The Incubator #206 - π Journal Club - The Complete Episode (May 5 2024)
In this episode of The Incubator Journal Club, Ben and Daphna discuss several recent neonatology papers. They review a NEJM trial on nutritional support strategies for moderate to late preterm infants, finding no effects on time to full feeds or body composition at 4 months. Next, they discuss a study on umbilical cord blood cultures for early onset sepsis, noting good concordance with neonatal blood cultures. A Japanese retrospective study found erythropoietin use was associated with increased ROP risk but decreased NEC and mortality. However, the hosts caution about limitations in EPO dosage data and variation between centers. They then discuss a trial showing breast milk enemas reduce time to meconium evacuation and full feeds compared to saline enemas in preterm infants. A paper from Nationwide Children's reports good outcomes managing BPD without routine blood gases, potentially saving costs. Lastly, a study suggests transcutaneous bilirubinometry may safely monitor rebound hyperbilirubinemia after phototherapy. Throughout the discussion, Ben and Daphna provide insightful analysis of each study's strengths, limitations, and implications for practice. They also highlight their upcoming 3-year podcast anniversary, announcing a special giveaway and listener survey.
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!