helps to identify abnormal cerebral function in borderline case and early inclusion in selection for therapeutic hypothermia dinesh i

Der Saidy i was witness one pt in recent past.the FT infant had persistent FETAL bradycardia ,THE MOTHER was on ventilator for severe CNS hemorrhage with ,brain death.relative were offered for em cs to save baby.the baby resuscitated. spontaneous respiration established welL within 2min, cord blood ph 7 .BE , -12 APGAR 3/1 7/5,TRANSFER TO NICU FOR further care,baby satlled ON AIR and maintained spo2 on air .ABG also improved there was no apparent clinical sign. suggestive of HIE, AFTER 10 HR BABY HAD EXCESSIVE CRYING ,ARF, CONVULSION altered sensorium AND SIGNS OF HIE. WE DON'T HAVE CFM FACILITY.we OFFERED RELATIVE TH.TH GIVEN FOR 72 HOUR FORTUNATELY WE ARE ABLE TO DISCHAGED ON bottle feeding , CNS examination was normal on discharged .if we have CFM FACILITY THAT MIGHT HELP US IN THIS CASE TO PICK UP HIE EARLIER. dinesh

In PPHN THERE IS SHUNTING OF PUL BLOOD AT ATRIAL(PFO) AND PULM DUCT LEAD TO SEVERE HYPOXEMIA CAUSE TACHYPNEOA .AS LUNG IS NORMAL PCO2 IS MAINTAINED NORMAL

dear Stefen , I am willing to learn neonatal functional electrocardiograms aswell as neuro usg,can you suggest on line course or some good learning materials .in our hospital we have 5 usg for fetal echo.our management now ready to invest for neonatal echocardiography probe and head usg probe in one portable machine[logic5 from GE. dinesh