The Incubator

Send us a textNine is the New Ten of Apgar Scores: An Observational Retrospective Cohort Study. Everett SS, Bomback M, Roth P, Goldshtrom N, Polin RA, Lyford A, Hays T.J Pediatr. 2024 Jun 14:114150. doi: 10.1016/j.jpeds.2024.114150. Online ahead of print.PMID: 38880381As 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 textClinical Practice Guideline for Red Blood Cell Transfusion Thresholds in Very Preterm Neonates. Deschmann E, Dame C, Sola-Visner MC, Fustolo-Gunnink SF, Guyatt GH, Patel RM, Stanworth SJ; Neonatal Transfusion Network.JAMA Netw Open. 2024 Jun 3;7(6):e2417431. doi: 10.1001/jamanetworkopen.2024.17431.PMID: 38874929 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 textEarly skin-to-skin contact and the risk of intraventricular haemorrhage and sepsis in preterm infants. Johansson MW, Lilliesköld S, Jonas W, Thernström Blomqvist Y, Skiöld B, Linnér A.Acta Paediatr. 2024 May 27. doi: 10.1111/apa.17302. Online ahead of print.PMID: 38803030As 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!

Dr. Jill Maron, a neonatologist and physician-scientist, discusses the importance of saliva in healthcare, focusing on non-invasive prenatal testing and feeding tolerance in premature infants. She shares insights on her research journey, leadership role in neonatology, and the value of mentorship and resilience in personal growth. The podcast highlights the potential of utilizing saliva for diagnostic purposes and emphasizes the significance of industry partnerships for innovative medical solutions.

Send us a textIn this special Father's Day episode, host Daphna Barbeau interviews Alex Zavala, known as the "NICU Dad". Alex shares his emotional journey of becoming a father to his daughter Emerson, born at just 27 weeks.Alex vividly recounts the day his wife's water broke, the frantic rush to the hospital, and the overwhelming fear and uncertainty as Emerson was delivered via emergency C-section weighing only 2 pounds 5 ounces. He describes feeling like he was thrust into a nightmare, trying to support his wife, make logistical plans, and grapple with the possibility of losing his daughter.During Emerson's 67-day NICU stay, Alex did the "NICU dad shuffle" - spending early mornings with his daughter, tag-teaming with his wife in the afternoons so she could be there while he went to work, and returning in the evenings. He highlights the unique struggles dads face, including feeling like an afterthought, battling stress, anxiety and PTSD symptoms, weight gain, and having their trauma go unrecognized.After Emerson came home, Alex continued to face challenges. His stress increased without the monitors and NICU staff, he became a stay-at-home dad, and suffered health issues from the emotional toll. Seeing a need, he started The NICU Dad website and podcast as resources for dads.Alex's advice for NICU dads: take care of yourself to be the best version of yourself at home, seek counseling, join peer support groups, and utilize resources from organizations like March of Dimes and Hand to Hold. For healthcare professionals, he advocates involving dads from the start, understanding their unique trauma response, and encouraging them to actively participate in their baby's care. 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, Mbozu and Shelly-Ann are joined by Professor Pradeep Suryawanshi, a neonatologist, researcher and educator from Pune India. Professor Suryanwanshi discusses his journey as a neonatologist and his work in India and Australia, the process of developing a neonatal care unit and the importance of mentorship. He also discusses  factors contributing to India's progress in neonatal care, the challenges and progress in implementing surfactant therapy as well as advice on work-life balance.Resources mentioned in episode:Dr. Pradeep Suryawanshi website: https://www.drpradeepsuryawanshi.com/Neo POCUS course: https://www.drpradeepsuryawanshi.com/neopocus-course/Contact:   drpradeepsuryawanshi@gmail.comAs 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, host Dr. Ben Courchia is joined by two distinguished guests: Dr. Neil Patel, a neonatologist from the Royal Hospital for Children in Glasgow, UK, and Dr. Srirupa Hari Gopal, a third year neonatology fellow at Baylor College of Medicine.The discussion delves into the complexities of congenital diaphragmatic hernia (CDH). Drs. Patel and Gopal share their passion for caring for these patients and the multidisciplinary approach required to optimize outcomes.The conversation highlights the evolving understanding of CDH pathophysiology, with a focus on the increasingly recognized role of cardiac dysfunction alongside pulmonary hypoplasia and pulmonary hypertension. The guests also discuss recent advances in prenatal care for CDH, including the use of fetal endotracheal occlusion (FETO) to promote lung growth, and the challenges of counseling families facing a CDH diagnosis.Looking to the future, Drs. Patel and Gopal express excitement about tailoring CDH management to different disease phenotypes, establishing consensus definitions for CDH-associated pulmonary hypertension, and investigating novel approaches such as physiologic cord clamping.Throughout the episode, the guests' dedication to improving care for newborns with CDH shines through, leaving listeners with a deeper understanding of the challenges and opportunities in this field. This informative and engaging discussion is a must-listen for anyone interested in the latest developments in neonatal medicine and the tireless efforts of clinicians and researchers to give every baby the best possible start in life. 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 Tech Tuesday episode, Daphna and I spoke with Nancy Addison from Locus Health about their remote patient monitoring (RPM) platform. We learned how Locus Health bridges the gap between hospital and home for medically complex pediatric patients, including NICU babies, substance-exposed newborns, and infants on oxygen.We discussed the potential benefits of RPM, such as empowering families, reducing length of stay, and preventing readmissions. Nancy emphasized the importance of maintaining close family-provider relationships during the transition to home.We also explored the technical aspects of the platform, like data entry, EHR integration, and alert systems. While limitations exist in wireless home monitoring for infants, the potential for real-time data streaming is intriguing.Finally, we touched on the research implications of capturing post-discharge data through RPM. Tools like Locus Health could accelerate research and quality improvement efforts to help medically complex infants thrive at home. This thought-provoking discussion left us excited about the future of RPM in pediatrics 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 jam-packed episode of Journal Club, Ben & Daphna discuss several impactful new studies in neonatology.First up is an important clinical report from the AAP on infant feeding for people living with HIV. The hosts dive into the nuanced recommendations, which state that while avoiding breastfeeding is still the only way to completely eliminate HIV transmission risk, breastfeeding can be supported in certain cases where the parent has a strong desire after comprehensive counseling and meeting strict criteria like sustained viral suppression.Next, they examine a study linking congenital CMV infection with an increased risk of autism spectrum disorder diagnoses, highlighting the importance of screening for this common congenital infection.A randomized trial comparing video laryngoscopy to direct laryngoscopy for urgent neonatal intubation is also discussed. While video laryngoscopy resulted in higher first-attempt success rates, the hosts note some adverse events to consider as this technology becomes more widespread for these critical procedures.The effectiveness of NICU music therapy on neurodevelopmental outcomes is also covered, with a study finding no significant language benefits at 24 months. The hosts question the impact and necessity of these programs.Practical coding tips for NICU consultations from a recent paper are shared, with an emphasis on the financial impact of proper billing.Lastly, the increasing frequency of heat waves and their association with preterm and early-term births is explored, underscoring the environmental factors that influence neonatal health.With insightful analysis and engaging discussion, Ben & Daphna provide a fantastic overview of some of the most noteworthy recent publications in neonatology. Be sure to tune in for this informative and thought-provoking installment of Journal Club! 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 textAutism Spectrum Disorder Diagnoses and Congenital Cytomegalovirus. Pesch MH, Leung J, Lanzieri TM, Tinker SC, Rose CE, Danielson ML, Yeargin-Allsopp M, Grosse SD.Pediatrics. 2024 May 29:e2023064081. doi: 10.1542/peds.2023-064081. Online ahead of print.PMID: 38808409 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!