Manuel

We become alert with a serum K at 5.5, between 5.5 to 6 if there is any symptoms incluke EKG, and up to 6 with or without symptoms definitely

We dont have intravenous phenobarbital since I remember at least 15 years, so we have to use it orally, but in the acute phase we use leviteracetam

We calculate the total protein and lipids at orally route and get a balance according to the specific requirements of each baby with parenteral nutrition. At we advance in enteral feedings we reduce the amount in PN.

This is one of the future topics that we have to wait until results in other studies, but physiologically it can promise good results

Its sound very intersting so can you tell us cost of the course thanks in advance

Hy Thabet hope you are ok. About your question Im from mexico and unfortunately we dont have nitric oxide on my hospital, so we use Sildenafil in the cases of Pulmonary Hypertension. The reponse in most cases is adeuately but is not immediately, you have to wait 8 to 12 hours until you really see the therapeutic effect. We make an Echo before and after treatment is installed, and be carefully with hypotension. Pharmakocinetics of oral Sildenafil is acceptable, but is very important to recruit the best you can the lungs, since some times its only this point that is crucial to reverse the increase of pulmonary vascular resistance. Hope this help you

I agree with Stephan and Nathan, Im from Mexico too Emilio, and unless there is a real emergency situation, we only observe, be carefully with your ventilator parameters, and any therapeutic decision ( specially pneumopericardium) it has to be ecochardiography guided.

We try to never leave a catheter in a wrong position , mostly if we have to infuse parenteral nutrition or any drug thought it. We have 3 cases register in my hospital of babies that born in others hospitals that have hepatic absceses, and the catheters were intrahepatic. The use of Ultrasound is a very good option. If we urgently needed an IV via we repositioned, but as possibly we look for a PICC line.

ok thanks a lot

No Stefan, I made my N3 registration succesfully but the problem is that its imposibble to register to the nutrition course, the link you put to registration send to me to a page with the name of the course and the general information of that, but there is no way to register. this is the page Im tell you but there is no way to register

No Exchange and work up.

Dear Stefan Im Trying to suscribe to Neonatal Nutrition Network but there is no way. Im register in N3, but No.