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A cordial greeting from Ecuador. I would like to know if anyone has experience with the simultaneous administration of budesonide and surfactant to decrease the incidence or severity of bronchopulmonary dysplasia. Sincerely, Fernando Agama C. Neonatology Unit Enrique Garces Hospital Quito, Ecuador

At our institution, after initial stabilization and resuscitation, we use pressure-triggered nIPPV at relatively high rates 60 per minute or higher, maintaining a 1:1 I/E ratio, with variable PIP, according to chest expansibility and blood gases, and PEEP of 6-7. Later we went to CPAP according to the evolution in the following hours. We also used RAM cannulae with the spouts fixed with hydrocolloid tape around the nasal grits.

Good afternoon, a cordial greeting to all. I would like to ask if anyone knows of any application to calculate the humidity of neonatal closed incubators that runs on an android or windows operating system. The one we know of is from Dräger and runs only on the iOS operating system. Thanks in advance. Sincerely, Fernando Agama C. Unidad de Neonatología Hospital General Enrique Garcés Quito-Ecuador

Please, I would like to know what experiences you have with the use of erythropoietin to treat perinatal ischemic hypoxic encephalopathy. Sincerely, Fernando Agama C. Unidad de Neonatología Hospital Enrique Garcés, Quito-Ecuador

It is evident that intubation generates a feeling of discomfort in the child who undergoes this procedure. For the method IN.SUR.E. We started using fentanyl, but the results were not good. Currently, we are not using any medication for that procedure, although we are aware that the procedure is annoying for the baby. Fernando Agama C. Unidad de Neonatología Hospital Enrique Garcés Quito-Ecuador

Yes, HFOVn. In our medical service, we have not yet begun that experience. But we have some interesting references: Yoder, B., Albertine, K. and Null Jr., D: High-frecuency ventilation for non-invasive respiratory suppert of neonates in Seminars in Fetal & Neonatal Medicine, xxx (2016) 1-12 (in press). Mukerji, A., Singh, B., el Helou, S., Fusch, C., Dunn, M., Belik, J. and Shah, V. Use of Noninvasive High-Frequency Ventilation in the Neonatal Intensive Care Unit: A Retrospective Review in Amer J Perinatol 2015; 32(02): 171-176.

Best regards from Ecuador. I wonder who has experience with HFOV noninvasive Fernando Agama C. Unidad de Neonatología, Hospital Enrique Garcés, Quito-Ecuador

Hello, warm greetings from Ecuador. I consulted about the practical utility of Near-Infrared Spectroscopy (NIRS) in monitoring and surveillance of children hospitalized in the NICU. Sincerely, Dr. Fernando Agama C. Neonatología del Hospital Enrique Garcés. Quito-Ecuador

Thanks for responding for all. Unfortunately there is no intravenous cotrimoxazole Ecuador. Any experience with the oral preparation? Atentamente, Fernando Agama C.

Hello, an affectionate greeting. I would like to know if anyone has experience with the use of Sulfamethoxazole + Trimethoprim in newborns. In our NICU we have a blood culture which grew Stenotrophomonas Maltophilia that is sensitive to this product. Sincerely, Fernando Agama C. Unidad de Neonatología Hospital "Dr. Enrique Garcés" Quito-Ecuador

Hi all, a friendly greeting. I wonder what their experience with handling oxygen therapy with high flow nasal cannula at any neonatal respiratory disease as transient tachypnea of the newborn, hyaline membrane disease, pneumonia and meconium aspiration syndrome. Sincerely, Dr. Fernando Agama C. Unidad de Neonatología Hospital "Dr. Enrique Garcés" Quito-Ecuador

Thanks for taking the time to respond. We have also come to use the 0.9% saline Similarly, our best wishes for a Merry Christmas and a better 2013. Sincerely, Dr. Fernando Agama C. Unidad de Neonatología. Hospital "Dr. Enrique Garcés" Quito-Ecuador

Hello, a warm greeting. I would like to know if anyone has experience with mucolytic medication to manage excessive bronchial secretions in a newborn. If so, what mucolytic used medically? Sincerely, Dr. Fernando Agama C. Unidad de Neonatología Hospital "Dr. Enrique Garcés" Quito-Ecuador

Hello, a warm greeting: Thanks for taking time to respond. Actually, if we used milrinone in infants. But I had heard that the drug levosimendan was very effective for older pediatric patients, particularly those undergoing cardiac surgery. Sincerely, Dr. Fernando Agama C. Unidad de Neonatología Hospital "Dr. Enrique Garcés" Quito-Ecuador