PPHN (persistent pulmonary hypertension of the newborn)-approach to management . Prof Satyan
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- Опубликовано: 2 авг 2024
- 00:00 Introduction
05:15 Start of presentation
47:00 Start of discussion
For Medics (will not be suitable for parents/nonmedics). This is the recording of the first webinar organised by National neonatology formum India (Emirates branch). This is a wonderful lecture on approach to PPHN management, based on a physiologic approach, followed by an excellent discussion as well by Prof Satyan Lakshminarasimha, from UC Davis, Sacramento, California. Do share with other neonatal colleagues who would find this very useful. Do subscribe and encourage colleagues to subscribe too. 
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Useful playlists for nicu nurses, trainee pediatricians and neonatal trainees
NRP-ruclips.net/p/PLKe2uxLSi6cErI1Y7ZRbLub-1Qq8AT4Bm
Oxygen in Neonatology ruclips.net/p/PLKe2uxLSi6cEDL9Zfc57-YJjlVkqJXmQp
Neonatal ventilation-ruclips.net/p/PLKe2uxLSi6cEk8ExzMpF-5ePzmkteTNjk
Neonatal jaundice-ruclips.net/p/PLKe2uxLSi6cFT5aOxCrU9ENBRXlkUwWzq
Breastfeeding-ruclips.net/p/PLKe2uxLSi6cFdnNrlnJQ8T5P-qaP8erc5
And many short videos to clarify queries of new parents-could help if you cover postnatal ward ruclips.net/p/PLKe2uxLSi6cEAuXao6M9lsXUmbyhbpL1t
Thank you so much! This teaching is so mesmerising and definitely helped me a lot in understanding PPHN
Dr Satyan is an amazing teacher. Do review this playlist, some more amazing lectures on this intriguing topic. PPHN-persistent pulmonary hypertension
ruclips.net/p/PLKe2uxLSi6cHk7IKfSYSiQeKlce25I6VM
Very very thank u sir for yr selfless effort
Thank you
thanks a lot 🙏
Best wishes
Now you have finally got something for us junior doctors working at NICUs. Many thanks sir. Could you please make some videos on topics like sepsis, nutrition, ventilation etc...
Sure, thank you
Very informative presentation. Enjoyed watching it thoroughly. Thank you for bringing us this amazing content sir 🙏
Thank you, Ayesha
Very informative talk … thanks
Thank you. Please share with your team
Such a remarkable presentation with a very rich and marvelously simplified content, thank you very much for sharing. I have some questions if you may:
1/Should we avoid low PCO2 for all intubated babies or just when managing babies with PPHN that are cooled for asphyxia?
2/What's the surfactant's dose?
3/How does a LV dysfunction leads to an elevation of pressures in the left atrium (please do correct me if I'm mistaken, but we were taught that the heart dysfunction in newborn is global and it' hard to determine LV from RV dysfunction).
Good morning, thank you. Prof Satyan is indeed a great teacher.
Regarding low PCO2, you can apply the principle that anything in excess is harmful. Same applies to ventilation. Just ventilate to support and tide over the problem. Low co2 means you are overdoing ventilation, so avoid in any ventilated baby. Of course you know the higher risk of PVL with hypocapnoea too (cerebral vasoconstriction)
Dose of surfactant is 100 mg per kg. Regarding neonatal heart, with increasing use of bedside echo, we are more aware of such changes. Of course, we are talking of very rapid transitions and titration of medication, which might involve repeating echo frequently within a day. Any logical effect on pump will apply to neonates too, and this is an example
Please join this group and invite your friends, all your questions have been posted there now. facebook.com/groups/204260491429565/
Thank you very much for the value information.
my Question which value should you maintain for the blood pressure ( systolic and THE middle blood pressure FOR premature and full term ).
Hi, you could use the centile charts for systolic and mean pressures that are available in most text books (95th centile and 5th centile). However, remember that clinical assessment is more important and the rough guide of gestational age in weeks for lower limit of MAP is acceptable in first 2-3 days (it goes up with age)