Treatment Options in Neonatal Jaundice

Phototherapy treatment will be sufficient for the vast majority of infants with unconjugated hyperbilirubinaemia who need treatment.  When it gets more serious, we turn to higher-risk treatments like IntraVenous Immunoglobulin or exchange transfusion. What evidence do we have to guide our decisions here? Every Special Care Nursery in the world has a bilirubin chart on the wall to guide us in terms...

June 30th, 2011 by colinparker 

Neonatal Hypoglycaemia

To bolus, or Not to bolus… that is the question.  Actually, there are a few more questions too… How low is too low? What are the causes of neonatal hypoglycaemia? Any advances in research? Some neonatologists believe that a bolus of intravenous dextrose when treating hypoglycaemia is to be avoided at all costs.  Others say a bolus is OK, provided that an ongoing infusion at an adequate...

November 18th, 2010 by colinparker 

B is for Breathing (part 1 of 4)

Hello again… This recording session turned into such a marathon, we had to split it into 4 parts! This first part covers: respiratory physiology basics neonatal breathing and apnoeas ALTE’s assessing the work of breathing Please join us again in 2 weeks for Breathing, part 2, in which we divulge some clinical pearls which you may find helpful in distinguishing different causes of respiratory...

June 18th, 2010 by colinparker