🏥
NeoGuide CDS
Neonatal Clinical Decision Support • India
📋 Step 1 — Select Guideline
🟡 Neonatal Jaundice
Hyperbilirubinemia management ≥23 weeks GA
🔴 Neonatal Hypoglycaemia
NNF India blood glucose management protocol
🟠 Neonatal Shock
NNF India shock diagnosis & management protocol
🔵 CDH Prenatal Risk
Risk stratification & antenatal counseling (WJPS 2024)
🫁 CDH Cardiorespiratory
Postnatal ventilation & hemodynamic management (Foth et al. 2025)
💨 Apnea of Prematurity
NNF/IAP India – caffeine, respiratory escalation & monitoring (2026)
🫁 Neonatal RDS
European Consensus Guidelines – surfactant, CPAP & respiratory management (2025)
🧬 Inborn Errors of Metabolism
Neonatal acute presentation, GALAK diagnosis & emergency management — fully source-cited (2025)
🟡 Jaundice Assessment
Guideline Source
AAP 2022
NICE 2023
Gestational Age (weeks)
Birth Weight (kg)
Date & Time of Birth
Current Bilirubin (mg/dL)
Current Sample Date & Time
Previous Bilirubin (mg/dL) — optional
Previous Sample Date & Time
Risk Factor for Neurotoxicity
Has neurotoxicity risk factors?
ℹ️ Includes: Rh/ABO isoimmunisation, G6PD deficiency, perinatal asphyxia, sepsis, low albumin (<3 g/dL), acidosis
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🔴 Hypoglycaemia Assessment
Gestational Age (weeks)
Birth Weight (kg)
Day of Life
Blood Glucose (mg/dL)
Feeding Status
Breastfeeding
Formula
Mixed
NPO
IV Fluids
Symptoms
Jitteriness
Lethargy
Seizures
Poor feeding
Apnea
Hypothermia
Risk Factors
SGA
IDM
Asphyxia
Sepsis
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🟠 Shock Assessment
Gestational Age (weeks)
Birth Weight (kg)
Postnatal Age (hours)
Mean Arterial Pressure — MAP (mmHg)
Shock Type / Etiology
— Select if known —
Septic Shock
Transitional (Preterm)
Cardiogenic — Perinatal Asphyxia
Cardiogenic — PDA
Hypovolemic / Hemorrhagic
Undifferentiated
Signs of Hypoperfusion
CRT > 3s
UO < 1 mL/kg/h
Lactate > 3
BD > 8
Temp gap > 3°C
Additional Status
Fluid-refractory
On vasopressor
🫀 Echocardiography (optional)
Fractional Shortening (%)
Cardiac Output (mL/kg/min)
IVC Collapsibility Index (%)
TAPSE (mm)
Echo-confirmed hsPDA
Valve Regurgitation
— Not assessed —
None
Mild
Moderate
Severe
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🔵 CDH Prenatal Risk Stratification
CDH Side *
Left-sided (85%)
Right-sided (13%)
Bilateral (2%)
GA at Diagnosis (weeks)
o/e LHR (%)
Liver Position
Unknown
Down (intra-abdominal)
Up (intrathoracic)
Liver ≥ 1/3 thorax
Stomach herniated (intrathoracic)
🧲 MRI Parameters (optional)
o/e TFLV (%)
%LH by MRI
PPLV (%)
LiTR (%)
🧬 Genetics & Anomalies (optional)
Genetic/chromosomal anomaly
Genetic Details
Associated cardiac anomaly
Other severe malformation
Anomaly Details
➕ Additional Findings (optional)
Polyhydramnios
Fetal echo completed
LV hypoplasia on echo
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🫁 CDH Postnatal Cardiorespiratory Assessment
GA (weeks) *
Weight (kg) *
Postnatal Age (hours) *
CDH Side *
Left-sided
Right-sided
Bilateral
CDH repair already performed
🌬️ Current Ventilation Settings
Ventilation Mode
— Select —
CMV (Conventional)
HFOV
HFJV
CPAP
Spontaneous / Room air
FiO₂ (%)
PIP (cmH₂O)
PEEP (cmH₂O)
MAP (cmH₂O)
Vt (mL/kg)
🩸 Blood Gases & Oxygenation
PaCO₂ (mmHg)
pH
PaO₂ (mmHg)
Lactate (mmol/L)
Base Deficit (mmol/L)
Pre-ductal SpO₂ (%)
Post-ductal SpO₂ (%)
🫀 Echocardiography (strongly recommended)
LV Function
— Not assessed —
Normal
Depressed
RV Function
— Not assessed —
Normal
Depressed
Dilated
PH Severity
— Not assessed —
None
Mild
Moderate
Severe
PH Type
— Not assessed —
Pre-capillary
Post-capillary
Mixed
Unknown
PDA Present
— Not assessed —
Yes
No
PDA Shunt Direction
— N/A —
Right-to-Left
Bidirectional
Left-to-Right
TR Jet Velocity (m/s)
LV FS (%)
💊 Current Therapies
iNO
Sildenafil
Milrinone
PGE1
Vasopressor
Levosimendan
iNO Dose (ppm)
Vasopressor Type
— Select —
Norepinephrine (preferred)
Epinephrine
Dopamine
Vasopressin
📋 Clinical Status
ECMO being considered
Surfactant given
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💨 Apnea of Prematurity Assessment
Gestational Age (weeks)
Birth Weight (kg)
Day of Life
Apnea Episodes in Last 24 Hours
Longest Episode Duration (seconds)
Heart Rate During Event (bpm)
SpO₂ During Event (%)
Intervention Required
Tactile Stimulation
Supplemental O₂
Bag-Mask Ventilation (PPV)
Current Treatment
On Caffeine
On Respiratory Support
Caffeine Dose (mg/kg/day) — if on caffeine
Respiratory Support Type
None
Supplemental O₂
HHFNC
CPAP
NIPPV
Mechanical Ventilation
🔬 Secondary Cause Evaluation (optional)
Secondary causes evaluated
Secondary Cause Found
— None / Not applicable —
Sepsis
NEC
IVH
Metabolic disorder
PDA
Anemia
GER
Seizures
Maternal drugs
Airway obstruction
Birth asphyxia
Thermal instability
Hemoglobin (g/dL)
Post-Menstrual Age — PMA (weeks)
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🫁 RDS Assessment
Gestational Age (weeks)
Birth Weight (kg)
Hours Since Birth
Clinical Phase *
Prenatal
Delivery Room
Postnatal
Current FiO₂ (%)
Respiratory Support
None
CPAP
NIPPV
HFNC
CMV (Conventional MV)
VTV
HFOV
CPAP / MAP Pressure (cmH₂O)
Pre-ductal SpO₂ (%)
🩸 Blood Gases (optional)
PaCO₂ (mmHg)
pH
Base Deficit (mmol/L)
Surfactant Status
Surfactant Given
Surfactant Doses Given
Surfactant Type
— Not specified —
Poractant alfa (Curosurf)
Beractant (Survanta)
Bovactant (Alveofact)
Current Treatment
On Caffeine
Caffeine Loading Given
On Mechanical Ventilation
Tidal Volume (mL/kg) — if on MV
MV Duration (days)
🤰 Prenatal Interventions (optional)
Antenatal Steroids Given
Full Course Completed
MgSO₄ for Neuroprotection
Deferred Cord Clamping (≥60s)
Spontaneously Breathing
Temperature (°C)
🫀 PDA & Diagnostics (optional)
PDA Present
Hemodynamically Significant PDA
LUS Confirms RDS
CXR Shows Ground Glass / Air Bronchograms
On Postnatal Steroids
Postnatal Steroid Type
— Not specified —
Dexamethasone
Hydrocortisone
BPD Risk (%)
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🧬 Inborn Errors of Metabolism
Gestational Age (weeks) *
Weight (kg) *
Day of Life
Clinical signs
Encephalopathy
Seizures
Refractory seizures
Poor feeding / vomiting
Symptom-free interval
Hepatomegaly
Liver failure / cholestasis
Cardiomyopathy / arrhythmia
Dysmorphism
Peculiar odour
Cataract
Abnormal movements
None / not assessed
Boxing / pedalling (MSUD-type)
Fast abnormal (OA-type)
Myoclonic / hiccups (NKH-type)
Tone
Not assessed
Normal
Hypotonia
Hypertonia
High index of suspicion (history)
Consanguinity
Prior sibling death / miscarriage
Maternal HELLP / AFLP
Decompensation with illness
GALAK biochemistry
Glucose (mg/dL)
Ammonia (µmol/L)
pH
Bicarbonate (mmol/L)
Anion gap (mmol/L)
Lactate (mmol/L)
Urine ketones
Not assessed
None
Trace
Moderate
Large
Blood ketones (mmol/L)
🔬 Supporting labs (optional)
Blood urea / BUN (mg/dL)
CK (U/L)
Uric acid (mg/dL)
Calcium (mg/dL)
Urine orotic acid
Not assessed
Elevated
Normal
Low
Neutropenia
Thrombocytopenia
Urine reducing substances
💉 Current management (optional)
Feeds / protein already stopped
On IV dextrose
Current GIR (mg/kg/min)
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📊 Clinical Assessment
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