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usothinathan

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    Malaysia

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About usothinathan

  • Rank
    Member

Profile Information

  • First name
    Uma
  • Last name
    Sothinathan
  • Gender
    Female
  • Occupation
    Neonatologist
  • Affiliation
    Perdana University-RCSI
    Medway NHS Foundation Trust
    University Malaya Medical Centre
  • Location
    Malaysia
  1. I am a fan of HFNC, but agree that patient selection is important. I see it working less favorably in the bigger babies (in weight and gestation). In my practice, although there may be a negligible increase in HFNC days, this is not with ongoing supplemental oxygen requirement. Lesser nasal trauma, more comfortable baby and definitely a more positive engagement / involvement from parents when on HFNC makes me lean towards its’ use. But of course, there is always the faithful CPAP to fall back to when things don’t work. This study has highlighted 2 things to me: when a baby is < 1 kg, start with 6L/min flow. When weaning below 4L/min, be mindful of CO2 retention, work of breathing and possible increment in oxygen requirement, which might indicate atelectasis.
  2. usothinathan , welcome to 99nicu :)

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