selvanr4

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.

Together we strive to give the best of the knowledge ;That's the best part of 99 nicu. Congrats to the karolinska team which thought about it and to all members. Let's celebrate the anniversary once again at Stockholm.

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.

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. good questions dr.r.selvan

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.