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. 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 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. 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. 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. 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. Sitaram Emani from Boston Children's Hospital.Dr. Emani discusses his participation in a session on the "borderline left ventricle," focusing on the controversy between bi-ventricular repair and single ventricle pathway in certain cardiac cases. He highlights a novel staged approach for unbalanced AV canal defects, which allows for left ventricle growth assessment without committing to a single treatment path.The conversation emphasizes the importance of individualized treatment plans, noting that identical echocardiograms can lead to different outcomes in different patients. Dr. Emani stresses the value of keeping options open and allowing the child's physiology to guide treatment decisions.Dr. Emani also shares insights from a session on complex cardiac neonates with other major malformations. He discusses the challenges of balancing cardiac and non-cardiac issues, weighing the benefits of full repair against less invasive approaches.The episode concludes with a discussion on the importance of early, open communication with families about all care options, including palliative care, especially in complex cases.Throughout, Dr. Emani emphasizes the conference's value in fostering interdisciplinary discussions and challenging established approaches to improve patient 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 of "The Incubator" at NeoHeart 2024, hosts Ben and Daphna interview Dr. Nim Goldshtrom and Dr. Thomas Hayes, both from Columbia University.The guests highlight NeoHeart's unique multidisciplinary approach, bringing together experts from various fields related to neonatal cardiac care. They emphasize the conference's focus on cutting-edge research and innovative approaches.Dr. Hayes discusses the importance of family communication in neonatal care, describing it as an art that needs to be developed into a more teachable science. He also shares insights from recent talks, including the inclusion of genetic data in research cohorts and innovations in pulse oximetry to address racial bias.Dr. Goldshtrom talks about the AI session he moderated, discussing the current state of AI in neonatal care. He notes the rapid progress in areas like cardiac imaging while highlighting challenges in predicting complex patient outcomes.Both guests stress the importance of collaborative care and the need for humility in medical practice, especially when dealing with uncertainty. They also discuss the potential of AI to enhance bedside diagnostics when combined with clinical expertise.The episode concludes with information about accessing recorded sessions from the conference through the NeoHeart Society website, encouraging listeners to engage with the full talks from the event. 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. Aditya Kaza, a pediatric cardiac surgeon from Boston Children's Hospital who directs the neonatal cardiac surgery program.Dr. Kaza discusses key takeaways from the conference session on prematurity and congenital heart disease. He highlights the need for better risk assessment tools for premature infants with cardiac issues, mentioning ongoing efforts to develop more comprehensive databases that include maternal-fetal and perinatal risk factors.The conversation touches on the evolving approach to surgical timing in premature infants with cardiac lesions, emphasizing the trend towards less invasive initial interventions when possible. Dr. Kaza stresses the importance of tailoring treatment to each patient's individual risk factors.He also shares insights from his lecture on surgical options when PDA stenting is not feasible, discussing various shunt materials including cryopreserved veins. Dr. Kaza explains the benefits of using biological materials in certain cases, particularly for patients with coagulation defects.The episode underscores the value of conferences like NeoHeart in fostering collaboration across specialties and driving innovation in neonatal cardiac care. Dr. Kaza emphasizes the potential for such meetings to spark new ideas and improve outcomes for neonates with congenital heart disease. 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 Courchia and Daphna interview Dr. Mary Mullen, a pediatric cardiologist from Boston Children's Hospital.Dr. Mullen discusses her upcoming talk titled "Navigating Complexity: Heterotaxic Complex CHD and Mixed Pulmonary Vascular Disease." She explains the various aspects of complexity in neonatal cardiac care, including developmental defects, transitional physiology, complications of prematurity, and complex congenital heart disease.The conversation highlights the increasing complexity in neonatal care due to advancements in technology, imaging, and interventions. Dr. Mullen emphasizes the importance of a multidisciplinary team approach in addressing these complex cases.They explore the challenges of coordinating care among various specialists and the role of pulmonary hypertension experts in orchestrating treatment strategies. Dr. Mullen also discusses the importance of transparent communication with families in managing complex cases.The episode concludes with information about the Pediatric Pulmonary Hypertension Network (PPHNet), highlighting opportunities for professionals to engage with this community and further their expertise in pediatric pulmonary hypertension.Throughout the interview, Dr. Mullen underscores the evolving nature of neonatal cardiac care and the need for collaborative, multidisciplinary approaches to navigate its increasing complexity. 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. Brittany Graham, a cardiologist-neonatologist currently specializing in fetal imaging from Houston.Dr. Graham discusses her unique training path, which includes pediatric cardiology at Mayo Clinic, neonatology at UT Houston, and a current year in fetal imaging. She explains her motivation for pursuing this comprehensive training, emphasizing her desire to provide continuous care for families from fetal diagnosis through NICU care.The conversation touches on the challenges and rewards of such an extensive training journey. Dr. Graham expresses hope that her experience might pave the way for more integrated and efficient training programs in the future. She highlights the value of conferences like NeoHeart in connecting professionals with diverse training backgrounds.Dr. Graham shares her vision for an ideal career combining critical care and fetal outpatient settings, allowing her to support families throughout their entire journey. She also discusses her poster presentation at the conference, which focuses on a complex case of pulmonary hypertension and hypertrophic cardiomyopathy in an infant of a diabetic mother, highlighting the use of vasopressin in management.The episode underscores the growing need for specialists with comprehensive training in fetal and neonatal cardiac care, especially in light of evolving healthcare landscapes. 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. Shiran Moore from Israel, a first-time guest on the podcast.Dr. Moore discusses her poster presentation at the conference, which focuses on a retrospective study of about 1,000 babies who underwent resuscitation in the delivery room. She shares insights from her research, which examines heart rate and heart rate variability in infants with various degrees of encephalopathy and their long-term neurodevelopmental outcomes.The conversation touches on the importance of understanding the relationship between cardiac function and brain health in neonates. Dr. Moore emphasizes how advancements in hemodynamics and precision treatments are changing the field of neonatology.She highlights her takeaways from the conference, particularly praising the session on right ventricular function. Dr. Moore stresses the value of applying lessons learned from congenital heart disease patients to premature infants in the NICU.The episode concludes with Dr. Moore explaining her choice to attend NeoHeart, citing the conference's intimate atmosphere and in-depth focus on topics she's passionate about as key factors in her decision to travel from Israel for the event. 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. Sam Gentle, a neonatologist presenting at the conference.Dr. Gentle discusses his upcoming talk on the potential impact of patent ductus arteriosus (PDA) on the progression of bronchopulmonary dysplasia (BPD)-associated pulmonary hypertension. He emphasizes the lack of pulmonary hypertension as an outcome in previous PDA trials and the importance of considering PDA as a continuous exposure rather than a binary one.The conversation touches on the challenges of determining when to intervene in cases of prolonged PDA exposure. Dr. Gentle shares insights from his research, suggesting that PDA exposure beyond 2-3 months may significantly increase the risk of pulmonary hypertension in premature infants.They discuss the cognitive biases that can affect clinical decision-making regarding PDA treatment and the need for statistical analysis to guide interventions. Dr. Gentle also mentions an upcoming trial on percutaneous PDA closure that will assess pulmonary hypertension as an outcome.The episode highlights the ongoing debate in neonatology regarding PDA management, particularly the question of how long is too long to leave a PDA open. Dr. Gentle appreciates the conference's multidisciplinary approach, noting the value of gaining perspectives from cardiologists on these complex issues 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!