vito62

I'm sorry but I think that the italian version is the only one that exists

In Italy we have these guidelines https://www.dropbox.com/s/whxkfngb8pdiadm/IPOTERMIA raccomandazioni SIN.pdf?dl=0

Temperature maintenance during all the resuscitation procedures, the same effect of AMBU, anesthesia balloon and Tpiece, no sustained lung inflation, no routinely intubation of no vigorous infant with suspect MAS, need of intubation before cardiac compressions, no routine cord milking <29 weeks

I use routinely lung recruitment in HFOV to find the optimal lung volume at the lowest CDP and FiO2.

Yes, surely I need less X-rays for pneumonia follow up or to exclude a PNX for example before or after surfactant administration, but for legal questions often I need to confirm the diagnosis with X-ray

I use daily lung ultrasound in my NICU. The pattern of RDS is different from that of TTN. In RDS you see white lung (compact B lines from apex to the base of the lungs) while in TTN you have a diagnostic sign: the double lung point in which you see at the base compact B lines that are sharply divided from normal A lines of the superior area of the lung. This border point is diagnostic of TTN and specific in 100% of the cases.

https://www.dropbox.com/sh/w6fx27cqap625y1/LiNMm2hpkr Guidelines from italian society of neonatology (ed. 2013) Inviato dal mio iPad utilizzando Tapatalk

We use 200mg/kg for the first use (after a sustained lung inflation at delivery room) and 100mg/kg for the next doses if needed Inviato dal mio iPad utilizzando Tapatalk

Inhaled nitric oxide, sildenafil, sometimes adenosine

We use Surfactant, HFOV, plasma and erytrocytes, but mortality remains very high, depending also of the inner cause (CID, PDA, sepsis ecc)

ICE trial is the best evidence that is sufficient a "hot-cold gel pack" and a thermometer to save a human life, it's only a cultural aspect I think

We make blood colture and crp at birth and repeat crp daily until 72 hours, unless the baby becomes syntomatic needing antibiotic therapy

How much high? We have found a congenital myeloid leukemia presented as a fetal hydrops with a WBC count of 250.000 at born

I like Fanaroff, but Cloherty and Gomella are also very good for quickly review diseases or procedures

We use fluconazole 3mg/kg q72h in VLBW started on first day of life until CVC is needed

http://content.karger.com/ProdukteDB/produkte.asp?Doi=298312 I mean this kind of SLI, delivered by neopuff

What's your experience about SLI applied to preterms at delivery room? What's your setting? (I mean time and pressure)

in our NICU we use hydrochlorotizide 1-2mg/kg Q12hr + spironolactone 0,5-1,5 mg/kg Q12hr until no more O2 or nCPAP dependence.

Hi, in our nicu (I work in Italy) this kind of signs are generally due to fungal sepsis, and we treats the newborns with mycafungine, successfully, also in absence of positive coltures or PCR. But maybe this is right only in our nicu (sorry for my english)