#168 - 🔵 Managing Respiratory Distress Series - Episode 1 with Dr. Richard Polin

Dec 17, 2023

Dr. Richard Polin, a distinguished neonatologist and professor at Columbia University known for his contributions to neonatal respiratory care, shares crucial insights on managing respiratory distress in newborns. He discusses the differences between flow and pressure in respiratory support, along with advancements like CPAP and surfactant therapy. The importance of thorough maternal history and the art of clinical observation are highlighted, showcasing how these impact patient care strategies. This dialogue provides a blend of innovative practices and clinical wisdom for healthcare professionals.

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INSIGHT

Common Causes of Respiratory Distress

Neonatal respiratory distress often stems from slow transitional physiology rather than pathology.
Pathologic causes include delayed lung fluid reabsorption, respiratory distress syndrome, and congenital malformations.

ADVICE

Stabilize Then Diagnose

Stabilize neonates in respiratory distress initially with minimal respiratory support like CPAP.
Then evaluate with diagnostic tests to tailor further interventions based on probable pathology.

ADVICE

Value Maternal History Clues

Take thorough maternal and delivery history to discern infection, meconium aspiration, prematurity, or other causes.
This informs the differential and guides neonatal respiratory care approaches effectively.

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Welcome to the first episode of our special series, "Managing Respiratory Distress," on "The Incubator Podcast." In this episode, we are honored to host Dr. Richard Polin, a luminary in the field of neonatology. Dr. Polin, the William T. Speck Professor of Pediatrics at Columbia University and a celebrated figure with numerous accolades including the Apgar Award, shares his profound insights on neonatal respiratory care.

This episode primarily focuses on the critical aspects of managing respiratory distress in neonates, a prevalent and challenging condition in neonatal intensive care units. We delve deep into the nuances of respiratory support, discussing the crucial differences and impacts of flow versus pressure. Dr. Polin's expertise illuminates the conversation, offering a blend of theoretical knowledge and practical experience.

Listeners will gain an understanding of the latest approaches in neonatal respiratory care, guided by Dr. Polin's extensive research and clinical practice. The episode covers various topics, including innovative treatment methodologies, patient care strategies, and the evolution of neonatal care over the years.

This series promises to be an invaluable resource for healthcare professionals, offering insights into the latest evidence and practices in the care of critically ill newborns. Dr. Polin's contribution to this episode not only educates but also inspires, reflecting his significant impact on the field of neonatology.

Join us in this enlightening discussion with Dr. Richard Polin as we explore the frontiers of neonatal care, offering hope and advanced care strategies for our most vulnerable patients

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!