The Incubator #263 - 🟢 [HOT TOPICS 2024] - Innovations in Neonatal Care and Equity with Dr. Jochen Profit
9 snips
Dec 11, 2024 AI Snips
Chapters
Transcript
Episode notes
Aggressive Early Noninvasive Strategy
- Angela Kripps described using high flow-driven support (Benavista valve) and early aggressive inflation for 22–23 weekers with many off ventilators and low BPD rates.
- She reported some pneumothoraces and spontaneous intestinal perforation but overall impressive survival and single-digit BPD outcomes.
Real-Time Lung Imaging With EIT
- Electrical impedance tomography (EIT) now offers relatively non-invasive, real-time lung monitoring via a chest strap in neonates.
- EIT could guide ventilation decisions, reduce x-rays, and has expanding applications from delivery room to long-term ventilation.
Bundle-Based Care For Extreme Prematurity
- Many centers present 'bundles' or philosophies (Cologne, Iowa, Japan) for extreme prematurity rather than single interventions.
- Different bundles vary widely, so local adaptation and inventory of resources and population matters more than copying another center wholesale.