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Andrej Vitushka

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  • Content Count

    42
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  • Last visited

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  • Country

    Belarus

Andrej Vitushka last won the day on September 12

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

1,045 profile views
  1. Andrej Vitushka

    Where to measure hemoglobin and hematocrit

    It is very useful information, Stefan. Thank you. I would ask our lab people about validation.
  2. Andrej Vitushka

    Where to measure hemoglobin and hematocrit

    But what do you think about Hb provided in Acid-base analysis by Radiometer ABL? Anyone use it as guidelines for transfusion? Rarely we do this especially in VLBW infants with obvious bleeding. Thanks
  3. Andrej Vitushka

    Where to measure hemoglobin and hematocrit

    Dear colleagues, many thanks for useful suggestions and remarks.
  4. Andrej Vitushka

    Where to measure hemoglobin and hematocrit

    Hamed, thank you! Is there any difference between venous and arterial Hb/Ht?
  5. Dear colleagues! Could you clarify for me please where you measure hemoglobin and hematocrit for transfusion? Central or peripheral lines (venous, arterial) or in capillary bed by heelstick? I failed to find much info about that. For example this paper https://doi.org/10.1053/j.semperi.2008.10.006 (pretty old one 2009) states that "central measurements are preferred". If so is the any difference between UAC and UVC hemoglobin and hematocrit? Many thanks!
  6. 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.
  7. 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.
  8. 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.
  9. 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.
  10. 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! 😊
  11. Andrej Vitushka

    Clinical scales in NICU really used

    Dr. Meddela, what is septic screen? Thank you!
  12. 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.
  13. Andrej Vitushka

    Feeding stable infant with right-sided CDH

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

    Feeding stable infant with right-sided CDH

    @tarek could you please specify the method more extensively? Thanks
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