nashwa

In our unite we routinely give premedication to all elective intubation, but I wondered about given medication before INSURE, is it needed. Because I think it prolong duration on mechanical ventilation. We are not able to wean baby quickly. We give usually atropine, fentanyl and suxammethonium Sent from my MHA-L29 using Tapatalk

Any one practice to give premedication before INSURE techniques or no need Sent from my MHA-L29 using Tapatalk

This is only to sign in not for registration Sent from my MHA-L29 using Tapatalk

???? Sent from my MHA-L29 using Tapatalk

I know initial setting is 8/5 mmHg Th 1sec and RR 20, my question is if there is co2 retention or still there is subcost retraction... What should we do increase pr or increase delta p or rate??? Sent from my MHA-L29 using Tapatalk

Thanks all for your help Sent from my MHA-L29 using Tapatalk

No one practices cooling in mild HIE!!! Sent from my MHA-L29 using Tapatalk

Do anyone practice to start cooling in babies not fulfill all criteria for Therapeutic hypothermia?? What's the benefits and what is the harm?? There is any new recommendations to start cooling in mild HIE?? Sent from my MHA-L29 using Tapatalk

Bimalc, if you use iNO in PT, can you tell me how in detail, because we have baby 24 weeks, 3 weeks ventilatory dependant and then now he need fio2 100% to spo2 reach 90%, we have iNO in our unite, we tried dexamethasone, but stopped because of hypertension. Sent from my MHA-L29 using Tapatalk

Can anyone share his experience in using iNO in PT with Pulmonary hypertension in BPD Sent from my MHA-L29 using Tapatalk

For maintainace fluid in FT we start on 60 ml/kg/d and according to weight measures, s. Na , UOP... We calculate the coming days. In PT babies we start on 80 ml /kg/d, in ELBW we calculate on 90 and we measure wt, UOP, s. Na every 12hrs in acute stage till stabilized(if s. Na is high, wt loss... we increase IVF) In FT we calculate fluid on BW till first 7 days, in PT till 10 days. Sent from my MHA-L29 using Tapatalk

Yes, we use it.. BiPAP initial setting peep 5, pip 8 above peep, T high 1 sec and frequency is 20 - 30 Sent from my MHA-L29 using Tapatalk

Hamed... Can I ask what's average duration ELBW babies staying on mech ventilation in your unite ? Which start first if baby stuck on ventilator diuretic or DART and which dose??

Thanks

i finished egyptian neonatology fellowship and i want to continue my training in neonatology without leaving my country any suggestion ......online training courses , certificates, examinations