Topics discussed include the consequences of inadequate sleep for neonatologists, comparing nasal CPAP and high flow nasal cannula in infants, the impact of birth weight and growth velocity on neurodevelopmental outcomes, interventions to reduce brain injury in preterm neonates, a meta-analysis of perinatal interventions, controversy around endomethicin prophylaxis, and genetic findings in infants with non-HIE neonatal encephalopathy.
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Quick takeaways
Sleep deprivation among neonatologists poses risks to their health and patient safety.
No significant difference in feeding intolerance between nasal CPAP and heated humidified high flow nasal cannula (HFNC).
Careful consideration should be given to the indications and duration of early antibiotic therapy.
Deep dives
Summary of Podcast Episode
In this episode, the hosts discuss the importance of sleep in neonatologists and the potential consequences of sleep deprivation. They highlight the risks associated with inadequate sleep, including motor vehicle crashes, medical errors, decreased productivity, impaired cognitive performance, and increased risk of chronic diseases and mental health problems. They emphasize the need for neonatologists to prioritize and regulate their shift duration to ensure both their own health and the safety of their patients.
Summary of Paper 1
The paper examines the impact of nasal CPAP versus heated humidified high flow nasal cannula (HFNC) on feeding intolerance in preterm infants with respiratory distress syndrome. The study finds that there is no significant difference in feeding intolerance between the two interventions. The authors recommend tailoring respiratory care based on efficacy and patient compliance, regardless of its effects on feeding intolerance.
Summary of Paper 2
The study explores the relationship between early antibiotic use and neonatal outcomes in preterm infants without infections. It reveals that early antibiotic use is prevalent but not associated with improved neonatal outcomes. The authors suggest that careful consideration should be given to the indications and duration of early antibiotic therapy to minimize potential harms.
The impact of birth weight on neurodevelopmental outcomes
The podcast episode discusses a study that explored the relationship between birth weight and neurodevelopmental outcomes in children. The study found that children with a birth weight below the 25th percentile had lower cognitive scores compared to those with higher birth weight z scores. The study also investigated the association between growth velocity and birth weight z score, revealing that increased growth velocity was beneficial for cognitive scores, particularly in children with birth weight z scores below the 25th percentile.
The role of antibiotics in neonatal encephalopathy
The podcast episode highlights a study that examined the use of antibiotics in infants with neonatal encephalopathy not due to hypoxic-ischemic encephalopathy (HIE). The study found that early antibiotic use was associated with an increased risk of bronchopulmonary dysplasia (BPD) and late antibiotic use. The study also emphasized the importance of antimicrobial stewardship to reduce overall antibiotic use in the NICU and improve neonatal outcomes. The findings suggest that avoiding prolonged and broad-spectrum antibiotic use among non-critical infants may have positive impacts on neurodevelopment and antibiotic usage.
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! _____________________________________________________________________________________ Show notes and articles can be found on our website: http://www.the-incubator.org/140/
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!
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