nashwa

I noticed all extreme preterm babies 23-25weeks usually have a metabolic acidosis in first 72 hrs.. as a practical point any one can share his experience for given Nahco3 even with half correction, Sent from my MHA-L29 using Tapatalk

We are giving fentanyl 4mic/kg and atropine 20mic/kg in elective intubation But I read that remifentanil is ultra short acting and used in INSURE??? any one use it?? Sent from my MHA-L29 using Tapatalk

Erwazny, you are doing INSURE with extubation immediately even in ELBW babies, is it working in babies less than 1000 g. No need for MV for theses babies!!! Sent from my MHA-L29 using Tapatalk

Stefan, yes I mean the recent European guidelines of RDS. It was written that they give surfactant once Fio2 is 30 %or more for all babies. It is different than previous guidelines. Also in recent one, it suggests CPAP for all babies in delivery room for stabilization including Ex preterm. For INSURE technique, I want to ask about who practices extubation immediately after given surfactant?? What is criteria for keeping babies for some time on MV?? Sent from my MHA-L29 using Tapatalk

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

Any one follow a recent recommendation of European guidelines for RDS management and practice INSURE technique in ELBW, How much it working?? What is average time taken to extubate babies??, how many doses of surfactant needed?? Sent from my MHA-L29 using Tapatalk

Thanks all for your comment, but still I want to know if you plan to do INSURE technique, are you giving premedication or no, and what is average duration on mechanical ventilator or you extubate immediately regardless the gestational age ?? Sent from my MHA-L29 using Tapatalk

Can I know average duration on ventilator after INSURE?? Does it affect by given suxamethonium?? Sent from my MHA-L29 using Tapatalk

What is dose of fentanyl?? Sent from my MHA-L29 using Tapatalk

You use fentanyl only??? Sent from my MHA-L29 using Tapatalk Which premedication you give??? Sent from my MHA-L29 using Tapatalk

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