mallikarjuna78

Most of my colleagues / friends are private practitioners and not in to academic or write ups....Sorry for the same. Regards, Mallikarjuna

Thanks for the post. Inotropes are really simplified...!

Thanks for the new link...The Medscape one was not found....

Dear all, I would like to know the effect of Oral Dextrose supplementation in the management of initial Asymptomatic Hypoglycemia in term babies. How much it is right to give orally? I feel that it can cause rebound Hypoglycemia...So, is that right to give oral dextrose? NB: Neonatal manual by Cloherty and some of the other articles I read, mentions oral dextrose. Thanks, Mallikarjuna

Its been long time I had not visited the site due to some problems..I missed it so much. Regarding the Quiz - very nicely designed, informative and of course addictive.... Initiative to read/refer further in Neonatology... Thanks much.

The center where I was trained - 1. Atleast two of the trainees would calculate the TPN for each neonate separately and cross check 2. One of the trainees would scrub and prepare TPN laminar flow with all aseptic precautions and label each 3. Cross check again before connecting to IV 4. Ofcourse the component varied according to bld glucose, electrolytes & RFT/LFTs, taking care of non-protein calories. Thanks Mallikarjuna

It would have been great if it was made available for outside Europe also...!

1. Not to keep on doing ET suction 2. Morphine/Fentanyl +/- Muscle relaxant 3. Hemodynamics

Great to be a part of 99nicu..... Good job... Thanks for regular update...!

X-ray AP view is fair enough to look out for the position of UAC & UVC, which can be made out by tracing out their respective course. Lateral view may be necessary only in cases of undue course of UVC/UAC, and of course academic purpose - teaching the fellows/trainees!

Thanks.... I just had an argument with my UK trained colleague, who says, in the center where he got training (UK) they ask for CXR after 4-6hours in case of RDS!!! Though I tried convincing, I could not...as I believe in immediate CXR in any case of respiratory distress....!

Can the term "Perinatal Asphyxia" be used interchangeably with "Birth Asphyxia"? or Is the term Birth Asphyxia is OUTDATED?

Neonates with Respiratory Distress (Viz., in case of RDS, TTN, MAS & So on): 1. CXR needs to be done at the time of NICU admission? 2. (Or) After 4-6hours of birth? Which would be the ideal way of management?

Thanks much...

Dear All, The Diagnosis - "Respiratory Distress Syndrome" and/or " Surfactant Deficiency Lung Disease" , which is the most preferred term to use while writing the Diagnosis column? Regards, Mk