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norbertteig last won the day on June 2

norbertteig had the most liked content!

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About norbertteig

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    Unversity Children's Hospital Bochum
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    Bochum, Germany

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  1. There is anectodal evidence that phenytoin should not be given via PICCs as it may enhance the risk for catheter occlusion and the same may be true for etoposide (not the typical NICU drug, I know...). Additionally very high concentrations of IV dextrose (40%) should be avoided for the ssame reason.
  2. Certainly the reason for hypernatremia during the first days of life in these infant is excess of free water loss (transpepidermal), so besides plastic bags and high humidity 100 ml/kg/d free water (dextrose) is a reasonable starting point. Additional infusion of sodium,however, often cannot be handled by these infants. Therefore we have changed our infusion policy for umbilical artery catheters (formerly with isotonic sodium chloride at 0.5 ml/kg which sums up to 3.4 mmol sodium/kg/d in a 500 g premie) and now use a isotonic sodium-free mixture of sterile water and amino acids 10% (7 ml Amino
  3. Hi there, In my experience (and to my knowledge) there are neither cinicial nor scientific data that would support the use of steroids in laryngomalacia. Though all cases of laryngomalacia improve with time, the time interval is quite long (at least several months) and just waiting is no reasonable approach in patients with the most severe forms needing a tube for maintaining respiration. There are some ENT surgeons that try to stiffen the larynx by laser treatment ("trimming") and we have seen at least two patients in whom tracheostomy has been avoided by this method. Before considering
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