tarek

We have different practice in our unit may be due to the load of work and high rate of deliveries in our hospital which may reach to 700_ 900 deliveries per month we are just keeping them with mother and monitoring RBS if the weight is below 2.5 kg Other wise we are not admitting them unless only if there is poor feeding unable to suck ,respiratory distress ,hypoglycemia or any significant problem Some

I think there is missunderstanding for what i said although its nice missunderstanding I said in NEOREVIEWS OCTOBER 2017 there is a case presentation almost similar to the case of @Aymen Eshene This case presentation by Dr Jubara who WILL present the magic pullets of golden hour in the upcoming meeting Hemangioma.pdf

@Hamed In the protocol that we had to start propranolol for hemangiomas we are not doing screening ECHO or ECG We are just measuring BP and RBS after Ist dose and after each increment of the dose @Aymen Eshene Thanks for sharing such chalanging patients In the neoreviews october 2017 you will find a patient similar to your patient presented by Dr Jubara who will present the magic bullets of golden hour in the upcoming meeting

Very valid question Which will make me ask more in PICO P NEONATES INSIDE INCUBATORS I WEARING SCRUP SUITS C NO SCRUP SUITS ORDINARY HALF SLIEVE CLOTHES O REDUCE THE RISK OF INFECTIOS

So i am sorry

Thank you too much

Translate please

PSV is the worst choice for VLBW babies

@Hamed Thanks a lot You are always embressed me with your nice and valuable comments. Regarding AC for 3 days then HFOV really it surperized me a lot You are doing this for every ELGAN on ventilator or selected cases And what is the rationale behind this @Zsofia Dombi Thanks for sharing May i ask you is there is any hyperinflation in the x ray And what is your protocol regarding starting hydrochlorothiazide or dexamethazone for such cases

WHO recommendation with delayed cord clamping even for 3 minutes NRP guidlines latest edition with delayed cord clamping from 30 -60 seconds In preterms: Decrease incidence of IVH Decrease incidence of NEC Reduce need for transfusion Avoid hypovolemic hypotension For full term Studies showed that improve iron stores in first few months The American college of obstetrician and gynacologists recommend delayed cord clamping in there commite meeting in 2016

Diaphragmatic disease usually manifests as elevation at chest radiography. Functional imaging with fluoroscopy (or ultrasonography or magnetic resonance imaging) is a simple and effective method of diagnosing diaphragmatic dysfunction, which can be classified as paralysis, weakness, or eventration. Diaphragmatic paralysis is indicated by absence of orthograde excursion on quiet and deep breathing, with paradoxical motion on sniffing. Diaphragmatic weakness is indicated by reduced or delayed orthograde excursion on deep breathing, with or without paradoxical motion on sniffing. Eventration is congenital thinning of a segment of diaphragmatic muscle and manifests as focal weakness. see the video E51_DC1_Movie4.mp4

@Andrej Vitushka There is By flouroscopy

I think this isveventration of the diaphragm and not diaphragmatic hernia There is no problem to start feeding as we can see all the gut below the diaphragm If you are not going to operate now and patient RR is showing tachypnea start with OGT according feeding protocols regarding his weight If he is tolerating this eventration and not tachypnic start oral feeding if his wt> 1.5 kg and increase gradually Dig for the history as it may be traumatic delivery Check his moro reflex nicely to r/o Erb's

What about his ECHO finding still have severe PHTN or improving from last ECHO If he is improving wait and see continue your weaning trials X ray chest is there is improvement in the hypoplastic side take care of sildenafil as some times causing lung collapse Just be patient