Dr Jeffrey Kalei

Dr Jeffrey Kalei

Author and illustrator for Hyperexcision. Interested in emergency room medicine. I have a passion for medical education and drawing.

Meconium Aspiration Syndrome (MAS)

Meconium aspiration syndrome is a serious condition that is caused by aspiration of amniotic fluid containing meconium, leading to complete or partial airway obstruction, chemical pneumonitis, and surfactant dysfunction. This results in severe respiratory distress. It commonly occurs in significant…

Continuous Positive Airway Pressure (CPAP)

Continuous positive airway pressure (CPAP) is a non-invasive ventilation that delivers constant positive pressure throughout inspiration and expiration. This helps to maintain end-expiratory alveolar pressure, preventing atelectasis and improving gas exchange. It is administered to a spontaneously breathing patient –…

Bronchopulmonary dysplasia

Bronchopulmonary dysplasia is a chronic lung disease affecting premature infants. It is characterised by parenchymal lung injury and arrested lung development. It is diagnosed in: Severity is assessed at 36 weeks postmenstrual age Severity Description Mild No supplemental oxygen required…

Jaundice Related to Breastfeeding

Breast Milk Jaundice Breast milk jaundice is caused by an enzyme in breast milk that delays bilirubin conjugation. The enzyme Beta Glucuronidase contained in breast milk promotes enterohepatic circulation by causing de-conjugation of bilirubin and reabsorption. It is essentially a…

Breastfeeding Dilemmas

Nipple tenderness Nipple tenderness is very common in the first week. It can be exacerbated by soaps and fabrics that irritate the skin. Insufficient milk “Not enough milk for the baby.” The best indicator that the baby is getting enough…