The Incubator

Send us a textIn this episode of "The Incubator," hosts Ben Courchia and Daphna interview Dr. John Costello from the Medical University of South Carolina. Dr. Costello discusses his upcoming "Year in Review" presentation on pediatric neonatal cardiac critical care at the NeoHeart conference.He highlights new recommendations for pediatric cardiac surgery centers in the U.S., including a two-tier system of "essential" and "comprehensive" programs. Dr. Costello explains the potential impact of these guidelines on patient care and healthcare system organization.The conversation also touches on ongoing research needs in cardiac critical care, particularly the importance of understanding adverse maternal-fetal environments and their effects on neonates with congenital heart disease. Dr. Costello emphasizes the need for better risk adjustment models that incorporate prenatal factors.The hosts and guest discuss the challenges of summarizing a year's worth of research and the excitement surrounding new developments in the field. 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!

Send us a textIn this episode of "The Incubator" at NeoHeart 2024, hosts Ben and Daphna interview Dr. Sujata Chakravarti from the pediatric cardiac critical care unit at NYU Langone Health.Dr. Chakravarti discusses her upcoming panel session on complex neonatal conditions like esophageal atresia, congenital diaphragmatic hernia, and giant omphalocele. She emphasizes the importance of understanding these conditions' impact on cardiac outcomes and the need for multidisciplinary care.The conversation highlights the evolving understanding of organ interconnectedness in neonatal care and the benefits of early cardiac team involvement in non-cardiac conditions. Dr. Chakravarti also mentions her interest in the conference's session on pulmonary vein stenosis.Additionally, she briefly discusses NYU's exciting work in neonatal and infant heart transplantation, noting the excellent long-term outcomes for young transplant recipients.The episode underscores the importance of collaborative, multidisciplinary approaches in neonatal cardiac care and the ongoing advancements in the field. 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!

Send us a textIn this episode of "The Incubator" at the NeoHeart conference, hosts Ben and Daphna interview Dr. Martina Steurer, a pediatric critical care specialist and neonatologist, and Dr. Shabnam Peyvandi, a pediatric cardiologist, both from UCSF Benioff Children's Hospital.The guests discuss their upcoming talks: Dr. Steurer on improving risk adjustment for neonatal cardiac surgery, and Dr. Peyvandi on factors influencing fetal brain development in congenital heart disease. They emphasize the importance of neurodevelopmental outcomes in cardiac care and the need to consider prenatal factors in risk assessment.The conversation highlights the value of multidisciplinary collaboration in improving patient care. The guests share their experiences working together at UCSF, co-authoring papers, and how their partnership has enhanced both clinical practice and research. They also touch on their ongoing work regarding social determinants of health in cardiac outcomes.The episode underscores the evolving focus on neurodevelopment in neonatal cardiac care and the benefits of cross-specialty collaboration. 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!

Send us a textThis episode of "The Incubator" is recorded at the NeoHeart conference, featuring hosts Ben Courchia, Rune Toms, and Daphna. They discuss the conference's main theme: breaking down silos between cardiac ICU, pediatric cardiology, surgery, and neonatology to optimize care for complex neonatal cardiac patients.The hosts highlight recent podcast interviews with experts in the field and emphasize the importance of considering long-term neurodevelopmental outcomes for cardiac patients. They discuss the conference's focus on congenital heart disease and brain development, noting the significance of collaboration across specialties.The episode previews upcoming conference sessions, including discussions on right ventricular issues, bronchopulmonary dysplasia, and pulmonary hypertension. They also mention year-in-review talks and pro-con debates scheduled for the day.Throughout the conversation, the hosts express excitement about the advancements in neonatal cardiac care and the potential for improved patient outcomes. 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!

Send us a textThis special episode of The Incubator features guest co-hosts Dr. Amir Ashrafi and Dr. Nim Goldshtrom interviewing Dr. Gil Wernovsky, a pioneer in the field of pediatric cardiac intensive care. The discussion focuses on the evolution of neonatal cardiac care and the upcoming Neoheart 2024 conference.Dr. Wernovsky reflects on the history of pediatric cardiac intensive care, highlighting key developments like surfactant therapy and prostaglandin treatment that revolutionized care for neonates with heart disease. He emphasizes the importance of cross-disciplinary collaboration between neonatologists, cardiologists, and other specialists to provide comprehensive care for these complex patients.The conversation explores the challenges of training future specialists in this field, advocating for dual board certification and early exposure for residents. Dr. Wernovsky stresses the need for understanding both anatomy and physiology in managing neonatal cardiac patients.The hosts and guest discuss the upcoming Neoheart 2024 conference in New York City as an opportunity for professionals to network, share knowledge, and advance the field of neonatal cardiac care. They also highlight available fellowship opportunities for those interested in pursuing specialized training in this area. 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!

Send us a textThis special edition of The Incubator podcast features a neonatal cardiology journal club discussion hosted by Dr. Nim Goldshtrom and Dr. Adrienne Bischoff. The episode covers several recent studies in neonatal hemodynamics and congenital heart disease, providing insights for clinicians and researchers in the field.Key topics include:The impact of early hemodynamic screening on outcomes in extremely preterm infantsUpdated guidelines for targeted neonatal echocardiographyThe relationship between patent ductus arteriosus and bronchopulmonary dysplasia-associated pulmonary hypertensionUse of vasopressin in newborns with refractory acute pulmonary hypertensionResponse to inhaled nitric oxide in extremely premature infantsPlacental pathology's contribution to brain development in neonates with congenital heart diseasePerioperative brain injury and early neurodevelopment in children with severe congenital heart diseaseThe hosts discuss the clinical implications of these studies and their potential impact on neonatal care. They also highlight the upcoming NeoHeart Conference, encouraging listeners to attend and engage with experts in the field.This episode provides a comprehensive overview of current research in neonatal cardiology, making it valuable for professionals seeking to stay updated on the latest developments in this specialized area. 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!

Send us a textResponse categorization and outcomes in extremely premature infants born at 22-26 weeks gestation that received inhaled nitric oxide for hypoxic respiratory failure.Boly TJ, Dagle JM, Klein JM, Rios DR, McNamara PJ, Giesinger RE.J Perinatol. 2023 Mar;43(3):324-331. doi: 10.1038/s41372-022-01582-4. Epub 2022 Dec 12.PMID: 36509816 Free PMC article.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!

Send us a textPlacental Pathology Contributes to Impaired Volumetric Brain Development in Neonates With Congenital Heart Disease.Nijman M, van der Meeren LE, Nikkels PGJ, Stegeman R, Breur JMPJ, Jansen NJG, Ter Heide H, Steenhuis TJ, de Heus R, Bekker MN, Claessens NHP, Benders MJNL; CHD LifeSpan Study Group ‡.J Am Heart Assoc. 2024 Mar 5;13(5):e033189. doi: 10.1161/JAHA.123.033189. Epub 2024 Feb 29.PMID: 38420785 Free PMC article.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!

Send us a textPerioperative Brain Injury in Relation to Early Neurodevelopment Among Children with Severe Congenital Heart Disease: Results from a European Collaboration.Neukomm A, Claessens NHP, Bonthrone AF, Stegeman R, Feldmann M, Nijman M, Jansen NJG, Nijman J, Groenendaal F, de Vries LS, Benders MJNL, Breur JMPJ, Haas F, Bekker MN, Logeswaran T, Reich B, Kottke R, Dave H, Simpson J, Pushparajah K, Kelly CJ, Arulkumaran S, Rutherford MA, Counsell SJ, Chew A, Knirsch W, Sprong MCA, van Schooneveld MM, Hagmann C, Latal B; European Association Brain in Congenital Heart Disease (EU-ABC) consortium.J Pediatr. 2024 Mar;266:113838. doi: 10.1016/j.jpeds.2023.113838. Epub 2023 Nov 22.PMID: 37995930 Free article.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!

Send us a textImpact of early screening echocardiography and targeted PDA treatment on neonatal outcomes in "22-23" week and "24-26" infants.Giesinger RE, Hobson AA, Bischoff AR, Klein JM, McNamara PJ.Semin Perinatol. 2023 Mar;47(2):151721. doi: 10.1016/j.semperi.2023.151721. Epub 2023 Mar 5.PMID: 36882362As 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!