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Dr Vira

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  • Content count

    1
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  • Country

    India

Dr Vira last won the day on May 24

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About Dr Vira

  • Rank
    Member

Profile Information

  • First name
    viraraghavan
  • Last name
    ramaswamy
  • Gender
    Male
  • Occupation
    neonatologist
  • Affiliation
    Nori Multispeciality hospital, Vijayawada
  • Location
    Vijayawada

Recent Profile Visitors

120 profile views
  1. There is an extensive article by AAP on analgesia in newborns available in their website. All the recommendations are given there. Routine sedation is not warranted in ventilated neonates & is associated with bad outcomes (Ref- A metaanalysis which includes NEOPAIN study). An infant fighting the ventilator is most likely due to inadequate ventilation & sedation would mask away these signs & further worsen gas exchange. Rather adjusting the ventilator settings is a better way of dealing with it. Finally if you do plan to sedate, always avoid midazolam & prefer fentanyl as first choice.
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