The Incubator

Send us a textQuality Improvement Interventions to Prevent Intraventricular Hemorrhage: A Systematic Review.Edwards EM, Ehret DEY, Cohen H, Zayack D, Soll RF, Horbar JD.Pediatrics. 2024 Jul 10:e2023064431. doi: 10.1542/peds.2023-064431. Online ahead of print.PMID: 38982935 Support the showAs 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 textWhere Are All the Pediatricians?Jordan KA, Rao P, Byerley JS.JAMA. 2024 Jul 3. doi: 10.1001/jama.2024.8485. Online ahead of print.PMID: 38958947Support the showAs 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 textProcedural closure of the patent ductus arteriosus in preterm infants: a clinical practice guideline.Mitra S, Bischoff AR, Sathanandam S, Lakshminrusimha S, McNamara PJ.J Perinatol. 2024 Jul 12. doi: 10.1038/s41372-024-02052-9. Online ahead of print.PMID: 38997403 Review.Support the showAs 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 textVasopressin as adjunctive therapy in pulmonary hypertension associated with refractory systemic hypotension in term newborns.Santelices F, Masoli D, Kattan J, Toso A, Luco M.J Perinatol. 2024 Jul 4. doi: 10.1038/s41372-024-02015-0. Online ahead of print.PMID: 38965377Support the showAs 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 textDiazoxide for Severe or Recurrent Neonatal Hypoglycemia: A Randomized Clinical Trial.Laing D, Walsh EPG, Alsweiler JM, Hanning SM, Meyer MP, Ardern J, Cutfield WS, Rogers J, Gamble GD, Chase JG, Harding JE, McKinlay CJD.JAMA Netw Open. 2024 Jun 3;7(6):e2415764. doi: 10.1001/jamanetworkopen.2024.15764.PMID: 38869900 Free PMC article. Clinical Trial.Support the showAs 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 conversation, Pascal van Kipnis shares her experience of having triplets in the NICU. She discusses her struggles with infertility and pregnancy, the challenges of a high-risk pregnancy, and the expectations of having preemie babies. Pascal recounts the birth of her triplets and their admission to the NICU. She talks about the separation and recovery process, as well as the difficulties of breastfeeding and feeding challenges. Pascal also shares the setback her son faced with necrotizing enterocolitis and the emotional challenges of isolation. She highlights the importance of advocacy and support in the NICU and the long-term impact of the NICU experience on her family. This conversation explores the challenges and joys of parenting multiple babies. It provides insights into the unique experiences faced by parents of multiples and offers practical advice on managing sleep, self-care, feeding, and bonding. The conversation emphasizes the importance of support systems and reassures parents that they are not alone in their journey.Support the showAs 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 Global Neonatal Podcast, the hosts interview Dr. Emily Njuguna  and Kimberly Mansen MSPH RDN  from PATH to discuss the importance of human milk in low and middle-income countries (LMICs) and the strategies used to support lactation. The guests highlight the challenges faced by mothers in LMICs and  emphasize the importance of early lactation support for mothers of the most vulnerable newborns. Emily and Kimberly  discuss the three-pronged approach of kangaroo mother care, lactation support, and human milk banks in providing human milk for babies in LMICs. They also shared examples of successful initiatives, such as the establishment of a human milk bank in Kenya, and discussed plans for scaling up these programs in other countries. Resources mentioned in episode:PATH Newborn Nutrition page: https://www.path.org/who-we-are/programs/maternal-newborn-child-health-and-nutrition/newborn-nutrition/Article on potential effectiveness of human milk banking and lactation support on neonatal outcomes at the Pumwani Maternity Hospital in Kenyahttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10750015/  Contact:   Kimberly Mansen https://www.linkedin.com/in/kimberly-mansen/kamundson@path.org Emily Njuguna MD https://www.linkedin.com/in/emily-m-njuguna-062b7724/?originalSubdomain=keenjuguna@path.org Episode Webpage Link:  https://www.the-incubator.org/post/213-closing-the-gap-improving-access-to-human-milk-in-lmicsSupport the showAs 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. Phil Levy from Boston Children's Hospital.Dr. Levy discusses his experience preparing for a year-in-review presentation on 18 months of neonatal hemodynamics research. He highlights the work of Dr. Reagan Geisinger and her trainees, emphasizing their contributions to various aspects of neonatal hemodynamics, including:Hemodynamic screening programs and their impact on outcomesPDA management strategies across different gestational agesThe use of inhaled nitric oxide in preterm infantsEstablishing normal values for cardiac function in premature babiesHemodynamic changes during therapeutic hypothermiaDr. Levy also mentions the updated 2024 guidelines for Targeted Neonatal Echocardiography and Point of Care Ultrasound, highlighting their comprehensive approach to teaching, education, and training.The conversation touches on recent trends in PDA management, including a decrease in surgical ligations and an increase in device closures. Dr. Levy discusses new guidelines on the timing of PDA interventions, emphasizing the importance of a multidisciplinary approach.Finally, Dr. Levy shares information about an upcoming addition to NRP training that will include modules on resuscitating babies with congenital heart disease, highlighting the growing collaboration between neonatology and cardiology. Support the showAs 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 Samantha Morel, a nurse practitioner from the infant cardiac ICU at Columbia Morgan Stanley Children's Hospital.Samantha discusses the importance of attending conferences like NeoHeart, highlighting how her institution supports staff education by providing time off and funding for these events. She emphasizes the value of learning from other institutions and networking with colleagues.Reflecting on the conference, Samantha expresses pride in seeing the work of her colleagues presented, noting how it reinforces the significance of their specialized infant cardiac ICU. She shares her career journey from pediatric cardiac ICU nurse to nurse practitioner in the infant cardiac unit, encouraging other NPs to be open-minded about new opportunities.Samantha highlights the strong female leadership in her unit, expressing pride in working in an environment that showcases women in medicine. She also discusses the importance of passion in such a specialized field.The conversation concludes with Samantha sharing a key takeaway from the conference: the importance of long-term follow-up and patient education, particularly for Spanish-speaking families. She emphasizes the need for anticipatory guidance to help families understand what to expect in the years following their NICU experience. Support the showAs 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. Usha Krishnan and Dr. Amara Majeed, both pediatric cardiologists from Columbia University.Dr. Krishnan discusses her presentation on critical choices regarding shunt closure in neonates with bronchopulmonary dysplasia (BPD). She emphasizes the importance of a team approach and considering multiple factors before deciding to close a shunt, including the impact on the child's physiology.Dr. Majeed, an imaging specialist, shares her perspective on the conference, highlighting the session on borderline left ventricle as particularly enlightening. She discusses the importance of understanding the patient's journey from fetal life through childhood, emphasizing the concept of lifespan research in pediatric cardiology.Both guests stress the value of collaboration between neonatologists and cardiologists. Dr. Krishnan, who works extensively in the NICU, notes the importance of mutual respect and understanding between specialties.The conversation touches on pulmonary hypertension management, with Dr. Krishnan explaining her role as an advocate for right heart issues. She discusses the challenges of translating adult treatments to pediatric patients, emphasizing that children are not simply "tiny adults."The episode highlights the evolving nature of pediatric cardiology, which now spans from fetal life to adulthood, and the importance of interdisciplinary collaboration in providing comprehensive care. Support the showAs 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!