Everything posted by thabit
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UpToDate - from Norway
Dear colleagues. I tried the link Teksmedik.com/uptodate and accessed UPTODATE. Try it!
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The good baby who doesn't cry
A male baby normal vaginal Delivery cried spontaneously with satisfactory Apgar, 1,5 and 10 minutes. Mother didn't receive any narcotics at delivery.history of rupture membrane 24 hours before delivery. Amniotic fluid is clear. Baby has good color but no cry. what you think?
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99nicu Poll: What is your pharmaceutical management option for PPHN of a term newborn in your institution?
We use alkali therapy with ionotropes, and once we tried sedentifil
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99nicu Poll: What solutions for parenteral nutrition do you use in your NICU?
Hi Our NICU IN GAZA uses ready bottles of amino acids solutions we mix it with other intralipid solitons 20% together with glucose solutions but we don't have minerals and vitamins additives
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Hypocalcemia and phototherapy in preterm baby
Dear Roy... thanks for the post seems rational explanation..thanks Dear and good luck thabet
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ABO INCOMPATIBILITY
Hi all.. for me i would start intense phototherapy and double volume exchange all at once...that will correct all the abnormalities
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Babies with Perinatal asphyxia
Dear colleagues... During my 28 years practice in neonatology ..i have noticed with growing evidence that babies who were asphyxiated perinatally are resistant to hyperbilirubinemia and also to sepsis..an impression that i would like to find any one sharing this experience with me.. thanks..waiting for your response
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Mgso4 in birth asphyxia
Dear colleagues... Best wishes... any onre has experience in using Mgso4 in birth asphyxia and it's beneficial effects on late complications of asphyxia thanks
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Na Bicarbonate for neonates
dear colleagues.. best wishes.. as for the use of Bicarbonate.. we try to limit it to minumum especially in delivery room for neonatal resuscitation almost nill...in nicu we try to correct the acidosis by improving oxygenation , perfusion , cardiac actions.. thanks
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nonketotic hyperglycinemia
Dear all..... We have seen three babies with nonketotic hyperglycinemia over a working period of 27 years here in our NICU ,GAZA, Palestine...all were dead ..in about month of age...if any has such cases i will be grateful for feedback..thanks
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Tracheal atresia
Dear colleagues..... We havd been confronted with three neonates with Tracheal atresia , all have died in few hours time...if any experience with such cases..would be much appreciated... Thanks
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Prophylactic aminophylline
Best wishes for all... We somtimes use propylactic aminophylline in apnea of prematurity(after exclusion of pathological causes for apnea) any has experience about this topic thanks
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Parenting in NICU
Dear all.. Involvements of parents in the care of their baby is of utmost importance for both parents and babies... In our NICU , Gaza, Palestine. We are startimg to recognize that issue and thinking of the most feasible ways of doing this, because in our country wer have some barriers: social, cultural, religious ...so we are thinking of best and possible solutions to implement concept of parenting locally where we are..and i'll be very thankfull if any one can provide me with literature of parenting.. Thanks for all
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Hypocalcemia and phototherapy in preterm baby
Dear colleagues.. Best wishes... any one has an explanation for occurence of hypocalcemia in preterm baby receiving phototherapy in NICU.. thanks
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Phenobarbitone in neonatal cholestasis
Best wishes.... Any new experience with the use of phenobarbitone in treatment of neonatal cholestasis? Thanks
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Melloporphyrrins in Neonatal Hyperbilirubinemia
Dear colleagues.. Best Wishes.. any one has an experience in using Metalloporphyrrins in neonatal Hyperbilirubinemia.. Thanks
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IVIG in immunhemolytic disease of newborn
Dear Colleagues.. Best wishes.. any experience in using IVIG in ABO or RHesus incompatibility of newborn. Thanks
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experience with use of MgSo4 in PHN
dear colleagues.... any body have an experience using MgSo4 in treating newborns with pulmonary hypertension ? thanks
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throboembolic disease of newborn
hi all..... happy to be here; i'm a neonatologist from Gaza;Palestine would like to have comprehensive readings on that issue thanks
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Baby with congenital"marble-skin"
A baby two months old , born by normal vaginal delivery , breathed spontaneously at birth and was a full term delivery, parents were not related and it was their first baby, no history of abortions, pregnancy course was uneventfull. Baby was ok since birth , developing and thriving well, but with mottled, mrble like skin all over the body, no change in response to warming but increae with exposure to cold . at one month of age was presenting with moderate fever and was admitted to hospital mainly because of his mottled skin: screening for infections were done , in addition to thromboembolic screen; were all negative, discharged home with oral antibiotics, afer which he is ok but still with the marble skin..all physical examinations were norma including the cardiovascular system.no similar history in parents siblings..mother reported that she gets cold easily!!~.. asort of vasomotor instability???..any one has a comment or explanation?..thanks for all.
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40% oxygen: Is it better or worse?
we still use the recommended 90-100% oxygen for neonatal resuscitation.
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40% oxygen: Is it better or worse?
we still follow the recommendation of AAP/NRP 2000 for using 100% oxygen in rescusitation ..that is in our NICU/ Palestine/ shifa Hospital
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40% oxygen: Is it better or worse?
dear colleagues.. best wishes, i'm here for the first time in your forum, i'm a neonatologist working in Palestine, Shifa Hospital...in our NICU..we still follow the recommendation to use 100% oxygen for rescusitation, but when i teach NRP course, i put a note that air or less oxygen may be used at start , but..still don't change your first practice of using 100% oxygen in rescusitation..thanks