tarek

@Dr.Smah Do you mean acute management in nicu for babies whom there mothers are smokers..?

every time I check my email and find 99nicu in the list I feel too much excited every time I visit this site I gain new information and add new knowledge thanks @Stefan Johansson and all 99nicu members love you all❤️❤️❤️❤️❤️

@Sutirtha Roy waaaaw very nice👌👌👌👌👌 thanks a lot 🙏🙏

i got it

what is your target PCO2

@Stefan Johansson yes you are right thanks from your phone just go for options and ask desktop site

how to register

DONE 💓💓💓💓💓 💓💓💓💓💓

@rehman_naveedWhat i mentioned is the latest recommendation from AHA 2015 i will try to post it

@rehman_naveed Regarding Q2 in cardiology The answer and critique need review ventricular tachycardia with pulse so stable ( normal BP normal CRT ) so medication here we can consider adenosine then expert consultation. Ventricular tachycardia with pulse unstable ( low BP , prolonged CRT ) so sybchronized cardioversion starting with 0.5 j/ kg Pulseless Ventricular tachycardia same as VF management is defebrillation start with 2 j/ kg

Waaaaaw Thank you for sharing Jazak Allah Khayra

The placental circulation brings into close relationship 2 curculation systems: the maternal and the fetal in severe abruptio the mother will present with shock and fetus may die detection of fetal blood in a maternal bleeding is worrisome The clinical manifestations and prognosis depends on the amount of fetal blood and the rapidity with which it occurs see the attached study 25-30.pdf

If you from the history that there is antepartum hemorrhage and you have the time to arrange O -ve PRBCs It will be more superior than NS If the baby deliverd and resuscitation was required and O- ve blood not there you will give 10 ml/ kg NS over 5-10 minutes In side nicu after stabilization of the baby you can arrange for cross matched PRBCs if the baby us really anaemic

I like the european consensus in management of CDH really it is very nice and helpful #### also there is new modality which we are trying to use it which is applying VG with HFOV(1-3 ml/kg) CDH EURO Consortium Consensus.pdf

According to NRP textbook What are the limitations of a laryngeal mask? Laryngeal masks have several limitations to consider during neonatal resuscitation. •The device has not been studied for suctioning secretions from the airway. •If you need to use high ventilation pressures,air may leak through the seal between the pharynx and the mask, resulting in insufficient pressure to inflate the lungs. •Few reports describe the use of a laryngeal mask during chest compressions. However, if endotracheal intubation is unsuccessful, it is reasonable to attempt compressions with the device in place. •There is insufficient evidence to recommend using a laryngeal mask to administer intratracheal medications. Intratracheal medications may leak from the mask into the esophagus and not enter the lung. •Laryngeal masks can not be used in very small newborns. Currently, the smallest laryngeal mask is intended for use in babies who weigh more than approximately 2,000 g. Many reports describe its use in babies who weigh 1,500 to 2,000 g. Some reports have described using the size-1 laryngeal mask successfully in babies who weigh less than 1,500 g. This study by Prof Kary Roberts in USA Laryngeal Mask Airway for Surfactant Administration in Neonates:A Randomized,ControlledTrial