neha

Dear Dr Stefan, Thanks for ur mail. I am not able to access the site u have sent. It is asking for a password. DR Suresh

Dear Colleagues, I am a neonatologist for the last 20 years. I have a good collection of clinical pictures of very rare syndromes/genetic malformations. if anyone is preparing a book or album in neonatology I would like to share the pictures.

Dear Colleagues, Has anyone recently been into revised clinical strategies related to reduction of BPD in VLBW/ELBW babies in your institution? If so I would like to know more about it and happy to share some of the thoughts. We are planning to revise our management lines. Grateful if you could also share your new plans. Thanks. Dr S Chandran Singapore

We have been using Indomethacin in my unit for last 10years. On confirmation of a significant PDA we restrict the fluid and give diuretics in low dose. Even PDA of 3 mm size has closed with this treatment. If favourable like normal renal function and normal platelet counts with no IVH Indomathacin we give without hesitation if ECHO shows a hemodynamically significant PDA. On two occasions with low plateletas PDA was complicating the scenario so much that we gave platelet and used indomethacin to successfully close the PDA. I have used Ibuprofen while working in UK. My personal experience is that Indomethacin can be safely used in Prems with significant PDA after a trial of fluid restriction and diuretics. Dr Suresh Chandran Consultant Neonatologist RIPAS Hospital Brunei Darussalam