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M C Fadous Khalife

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Everything posted by M C Fadous Khalife

  1. M C Fadous Khalife

    The days of the Apgar score may be numbered

    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.
  2. M C Fadous Khalife

    1st Solo Speaker Conference ,Noisy le Grand France

  3. M C Fadous Khalife

    Intubating to give surfactant is so 2017!

    I agree with dr bimalc and johansen
  4. M C Fadous Khalife

    Was adding placement of EKG leads to NRP a good idea after all?

    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 !!
  5. M C Fadous Khalife

    Post-discharge apnea monitoring in extr preterm infants?

    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 .
  6. M C Fadous Khalife

    Antibiotic choices , please share your experience

    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
  7. What about the best position for extremely premature babies ! Our cocoons are not adequate 

  8. Who can share experience concerning  the use of NIRS? 

  9. M C Fadous Khalife

    Skin care of the tiniest

    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
  10. M C Fadous Khalife

    Surfactant lavage!

    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?
  11. M C Fadous Khalife

    Dose of antibiotics for infant with hydrops fetalis

    I agree with dr hamed! There is no big difference between 4,3 and 4,1 .
  12. M C Fadous Khalife

    VZIG not available, what can i do ??

    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
  13. M C Fadous Khalife

    Dose of antibiotics for infant with hydrops fetalis

    We use dopamine and donutamine . We use NO but no milrinone
  14. M C Fadous Khalife

    Post-discharge apnea monitoring in extr preterm infants?

    No we don’t ! Usually we don’t send babies home with any risk of apnea
  15. M C Fadous Khalife

    Next 99nicu meetup coming up in 2019!

  16. M C Fadous Khalife

    Would you dare? Intubation on parent's chest

    I find it very interesting but speaking of is not like watching it! For the moment I will not dare do it !
  17. M C Fadous Khalife

    Empiric Antibiotics for NEC

    Thx Dr johanssen
  18. M C Fadous Khalife

    Empiric Antibiotics for NEC

    From the above , I like the idea of Dr johansson about giving only one antibiotic instead of keeping with 3 to 4 antibiotics; can we discuss using meropenem only for NEC? Do we have infectious disease neonatologists in the team? I always feel like keeping meropenem for the next step , but using 4 antibiotics is not the best option even if most of us are doing so . What do you think?
  19. M C Fadous Khalife

    hepatitis B prevention

    if you want to be sure, try to reevaluate the newborns with delay of doing Ig ! But it must be at least 2-3 months after birth because surface HB ag must not be measured within 1 month of vaccination. It would even be interesting to try to measure surface antibodies and Ag to all these babies . We rarely do it . Do you do it for your babies?
  20. M C Fadous Khalife

    hepatitis B prevention

    A new article published in 2018 says that 2-5% of newborns from mothers infected with hepatitis B will be infected despite immediate vaccination and Ig ! But tgey don’t speak about the delay for IgHB .https://www.ncbi.nlm.nih.gov/m/pubmed/29688415/?i=15&from=Neonatal Hepatitis you can read it .may be it can help
  21. M C Fadous Khalife

    Procalcitonin (PCT)

    From my experience , only viral vs bacterial
  22. M C Fadous Khalife

    Empiric Antibiotics for NEC

    Cefotaxime , amikacin and flagyl but in case of deterioration , we broaden spectrum (Lebanon)
  23. M C Fadous Khalife

    Procalcitonin (PCT)

    I agree with dr sherif
  24. M C Fadous Khalife

    Procalcitonin (PCT)

    We use both CRP and PCT and correlating both helps us a lot It is very useful when we decide to stop antibiotics
  25. M C Fadous Khalife

    The Finnish way of caring

    Some cases are so stressfull that we will not be able to work easily with presence of parents ! But when baby is good , parents’ participation is essential. Our only limitation is the lack of space in our NICU.