M C Fadous Khalife

The first study I did many years ago with one of my students was a trial to replace apgar score cause I was Always convinced it is not adapted to prematures. At the end of the study, I found some interesting elements to measure but it didn't make up a score ! You gave me ideas; why not combine some variables from my study to some from the NRAS score to create a new clinical score. The NRAS is not purely clinical like Apgar but very interesting.

Congratulations!!!

I agree with dr bimalc and johansen

I admit with all that old reflexes must not be forgotten but I feel relaxed when letting my residents do the NRP when I am looking to an EKG! EkG is very helpful but from time to time , it would be good not to put it to let the new generation realise that old habits are also good !!

Agree for SIDS risk; Eran Alhaij,adversarial chilhood events are associated with SIDS:an ecological study, doi: https://doi.org/10.1101/339465 But it's not easy in our country to monitor at home till 3 months corrected age ; medicine is private, even post-dischqrge follow up by ''home care'' is expensive. WE only monitor BPD leaving the unit with nasal oxygen .

Our first line antibiotics are Ampicillin and cefotaxime Meropenem comes in 3rd line Vancomycine is a 2nd line choice if he have a central line Amikin is usually used just for 48h till we are sure of our cultures results Sorry ampicillin and /or cefotaxime

We use chlorhexidine for extremely preterm babies and we use dakin for older ones but never had burns or any other problems for umbilical catheter insertion

We use surfactant bolus but never used surfactant lavage I find the idea only interesting in pulmonary hemorrage ; since we have high mortality , Does anyone have experienced surfactant lavage in pulmonary hemorrage?

I agree with dr hamed! There is no big difference between 4,3 and 4,1 .

We give acyclovir we don’t have VZ Ig By the way I want to ask about time limits for this recommandation We recently had a mother who had chickenpox but was totally healed 12 days before labor ! The newborn case was debated ! And baby had chickenpox at J5

We use dopamine and donutamine . We use NO but no milrinone

No we don’t ! Usually we don’t send babies home with any risk of apnea

Amsterdam