selvanr4

Hello! You have echoed my predicament. Many neonatologists have reluctance in calling the shadows as congenital pneumonia. These babies need o2, sometimes ventilation. Many of them do not grow organism. So the dilemma of calling this as pneumonia or RDS. I have send my collection of Xrays to a neonatologist, radiologist and pediatrician. Neonatologist send me a mail telling that it could be RDS,Radiologist argued that it could be localised collection of fluid. And the pediatrician opinioned that it could be congenital pneumonia!!.I have treated these babies and few of them had terrible course due to ill effects of sepsis. I am requesting 99nicu members to come up with a protocol for a multicentric study thanks selvan.r

It is very easy to use bubble cpap with nasal prongs. The only hitch is ,if we are not vigilant enough we might endanger columella and cause it's destruction by pressure necrosis. Can you please tell us what precautions you take to avoid columella injury while using nasal prongs?. thanks dr.r.selvan

in our set up we follow a rough guide. Less than 1000 gm incubator above 1000 gm open care. we always calculate allowance for IWL

Hello, can we use prophylactic aminophylline in babies born before 34 weeks.? Many of them can have apnoea around 5 th to 7 th day.It saves investment on apnoea monitor! can it be continued till 37 weeks? thanks r.selvan

Here are some from our Surgical Professor. 1.Bubbly baby with froathy secretions from mouth choke on feeding- TEF with esophageal atresia. 2.Baby becoming blue on feeding but pink on crying - bilateral choanal atresia. 3.Newborn baby with bilious vomiting-bowel obstruction unless proved otherwise.

i have uploaded ppt on breastfeeding workshop sent to me by dr.sambasivam of kumbakonam a die hard enthusiast of breast feeding .It has answers to all the problems associated with breast feeding. Please view or download the ppt as per your wish. The link is https://sites.google.com/site/selvanrathinasamy/hello selvan.

Dear Roy, I am thankful to you for bringing out the importance of breastfeeding via the web site. i came across another study published in JPEDon the reasons for failure of Exclusive beastfeeding in the first month .The link is http://www.jped.com.br/conteudo/10-86-05-441/ing.asp?cod=2130 Thanks Selvan.R

All of us have numerous powerpoint presentations on neonatal topics. If we can post them here and share them , it will be of great help to every one. I have just uploaded an old ppt on perinatal problems on google sites.Can we upload our ppt on 99 nicu or should we use sites like googl ? Dr. R.Selvan Erode, Indiahttps://sites.google.com/site/selvanrathinasamy/hello

Over years Many neonatal veterans might have collected pearls of wisdom about the practice of neonatology. Can We share this in this forum ( only evidence based) and spread the gospel truths ? dr.selvan Erode, India

Thanks for the resources. dr.r.selvan

great!Well started will achieve. Congrats to the team. dr.r.selvan

I would like to know how common it is to have meningococcal meningitis in a newborn. Mother had concomitant UTI and LRTI. Direct smear of csf showed gram negative rods. Child had intracranial bleed and severe pneumonia neonatal sizures. Now recovering with piperacillin and amikacin. I will post the pictures later Thanks for your inputs dr.r.selvan Erode, india

thanks for the response. Indeed the baby had arthrogryposis and varus deformity. Baby had microcephaly. These are the other information which i gleaned . I am sure Stefan has something on his sleeve. Waiting for the diagnosis dr.r.selvan erode

Hello, My friend working in the government general hospital has passed this photo to be presented to the 99 nicu members for their diagnosis. Your help is appreciated and valuable. The baby has been lost to follow up because the parents didn't come for review.

thanks a lot.

Do you use any method ,traditional or otherwise , which will not allow the head shape of preterm to become plagiocephalic? Does keeping the baby on floor mate help in getting good shape ? do you use appliances to get back a normal shape ?

We sometimes end up having a baby who has had HIE , now presenting with obvious delayed developement. The concept of early stimulation is well known We have not had practical experience in treating these children. I know the various institutions which claim absolute recovery. If a member of 99 nicu has had the experience please share with us your knowledge.

Thanks for the inputs. Baby took nearly 5 days to settle down. Mother didnt have confidence in her ability to feed. We counselled her by being with us for a day. Now she is feeding and the baby is gaining weight. She is asking me when she can join her husband in USA! dr.r.selvan

In our small unit of one neonatologist working , nurses do the work. We will help them if they can't get the sample.

Thanks for the suggestions. I will update the developements dr.r.selvan

My list has 1. Herpes simplex 2. CMV 3. Respiratory viruses 4.entero virus 5. parvo virus. I would like to look out for atypical organism. Please suggest me the best diagnostic methods. selvan.dr.

We have 60 % non culture proven sepsis in newborns. I doubt that many of them might have viral sepsis. None of the studies from india haveidentified the viral etiology.Hence our aim is to organise a study to find out the other etiologies of neonal sepsis.I need experts help in formulating, diagnosing and proving this. I request the advice from the learned . Thanks dr.r.selvan Erode, India

In your opinion what is the safe HB at which to send the newborn home ?. This question arose because we had few newborn who had persistently low HB since birth. We try to keep the haemotocrit to above 45 in sick newborns. Does the same applies here? dr.r.selvan Erode, India

We had a neonate born to rh negative mother. Baby developed hyperbilirubinemia. needed 2 exchange transfusions and 3 top up packed cell transfusions. We send the baby at 13.9 gm%. Has returned back on day 30 with HB of 5 gms%..Now we needed to give packed cells. Our fetal medicine consultant says that she has seen this happen frequently when the final HB is high. She feels that the hypoxic drive for erythropoitin is gone and hence the lavel is low. Marrow sleeps off. Her advice is to keep HB around 10 gms%. Give me your feedback? dr.r.selvan Erode, India