CHAKRADHAR MEDDELA

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.