Dr.Smah

Hello 😊 I hope every one is great ...i am just interested to know ur opnion about the new sensors ( neonatal cap ) for new born ..is it safe ? Is there any comments or matter of interest regarding its us for cardiopulmonary monitor during resuscitation 🤔 Thanks in advance 🌷

Thank you 1st for your concern DR.Stefan ..i kept asking them till they explain for me that the Ag presentation on RBCs surface of neonates is weak and they cant depend in accurecy of blood typing test and it remains inaccurete in 1st 4 months of life ..so they went for coomb test from cord blood as screening for all neonates to overcome the falsies that may happen if depneds on blood typing tests ...i feel kind comfortable now 😁

In fact i want to have your point of view in the new neonatal screening they want to add in ksa ..to take cord blood sample for direct coomb test in delivery room to all neonate whatever healthy or not ..even if the blood groups of mother and bb are comptable ..if the baby get positive test he is considered for early diagnosis and management of hemolytic diaease caused by incompetability ... what do you think this will add ? I think RH and ABO can be expected ..? Is there any probability to have hemolysis even with comptable bl.groups? Does it really needs to be screened ?

Looking forward to it ...cant wait 😊

Yes really i still have this baby in my unit on mechanical ventilator 😔... suddenly the colonic gases appeared and intestinal sounds could be auscultated after 7 days ..your recommendation is absloutley right we have also brain atrophy in brain US.. high arched palate with clenched fists ..its matched with syndromatic etiology ...but do you suggest neuromuscular disease ?

I think pulmonary hemorrhage should be excluded also

Hi all doctors ..hope all fine ...i need to hear your experiences in this case Female 1 day old 2.4 kg .c/s .apgar score 2 ,5,7 ar 1st 5th 10th mins respectively ...severe RD in mechanical ventilator simv mode 26 pip ..peep 4..RR 60..fio2 70%.... RESOLVED respiratory acidosis with multiple skeltal dysplasias ..with absent intestinal sounds and absent colonic gases in x ray ..

I am very happy and can't waiting for 99nicu webinar.... great step 👍

Dear doctors ...may i ask for your help in 1st❓ how to calculate creatinine clearance in neonates with simple equation ? 2nd❓ any data about antibiotics dosage in renal impairement Thanks in advance ☺️

Very interesting 👍👍 many thanks Very good point ..thank you Dr.

Dear doctors I need help in providing me with percentile charts for blood pressure readings in neonates preterms and full term ...i need to judge baby is hypertensive or not Thanks in advance 😊

Good evening doctors .. We practice that premature rupture of membranes more than 16 hour we should investgate baby for possible sepsis even if he is clinically good in 1 st 24 hours because infection may start to manifest after 2 or 3 days ...but what if the history of mother is only leakge for couple of days can this be considered PROM ? 🤔 Thanks in advance 🙂

Every international society i check i found the 1st recommended link is 99nicu.org 👍

Hello dear doctors Kindly can you recommend for me a source of data about lung ultrasound . Thanks in advance

In fact still fixed from outside at the same level Yes lateral x ray help a lot 👍

Dear Doctors ...😊 i am back.... missing 99nicu Kindly i would like to know your comments on this ..these are 2 xrays of a male full term neonate on mechanical ventilation neonatal spesis ..uvc was inserted in 1 st xray at the level of blue dot ..but after improvement of this severe abdominal distension the level become more deep as in 2nd xray blue dot ...so when inserting uvc how i can overcome the change that abdominal distension can affect the level of fixation Thank you in advance😊

I feel so curious about pre and probiotics in infants specially preterm...I have been reading in this topic for 2 years its known and applied in my home country Egypt...but not so common in country I work now KSA.. @Stefan Johansson 👋 wishing to know more 😊

Very interesting issue ...I have point of view would like to share with you..if the cause is decreasing dead space and ensure that the setting of ventilation and oxgyenation achieved in baby more efficiently we can monitor the screen of mean values in mechanical ventilation device whatever the type ...observing the actual pip ..TV .. reaching infant lung and if less than setting value we can increase safely because we know how much exactly achieved in infants lung ... Best regards for all

I liked this idea ..thank you .

Very interesting and vital topic congratulations for your choice I think I can use NaHco3 for correction of metabolic acidosis if oxygenation is optimum .

Sure you will be provided with guidelines here ..but allow me to mention some points according to my view ...we should treat the cause first and I think we should revise the nutrients intake of this baby either intravenous fluids ; total parentral nutrition or even milk formula if bottle fed .

Thank you all for replay ..I just noticed that respiratory distress unfortunately I see in infants of smoker mothers was more severe and not easily controlled like non smoker mothers .

How are you all ☺👋hope you are all fine ..allow me to share this point of view with you Scene 1. Very critical baby and receiving ambu bag ventilation not improving ... Befor announcing failure of this step : ..check your equipment ;proper positioning of ambu mask ..ambu bag valves ..your oxygen flow meter is open and on proper oxygen level .. Any one like to share with me examples of equipment check befor announcing failure 😊

Full term born with this pic ...Not seen every day..initially diagnosed cutis aplasia

This is a case of meconium aspiration on mechanical ventilation Very poor peripheral line ..on dopamine and medazolam infusion .