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Andrej Vitushka

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Andrej Vitushka last won the day on October 13 2017

Andrej Vitushka had the most liked content!

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About Andrej Vitushka

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  • Birthday 07/19/1978

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  • 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

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747 profile views
  1. Feeding stable infant with right-sided CDH

    @tarekwow! It's cool! Thanks!
  2. Feeding stable infant with right-sided CDH

    @tarek could you please specify the method more extensively? Thanks
  3. 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.
  4. 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.
  5. 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 About 7 hours after my post CPAP has been withdrawn because respiration and blood pressure were stable.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?
  6. 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 Feeding tube was corrected and now CPAP is withdrawn.
  7. 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.
  8. Ok, thanks. And what about severe umbilical cord acidemia cut-off -- 7.0 or 7.1?
  9. Dear Dr. Johansson. Thanks for the great job and sharing it with us. What do you think how elective C-section will influence the umbilical artery pH? What cut-off for cord blood acidosis do you use in practice -- 7.1 or 7.0? Sometimes we conflict with obstetricians about severity of acidosis, so in the light of this trial does it make sense to say that for example pH withing lower 5 to 10th percentile is a moderate acidosis? Many thanks.
  10. Hypothermia in preterm babies

    But how long do you use bag? First 3-5 days or longer?
  11. Thanks a lot dear colleagues :)!
  12. Dear colleagues! Maybe someone knows about similar courses in Europe (preferably Poland, Germany, Baltic or Skandinavian countries, but not mandatory)? How is possible to get and brush up echo skills for neonatologist? Unfornunately, I missed seminar from neonatalechoskills.com in Netherlands but currently there is no information about next seminar in our continent. Many thanks!
  13. FFP use protocol needed

    Just sent by forum message. Enjoy!
  14. FFP use protocol needed

    Thanks for response! Vitamin P -- it's a nice definition :)! Could you please clarify how coagulation tests are taken -- from new vein (newly inserted UAC, UVC or periferal artery cath) only or some other variants are OK?
  15. FFP use protocol needed

    Dear colleagues! Greetings from Belarus! We're updating our clinical protocols. Please share with us your experience of Fresh Frozen Plasma (FFP) transfusion in non-surgical NICU. Do you use it only in case of bleeding, or bleeding and abnormal coagulation tests should be combined? Or abnormal tests alone is a good reason for FFP (e.g. in ELBW infants). What is bleeding -- fresh IVH III or minor pulmonary hemorrhage also matters? Which thresholds of coagulation tests you use? I've found useful paper on the issue. A table from it with coagulation parameters is attached to this post. Please have a look and tell briefly do you use the same numbers? Clin Perinatol. 2015 Sep;42(3):639-50. doi: 10.1016/j.clp.2015.04.013. Epub 2015 May 16. Fresh Frozen Plasma Administration in the Neonatal Intensive Care Unit: Evidence-Based Guidelines. Motta M1, Del Vecchio A2, Chirico G3. Sincerely, Andrej Vitushka, NICU of National Research Center "Mother and Child", Minsk, Belarus. FFP tab.doc