selvanr4

hello, we have used mgso4 in treating PPHN in our newborns before sildenafil has been found to be useful. now we use it only when the response to sildenafil is inadequete.it is used initially as a bolus dose of 200mg /kg over 30 mts ,followed by 10mg/kg/hr (till you get a needed response in terms of reduced PIP,good sp02).beware of peripheral shock which might prompt us to discontinue the infusion. dr.r.selvan lotus hospital ERODE,INDIA

Dear Stefan you are most welcome to india

it's great to start breastfeeding early in the NICU itself.What we need is not the money or the materials.But only the time. In our small NICU we are following breatmilk only policy which has helped us to avoid NEC and other problems of formula feeds dr.r.selvan erode india

dear stefan it's really sad to note that everywhere the govt wants to leech the earner and make merry with the money.We have better alternatives here in india selvan rathinasamy

In our hospital we do not apply anything on the cord. we allow it to dry. When baby bath is given (after 5 days as per national guidelines),we use cotton towel to dry. Even in NICU babies, we have not had any problems. thanks dr.r.selvan lotus hospital erode india

some more information on the X Rays. 1.preterm /IUGR/had apnoea. CRp was raised. band forms > 11%.could not afford treatment .Hence transferred to General Hospital where the baby died. 2.MAS/birth asphyxia.ventilated.Echo moderate PAH. didn't respond to sildenafil, mg so4 infusion,dopamine. Suction tip grew non fermenting gram negative bacilli. died on day 4 3.Term/LSCS/ had polymorps raised. CRP -ve. responded to 7 day course of antibiotics 4.had meconium stained liquor.all septic work up including c& s -ve.x ray clear on day 3.received antibiotics, calcium, DR.R.SELVAN ERODE INDIA

Dear All, In our hospital we have come across newborns presenting with respiratory distress. Their septic screen is invariably negative. Their Xrays have patchy opacities mostly on left side. Our senior radiologist feels that to be unlikely to be pneumonias but local lung fluid collection lung (like Opaque Rt lung )They needed O2, antibiotics and some ventilation. Please see the xrays in the folder intrauterine pneumonias and give your opinion Thanking you DR.R.SELVAN LOTUS HOSPITAL ERODE-638002 TAMIL NADU ,INDIA selvanr4@yahoo.com