hehady

A new article is going to be released soon on facial nerve palsy as a complication of flow driver CPAP in ELBW infants by Maffei G, et al. J Perinat Med 36 (2008). Did experinece this complication in your practice?

We use pacifier or chin strap to keep mouth closed. Non-pharmacologic sedation via nestting, incubator covers, demming of NICU lights also helps.

The study will be published soon and then I'll write the abstract in this forum once I recieve the acceptance.

No our faculty will moderate the course this time. We are expecting attendee from 5 countries at least, it will be a chance to exchange ideas and to enjoy the hospitally of mansoura as well.

The 3rd International Advanced Neonatology Workshop Mansoura University Children’s Hospital, Mansoura, Egypt 7-12 November, 2008 Main Topics: Mechanical Ventilation Necrotizing Enterocolitis Total Parenteral Nutrition Surgical Problems Cardiovascular Support Neonatal Transport X-ray Interpretation Amplitude Integrated EEG Cranial imaging Venue Mansoura University Children’s Hospital, Mansoura Egypt Instructors and Speakers Prof. Shadia El Sallab Prof. Mohamed Khashaba Prof. M Reda Basiouny Dr. Hesham Abd El Hady Dr. Basma Shouman Dr. Nehad Nasef Contact Information Address El-Gomhoria St. Mansoura, Mansoura University Children’s Hospital, Neonatology Unit Fax +20502234092 E-mail Khashabamohamed@hotmail.com Website http://www.mans.edu.eg/much/En/neonatology/index.htm

Do you have experience with antibiotic lock. We have finnished a study on antibiotic lock using amikacin-heparin for neonates with extended UVC use and it was successful.

A one day course arranged by the Universities of Tanta, Mansoura, Zagazig, Egypt. It will be conducted in Tanta University on August 1st 2008. It will cover all aspects of CPAP including physiology, indications, CPAP delivery devices, clinical evidence, complications, nursing care , how to optimize CPAP in your NICU?, and hands on training on bubble CPAP and flow driver CPAP. Course fees 150 LE. For reservation contact: Arab Organizers Co. Tel; 0101709857-040/3349714 Email:araborganizers@hotmail.com

A 1-day course will be conducted in Tanta University in August 1st 2008, this will be in collaboration with Mansoura and Zagazig Universities. Registration fees 150 LE. For more detailsplease see: WWW.deltapediatrics2008.com

The registration fees for the conference is 450 $ for full registration, including Attendance to all scientific sessions Delegate’s bag with congress material Lunches and coffee breaks during the congress Opening Ceremony and Get Together Reception Gala Dinner half board accomodation for two nights in a 5 stars hotel. For double room add 150 $

Happy New Year. We would like to see you all in Mansoura and Port-Said, in our first international Neonatology conference (Neonatal Brain Where We Stand), we have 4 ditinguished Guest Speakers this Year from USA and UK. Please send this invitation to your colleagues. The conference will be on 2nd-4th April 2008. Main topics will be: asphyxia in newborn infant, use of aEEG, drugs affecting neonatal brain, therapeutic hypothermia, Intrauterine infections infection and neonatal brain, neuroimaging, neurodevelopmental outcome, Collaborative research in neonatal neurology. The website will be active soon. WWW.NICU2008.com

Mansoura international advanced neonatalology workshop will be held in the period from 29-3-2008 to 2-4-2008, the workshop will be held in the auditorium of Mansoura University Children's Hospital, Course faculty will include Neonatology Staff memebrs from our NICU as well as distinguished speakers (Dr. Denis Azzopardi) from Hammersmith, UK and Dr. Hany Aly from Washington DC, USA. the course will cover major aspects of ventilation; topics like pulmonary physiology, basics of mechanical ventilation, modes of ventilation, CPAP, HFV, interterpretation of ABG, CXR, pulmonary graphics. Hands on practice sessions with training on ventilators like Draeger 8000 + conventional and HFV, Benett, Bearcup ventilators; Bubble CPAP, Flow-driver CPAP, chest tube insertion, interactive case scenarios on mechanical ventilatoion using simulators etc. Other topics will include: TPN, Hypoxic ischemic encephalopathy, aEEG, neonatal seizures, circulatory support of sick newborn, neonatal transport. I think it will be a major event with a lot of topics to cover for those intersted in neonatology. there will be a limited number of seats. Please reserve early. The course fees will be 1000 $ including course fees, full accomodation. with opportunities for young residents and fellows for reduced fees. Those intersted can contact our secretary or contact me personally on my e-mail

Mansoura international advanced neonatalology workshop will be held in the period from 29-3-2008 to 2-4-2008, the workshop will be held in the auditorium of Mansoura University Children's Hospital, Course faculty will include Neonatology Staff memebrs from our NICU as well as distinguished speakers (Dr. Denis Azzopardi) from Hammersmith, UK and Dr. Hany Aly from Washington DC, USA. the course will cover major aspects of ventilation; topics like pulmonary physiology, basics of mechanical ventilation, modes of ventilation, CPAP, HFV, interterpretation of ABG, CXR, pulmonary graphics. Hands on practice sessions with training on ventilators like Draeger 8000 + conventional and HFV, Benett, Bearcup ventilators; Bubble CPAP, Flow-driver CPAP, chest tube insertion, interactive case scenarios on mechanical ventilatoion using simulators etc. Other topics will include: TPN, Hypoxic ischemic encephalopathy, aEEG, neonatal seizures, circulatory support of sick newborn, neonatal transport. I think it will be a major event with a lot of topics to cover for those intersted in neonatology. there will be a limited number of seats. Please reserve early. The course fees will be very cheap with opportunities for young residents and fellows for reduced fees. Those intrseted can contact our secretary or contact me personally on my e-mail

Femoral fractures after CS are ususally iatrogenic due to difficuty in extracting the baby. Otherwise multiple fracture can be seen in diseases like oseogenesis imperfecta

As far as I know there is no evidence that keeping babies NPO during blood transfusion will reduce the incidence of NEC. Are you intersted in doing a RCT? do you have some lab animal data or observational studies?

Please refer to the following articles: 1- Chessex P, Harrison A, Khashu M, Lavoie JC. In preterm neonates, is the risk of developing bronchopulmonary dysplasia influenced by the failure to protect total parenteral nutrition from exposure to ambient light? J Pediatr. 2007 Aug;151(2):213-4. 2: Khashu M, Harrison A, Lalari V, Gow A, Lavoie JC, Chessex P. Photoprotection of parenteral nutrition enhances advancement of minimal enteral nutrition in preterm infants. Semin Perinatol. 2006 Jun;30(3):139-45. 3: Lavoie JC, Rouleau T, Gagnon C, Chessex P. Photoprotection prevents TPN-induced lung procollagen mRNA in newborn guinea pigs. Free Radic Biol Med. 2002 Aug 15;33(4):512-20. 4: Chessex P, Laborie S, Lavoie JC, Rouleau T. Photoprotection of solutions of parenteral nutrition decreases the infused load as well as the urinary excretion of peroxides in premature infants. Semin Perinatol. 2001 Apr;25(2):55-9. Review. 5: Laborie S, Lavoie JC, Chessex P. Increased urinary peroxides in newborn infants receiving parenteral nutrition exposed to light. J Pediatr. 2000 May;136(5):628-32. 6: Baird LL. Protecting TPN and lipid infusions from light: reducing hydroperoxides in NICU patients. Neonatal Netw. 2001 Mar;20(2):17-22. Review. 7: Lavoie JC, Belanger S, Spalinger M, Chessex P. Admixture of a multivitamin preparation to parenteral nutrition: the major contributor to in vitro generation of peroxides. Pediatrics. 1997 Mar;99(3):E6.

After the great success of the first course last May and owing to increasing pressure from our colleagues who could not attend it, we are glad to offer you a new opportunity to join the 2nd course. The course will cover all topics related to neonatal ventilation starting from basic pulmonary physiology, basics and modes of ventilation, CPAP, High frequency ventilation, care of the ventilated baby, pulmonary graphics, CXR and ABG interpretations, surfactant therapy, complications of mechanical ventilation. We will also offer interactive case scenarios, hands on practice sessions on CPAP, CMV, HFOV, chest tube and PICC line insertion. There will be daily clinical rounds with discussion on topics related to mechanical ventilation. The course faculty will be our staff in Mansoura University Children's Hospital. If you do work in a teritary neonatal care unit that provides care for neonates with respiratory problem, this course will be a great chance for you to upgrade your practice. If you are intersted please contact me at my e-mail or contact our NICU's secretary

Dear Egyptian Memebrs: We are arranging a neonatal ventilation course from 28-5-2007 to 1-6-2007, the course will be held in the auditorium of Mansoura University Children's Hospital, Course faculty will include Neonatology Staff memebrs from our NICU as well as a distinguished speaker from USA (surprise will be announced later), the course will cover major aspects of ventilation; topics like pulmonary physiology, basics of mechanical ventilation, modes of ventilation, CPAP, HFV, surfactant therapy, weaning of mechanical ventilation, complications of ventilation, oxygen therapy, interpretation of ABG and CXR. Hands on practice sessions with training on ventilators like Draeger 8000 + conventional and HFV, Benett, Bearcup ventilators; Bubble CPAP, Flow-driver CPAP, interactive case scenarios on mechanical ventilatoion using simulators etc. I think it will be a major event with a lot of topics to cover for those intersted in ventilation. there will be a limited number of seats. Please reserve early. The course fees will be very cheap with opportunities for young residents and fellows for reduced fees. Those intrseted can contact our secretary or contact me personally on my e-mail

Please check senstivities to Tazobactam, ciprofloxacin

In our institution the decision of discontinuation of life support will be after a joint meeting with the parents and the consultants of the unit. We do respect parents opinion to continue life support, but many parents agree to withdraw life support in situations like ventilator dependent-severe HIE, grade 4 IVH and PVL, untreatable inborn errors of metabolism

Breast feeding is the best for initial feedings (evidence based). Oral glucose increases feeding intolerance and aspiration (personal experience)

There is only one study from UK. Not yet published, but presented in PAS 2006 Meeting and ESPR 2006 Meeting

Dear Alexander I meant both conditions

When would you consider giving Na Bicarbonate for your neonates? What is the dosage? and how fast would you give it?

I'd like to share with you you experinces in respiratory morbidities in late preterm (near term ) infants? Need for CPAP? Need for surfactant? Need for Mechanical ventilation? In your opinion what is the best timing for an elective CS?

Point one: Neither hypertension nor diabetes are contraindications to antenatal steroids PArt two: Repeated courses please look at the NIH Consensus Statement Volume 17, Number 2 August 17–18, 2000 *The collective international data continue to support unequivocally the use and efficacy of a single course of antenatal corticosteroids using the dosage and interval of administration specified in the 1994 Consensus Development Conference report. • The current benefit and risk data are insufficient to support routine use of repeat or rescue courses of antenatal corticosteroids in clinical practice. • Clinical trials are in progress to assess potential benefits and risks of various regimens of repeat courses. Until data establish a favorable benefitto- risk ratio, repeat courses of antenatal corticosteroids, including rescue therapy, should be reserved for patients enrolled in clinical trials.