sudershan.kumari

in a 9 year prospective study of rop in our unit, we noted that all neonates <36 weeks of gestation , irrespective of birthweight should be screened for rop, beginning at 32 weeks of gestaion till term gestation.14 of our babies had birth weight >2000gm and gestation >34 weeks, 30% with a bwt of >1500gms. So our policy is to screen all neonates <36 weeks of gestation.

happy birthday to nicu and congratualtions for good work. It is helping neonatal physcicians and nurses , keep it up

sick babies are not given bath in our nursery till they are stable, Only they are cleanes with swabs or wer sqeezed towel . At times even after morning routine in nursery with swabbing even a stable babies become unstable ,this is more often in morning shift , then even swabbing is with helsd for that baby.

There has been an increasing incidence of fungal infections in nicu babies . I would like to know from members incidence of fungemia in their units, and whether prophylactic antifungal therapy is stared empirically or they wait for isolation of fungs+ from blood culture or colonisation from surface.

dear member post mas or even after ventilation , the neonates have higher incidence of reactive airway problem, they ususally decrase gradually by 6 months to one year. the episodes of wheezing are treated with bronchodilators ,salbutamol, and or steroids mostly by nebulisation.

i would like to know about the methods used for neurological assessment of neonates and 1. age at assessment 2. is it done for all births or nicu graduates 3.follow up of such studies done

The umbilical arterial catheter is used only for about 5-6 days by that time most term babies are off ventilation. Also i have a feeling that infection rate increases if along with sepsis we keep catheters for longer than 7 days. Peripheral arteial line is also used frequently in vlbw babies.Complications are very rare, the catheter is removed at first suspicion . However umbilical venous catheter may be placed for a longer time if getting veins is a problem .as we start trophic feeds from day 2 ,need for pareneral nutriioin is much less with us