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Narasimha Rao

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Everything posted by Narasimha Rao

  1. Narasimha Rao
    Anyone here is aware or have a standard operating procedure to share, regarding the use of Microstream capnography in neonates, please?
  2. Narasimha Rao
    We use fentanyl 2mg/kg followed by suxamethonium and atropine drawn up as standby. Administered if required
  3. Narasimha Rao
    A recent review relevant to this thread https://is.gd/ZUsgAX Sent from my iPhone using Tapatalk
  4. Narasimha Rao
    I loved it! Here’s a little compilation of podcasts that I’d shared with my staff Sent from my iPhone using Tapatalk
  5. Narasimha Rao
    Update: This is a fantastic QI project with several learning points Reducing Unplanned Extubations in a Level IV Neonatal Intensive Care Unit: The Elusive Benchmark. https://www.qxmd.com/r/33575517 Sent from my iPhone using Tapatalk
  6. Narasimha Rao
    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
  7. Narasimha Rao
    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
  8. Narasimha Rao
    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
  9. Narasimha Rao
    Yes please. The dose and concentration of dextrose with dose of insulin would be helpful. Thank you Sent from my iPhone using Tapatalk
  10. Narasimha Rao
    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
  11. Narasimha Rao
    I couldn’t find it being marketed here in U.K.. Maybe worth contacting the representative? Sent from my iPhone using Tapatalk
  12. Narasimha Rao
    These are brilliant! Sent from my iPhone using Tapatalk
  13. Narasimha Rao
    Thank you! Sent from my iPhone using Tapatalk
  14. Narasimha Rao
    Looks great. Do you have link to the whole article/ guideline by any chance, please? Sent from my iPhone using Tapatalk
  15. Narasimha Rao
    Article appears to have moved. Here’s the fix https://www.paediatricfoam.com/2017/05/inotropes/ Sent from my iPhone using Tapatalk
  16. Narasimha Rao
    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.
  17. Narasimha Rao
    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
  18. Narasimha Rao
    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
  19. Narasimha Rao
    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
  20. Narasimha Rao
    Very interesting Stefan. Thanks for sharing Sent from my iPhone using Tapatalk
  21. Narasimha Rao
    Anyone using safe and time-efficient ways of calculating common infusions, such as morphine/ muscle relaxants/ inotropes/ prostaglandin etc? I’ve come across spreadsheets with weight as variable and some stickers. But looking for ideas and to gain from other good practices too! Sent from my iPhone using Tapatalk
  22. Narasimha Rao
    Expert review (to be) published in AJOG https://www.sciencedirect.com/science/article/pii/S0002937820301976 Sent from my iPhone using Tapatalk
  23. Narasimha Rao
    This case series from lancet shows no vertical transmission https://www.sciencedirect.com/science/article/pii/S0140673620303603 Sent from my iPhone using Tapatalk
  24. Narasimha Rao
    We tend to involve paediatric respiratory team/ consider corticosteroids/ rule out pulmonary arterial Hypertension/ consider alternate day azithromycin. If oxygen requirement persisting beyond 40-42weeks, we would have MDT to transition to paediatrics where depending on effectiveness of above measures, they would consider tracheostomy and home duopap. Sent from my iPhone using Tapatalk
  25. Narasimha Rao
    https://fn.bmj.com/content/fetalneonatal/90/6/F489.full.pdf Sent from my iPad using Tapatalk
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