tarek

Thanks @spartacus007 it is a nice approach. is there is time frame for follow up shall i depend on clinical evaluation only rule of serial x rays the problem is tension pneumothorax can happen within seconds

nice question we do practice rectal stimulation by feeding tube or sometimes glycerine suppositories or rectal wash out by NS

we are starting with 80 ml/kg/day with sodium monitoring we are not adding sodium in the first 24 hours their juxta glomerular apparatus is very sensetive they can not deal with sodium even some literatures is saying no need to add sodium in first few days

In our unit we are not cutting the tube but we did not do any study to check which is better to cut it or to leave it . Please respond to the poll and share your practise.

I can appreciate Dilated bowel loops no portal vein gas no pneumatosis any Gastric Residual, vomiting, bloody stools check for electrolytes esp Na Do CRP, blood Cs start antibiotics according to your antibiogram serial x ray follow up blood gas to check for metabolic acidosis CBC monitoring to check for further drop of platlets regarding pedia surgical consultation in NEC I & NEC II they have no rule but if you can involve them if you have suspecion NEC III THEY SHOULD INTERVENE EITHER PUTTING A DRAIN OR TAKE THE PATIENT TO OR Treat the patient as a whole and do not treat the x ray

@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