The Incubator

#260 - 📑 Journal Club - The Complete Episode from December 1st 2024

17 snips
Dec 1, 2024
Dr. Sarah Neches, a physician at Seattle Children's Hospital, discusses a groundbreaking neonatal intubation study, while Dr. Rebecca Shea from Children's Hospital of Colorado shares insights on a trial comparing video and direct laryngoscopy techniques, enhancing procedural success rates. Dr. Brett Manley, a professor focused on newborn research, dives into his randomized clinical trial examining intratracheal pitacinide. The podcast explores innovative practices and vital research aimed at improving outcomes for vulnerable newborns.
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INSIGHT

Steroid Impact on CP and BPD

  • Postnatal corticosteroids' effects on cerebral palsy (CP) are linked to BPD risk.
  • Higher BPD risk means greater CP benefit, especially with dexamethasone.
INSIGHT

Dexamethasone and BPD Risk

  • Dexamethasone benefits infants with high BPD risk (over 70%).
  • It can harm infants with low BPD risk (under 30%), unlike hydrocortisone.
ADVICE

Dexamethasone Use Recommendations

  • Use systemic postnatal dexamethasone for preterm infants with a high BPD risk.
  • Avoid it in infants with low BPD risk; more research is needed on hydrocortisone.
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