selvanr4

Thanks a lot. Really nice.

our nicu has white glazed tiles upto 6 feet(easy cleaning). Another on nicu "What colors should we use in the NICU? Again, each unit will have a design concept that is specific to a NICU located in a particular part of the world. The color scheme will be generated by the design concept, and, thus, providing advice about the “best” or “right” color scheme is difficult. However, we know that color can contribute to our health and well being, and that full-spectrum color such as that found in daylight is best. If daylight is limited, we can supplement its effects with light and color added into the environment. “Full-spectrum” color does not mean that we need to paint rainbows in each unit, but that a range of color should appear in the space. In developing a color scheme, begin with a careful inventory of features of the environment that cannot change such as hardware (eg, “brass” hardware is yellow) and exit signs (red or green). These and other unchanging features of the environment should be acknowledged and incorporated into the scheme rather than ignored. Also remember that color is a property of light and, thus, as light changes, colors also change. This means that a paint color, for example, is perceived differently under fluorescent or incandescent light, and will change again across the course of the day as our day lighting conditions change. Ref :http://www.pediatrix.com/documents/intdes.pdf

EBM,EBM and EBM

The positive culture rates is only 40-50 % in the best of world institutions. Where and how shall we know that it is true negative or false negative ( unable to isolate the organisms due to variety of reasons) How can we avoid stopping antibiotics in culture negative sepsis?

Thanks for the valuble inputs.

When should we not use muscle relaxants?which is best and side effect of each one?

This series discusses errors in neonatology since the 1920s. Three periods are defined: the ‘‘Hands -Off’’ years, 1920 to 1950; the ‘‘Heroic’’years, 1950 to 1970; and the ‘‘Experienced’’ years, 1970 to 2000. Source;Journal of Perinatology and neonatology.org The links are; 1.http://http://www.neonatology.org/pdf/7210842a.pdf 2.http://www.neonatology.org/pdf/7210843a.pdf 3.http://www.neonatology.org/pdf/7210873a.pdf

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life comes in circles! how true it is for endotracheal tubes

Stefan, You have forgotten to give the sneak preview. Only an image is available.

all the best for getting a good team

Yes, we all feel at first sight there's was better than ours. But we realise that it is not true once we stay longer than a holiday

gives us a good alternate to indomethacin capsule crushing and diluting with sterile water 3 times. thanks selvan

i have not seen any. It could be due to the fact that we have used them for less than a week and stopped. I remember reading about the RCT being conducted.

we have used it as third line after phenobarbitone and phenytoin . And it gives good control

could be GBS induced. Please do CRP and blood culture.

we have had 2 newborns one recently and another one 9 yrs back. Both of them were delivered vaginally with no antenatal steroids . Both of them didn't need any ventilatory support. Had normal x rays. Aminophylline given prophylactically. Didn't need PPN or TPN. Slowly adapted to EBM. Now doing well. What helped these babies to have normal surfactant production in view of normal x rays? I am eager to know your reasoning for this phenomena.

baby had severe birth asphyxia. a PTT was upper limit of normal.FDP to be send tomorrow. Has persistent thrombocytopenia needing platelet transfusions. Probably DIC if the results are taken along with low platelets

Baby I was admitted 2 days back with h/o secondary apnoea after LSCS for oligohydramnios. Mother had UTI in the last week of pregnancy.Baby needed intubation and he was transferred here.On arrival he had frank seizure. His sugar calcium normal. He had normal PT and normal range aptt( 40 sec) and low platelets. He was ventilated and investigated. I am attaching the CT scan pictures. He is on phenobarb, phenytoin , midazolam and levitracetam. He is seizure free for the last 24 hrs. His repeat CT shows almost same lesions which are more prominent. Please share your views on the longterm outcome of the baby? dr.selvan rathinasamy Erode. India

https://sites.google.com/site/selvanrathinasamy/hello The web address of the AAp site is ;http://www.aap.org/breastfeeding/healthProfessionaIsResourceGuide.html

I feel it can not be used interchangebly. The term Birth asphyxia strikes the o &G on the face. On the otherhand, perinatal asphyxia gives a little breathing for them. i prefer perinatal asphyxia . It includes not only the birth process induced but also antenatal.

add to that repeat x ary whenever baby becomes sick even if the first one is normal.

Please use the links and see the different circuits used. http://www.udmercy.edu/crna/agm/06.htm http://www.capnography.com/Circuits/breathingcircuits.htm http://web.squ.edu.om/med-Lib/MED_CD/E_CDs/anesthesia/site/content/v04/040334r00.HTM

we have relatives, we behave sometimes like them and if you believe the insider information, some of us are really "them". We have communication by language , e mail and websites!!!!

Please do a search for MAS & PPHN in 99nicu web page. A real case was discussed 18 months back and it;s worth going through again.