Thanks so much Amanda. We have been planning a series of 4 lectures on jaundice, but we haven't quite filmed them yet! One specifically will be on immune hemolysis. Thank you so much for continuing to watch and for your suggestions!!
Hello Geri! Such a loaded question and the answer is- we don't really know. In adult data it seems pretty obvious that we should avoid transfusions until deathly necessary. But in neonates the answers are not so clear. It really depends on how sick the kid is- roughly I go by these: If infant is SICK- pressers/ iNO/ oliguric etc- then I use a minimum Hct 35 If infant micro preemie and on a vent- then ~30 If infant is a feeder grower on CPAP then ~25 (don't want it getting < 24 because of concerns for NEC) And if an infant is just on RA feeding growing then maybe 21 Obviously if infant symptomatic at all (not growing, tachycardia etc etc- then the numbers change). Really it depends on what YOUR patients looks like!
Hi Dr. Tala! Thanks for the awesome videos! Question: why can’t the antibodies that are created in mothers with blood type A or B cross the placenta, but the antibodies created in blood type O mothers can cross the placenta? If you can further elaborate on this, would be great!
Hello! Thank you for your comments. O mothers produce IgG antibodies and A and B mothers produce IgM antibodies which don't cross. I don't know the actual pathways that are followed for why this happens (not that relevant to what we do now!) but I'm sure there's an interesting explanation!!
Loving your videos! Great quick review!
So happy you're enjoying them! Thanks so much for watching as well as commenting Kelly!
Watching all your videos and taking notes - Day 3!
Oh wow! Thank you! Appreciate your time and patience!
You’re a fountain of knowledge
That's one of the nicest compliments ever!
That’s sooooo easy and cool way to remember ❤
Oh yay! So glad you found it helpful!!!! Thank you :)
I love listening to your lectures! I would love to learn more about immune hemolysis ☺️
Thanks so much Amanda. We have been planning a series of 4 lectures on jaundice, but we haven't quite filmed them yet! One specifically will be on immune hemolysis. Thank you so much for continuing to watch and for your suggestions!!
Thanks
Thank you for being here!
ما شاء اللة. بارك اللة فيكم
Thank you
Thank you
Thank you so much for continuing to watch!
loving your lecture. what usually your category of anemia before giving blood transfusion to a neonate? thank you in advance.
Hello Geri! Such a loaded question and the answer is- we don't really know. In adult data it seems pretty obvious that we should avoid transfusions until deathly necessary. But in neonates the answers are not so clear. It really depends on how sick the kid is- roughly I go by these:
If infant is SICK- pressers/ iNO/ oliguric etc- then I use a minimum Hct 35
If infant micro preemie and on a vent- then ~30
If infant is a feeder grower on CPAP then ~25 (don't want it getting < 24 because of concerns for NEC)
And if an infant is just on RA feeding growing then maybe 21
Obviously if infant symptomatic at all (not growing, tachycardia etc etc- then the numbers change).
Really it depends on what YOUR patients looks like!
Hi Dr. Tala! Thanks for the awesome videos!
Question: why can’t the antibodies that are created in mothers with blood type A or B cross the placenta, but the antibodies created in blood type O mothers can cross the placenta? If you can further elaborate on this, would be great!
Hello! Thank you for your comments. O mothers produce IgG antibodies and A and B mothers produce IgM antibodies which don't cross. I don't know the actual pathways that are followed for why this happens (not that relevant to what we do now!) but I'm sure there's an interesting explanation!!
make video on IVH in neonate your videos are just hope for me now #nainannn
Hello- we have already covered IVH- I think there's a way to search the actual channel? We hope it helps. Again, we really appreciate your support :)