CHAKRADHAR MEDDELA

I am treating umbilical granulomas with common salt application at my place for >25 years with excellent results. This can be done by mother or grandmother by applying small piece of rock common salt over the granuloma ( preferably after feeds so that it stays there for at least 3 hours) and fixing it with a plater. I advice twice a day application for a week. It's just a home care remedy for umbilical granulomas.

Hi. This is Chakradhar. I had my PGD in neonatology CPD mode from Southampton. I have studied and finished my Academic MSc in Neonatal Medicine from Cardiff University. It standalone module based study. There six modules in PGD from cardiff. First year includes 3modules namely Acute respiratory care, Acute cardiac care and neonatal critical care. Second year includes acute neurological care, gut and nutrition and neonatal & paediatric transport. After successfully completing the pg diploma in neonatal medicine, you should apply for MSc dissertation year (3rd year) and work under two supervisors, 1. a senior neonatologist supervisor and 2.second supervisor for any other assistance. You are evaluated on basis of 1.weekly group discussion which contributes 5% of your final scores, quality eb discussion given priority rather than quantity of statements, 2. Weekly mcqs 3. Formative and summative assignments. You will enjoy the evidence based teachings from experienced faculty. Other self modules teach you regarding plagiarism, paraphrasing, EBM, research tools, referencing system..... many more. I had completed all 5 Note modules from Southampton (ESN) by CPD mode. Included modules were 1.neonatal nutrition 2.neonatal neurology 3.neonatal pharmacology 4. Hemodynamics and cardiology and 5.neonatal pulmonology. Dr Mike and Dr Neelum Gupta will interact with students during discussion. 50 hours live sessions with direct contact with students and 200hrs indirect learning. I had enjoyed both the degrees and working confidently in my nicu with bedside echo, cUSS, Cranial doppler ultrasound, lung USS and abdomen esp early identification of NEC.. etc. Regarding Fees structure, it hikes every year slightly. It's online, standalone module based learning, convenient, you can study from your office or home. Vast online library available .... all literature available at your fingertips.

I am using Mindrey M7 US mechine with neonatal cardiac probe (4-12mH) for neonatal cUSS and echo and Adult cardiac probe for TCD and pediatric echo.

It's a good drug in newborn babies with pphn with RV dysfunction (sy normotension ) Very often I use milrinone. I usually don't give the loading dose. I use milrinone infusion 0.36migr/kg/min in NS. If baby hypotensive, give a bolus of NS before starting milrinone infusion.

Hi. Thanks for your reciprocation. This is my own strategy based on observations in my NICU. Nurses like this. Working well in our set up - with less resources. Survanta 8ml can be diluted with 16ml of normal saline. Now, the total diluted Surfactant is 24ml. In each setting, we give 2-2.5 ml through nebulizer at intervals of 20-30 minutes based on severity (Initial dose). This is followed by same amount of Surfactant administration but at 1-2hourly. We continue baby on CPAP or HHHFNC - Airvo 2 Fisher and Pakel. Thank you. Dr. Chakradhar Maddela

I'm using surfactant in 1:2dilution with NS saline through nebulization for very to late preterm infants with RD. These babies are already on CPAP machine. We give 2ml will 1/2hr for first 2-3 hours followed by 1-2 hours. All babies are recovered. This procedure is nurse friendly and less skill needed. Mild to moderate cases of RD respond well. I have not done any retrospective study. But working well. Thank you. Chakradhar Maddela. Using Survanta

Thanks for sharing.

Nice post.

I am using the following scores in my NICU.1.Drowne RD scores & Silverman scores for TB & PT babies.2. Sarnat and Thomson's scores for HIE, 3septic screen 4.pain scores.