The Incubator

Send us a textThe longitudinal assessment of prenatal cannabis use on neonatal outcomes.Habersham LL, Hurd YL, Nomura Y.J Perinatol. 2024 Jun 18. doi: 10.1038/s41372-024-02027-w. Online ahead of print.PMID: 38890400As 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 textEarly Antibiotic Exposure and Bronchopulmonary Dysplasia in Very Preterm Infants at Low Risk of Early-Onset Sepsis.Shi W, Chen Z, Shi L, Jiang S, Zhou J, Gu X, Lei X, Xiao T, Zhu Y, Qian A, Zhou W, Lee SK, Du L, Yang J, Ma X, Hu L; Chinese Neonatal Network.JAMA Netw Open. 2024 Jun 3;7(6):e2418831. doi: 10.1001/jamanetworkopen.2024.18831.PMID: 38935376 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 textShould neonatal-perinatal medicine move to two-year fellowships?Shah S, Myers P, Enciso JM, Davis AS, Crouch EE, Scheurer AM, Song C, Lakshminrusimha S.J Perinatol. 2024 Jun 8. doi: 10.1038/s41372-024-02020-3. Online ahead of print.PMID: 38851854 Review.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 textTrends in C-Reactive Protein Use in Early-Onset Sepsis Evaluations and Associated Antibiotic Use.Barboza AZ, Flannery DD, Shu D, Galloway M, Dhudasia MB, Bonafide CP, Benitz WE, Gerber JS, Mukhopadhyay S.J Pediatr. 2024 Jun 18:114153. doi: 10.1016/j.jpeds.2024.114153. Online ahead of print.PMID: 38901777As 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 textTwo-Year Outcomes of Umbilical Cord Milking in Nonvigorous Infants: A Secondary Analysis of the MINVI Randomized Clinical Trial.Katheria AC, El Ghormli L, Clark E, Yoder B, Schmölzer GM, Law BHY, El-Naggar W, Rittenberg D, Sheth S, Martin C, Vora F, Lakshminrusimha S, Underwood M, Mazela J, Kaempf J, Tomlinson M, Gollin Y, Rich W, Morales A, Varner M, Poeltler D, Vaucher Y, Mercer J, Finer N, Rice MM.JAMA Netw Open. 2024 Jul 1;7(7):e2416870. doi: 10.1001/jamanetworkopen.2024.16870.PMID: 38949814 Free PMC article. Clinical Trial.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 textPhototherapy Alters the Plasma Metabolite Profile in Infants Born Preterm with Hyperbilirubinemia.Satrom KM, Wang J, Lock EF, Snook K, Lund TC, Rao RB.J Pediatr. 2024 Jun 28:114175. doi: 10.1016/j.jpeds.2024.114175. Online ahead of print.PMID: 38945444As 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 Tech Tuesday episode of the Incubator podcast, Ben and Daphna engage in an enlightening conversation with Dr. Shama Patel, a neonatologist and clinical informaticist at Nationwide Children's Hospital. Dr. Patel sheds light on the pressing issues surrounding electronic medical record (EMR) systems and documentation practices in neonatology. She addresses the problem of "note bloat," where progress notes become excessively long and filled with redundant information, contributing to physician burnout and potential errors in patient care. Dr. Patel shares her innovative work in creating a more efficient and relevant patient review screen in Epic, tailored explicitly for neonatology, and discusses the development of a new progress note template aimed at reducing documentation burden while improving accuracy.The conversation delves into the importance of having dedicated informaticists in each medical division to continuously improve EMR workflows. Dr. Patel envisions a future where all NICU progress notes follow a standardized format, enabling better communication and data analysis. She emphasizes that improving EMR systems is an ongoing process that requires cultural change within medical teams. The hosts and Dr. Patel explore the potential for standardized documentation practices across NICUs to enhance patient care and facilitate research, as well as the future possibilities for using AI in medical documentation. The episode concludes by highlighting the career opportunities in clinical informatics for young medical professionals and the potential for this work to significantly impact patient care, physician well-being, and medical research. 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 podcast, Ben interviews Bryan King, an experienced respiratory therapist and educator in neonatal and pediatric care. Bryan shares his journey into respiratory therapy, which began unexpectedly after initially pursuing x-ray technology. He discusses his passion for working in the NICU and the challenges of treating increasingly smaller premature infants.The conversation delves into the evolution of neonatal respiratory therapy, focusing on the impact of surfactant and antenatal steroids in improving infant lung compliance. Bryan emphasizes the importance of avoiding lung hyperexpansion in nano-premies and discusses various ventilation strategies, including volume-targeted ventilation, high-frequency ventilation, and pressure support.Bryan shares insights on selecting appropriate ventilation modes and settings, stressing the need to adapt strategies based on individual patient responses. He advocates for having a diverse set of tools and modalities available in Level 4 NICUs to provide comprehensive care and education.The interview also touches on the challenges of weaning patients from ventilators and the importance of considering long-term outcomes rather than focusing solely on immediate blood gas results. Bryan discusses his experience as a non-physician educator teaching physicians and emphasizes the value of lifelong learning in the medical field.Throughout the conversation, Bryan shares valuable tips for respiratory care, including the importance of encouraging spontaneous breathing, understanding ventilator feedback, and being open to trying different approaches when standard methods aren't effective. He also mentions his current project of writing a book about his experiences as an educator in the field of neonatal ventilation.The episode provides a wealth of knowledge for healthcare professionals working in neonatal and pediatric respiratory care, emphasizing the importance of adaptability, continuous learning, and patient-centered approaches in this rapidly evolving 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 Beyond the Beeps, the conversation explores the experiences of fathers in the NICU and the challenges they face. It highlights the emotional journey of Alex Dominguez, whose daughter Mahalia was born prematurely at 25 weeks and spent six months in the NICU. The conversation touches on the struggles of infertility, the complications during pregnancy, and the difficult decision to deliver the baby early. It also discusses the impact of the COVID-19 pandemic on visitation rights in the NICU. Alex's unwavering dedication to his daughter and his ability to find peace in difficult circumstances are inspiring. Alex Dominguez shares his experience as a father in the NICU and the challenges he faced. He talks about the importance of being physically present and close to his daughter, even if he couldn't be by her side 24/7. Alex also discusses the perception of fathers in the NICU and how he sometimes felt overlooked or disrespected. He emphasizes the need for healthcare professionals to treat both parents equally and provide clear and personalized communication. Alex reflects on the importance of patience and perseverance during the NICU journey.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 our latest Journal Club episode, we review several important recent studies in neonatology. We begin by discussing a paper on the changing trends in Apgar scoring, noting a shift from scores of 10 to 9, likely due to increased recognition of normal transitional acrocyanosis.Next, we examine a study on using ChatGPT and Google Translate for pediatric discharge instructions, finding mixed results across different languages. We then review new transfusion guidelines for very preterm neonates, featuring an interview with co-author Dr. Ravi Patel who provides insights on the guideline development process and implementation considerations.We also discuss an observational study from Sweden on early skin-to-skin contact and its potential benefits for reducing intraventricular hemorrhage and sepsis in preterm infants, though we note limitations in the study design.Additionally, we review a pilot randomized trial comparing whole-body hypothermia to targeted normothermia for neonates with mild hypoxic-ischemic encephalopathy. The study found no clear benefits to cooling in mild cases and highlighted the need for further research.Finally, we highlight an op-ed emphasizing the importance of addressing mental health needs of new fathers, especially those with infants in the NICU. We note that while screening all NICU parents for postpartum depression is recommended, it is often overlooked, particularly for fathers.Throughout the episode, we provide thoughtful analysis of the studies' methodologies, findings, and clinical implications, offering valuable insights for our community. We hope this Journal Club helps keep our listeners up-to-date on the latest research and encourages critical thinking about how to apply these findings in clinical practice. 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!