Rao

Having seen very distressing clinical course in these less than 26 wks infants , we are leaning towards a 10d course of Hydrocortisone between 5to10 days of life and use of DART after 3 wks of life. Encouraging clinical course with this approach. PDA management-bias towards no treatment upto 2 weeks. If a decision is made to treat PDA irrespective of the reasons or causes-Acetaminophen will br the first line 3 to 7day Would love to hear the webinar when available

There’s no much consensus in our group. Most are using- npo 4 to 6hrs, nasal cannula/nasal cpap/nasal IMV as needed. Usiinfg fentanyl and Midazolam. Trying to get away from Midazolam and using Dexmedtomidine(precedex) Goal is not intubating unless as a last resort Most need Fentanyl 2 doses and Midazolam 1 to 2 doses.

What are the approaches in this context in USA and outside especially with the no availability of traditional apnea monitors.

as a test to r/o hypothyroid ( in premature infants or in term infants in the first many days of life). Reflex TSH testing appears becoming the standard order for testing Thyroid status in infants beyond neonatal period to adulthood trying to see If the test- Reflex T4 adequately addresses the issue based on this

Our hospital lab has adopted TSH reflex testing in which if TSH is in acceptable range no further testing will be done. Wanted to hear thoughts from esteemed informed colleagues In pitfalls of such approach. thank you

adding protein and Nacl supplementation might help

no exchange