priyabhagwat

According to me,if no risk factors no need of antibiotics at start.ttn will resolve in 24 hrs.if no response or any evidence of poor perfusion,inotropes requirement,send cbc crp blood culture n start antibiotics.if cbc crp normal,ct.antibiotics till culture negative.if no adequate response then ct antibiotics for 5-7 days.

We also give repeat surfactant dose if fio2 requirement above 40% or persistanly increasing.most of babies who required repeat surfactants are extreme preterms.as such no guidelines to wait for particular time.we repeat if no response in next 2-3 hrs.n max.3 doses.

Ti minimum 0.3. And RR maximum 60.if anybody using RR above this plz comment.

In that case,try gentle ventilation with permissive hypercapnea,use min.PIP n PEEP,n. Low ti.avoid further VILI.n if single lung involved try selective single lung venti.or affected lung lobectomy at end.

Sorry.prev.msg.half typed.if u want this strategy to eliminate co2 .HFO is better option.on convention venti.u can keep rate max.60. To avoid air,trapping.n min I time 0.3 and i/e 1:2 for effective ventilation.

If you want to usethis

Its simple.just find out cause of shock by echo.if IVC small/ underfilled, use fluid and dopamine.if cardiac contractility poor but still BP at higher side use milrinone.u can not use milrinone in any type of hypotention if BP low. Sent from my RM-941_im_india_204 using Tapatalk

We use it in postop cardiac surgeris also.to reduce afterload on heart. Sent from my RM-941_im_india_204 using Tapatalk

Thanks a lot stefan. Sent from my RM-941_im_india_204 using Tapatalk

Does anybody practice nasotracheal intubation in newborn? Any evidence for it? Sent from my RM-941_im_india_204 using Tapatalk

Any legal issues happened anywhere if failed to send newborn screening.? Sent from my RM-941_im_india_204 using Tapatalk

Thanks a lot sir for guidence. Sent from my RM-941_im_india_204 using Tapatalk

Hyderabad india Sent from my RM-941_im_india_204 using Tapatalk

hello everyone,I want to know what is your practice in newborn screening test.when and what diseases you screen? Its routine for each baby or only for high risk newborn.? Sent from my RM-941_im_india_204 using Tapatalk

We also practice in same way in India as Dr.Stefan mentioned.unless n until purulent eye discharge with redness ,nothing required. Sent from my RM-941_im_india_204 using Tapatalk