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NHowold

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  • Content Count

    3
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  • Country

    Germany

NHowold last won the day on September 18 2018

NHowold had the most liked content!

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About NHowold

  • Rank
    Member

Profile Information

  • First name
    Nele
  • Last name
    Howold
  • Gender
    Female
  • Occupation
    Neonatologist
  • Affiliation
    Klinikum Wolfsburg
  • Location
    Wolfsburg, Germany

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306 profile views
  1. We also start with 100 ml/kg/d with a sodium (and potassium) free tpn. We do liquid balancing every 8 hours with the goal of plus 10 ml/kg, replacing liquid lost by urine and stool. As replacement with use Ringer Acetat solution. We start adding sodium to the tpn as soon as the levels drop and accept sodium levels of 150 mmol/l without any intervention. I don't have the feeling that we had any problems with too high sodium counts in preterms.
  2. It works very well. We extubated two patients against CPAP under ongoing iNO therapy. Both patients did fine. CPAP and iNO is probably no option in a severe respiratory failure, but ongoing iNO therapy shouldn't be a reason for no extubation. I'm very sensitive to iNO exposure, so I can tell iNO on CPAP with less than 10 ppm are possible, but keep the windows open and the flow as low as possible.
  3. Alternative medicine - part of a modern nicu?
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