
Narasimha Rao
MembersNarasimha Rao last won the day on December 22 2019
Narasimha Rao had the most liked content!
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24 ExcellentAbout Narasimha Rao
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Rank
Member
Profile Information
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First name
Narasimha
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Last name
Rao
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Gender
Male
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Occupation
Consultant neonatologist
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Affiliation
University Hospitals of North Midlands
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Location
Stoke-on-Trent, England.
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Recent Profile Visitors
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Premedication for LISA/ MIST
Narasimha Rao replied to Nathan Sundgren's topic in practical procedures
We started off with 28-34w and for those on neonatal unit only (plan to include delivery room once unit confidence builds up). For this category we use sucrose + swaddle only. However we’ve been facing an occasional vigorous baby, who we have had to revert to premedication and ventilation. We need to find a middle ground for these babies. Maybe LMA/ fentanyl/ ramifentanyl? Sent from my iPhone using Tapatalk -
May I ask if our lovely community could shared what practices they follow to ensure discharge planning is thorough, please? It could be checklists or any other processes that’s used for a complex neonatal discharge on your unit. Sent from my iPhone using Tapatalk
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Less Invasive Surfactant Administration Tips
Narasimha Rao replied to Nathan Sundgren's topic in resuscitation
My colleagues here at a tertiary unit in England, seem to have taken a liking and preference to the vygon surfcath. It’s definitely worth considering Sent from my iPhone using Tapatalk- 14 replies
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Hyperkalaemia - Insulin with dextrose
Narasimha Rao replied to Narasimha Rao's topic in metabolic disorders
Yes please. The dose and concentration of dextrose with dose of insulin would be helpful. Thank you Sent from my iPhone using Tapatalk -
May I ask what concentration dextrose do you use in your unit (and the insulin dose) in managing hyperkalaemia, please? Is it a set concentration glucose or do you aim for 8-16mg/kg/min of glucose delivery? Sent from my iPhone using Tapatalk
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I couldn’t find it being marketed here in U.K.. Maybe worth contacting the representative? Sent from my iPhone using Tapatalk
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Inotropes made simple (FOAMed)
Narasimha Rao replied to Stefan Johansson's topic in cardiovascular problems
These are brilliant! Sent from my iPhone using Tapatalk- 14 replies
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- dobutamine
- dopamine
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(and 4 more)
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Inotropes made simple (FOAMed)
Narasimha Rao replied to Stefan Johansson's topic in cardiovascular problems
Thank you! Sent from my iPhone using Tapatalk- 14 replies
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- dobutamine
- dopamine
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(and 4 more)
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Inotropes made simple (FOAMed)
Narasimha Rao replied to Stefan Johansson's topic in cardiovascular problems
Looks great. Do you have link to the whole article/ guideline by any chance, please? Sent from my iPhone using Tapatalk- 14 replies
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- dobutamine
- dopamine
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(and 4 more)
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Inotropes made simple (FOAMed)
Narasimha Rao replied to Stefan Johansson's topic in cardiovascular problems
Article appears to have moved. Here’s the fix https://www.paediatricfoam.com/2017/05/inotropes/ Sent from my iPhone using Tapatalk- 14 replies
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- dobutamine
- dopamine
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(and 4 more)
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Thank you for asking this question! We use a Philips Affiniti 70 device in our unit (we are tertiary NICU in England). We are on the lookout for a second scanner for pure cardiac ultrasonography purposes. Few other tertiary units in our region use a GE Vivid S70N. Would be good to know what others use and do kindly share your experiences please.
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I’m considering use of Microsoft access to build unit handover database at a tertiary NICU. Any suggestions as to how people might have used one/ any available templates, please? Sent from my iPhone using Tapatalk
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Created this to help current situation in determining place of care/ feeding guidance and for testing. Any variations elsewhere? Sent from my iPhone using Tapatalk
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British Association of perinatal medicine has issued guidance today https://www.rcpch.ac.uk/resources/covid-19-guidance-paediatric-services Sent from my iPhone using Tapatalk
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Very interesting Stefan. Thanks for sharing Sent from my iPhone using Tapatalk