selvanr4

Can you share the structure and working methodology of the family support services in your nicu? We are planning to start them in our Place. Thanks Dr.selvan

great stefan! i can become a surgeon now! After 25 yrs of practice had on daughter who found out by google search! that her baby has tongue tie and that needs frenotomy!! Baby had laser surgery and it didn't make any improvement on breastfeeding.

In the followup of nicu babies , neurodevelopemental assessment and early intervention have a great role to play in helping the baby. A structured concise and deligent record makes the baby to be indentified early and intervened, KIMS and CDC trivandrum have a produced a blue book as a prototype. i have attached few screenshots to show the contents of the book. You can use the book , or edit and change as per your institutions requirement. You can send a mail to me : selvanr4@yahoo.com i will send the pdf by e mail dr.r.selvan

good thoughtful links thanks

great to learn that. as you have said we need to print pictures of artifacts- amazing to know how artifacts help

THe PDF version is shared with the permission of the author.

When you come across a book written by a wellknown Plastic surgeon on his anesthetist you will pause. Will take a look and browse few pages. And you are in for surprise. Through the book the surgeon DR Raja sabapathy of Ganga hospital , coimbatore, India has traced the history of their 450 bedded hospital from a humble beginning. The book portrays the affable gentle and patient conscious anesthesiologist Dr. Ravindra bhat who was instrumental in bringing the change in acute trauma care and paved way for training hundreds of young doctors in the trauma speciality. The book has a poignant tale to tell and the reading of the book will bring tears in your eyes. A must read for all new entrants to medical field in any part of the world.Even seasoned old timers will cherish this tribute, The link is :https://drive.google.com/file/d/0B62ma2FPgz3KZ3dSTHZ1ZV9RSFk/edit?usp=sharing

Thanks stefan

Yes, I have used. It is worth the penny to follow up weight of babies in nicu and get the ROP screen done . I had 1 case of ROP picked up using winrop! selvan

thank you very much. your link is very useful

thanks a lot. Many staff nurse do not have a concept of neonatal pain. we need to stress that again and again

1.we don't test but treat if c&s negative and the baby is sick. 2. azithromycin 10 mg /kg (oral) or 5 mg/ kg ( iv) 3.3 days. we do not know whether all babies were benefited but it is worth trying.

it works well !!! interesting. thanks

We recently had a newborn( Term, 3.9 kg)brought from nearby hospital with ET in situ after sudden apnoea . She had no cardiac activity.needed 3 boluses of adrenalin followed by 40 ml /kg NS (twice) After 20 mts CPR heart rate picked up , colour returned and baby needed mechanical ventilation for 3 days. Now in nasal o2. Baby had congenital pneumonia and PDA. Neurosonogram today normal. Had an episode of seizure on day 1,controlled with phenobarbitone. My questions are; 1. when do you start rehabilitation programme?and how do you do it? 2. Can we start gentle exercises for the limbs early on? 3.Do we have any structured programme to follow ? 4.investigations to prognosticate developement and long term issues? Your input is valuble. thanks selvan.r

Please share your experience in using android apps for day to day nicu/ paediatric practice. 99 nicu app is a good one to start. calculators from pediatrics on call, medscape pediatrics are handy.

Thanks for the link I am more than willing take NOTE neurology module with your recommendations

is there a learning place for aEEG ? can we use conventional EEG with any modifications for augmentation? Who does the reading of these and neonatal EEGs? what is the main difficulty experienced in interpreting? thanks in advance.

bronchomalacia follow them up . If no weight issues observe.

we do not use any scoring system for evaluation of RDS

Hello Marim, can you post a picture if it doesn't breach patient's right? Visual will be best to remember

There was a discussion already see the link;http://www.99nicu.org/forum/showthread.php?22706-Congenital-Nephrotic-Syndrome&highlight=congenital+nephrotic+syndrome

One friend's unit is keeping the baby under warmer in manual mode and keep the phototherapy unit on.It gives them the idea whether the baby is hypo/hyperthemic.if the A/C blower is straight on, the trolley is moved a little bit away to avoid cool air direct flow

I just googled as suggested.To my surprise the whole book is available free at http://www.nann.org/pdf/PICCGuidelines.pdf

Our NICU has double surface phototherapy units. Whenever we have a baby On double surface we are worried about the hypothermia for baby ( due to A/C). Hence my question Do you use double surface unit under radiant warmer servo mode or switch off a/c ? Our a/c blowers sometimes reduce ths baby's skin temperature . Hence this question

it was noted since birth. no maternal rash and still no crusts! it is haemangioma. Probably my 3.2 megapixel mobile camera is not good in capturing. when i see them for review, will post latest pictures thanks selvan