4th Pediatric Infectious Diseases Conference
 
 
Home  Back   ISSN 0973 - 0958
 
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Specialist Answers
Question
I have a 4 year old admitted at present in pediatrics ICU ventilator. He is known to suffer from bronchial asthma, also known as brittle asthma. He came in with a very bad attack of asthma with respiratory acidosis and was ventilated. Now he is still ventilated and is on iv hydrocortisone ,Iv salbutamol infusion 4 mcg/kg/min , iv terbutaline prn basis (when has desaturation secondary to bronchospasm),nebuliser salbutamol two hourly to hourly , MDI salmeterol 100 mcg bd,MDI inflammide 800 ,cg bd and he still goes for bronchospasm on and off usually secondary to secretion. The secretion are not much. What else can i do for him? He does not seem to be heading to the way of improvement. Will MGSO4 helpful to reduce the bronchospam in him?
Answer
Before trying Mag sulp, one can give a trial of aminophylline and see the response. Mag sulp may be useful in refractory cases of bronchial asthma.
 
 
 
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Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?
No, it should be used only after drug sensitivity report
Yes, under guidance of an infectious disease expert
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