
Bernhard Bungert
MembersBernhard Bungert last won the day on October 19 2019
Bernhard Bungert had the most liked content!
Community Reputation
29 ExcellentAbout Bernhard Bungert
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Rank
Member
- Birthday 06/06/1962
Profile Information
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First name
Bernhard
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Last name
Bungert
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Gender
Male
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Occupation
Neonatologist
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Affiliation
Kinderklinik Klinikum Hanau
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Location
Hanau, Germany
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Interests
Neonatologý, Nephrology, Family, Volleyball, Bass
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Percentiles charts for neonatal blood pressure values
Bernhard Bungert replied to Dr.Smah's topic in cardiovascular problems
Thank you very much. Will try it -
Percentiles charts for neonatal blood pressure values
Bernhard Bungert replied to Dr.Smah's topic in cardiovascular problems
Check this out. I like this neoreviews http://neoreviews.aappublications.org/content/18/6/e357 . Sende a message of you cant get it. -
Treatment of PIE with HFOV
Bernhard Bungert replied to HickOnACrick's topic in Ventilators and Care of the Ventilated Infant
You are in the right way. HFO fq 5-6 Hz, Amp as high as you see Vibration. Lower MAP as you did, but try do use less, Oxygen max 70%. Permissiv hypercabnia ok. Lay your patient on his dummy. Both sided PIE, equal? If not: best side up. -
complete white out lung, what could be diagnosis?
Bernhard Bungert replied to vrpatilisl's topic in pulmonary disorders
Remembers me to case of Surfactant protein Mutation. Done well After Ltx At age of 7 month. But me need more information: what Kind of Ventilation you use. Which Setting? Oscillation? NO? Echo Shows pulmonary hypertension? Please look for CMV in tracheal aspirat. -
We use gastral tubes with 5ml/KG NaCl0,9% rectally in the second day of life if a premie (《1500g) to stimulate mekonium release (because changings of enteral feeding regimes depending on mek rel). With this procedere we stimulate bowelmovment. It works most everytime. We don't wait for problems. I believe most Effect depends to the distending fluid As long as premies stay in incubator temp is measured with rectal probe. Later with Thermometer (without plastic wrap). We do no Stimulation. For Colic gas seldom we use small airwaytube 3 cm inserted for 30 min.
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Priming Insulin infusions
Bernhard Bungert replied to ChantalNICU's topic in drug treatment and analgesia
Interesting Subject. And More literature than we would believe, including YouTube Videos. We have primed a few years ago but we stopped because non of our problems were resolved. Despite a lot of tricky literature there are to many variables (tube and line materials, Insulin measurment (Timing, method) wanted Insulin concentration, dont forget filters)... .. to finde the right answer. Hard work for chantalnicu.😊 -
We dont use HFNC as a Initial Support For Premies under 32 Weeks. Therefore was a lot of unreflected use as CPAP-Weaning Strategy: since we started with "the Todd-Procedere" Premies loose CPAP earlier without the need of HFNC. We use HFNC instead of CPAP For late preterms with TTPN with heavy breathing to lower our Airleak rate.
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Medical Mythbusting (?) - NEC and transfusions
Bernhard Bungert replied to Stefan Johansson's topic in gastroenterology
There's a Lot of calculating so Long. I started with an article about possible pathophysiology. Interesting. http://neoreviews.aappublications.org/content/16/7/e420. After Reading that there are a Lot of pointe for a debate. -
Thank you very much Maegan. Is there any considerations how to applicate for better resorption. Any pitfalls? Sounds like a silly question, but ....
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Bernhard Bungert changed their profile photo
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Long time gone since last post. We start to develop a visiting policy. But - the deeper the insight - the greater the Problem. Peluso AM J Perinatol 2015 Aug; 35 (8) 627-30 described increased rate of RSV-Infections during RSV - Season in the "visiting Group": worth reading. We thing about medical checks of the young visitors, complette vaccination, single room visits only, Age-restriction (only > 6 years), written parents consent, Time Limitation for those under 12 years. Sounds a Little bit too elleboratated but in time of high hygienic susceptibility and bad expierences of German NICUS
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Hello Maybe you find out I'm a little bit silly, but i have to ask: "Whats fumigation?"
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Dear Collegues. The Subgroup of the German Robert Koch-Institiut has puplished a 40 page Paper about (I translate because it is in German): "Prevention of nosocomial infection in Very low weight babies under 1500 G". There is a lot of small but interesting details and aspects of prevention. You can find the article on: http://www.rki.de/cln_091/nn_201414/DE/Content/Infekt/Krankenhaushygiene/Kommission/Downloads/Neo__Rili,templateId=raw,property=publicationFile.pdf/Neo_Rili.pdf (copy it, it works). There they prefer Octinidinhydrochlorid 0,1 % without Phenoxyethanol. Bernhard Bungert
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Antibiotics in neonatal bacterial infections
Bernhard Bungert replied to Khaque's topic in infections
Dear Prof. Haque Im sorry that i cant add superior insight to your question. In my own expierence i found that to determine whether a baby is infectet CRP (like a lot of other markers) is a mess: On one side it comes late, on the other side I see about 20 newborns who are susceptible to infection (because of apnea, Temp 38 °C, maternal history) which develop a CRP over 50 g/l, and if you have the nerves and wait: crp is normal after a few days, and the babies are doing well. From my teachers i have learnt to treat this babies, but we changed practice whithout RCT. Bernhard Bungert