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Hello, a warm greeting to everyone. I would ask if anyone, anywhere, has experience with handling of the new mechanical ventilator for newborn of Dräger: Babylog VN500 Thanks Fernando Agama Cuenca Unidad de Neonatología Hospital "Dr. Enrique Garcés" Quito - Ecuador

Thank you Dr. Cardona. I just wrote. May we offer a solution. Sincerely, Fernando Agama C. Unidad de Neonatología Hospital "Dr. Enrique Garcés" Quito-Ecuador

Hello, a warm greeting. I hope that winter has passed and the cold has diminished. The reason why the child needs an intestinal transplant is these findings: 1) Intestinal atresia of the jejunum level (about 15 cm. of Treitz angle). 2) Intestinal agenesis of distal jejunum, ileum, cecum and transverse colon. 3) There is descending colon, sigmoid and rectum. Atentamente, Dr. Fernando Agama C. Unidad de Neonatología Hospital "Dr. Enrique Garcés" Quito-Ecuador

Hello, warm greetings from Ecuador. In our NICU, we have a newborn to 4 days of age who has been diagnosed with intestinal atresia. This pathology in our country, we can not solve. I am writing to assess the probability that this child will do a intestinal transplant that can save your life. Any help is welcome. Sincerely, Dr. Fernando Agama C. Unidad de Neonatología Hospital "Dr. Enrique Garcés" Quito-Ecuador

Hello for all: Anybody have a experience with use of levatiracetam in new borns and outcome to 18 months?

Hello, a cordial greeting for all. I wanted to know if somebody has experience with the use of the mechanical ventilator STEPHANIE from F. Stephan GmbH. Thank you ahead of time, Fernando Agama C. Hospital "Dr. Enrique Garcés" Quito-Ecuador

Hello, a cordial greeting for all. I wanted to know if somebody has experience with the use of the mechanical ventilator STÉPHANIE from F. Stephan GmbH. Thank you ahead of time, Fernando Agama C. Hospital "Dr. Enrique Garcés" Quito-Ecuador

Thank you for the answer. In fact, very little information exists in this respect. In our hospital, we have not had any mother infected with AH1N1 up to now but it is foreseen that, in the event of she being, it isolates them and start treatment with oseltamivir. According to that foreseen by the CDC, the breastfeeding is not contraindicated. For the newborn one any prevention is not foreseen. In the event of requiring treatment, we will have to use oseltamivir, but frighten us their side effects and the shortage of information regarding their security when it is used in children smaller than a year of age. Sincerely, Fernando Agama C. Hospital "Dr. Enrique Garcés" Quito-Ecuador

Hello. An request from Ecuador. Somebody knows about the handling of new borns of mothers with infection AH1N1. In the same way, somebody knows the handling of a new born one infected with infection AH1N1. Sincerely, Fernando Agama C. Hospital "Dr. Enrique Garcés" Quito-Ecuador

Dear colleagues, a cordial greeting. I would like to know if somebody has experience using it pulse pressure variation (∆PP) in patients with acute respiratory distress syndrome to monitor a newborn in mechanic ventilation. Sincerely, Fernando Agama C. Hospital "Dr. Enrique Garcés" Quito-Ecuador

Thanks to all for their interest. A point that I find important to discuss it is the fact of beginning a conventional ventilation in a newborn with RDS with a value X of PIP (ie. 20 cm), a value x of PEEP (ie. 6 cm) with a breathing frequency of 40 breathings per minute and that with a inspiratory time of 0,5 sg, they give a MAP of 10,66. On the other hand, it could begin directly in the same baby with HFOV, with a MAP of 11 or 12 cm and a delta P or width of 100%, to verify the number of spaces intercostales and the values of gases in blood. In the second case, we should consider that although the MAP is higher, it doesn't happen the opening and closing of the alveoli in each breathing, but a constant pressure in the one that only acts the oscillator. Although they don't seem to exist conclusive studies that support their initial use, this could not it be a less aggressive strategy with the breathing tract of the newborn?

Thank you for their interest. Another important point when we use the entrance HFOV in the RDS it is the administration of the substance surfactant. We would like to know if their combined administration can hinder the setting in practice of the entrance HFOV for the SDR. Thank you ahead of time

Dear Colleagues, An request from Ecuador: I would like him to help us to design a strategy of alveolar recruitment early for RDS and if it is possible to use of entrance HFOV for this same illness. Sincerely, Fernando Agama C. Neonatology Hospital Dr. "Enrique Garcés" Quito-Ecuador

We have the SLE 5000 and the Babylog 8000 Plus. We have noticed that the sensibility of the sensor of flow of the Babylog is bigger and quicker, the volume tidal of 0,2 ml allows to use it with smaller babies, of something more than 300 grams, its initial calibration is quicker, but the graphic interface is not very friendly, the sensor of flow is very delicate (it has already been damaged twice) and its substitution is very expensive. On the other hand, the SLE 5000 have a much friendlier graphic interface, their sensor of flow it is more resistant and their substitution is less expensive, but its sensibility is something smaller, the volume minimum tidal is bigger, of 0,3 ml, and its initial calibration is longer. In the two machines we have the inconvenience of the excessive accumulation of liquid in the circuit due to the condensation of the humidity with the Fisher & Paykel humidifier. Regards Fernando Agama C.