Ventilation Course

Introduction
The most common admitting diagnosis to the NICU is respiratory distress. As such, principles of respiratory management are a cornerstone of our practice of neonatology.
· First mechanical ventilation of neonate in 1959.
· Mortality from RDS greatly reduced with introduction of mechanical ventilation.
· New morbidity (bronchopulmonary dysplasia =BPD) caused in part by mechanical ventilation.
· Current popular modalities include conventional positive pressureventilation (with or without new cycling capabilities), hi-fi oscillatory ventilation, and CPAP.
Neonatal Respiratory Physiology
A. Compliance = Distensible nature of lungs and chest wall= D volume (L) D pressure (cm H20)
1. Neonates have very distensible chest walls.
2. RDS is characterized by stiff or poorly compliant lungs.
B. Resistance = Property of airways and lungs to resist gas flow= D pressure (cm H20)D flow (L/sec)
C. Time constant (T or tau) = time required to make a step change in airway pressure equilibrated through the lungs.
T = R x C = product of resistance times compliance.
1. BPD time constants are long (slow alveoli) because of increased resistance.
2. In RDS time constants are very short (fastalveoli) because of low compliance.
Indications for Mechanical Ventilation
· Hypoxemia/cyanosis from lung disease (inadequately treated with
supplemental O2 alone or with CPAP).
· Hypoventilation or frank apnea.
· Increased work of breathing.
· Severe systemic disease, esp. with circulatory failure, requiring airwaycontrol.

Medical Presentations

New Medical presentations

By 1-Dr.Abla

Pathophysiology updated(1 )                   Pathophysiology updated(2)

Other presentations

1-Dr. Hesham cpap1                              

 2-Mechanicalventilation jsi                  

  3-CONGENITAL HEART DISEASE 2

4-HAEMODYNAMIC ADJUSTMENTS IN  

5- SMIV  

6-FEEDING                               

 7-Fluids and Electrolytes Management -Nahed

8-FEEDING PROTOCOL FOR INFANT 1000(word.Doc.)

9- IC IN VENTILATORS

10- Conference 1

11- Conference 2

12-Paracitic twins

Breastfeeding

TEN STEPS TO SUCCESSFUL BREASTFEEDING

A Joint WHO/UNICEF Statement (1989)
Every facility providing maternity services and care for newborn infants should:
1. Have a written breastfeeding policy that is routinely communicated to all
health care staff.
2. Train all health care staff in skills necessary to implement this policy.
3. Inform all pregnant women about the benefits and management of
breastfeeding.
4. Help mothers initiate breastfeeding within a half-hour of birth.
5. Show mothers how to breastfeed, and how to maintain lactation even if they
should be separated from their infants...............

See the manual

Science day Presentations

1- 23 October 2008

2- Breastfeeding

3-Dr.Risk.ppt

4-Management of Hyperbiliru….ppt

5-New born baby. ppt

6-surgical emergency.ppt

7-The AAP defines evidence based recommendations. ppt

8-physical treatment. ppt

9-Resustation