selvanr4

!9 day old newborn has been brought by the parents for knowing what to do with the multiple haemangiomas present from birth. At present baby is fine on exclusive nreastfeeding. 1) What is the liklehood of this baby having internal haemangiomas? 2)what are the investigations of choice? 3)when should we think about propranolol treatment? 9ermission to post has been obtained from parents)

Hello, How do you avoid neonatal heat burns when oxymeter probe is continously monitoring ? Do you use any gauze pieces( like we use)? Does it depend on the quality of the probe? Your inputs are welcome

More than 50% of previous feeds, distension abdomen , reducing platelet trend and positive occult blood in stools points out to NEC . Followup as dr.dinesh suggested

yes, i endorse your concerns regarding bottle feeding(many time these babies end up breastmilk stopped prematurely)

What is evidence based recommendation in treating large SDH/EDH/ICH in a new born ? Surgical or medical? comparision of results? thanks

i just read that obese mum's babies are deficient in vit d!!!

Another Style of bathing - older baby FRom our old tradition. http://www.youtube.com/watch?v=IkMDBODD2rc

As someone commented , the bath looks dangerous!!!

Indeed 99 nicu is a pioneer !! Thanks and Keep it up

antenatal unevenful.delivery LSCS. resuscitation none.Normal baby hence no neuro imaging. Initially mother had problem in starting feeding. later resolved persistent efforts. Probably poor suck swallow combination Thanks for the opinion

we had a newborn who was bringing out froathy saliva.Ruled out TEF. Had difficulty in initiation of breastfeeding. took 36 hrs to settle down. My question is when should we investigate these cases?

thanks. Hope 2013 will fulfill all our dreams

We have not seen anything like that since our residency days

will a regular dilator used in old cut down set help?

piperacillin+tazobactum

PPHN could be idiopathic or secondary and leads to increased pulmonary vascular resistance.There is no clear consensus on the management of PPHN. The goals of treatment are to improve oxygenation, reduce pulmonary vasoconstriction, maintain systemic Blood pressure and perfusion and pulmonary vasodilator therapy. How do you manage a term newborn baby with PPHN in your institution? Please note that multiple options/replies can be ticked.

Another great learning you can have from AIIMS on sicknewborns as webinars THe link :http://www.newbornwhocc.org/Webinars_on_Sick_Newborn_Care.htm

Webinars on Essential Newborn Care based on current best available evidence based practices available at http://www.newbornwhocc.org/webinar-essential_newborn.htm A really fantastic work!

Few good audiovisual podcasts on equipment training is avaialble at http://www.newbornwhocc.org/ONTOP.htm

just to add; We are planning to have " nursing competitions "for our nurses; For eg.1. Who will set the fastest time to complete the ventilator circuit? 2.have then to do a clean suction simulation - who will be best and methodical? 3.Get opinion from parents to mark the best nurse etc

by any chance , was it your birth day?

Fantastic Stefan! I learnt a trick or two on presentation

we use siemens 300 a. Very useful less noisy than bear cub.

a good FAQ on CPAPhttp://www.rcjournal.com/cpgs/09.04.1100.html Another WHO centre FAQ ;www.newbornwhocc.org/pdf/Protocol%20application.pdf

time flies but i always remember the support i got from 99 nicu for our difficult cases.