Jump to content


Want to join the discussions?

Sign up for a free membership! 

If you are a member already, log in!

(lost your password? reset it here)

99nicu.org 99nicu.org

Rola alzir

  • Content Count

  • Joined

  • Last visited

  • Country

    United Arab Emirates

Community Reputation

3 Neutral

About Rola alzir

  • Rank

Profile Information

  • First name
  • Last name
  • Gender
  • Occupation
    physician neonatologist
  • Affiliation
  • Location
    Dubai -UAE

Recent Profile Visitors

273 profile views
  1. Rola alzir


    Why do we call it NAS not drug withdrawal syndrome in neonatal age group ?
  2. @Stefan Johansson I have been through the link attached . It’s interesting reading. Still I would like to know more about acetaminophen which we used to use sin my unit , as in extreme preterm where RFT is of concern we do go with acetaminophen with ECHo repeat on D4 of treatment . We do give total 7 days , providing that initial baseline LFT is reassuring. Q please : you do start ibuprofen even if baby is not yet fully fed ? As you have mentioned it’s been given early in first 14-21 days . Means at 7DOL it can still be initiated.
  3. Thanks @Stefan Johansson This explains the issue of antacids with suspected GERD . What I was wondering about is the combination of the ranitidine with the use of ibuprofen in cases where PDA was hemodynamically significant , mandating medical closure . If this topic is been touched or investigated or the combination is been practiced . To hear from those who have any input about it . i will share these provided links with my colleagues as the use of Esomeprazole is practiced here for neonatal GERD cases. Thanks a lot for the the rich input
  4. Thanks @Stephan . How about the use of ranitidine meanwhile the ibuprofen is used, especially the PO administration. Is there any evidence that it decreases the side effect of ibuprofen in regard to gastric irritation !? Does it interfere with the effectivity of the ibuprofen. In my unit after a day 1-2 if any deterioration of the RFT we do switch to paracetamol course. And the deterioration we detected it in case of extreme preterms 24-26 weekers . Our observation - personal experience- that paracetamol has closed the PDA, in couple of cases where ibuprofen was started but then stopped, and switched to use of paracetamol .
  • Create New...