Bernhard Bungert

Hi we calculate osmolarity for every TPN-solution (we means a self constructed of our pharmacologist) whether used peripherilly or central. Max 800 mosml/l for periphery.

Hi The only time when we have needed such a amount of fluid the baby has had antenatale Bartter-Syndrom with Polyhydramnion and iu hydronephrosis on both sides. How`s the Na-Exkretion? I cant believe the reason of this problem depends to the amount of Protein or lipids in TPN. If there is to much loss of fluid over skin try to use plastic bag.

Hi We use no med in the delivery Room. At "home": Atropin/Morphin/Thiopental (slowly) sometimes parlaysis. Works fantastic. Morphin against acute pain. No fentaly because of thorax rigidity (30% in our own expierience), no midazolam cause of seizures. An other scenario: a blue, alert child (bec of congenital heart desease), your are 100 km away from home, and you have to use prostaglandine . No medication for intubation? no intubation? No risk no fun?

Hi for elective Intubation on Nicu (or changing tubes because of blocking or leakage) we use atropin, morphin 0,1-0,2 mg/kg, Trapanal 4 mg/kg, and (depending to doc) pancuronium. Works well, infants are stable, easy to intubate. Greetings Bernhard Bungert:)

Hi We use AG once a day in term infants and check 30 minutes before using the third dose (but we wait for the result). In terms and preterm infants with compromised renal function (asphyxia, hypotension) we checked it sometimes earlier and more often. in preterms dosing is more difficult so depending to gestational week and age there are different doses and time periods (36 hr, 48 hr) to use. We always have good expierences and no toxic side effects. Always remember AGs needs, because of there properities, time with low blood levels for full action. Greetings Bernhard Bungert

Dear Alexander i checked the "basic articels series", very good stuff. Great for preparing lectures for parents or students or associated staff. Greetings from Germany Bernhard Bungert