#196 - π Journal Club - The latest research in neonatology (March 24 2024)
Mar 24, 2024
01:05:10
auto_awesome Snipd AI
Guest James Roberts, Founder of the MOM Incubator, discusses the impact of his mobile incubator system. Topics include parent communication in neonatal care, achievements of the MOM Incubator Project, integration into NHS, and research on neonatal intubation practices.
Read more
AI Summary
AI Chapters
Episode notes
auto_awesome
Podcast summary created with Snipd AI
Quick takeaways
Proper endotracheal tube sizing crucial in neonatal intubations for successful outcomes.
Variability in adherence to NRP guidelines observed, especially in specific weight ranges.
Predictive model utilizing neonatal markers aids in identifying congenital CMV infection sequelae risk for personalized care.
Deep dives
Effectiveness of Endotracheal Tube Size Adjustments on Neonatal Intubation
The study compared weight-based endotracheal tube size thresholds for neonates undergoing intubation to the NRP recommendations. It found 80% adherence to the NRP guidelines, with variability noted in certain weight ranges. Downsizing the tube was common, and instances of needing to upsize within seven days were evaluated to assess successful intubation outcomes.
Success and Varied Adherence to NRP Intubation Recommendations
Most cases aligned with NRP recommendations, with adherence ranging from 46% to 100% across different sites. Variability was more pronounced in weight groups just above NRP cut points. Instances of tube downsizing and upsizing within seven days were observed, shedding light on effective intubation practices.
Clinical Implications and Key Findings from Neonatal Intubation Study
The study highlighted the importance of proper endotracheal tube sizing in neonatal intubation. Variability in adherence to guidelines was evident, particularly in specific weight ranges. Understanding when to downsize or upsize tubes within a seven-day window provided valuable insights into optimizing successful intubation outcomes.
ET Tube Size Selection in Neonatal Intubations
In neonatal intubations, the selection of endotracheal (ET) tube sizes deviated from recommendations, with initial sizes being downsized in 5% and upsized in only 1.5% of cases. Notably, a 3.0 ET tube was often downsized for infants weighing 1,000 to 1,200 grams, showing the challenge in selecting appropriate tube sizes.
Congenital CMV Infection Outcome Prediction Model
A predictive model based on neonatal markers like normal hearing at birth, platelet count, and cranial ultrasound identified infants with no risk of congenital CMV infection sequelae and reduced risk of hearing loss. This model offers personalizing care pathways for congenital CMV neonates for improved parental counseling.
In this episode, Ben and Daphna review the latest research on neonatal hyperbilirubinemia, optimistic vs. pessimistic prognostic communication, endotracheal tube sizing, intimate partner violence screening, and congenital CMV outcomes. They also welcome back James Roberts, the founder of the MOM Incubator, to discuss the progress and impact of his innovative mobile incubator system.
As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.
Enjoy!
Get the Snipd podcast app
Unlock the knowledge in podcasts with the podcast player of the future.
AI-powered podcast player
Listen to all your favourite podcasts with AI-powered features
Discover highlights
Listen to the best highlights from the podcasts you love and dive into the full episode
Save any moment
Hear something you like? Tap your headphones to save it with AI-generated key takeaways
Share & Export
Send highlights to Twitter, WhatsApp or export them to Notion, Readwise & more
AI-powered podcast player
Listen to all your favourite podcasts with AI-powered features
Discover highlights
Listen to the best highlights from the podcasts you love and dive into the full episode