Emilio Escobar

Hello, everyone. Could you please provide me with management guidelines for neonatal pneumopericardium and pneumomediastinum? Thanks in advance

@HickOnACrick thanks you so much

I think what you are doing and have done is commendable. Your effort goes far beyond many borders and that is something that I deeply appreciate. At the moment I cannot think of anything else that I can suggest to you. I just want to ask you a question, and I apologize that this is not the space to do so. In the event that I had a neonate with TPN support and due to some situation this patient suffered hypovolemic shock or even cardiac arrest, should I suspend TPN? With what solutions would you recommend me to handle it in that period of time? I apologize again, I'm very sorry

Goodnight everyone. I must clarify that I am not a neonatologist, but as a pediatrician I am interested in learning from people as expert as you. The hospital where I work is very humble and lacking, like many in Latin America, but that doesn't stop me from learning from the best like you. I always try to do the best with what I have, and much of what I have I learn with you. Thank you very much for forming this forum and I hope that it continues for a long time to come. My infinite gratitude to the founders and to those who answer my questions. God bless you

My infinite gratitude for taking the time to answer me. One more question, do you administer the saline solution and the TPN in Y? Thanks again

Good morning to all. For many years, when a term or preterm neonate was admitted in a hemodynamically unstable state to the hospital where I did my fellowship, these neonates were generally managed with intravenous fluids that included dextrose, sodium, potassium and calcium exclusively before deciding to start the enteral route with MEF or administer TPN (this due to lack of the unit). My question is, in this case of hemodynamically unstable patients, and because they may present systemic arterial hypotension and variations in central glycemic levels, would the use of total parenteral nutrition be recommended? That is, how to deal with these variations in blood pressure. central glucose or make adjustments in the amount of fluids to be infused in 24 hours if the patient suddenly worsens and the patient already has TPN ?. Thank you for your kind attention and your comments, I send you my infinite gratitude

Thanks you so much Stefan.

i see a new devide called NEO TEE, is this sure for terms and preterms babies?. What do you say about Laerdal air bag (with PEEP)?

Greetings from Mexico and I wish you all a Happy New Year. Is the administration of intravenous antibiotics necessary in newborns suffering from meconium aspiration syndrome? , that is, is it useful to prevent pneumonia or sepsis in the newborn? How do you act in your intensive care units in this regard? -Thank you in advance for your kind attention

Good evening everyone, God bless you all. 1.- A 2.- No 3.- Mask

thanks to you. That's a good point

thanks a lot to you

thanks to you so much

Good night . ¿Do you can share to me please the guidelines that you use to oral correction in mild or moderate neonatal hipokalemia? Thanks in advances and God bless you all

tThanks you very much

Thanks you very much

thanks you sir. This supplementation in countries where dont exists sodium cloride tablets, can i give as 0.9% saline solution? this supplementation is after o before of breastfeeding? can mix with breastmilk or not? thanks you again

Please, do you can share some article about oral supplementation and correction of neonatal hyponatremia or can you share to me a guideline about it or how treat with sodium cloride solution by NG way ? Thanks in advance and God bless you

thanks you

Hi, everyone. I want wondering then you use 3% sodium cloride solution to correct symptomatic hyponatremia, do you use undiluted or add more some solution or strike water? Thanks in advance