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Andrej Vitushka

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  • Content count

    37
  • Joined

  • Last visited

  • Days Won

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  • Country

    Belarus

Andrej Vitushka last won the day on June 28

Andrej Vitushka had the most liked content!

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About Andrej Vitushka

  • Rank
    Member
  • Birthday 07/19/1978

Profile Information

  • First name
    Andrej
  • Last name
    Vitushka
  • Gender
    Male
  • Occupation
    neonatologist
  • Affiliation
    National Research Center "Mother and Child"
  • Location
    Minsk, Belarus
  • Interests
    Premature infants, prevention of brain lesions (IVH, PVL), cardiac support and monitoring of hemodynamics, management of persistent pulmonary hypertension of the newborn, aEEG and EEG in neonatology

Recent Profile Visitors

958 profile views
  1. Andrej Vitushka

    Dose of antibiotics for infant with hydrops fetalis

    Thanks, Hamed. We use Dopamine plus Epi or Dobutamine (sometimes). Interestingly I didn't even thing about NO because we don't have it 😊. Pulmonary hypertension is treated by Milrinone and bicarbonate in our settings. As well we don't use vasopressin as well.
  2. Andrej Vitushka

    Dose of antibiotics for infant with hydrops fetalis

    Keeping in mind that the patient had low contractility and mild pulmonary hypertension (sorry I don't remember numbers) what do you think would be the best option for this baby -- Dobutamine + Milrinon, Dopamine + Milrinon, Dobutamine + Dopamine or maybe some other? Many thanks.
  3. Andrej Vitushka

    Dose of antibiotics for infant with hydrops fetalis

    Thanks for the answer, Hamed. Dobutamine was given because of relatively low cardiac contractivity. But frankly speaking, issues of cardiotonic/vasopressor support are still not well solved in our unit.
  4. Dear colleagues, Are there any differences with antibiotics' dosing for infants with hydrops fetalis. Today having a boy 37 weeks 4340 g weight with profoung edema of head, neck and upper part of the trunk. About 200 ml was evacuated from both sides of the thorax. What bodyweight should we use to calculate antibiotics' dose -- 4340 g or 4130 g (minus fluid from thorax) or something else? He is on HFOV. Blood pressure is stabilizing by 10 + 10 mcg/kg per minute of Dopamine and Dobutamine. Diuresis is good and no signs of impaired periferal perfusion. Many thanks.
  5. Andrej Vitushka

    Clinical scales in NICU really used

    Unfortunately we do not use any pain scales. Still failed to find the best one 😊 Astrid Lindgren is cool! 😊
  6. Andrej Vitushka

    Clinical scales in NICU really used

    Dr. Meddela, what is septic screen? Thank you!
  7. Dear colleagues! What clinical scales or scores do you use in NICU (exept Apgar score:)) ? Silverman, Downes, GCS pediatric, Sarnat? What else? We are rethinking our approaches and willing to be more precise. Thank you in advance.
  8. Andrej Vitushka

    Feeding stable infant with right-sided CDH

    @tarekwow! It's cool! Thanks!
  9. Andrej Vitushka

    Feeding stable infant with right-sided CDH

    @tarek could you please specify the method more extensively? Thanks
  10. Andrej Vitushka

    Feeding stable infant with right-sided CDH

    @tarekI am also think that is diaphragmatic eventration. But I know no way to prove it without operation 😊. Thanks for suggestions.
  11. Andrej Vitushka

    Feeding stable infant with right-sided CDH

    OK, @Stefan Johansson. I've got the point. Thank a lot. Patient now is in the surgical center preparing for the operation.
  12. Andrej Vitushka

    Feeding stable infant with right-sided CDH

    Many thanks. Birhtweight is 2140 grams. About 7 hours after my post CPAP has been withdrawn because respiration and blood pressure were stable. We decided not to feed enterally before surgery. Referring to surgical center scheduled for tomorrow. I wonder is it mandatory to switch to mech ventilation in this case if RDS was decreasind and it is known that only liver is thorax? Would it be more harmful for the baby?
  13. Andrej Vitushka

    Feeding stable infant with right-sided CDH

    @Hamed, thanks a lot!. It is a tricky case. CDH wasn't detected prenatally. CPAP was started because of mild RDS and CDH on Xray was somewhat surprising. As the baby was doing well on CPAP we decided do not intubate. Feeding tube was corrected and now CPAP is withdrawn.
  14. Andrej Vitushka

    Feeding stable infant with right-sided CDH

    Dear colleagues, We have now 34 weeks girl with mild RDS and right-sided congenital diaphragmatic hernia. Her vitals is stable, RDS is managed well by nasal CPAP. There is a liver in right thorax proven by CT. The Xray is below. My question is should we feed this baby enterally and how? Many thanks.
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