See vdo in हिंदी Hindi
https://youtube.com/watch?v=m_CE-VN_ZwE&si=6KIsX25-HEQFrBaU
Thursday, October 30, 2025
Tuesday, April 9, 2019
Procedure room Temperature for infants
My publications
Procedure room Temperature for infants
Some infants (birth to 12 months of age) develop complications soon after surgeries or CT Scan/ USG etc.
Therefore, Infants if kept in an AC room below 25° C without (less) clothes can develop life-threatening
Hypothermia complications including shock, Respiratory distress- bronchospasm,
Grunting, Convulsion, etc.
When infants
are to be Procedured upon pl. keep the temp of the room of OT, USG room, CT area,
MRI area, audiometry, etc between 28-30° C and thereafter only receive the infant
for a procedure.
Inj. Paracetamol (Acetaminophen) in Children
Inj. Paracetamol in Children
In Serious cases it is used as injection 5mg/kg/dose.
However, it is best avoided; as severe hypothermia reaction (cold skin and perspiration leading to hypovolemia, hyponatremia), shock and death
has been associated within 3 hours of using inj. PCM in seriously ill children.
The death is presumed to be because of serious illness of the child; however
paracetamol can be a contributing factor.
In children it should be used always
as diluted by infusion or preferably not to be used at all.
It seems that in some cases high grade fever is not as
harmful as inj. Paracetamol.
Sunday, April 8, 2018
PEDIATRICS Dept PUBLICATIONS Bhavnagar
Since 2015
New added in 2020
7] Paracetamol
vs Ibuprofen in Hemodynamically Significant Patent Ductus Arteriosus (HsPDA) in
Preterms: A Randomized Controlled Trial Hinal A Sinol,
Alpa N Parekh, Jayendra R Gohil
6] Adrenaline and Dexamethasone, vs Adrenaline and Fluticasone, vs Adrenaline alone in Bronchiolitis: an RCT Jayendra R Gohil, Atul M. Sheladiya
5] Diethylcarbamazine (DEC) in Relapse Cases of Nephrotic Syndrome in Filarial Endemic Region: A Case Series Jayendra R Gohil, Tanmay P Vagh
4] To Study the Anthropometric Measurements of the Neonates between 28-42 Weeks Gestational Age at Bhavnagar, Gujarat
3] Hypophosphatemia in Refeeding Syndrome in Intrauterine Growth Restricted IUGR Neonates: a Prospective Observational Study Varunashree Chaudhary, Jayendra R. Gohil
http://www.journalajpr.com/index.php/AJPR/issue/view/4558 3 ARTICLES IN THIS ISSUE
2] https://shar.es/a39TNP Ratna Bhojak, Jayendra Gohil Efficacy of Once a Month Single Dose Intravenous (Deferoxamine)
versus Daily Oral (Deferasirox) Iron Chelator in Thalassemia Major: An Open
Label Randomized Parallel Group Active Control Interventional Trial
New added in May 2019
# Gohil JR. Adrenaline before Unconventional Therapy for Status Asthamaticus. Indian J Crit Care Med 2019;23(10):492. doi.org/10.5005/jp-journals-10071-23273
Refractory Status Asthmaticus: A Case for Unconventional Therapies, article by Vohra R has mentioned survival of a child after using ECMO and isoflurane when other treatments were not effective.1
History of food ingestion prior to onset of status is not mentioned as there are foods like dairy, nuts, seafood, eggs, and pollution and color, that may precipitate an acute episode.
In the treatment however, inj. adrenaline and inj. hydrocortisone were not used; although intravenous methylprednisolone (2 mg/kg) was used. Intramuscular adrenaline is having better absorption and quicker effects than subcutaneous route.2
Ipratropium is an atropine like drug and leads to thickening of secretions and mucus plugging and have to be removed by bronchoscopy lavage.
Injections of adrenaline and hydrocortisone should be administered before resorting to ECMO and isoflurane.
Re f erenc es
1. Vohra R, Sachdev A, Gupta D, Gupta N, Gupta S. Refractory status asthmaticus: A case for unconventional therapies. Indian J Crit Care Med 2018;22(10):749–752.
2. Gohil J, Agarwal TS. Anaphylaxis and Angioedema: A of ABC means Adrenaline First: Airway comes Later. J Asso Physicians India. 2018;66(10):76.
Saturday, April 7, 2018
Friday, April 6, 2018
PAPERS published 2018
| Screening of school children for Attention Deficit Hyperactivity Disorder using Vanderbilt ADHD Diagnostic Teacher Rating Scale | |||
| Jayendra R Gohil, Mrigank N Gupta*, Shruti U Patel, Shreya A Patel. Pediatr Education Res.2018;6(2 MayAug):116-119. Rcvd May 29, 2018. Accepted Jun 22, 2018 http://rfppl.co.in/current_issue.php?jid=22 |
Kangaroo Mother Care in Preterm Baby Receiving Assisted Respiratory Support (CPAP): A Case-Control Trial. Pranav H Punasanvala, Alpa N Parekh, Jayendra R Gohil, Shridhar Pujari. Int J Contemp Pediatr. 2018;5 May(3):1008-12.
http://www.ijpediatrics.com/index.php/ijcp/article/view/1473
http://dx.doi.org/10.18203/2349-3291.ijcp20181531
Anaphylaxis and Angioedema: A of ABC means Adrenaline First: Airway comes Later. Gohil JR, Agarwal TS. J Assoc Physicians India. 2018 Oct;66:97..
Levetiracetam Adverse reaction : Pancytopenia. Gohil JR, Agarwal TS. J Pediatr Neurosci 2018;13(1):116-7. http://www.pediatricneurosciences.com/article.asp?issn=1817-1745;year=2018;volume=13;issue=1;spage=116;epage=117;aulast=Gohil
Cardio-toxicity associated with Midazolam in a patient with Diphtheria. Gohil J R, Jindal Sonal V. Current Drug Safety. 2019;14(1):57-59. doi.org/10.2174/1574886313666181105122154
Cord Blood Albumin as A Predictor of Neonatal Hyperbilirubinemia: A Prospective Open Label Study. HR Chauhan, AN Parekh, JR Gohil. National J Integrated Research in Medicine 2018;8 (5):41-43. http://www.nicpdjournals.com/?mno=284690
Pediatrics dept Bhavnagar Dissertation List
Thursday, July 13, 2017
Papers 2017
Intrathechal vs. Intramuscular Human Tetanus Immunoglobulin in Pediatric Tetanus: A Retrospective Study
Objective To evaluate the effect of intrathecal vs.
intramuscular tetanus immunoglobulin therapy on hospital stay and mortality in
pediatric tetanus patients admitted to a tertiary care hospital.
Methods Retrospective analysis of hospital records of
tetanus cases to the pediatric ward during two year period from march
2012 to february 2014 was done.
All patients were managed as per pre-existing unit protocol. Group A received Human tetanus immunoglobulin
(TIG) 250 unit via the Intrathecal route preceded by IV ketamine (1 mg/kg) for
proper relaxation to ease the procedure and the group B was given TIG 750 unit
via intramuscular route. Whether to give TIG by Intrathecal or intramuscular
route was decided according to the treating unit’s protocol. Information
regarding– sex, age, immunization status, mode of infection, grade of tetanus,
outcome and hospital stay was recorded in the two groups.
Results After excluding Neonatal tetanus cases there were 40
patients aged between 1 to 12 years during the two year study period. Out of
40, group A had 15 patients (intrathecal route) and group B had 25
(intramuscular route). Mortality and hospital stay was found to be numerically less,
but statistically not significant, in group A (26.67%; 12.4 ±2.25days) as
compared to group B (28%:15.4 ± 1.69 days).
Conclusion We found no significant difference between intrathecal
immunoglobulin and intramuscular immunoglobulin therapy in management of pediatric
tetanus in terms of mortality and hospital stay.
Friday, January 6, 2017
Tuesday, September 13, 2016
Papers Published 2016
The effects of Music Therapy on Vital signs, Weight, and Well being ofPremature infants
Mehta Rajeshri R, Gohil Jayendra R, Patel Rhushita M, Agarwal Tushar
Indian
Journal of Maternal fetal Neonatal Medicine. 2016(2,07-12);3:73-9.
Redflower
publication PLtd
http://dx.doi.org/10.21088/ijmfnm.2347.999X.3216.32016/12
Hassan Heena R, Gohil Jayendra R, Desai Rihan, Mehta
Rajeshri R, Chaudhary Varunashree P.
2016/9 Journal of Clinical
Neonatology Vol 5;3:193-8.
Saudi
Neonatology Society
Headband Sign on MRI: An unusual finding of Scurvy in a 5y child described first time |
Subscribe to:
Comments (Atom)