drjha04

Hi, I Personally won't advise to use it as a routine as we have lot other antibiotic to use. Although i agree with opinion that chondrotoxicity has never been proven in human neonate but still remains a grey zone. Yes if you have a life and death situation where there is no other alternative definitely one should use it. Reagarding dose in Peds its 10-20mg/kg/24hr divided in two doses (maximum of 800mg in 24 hr). For neonate doses should be determined by sensitivity and severity of sickness. Personally i will go with 10mg/kg/day divided q 12hr. Thanks With regards Kamlesh Kumar Jha MD Neonatology John H Stroger Jr. Hospital Of Cook County Chicago, IL USA

Hi In my Opinion all blood transfused in the NICU should follow the following guidelines: 1. Single donor blood ( As much as Possible) 2. All blood and Blood products should be Hepatitis B ,Hepatitis C, HIV , CMV , HTLV , Syphilis and any other screenable disease with high incidence in that particular country. 3. Stored rather than fresh RBC's to reduce donor exposure 4. WBC's reduced RBC's to eliminate WBC's related Complications 5.Gamma radiated RBC's to prevent GVHD With best regards Kamlesh Kumar Jha MD Fellow Neonatology John H Stroger Jr. Hospital Of Cook County Chicago, IL USA 60612

As we all know neonates are Obligate Nasal breather we mostly use Orogastric tube feeding. We start Trophic feeding ASAP. We start advancing volume arround 5th day of trophic feed . Mostly we give bolus (as it seems more physiological) Occaisonally we do use CNG/COG feeding. Tubes stays after feed as its painful procedure to perform before each feed ( In my opinion its not advisable to do so at all).

We weigh our babies every day on the night shift If their cardiac and respiratory status is stable . Infants with PPHN, on HFOV and unstable cardiac and respiratory status secondary to any system illness are not weighed. All of our babies' incubators are changed on a weekly basis sometime earlier if it gets spoiled. Linens are changed q shift. All Infants not on ventilator and stable cardiac and respiratory status get daily bath. Hope this was helpful!

Its promising and exciting but at present time its in stage of conception. First time i heard of it is in 2006 SPR meeting .If i remember correctly the fellow who presented the paper was from Boston children hospital.

I would say yes as it does decrease morbidity of late preterm. As such there is not much EBM in support of this . In future more and more evidence will be out in support of this as at vraious institutes trials are on.

Hi Every baby whether needed resuscitation or not awarded an Apgar score at 1minute and 5 minute and that i think is standard of practice according to NRP guidelines. Even if there is no Neonatologist or Pediatrician in the Operating room/L&D suites Apgar score is awarded to the baby by Resuscitation Nurse.