hehady

In your practice when managing a case of HIE, do you treat clinical seizures- electrical seizures?

IV form of Ibuprofen is expensive, not available in my country. We sometimes use oral ibuprofen. There are quiet few studies on that issue like: 1: Chotigeat U, Jirapapa K, Layangkool T. A comparison of oral ibuprofen and intravenous indomethacin for closure of patent ductus arteriosus in preterm infants.J Med Assoc Thai. 2003 Aug;86 Suppl 3:S563-9. 2: Heyman E, Morag I, Batash D, Keidar R, Baram S, Berkovitch M. Closure of patent ductus arteriosus with oral ibuprofen suspension in premature newborns: a pilot study. Pediatrics. 2003 Nov;112(5):e354. 3: Hariprasad P, Sundarrajan V, Srimathy G, Suthagar B, Ramadevi BS. Oral ibuprofen for closure of hemodynamically significant PDA in premature neonates. Indian Pediatr. 2002 Jan;39(1):99-100. But be ware of the reported complication of spontaneous intestinal perforation (we have not experienced it) but other had: Tatli MM, Kumral A, Duman N, Demir K, Gurcu O, Ozkan H. Spontaneous intestinal perforation after oral ibuprofen treatment of patent ductus arteriosus in two very-low-birthweight infants. Acta Paediatr. 2004 Jul;93(7):999-1001.

In our unit routine gastric suction is not recommended. However if there is MSAF we do recommend it. Please look at the following related refernces: Anand KJS, Runeson B, Jacobson B. Gastric suction at birth associated with long-term risk for functional intestinal disorders in later life. J Pediatr 2004;144:449-54. Conklin LS, Perlman JM, Wyckoff MH. Gastric suction at birth. J Pediatr. 2005 Jan;146(1):152-3; author reply 153. nand KJ, Jacobson B, Hall RW. Gastric suction at birth: not an innocent bystander.J Pediatr. 2004 Nov;145(5):714; Di Lorenzo C, Saps M. Gastric suction in newborns: guilty as charged or innocent bystander? J Pediatr. 2004 Apr;144(4):417-20. Regards

On behalf of the Egyptian society for neonatal and preterm care (ESNPC), it is my pleasure and honour to welcome you all to the 19th scientific congress of the society which will be in Sharm El-Sheikh, EGYPT from 28 February- 3 March 2007. I am delighted to extend an invitation to all our colleagues to actively participate in this distinguished event. The program is made as exciting and intersting and we have invited expert faculty members from USA, France, Italy and from other different countries . Our main thrust will be to encourage continuous medical education where both experts and delegates meet to share and learn. The city of Sharm El- Sheikh is one of the most beautiful diving and snorkling sites in the world. You can visit our website www.esnpc.org for more details. Also, you could contact me at drgamalsamy@ hotmail.com Finally, I hope to welcome you all in this distinguished congress and to enjoy meetings, discussions and your stay with us. President of the Society and Congress Professor Gamal Samy Aly

Dear Dr Stefan: Some educational videos can be purchased, Some are free. It is a good idea to help others to access these videos through 99 nicu forum

I meant Non-invasive CPAP

Thanks Stefan for the reply. I have the details of the techinque, what I realy wanted is a teaching video for residents and fellows as I'm preparing a course on NCPAP and this could be of great help. I've seen one in one of the ESPR meetings by a Swedish colleague, but I do not how to access.

Would you kindly help me to get access to teaching video on how to give surfactant via 'INSURE Technique'

In your practice, is there a place now for elective HFOV for VLBW infants with severe RDS?

How do you practice CPAP weaning?. Gradual weaning of pressure? Cycling time off CPAP?