Shantharama Karanth

I am interested in this survey. karanthsd@yahoo.com

You can access pediatrix university, nicuuniversity.org and Johns Hopkins University eneonatalreviews for lectures, podcasts etc.

Thanks very much for all the NICU nurses. is it OK to share this video?

Great inspiration Thanks for posting

Initial diagnosis is clinical - mother's platelets are normal and the baby has low platelets usually less than 40k and all coagulation tests are normal. Transfused platelets are destroyed and the count usually goes down rapidly. It is difficult to obtain mother's platelets for immediate use. We do not have access to flow cytometry. The blood center of Wisconsin has a good website and are very helpful with the labs and any clinical interpretation. Regards Shantharama

We use IVIG and any available platelet transfusion. We send blood from both Parents to the Blood center of Wisconsin http://www.bcw.edu/bcw/index.htm. They are the best in the USA. May need 2-3 IVIG infusions.

We use Neofax online version. This needs subscription.

We use Lasix or Furosemide 1mg/kg/dose once a day initially and if needed for long term, change to Aldactazide 1mg/kg/dose of Spiranolactone and Hydrochlorothiazide combination once a day or q12h. Need to watch for hyponatremia. The pharmacy makes a suspension of Aldactazide.

In our unit we would try IVIG - Intravenous Immune Globulin 1 gram/kg and "Intense Phototherapy" if the bilirubin is approaching "exchange level" Shanta Karanth Manassas, VA

We do not ligate Preauricular tags and leave it to the Plastic surgeon for later removal. Extradigits on the Ulnar side without a bony connection and the base is <5-6 mm in width is removed under local Lidocaine and oral sucrose as per Atlas of Procedures in Neonatology, 4th edition, MacDonald and Ramasethu, 2007 Lippincott Williams & Wilkins. After antiseptic precautions, a hemostat is placed as close to the base of the extradigit without drawing up extraskin. A suture 3 O silk is tied tightly between the hemostat and the hand. hemostat is kept in place for at least 5 minutes till the digit turns white. the digit is excised over the hemostat with a #15 blade. (# 10 or #11 is OK ), hemostat is removed and the ligature left in place. this is covered by an adhesive bandage. the residual stump falls off after a few days. With this procedure, the results are excellent and one can hardly see the stump after a few weeks. Shantha Karanth, MD, Prince William Hospital, Manasssas, VA, USA

Hello, I would like retract my post about dosage of Vitamin D. Recent recommendation from AAP states 400 IU for all infants. http://aap.org/new/VitaminDreport.pdf Shanta Karanth

The video recommends 400 IU of Vitamin D. The AAP recommends 200 IU of Vitamin D for a Breast fed infant. I am curious about this difference. http://aappolicy.aappublications.org/cgi/content/full/pediatrics;111/4/908 Shanta Karanth, MD