The Incubator: Recent Episodes
Ben Courchia & Daphna Yasova Barbeau
A weekly discussion about new evidence in neonatal care and the fascinating individuals who make this progress possible. Hosted by Dr. Ben Courchia and Dr. Daphna Yasova Barbeau.
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Late preterm babies born by cesarean fill our NICUs, and most of them are there for respiratory distress that resolves in a day or two. Could 20 minutes of CPAP in the operating room keep them out? This week on Journal Club, Ben and Daphna break down the PLaNT trial, a five center randomized pilot of prophylactic CPAP at 5 to 6 cm of water in spontaneously breathing infants born at 34 to 36 weeks by cesarean. They then sit down with senior author Dr. Edgardo Szyld to talk pneumothorax risk, the 35 to 36 week subgroup, consenting families, and what PLaNT 2 must prove.
Prophylactic CPAP at Cesarean Birth in Late-Preterm Newborns: A Multicenter RCT. Shah BA, DeShea L, Schmölzer GM, Josephsen JB, Fabres J, Wetzel EA, Rykovich H, Thomas A, Law B, Garrido C, Szyld E.Pediatrics. 2026 Aug 1;158(2):e2025070998. doi: 10.1542/peds.2025-070998.PMID: 42457181 Clinical Trial.
Association Between Delivery Room Continuous Positive Airway Pressure and Neonatal Outcomes in Late Preterm and Term Infants: A Systematic Review and Meta-Analysis. Chin Y, Hill M, Sett A, Thomas N, Razak A.J Paediatr Child Health. 2026 Jul 28. doi: 10.1111/jpc.70516. Online ahead of print.PMID: 42517258 Review.
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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.
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When is surfactant "early," and when is it too early, or too late? In this second installment of our two-part series with the Neonatal Resuscitation Symposium, Ben Courchia sits down with Dr. Roger Soll, a leading voice in surfactant research since the 1980s, to trace how our thinking on timing has evolved, from aggressive prophylactic dosing to selective rescue therapy to today's less invasive approaches like LISA and SALSA. Dr. Soll unpacks why head-to-head trials keep favoring less invasive administration over InSurE, and how the rise of "nanopreemies" is quietly pulling the pendulum back toward earlier treatment. The conversation also touches on video laryngoscopy and aerosolized surfactant's unfulfilled promise. A candid, technically rich conversation for anyone who has stood at a warmer wondering whether, and when, to reach for surfactant. Dr. Soll expands on these themes at the Neonatal Resuscitation Symposium, September 10 to 11, 2026, at Indiana University School of Medicine.
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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.
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Which babies with critical congenital heart disease face the highest risk of brain injury, and does earlier surgery actually help? Why is infant CHD mortality climbing again after years of decline, and who's most affected? Can a mother's cardiovascular status in preeclampsia predict her newborn's circulatory transition? This week's Journal Club brings together five conversations on CHD, maternal-fetal physiology, and vaccine policy. Nim and Adrianne cover a meta-analysis on brain injury in critical CHD, a 25-year national mortality study, a pilot study on preeclampsia and neonatal cardiac output, and a look at RV diastolic function after CHD intervention. Ben and Eli close with Neo News on a controversial hepatitis B vaccine trial in Guinea-Bissau.
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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.
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In this episode of Neo News, Ben and Eli break down a troubling story in vaccine policy: an unsolicited $1.6 million CDC grant funding a Danish research group's trial in Guinea-Bissau, one designed to withhold or delay the hepatitis B birth dose from thousands of newborns in a country where the disease is highly endemic. They trace the ethical parallels to Tuskegee, the funding irregularities, and the pushback from the Africa CDC that halted the study. They also cover the clinical stakes clinicians face daily, including age-dependent chronicity and the real risks of a "safe" two-month delay. A candid, unfiltered conversation about advocating for evidence-based care when the evidence itself becomes politicized.
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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.
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In this prospective study, Adrianne and Nim dig into an area with almost no normative pediatric data: right ventricular diastolic function. Comparing 57 infants with RV pressure overload after intervention for pulmonic stenosis or tetralogy of Fallot to 134 healthy controls, the authors found a consistent pattern, reduced beat-to-beat variability, a higher atrial contribution to filling, and an E/A ratio inversion that was nearly universal in the CHD group versus about half of controls. It's one of the first real attempts to define what a right-sided diastolic pattern actually looks like in this population. But without a comparison against cardiac catheterization, the hosts agree the findings are hypothesis-generating at best, a starting point for a multi-parametric approach, not a reason to skip an invasive workup.
Echocardiographic Markers of Right Ventricle Diastolic Dysfunction in Neonates and Infants with Congenital Heart Disease. Cantinotti M, Capponi G, Scalese M, Palladino E, Giordano R, Franchi E, Viacava C, Corana G, Marchese P, Pizzuto A, Assanta N, Santoro G. J Clin Med. 2025 Dec 23;15(1):98. doi: 10.3390/jcm15010098. PMID: 41517351 Free PMC article.
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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.
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In this small prospective pilot study, Adrianne and Nim explore a domain rarely discussed on rounds, how a mother's cardiovascular function in preeclampsia shapes her newborn's circulatory transition. Using maternal echo and neonatal electrical cardiometry across 13 mother-baby dyads, the authors found an inverse relationship: the worse the mother's cardiac function, the higher the neonate's cardiac output, though vascular tone barely budged. It's a compelling hypothesis about placental strain and fetal adaptation. But Nim pushes back hard on the methodology, pairing this paper with a companion study showing electrical cardiometry consistently overestimates cardiac output in neonates, and questioning why daily echoes were performed on these babies but the results never reported.
Linking maternal and neonatal circulation in preeclampsia.Piani F, Annesi L, Degli Esposti D, Vincenzi S, De Crescenzo S, Della Gatta AN, Simonazzi G, Corvaglia L, Martini S.Am J Physiol Heart Circ Physiol. 2026 Mar 1;330(3):H708-H716. doi: 10.1152/ajpheart.00945.2025. Epub 2026 Jan 12.PMID: 41525138 Free article.
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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.
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In this retrospective national study, Adrianne and Nim look at 25 years of congenital heart disease mortality in the US using CDC WONDER data. Infant mortality remains staggeringly high (54 per 100,000), and after years of steady decline, it has been climbing again since 2014. Disparities run throughout: higher deaths among males, non-Hispanic Black and American Indian/Alaska Native populations, and in rural, Midwestern regions, pointing more to gaps in access and resources than to disease biology. The conversation also flags a growing, under-discussed problem, an aging adult congenital population outpacing the pediatric one for the first time, with too few specialists trained to care for them.
National Trends and Disparities in Congenital Heart Disease Mortality in the United States, 1999-2024.Raja S, Albrahim MMS, Aldhafeeri BF, Omar AA, Alqadeeb BA, Alhuways MM, Bangaryd AA, Alqahtany MG, Alfaraj AB, Almughyir RS, AlRasheed ST, Alfaifi M.
Pediatr Cardiol. 2026 Jan 13. doi: 10.1007/s00246-025-04156-1. Online ahead of print.PMID: 41528440
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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.
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In this systematic review and meta-analysis, Nim and Adrianne dig into just how common brain injury really is in neonates with critical congenital heart disease. Pooling 31 studies spanning two decades, the authors found that nearly 70% of these babies show some form of ischemic brain injury, split roughly between pre-operative and post-operative timing. Counter to what most clinicians would predict, kids who went to surgery earlier (days 4-6) had higher rates of white matter injury than those who waited longer. MRI remained the most sensitive tool for picking up these lesions, well ahead of ultrasound or CT. But the data stops well short of proving these findings predict long-term outcomes, and Nim pushes back on the idea that an abnormal scan alone should steer decisions about whether to operate.
Prevalence of Ischemic Brain Injury in Neonates With Congenital Heart Disease: A Systematic Review and Meta-Analysis.
Kim C, Chetan D, Kazazian V, Alzamil J, Chau V, Seed M, Miller SP, Selvanathan T.Neurology. 2026 Feb 10;106(3):e214569. doi: 10.1212/WNL.0000000000214569. Epub 2026 Jan 9.PMID: 41512205
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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.
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What if communication were treated as a procedure, something we train for and get feedback on, just like an intubation? In this episode of Neo News, Eli Cahan talks with Dr. Jessica Fry of Northwestern University and Lurie Children's Hospital about her NeoReviews piece, "Recognizing Communication as a Procedural Skill in Neonatology." Dr. Fry shares the personal loss that shaped her career, the ethical stakes of getting family communication right, and how trauma-informed care can guide something as simple as how we address parents on rounds. They discuss the critical first 48 hours after admission and how simulation-based training can build real skill over time. A candid look at a skill every NICU provider uses daily, and how we can all get better at it.
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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.
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How far has delivery room ventilation really come? In this special episode, recorded in collaboration with the Neonatal Resuscitation Symposium, Ben sits down with Dr. Charles Roehr, professor of neonatology and perinatal medicine at the University of Bristol, clinical trialist at the University of Oxford, and member of ILCOR. Together they trace the evolution of respiratory support at birth, from the era of fixed inflation breaths to today's focus on physiologic stability and gentle cardiopulmonary transition. Dr. Roehr reflects on a quarter century of resuscitation science, the enduring challenge of human factors in the delivery room, and where the field may be heading, from better intrapartum monitoring to increasingly specialized resuscitation teams.
Dr. Roehr will be delivering a keynote, "Optimizing Effective Ventilation Strategies in the Delivery Room," at the Neonatal Resuscitation Symposium, taking place September 10 to 11 at Indiana University in Indianapolis. Learn more and register here: https://medicine.iu.edu/pediatrics/specialties/neonatal-perinatal/education/resuscitation-symposium
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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.
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Which PDAs actually need treatment? Can maternal voice and scent shape language outcomes? Should we cool at 35 weeks? And did stepping away from probiotics come at a cost? This weekâs Journal Club takes on five papers that push back on standard practice. Ben reviews the SMART-PDA trial and a comparative study of PDA pharmacotherapy, Daphna covers the MIND trial on multisensory maternal interventions and a Pediatrix database study on NEC after the FDA probiotic warning, and Ben rounds out the main segment with a national look at hypothermia in 35-week infants with HIE. Ben and Eli wrap the week with Neo News on rising vitamin K refusal.
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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.
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Vitamin K refusal has crossed 5%. That's one in twenty babies, and the curve is bending the wrong way. Ben and Eli work through a new Pediatrics case review that opens with a warning shot, that hemorrhagic presentation in an infant should no longer be a diagnostic mystery, alongside a JAMA letter tracking refusal from 2.9% in 2017 to 5.2% in 2024. Eighty-one times the risk. Intracranial hemorrhage in most late-onset cases. Twenty percent mortality. They talk about the halo effect on other refusals, the ICD code you should be using, and why this conversation belongs in the obstetrics office, not the nursery.
Vitamin K Deficiency Bleeding After Refusal: A Sentinel Event in a Misinformation Era. Jacobs JW, Booth GS, Wheeler AP, Adkins BD.Pediatrics. 2026 May 1;157(5):e2026075994. doi: 10.1542/peds.2026-075994.PMID: 41916583 No abstract available.
Trends in Vitamin K Administration Among Infants. Scott K, Miller E, Culhane JF, Greenspan J, Handley SC, Lo JY, Knake LA, McKenney KM, Burris HH, Dysart K.JAMA. 2026 Jan 20;335(3):272-274. doi: 10.1001/jama.2025.21460.PMID: 41359326 Free PMC article.
Babies Are Bleeding to Death as Parents Reject a Vitamin Shot Given at Birth
https://www.propublica.org/article/more-parents-decline-vitamin-k-shot-newborns
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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.
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When the FDA warning landed in late 2023, probiotic use in high-use NICUs collapsed from 86% to under 7% almost overnight. What happened to NEC? This week Daphna brings Tolia and Patel's new Journal of Perinatology analysis of the Pediatrix Clinical Data Warehouse, a natural experiment across 347 NICUs and more than 10,000 extremely preterm infants. Centers that stopped saw NEC climb from 2.7% to 4.4%. Centers that never used probiotics saw nothing change. Ben and Daphna work through the difference-in-differences model, the demographic imbalances, and the uncomfortable question underneath it all. When does data stop and advocacy begin?
Probiotics and necrotizing enterocolitis in preterm infants after the food and drug administration warning actions. Tolia VN, Bennett MM, Handler D, Canvasser J, Greenberg RG, Ursprung R, Ahmad KA, Patel RM.J Perinatol. 2026 Jun 2. doi: 10.1038/s41372-026-02712-y. Online ahead of print.PMID: 42225922
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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.
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Cooling works at 36 weeks. At 35 weeks, nobody is sure. Ben brings a new Journal of Perinatology analysis of the National Inpatient Sample, covering 1.4 million infants from 2016 to 2022, asking what happens when therapeutic hypothermia is offered just below the evidence line. Cooled 35-weekers died at higher rates than cooled 36-weekers, but within the 35-week group, cooling changed nothing either way. Coagulopathy rose with cooling. Mediation analysis says it wasn't the cause. Ben and Daphna work through what that leaves us, and why shared decision making and careful documentation carry the weight here
Therapeutic hypothermia and in-hospital mortality in 35-week infants with encephalopathy. Aly H, Eltaly H, Mohamed FA, Saker F, Acun C, Mohamed MA.J Perinatol. 2026 Jun 3. doi: 10.1038/s41372-026-02738-2. Online ahead of print.PMID: 42236997
Support the show
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.
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In this Journal Club, Daphna takes the reins with the MIND randomized controlled trial from Nathalie Maitre and colleagues in The Journal of Pediatrics. Can a multisensory bundle, combining infant-directed voice, a parent's scent, holding, and gentle containment, do more for a preterm baby's developing brain than recorded voice alone? Using event-related potentials to track how infants tell speech sounds apart, the team followed language outcomes all the way to age two. Daphna and Ben unpack the design, the Bayley and PLS-5 findings, and a takeaway every clinician can act on tomorrow. Talk to the baby, every single time.
The MIND Randomized Controlled Trial: An Intervention to Improve Neural Speech Processing and 2-Year Language Outcomes of Infants Born Preterm. Maitre NL, Kjeldsen CP, Jeanvoine A, Lukemire J, Slaughter JL, Key AP.J Pediatr. 2026 Jun 5:115187. doi: 10.1016/j.jpeds.2026.115187. Online ahead of print.PMID: 42250747
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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.
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In this Journal Club, Ben and Daphna dig into two new papers on PDA management in our smallest patients. First, the SMART-PDA pilot RCT from Souvik Mitra and colleagues, which uses comprehensive hemodynamic screening to selectively treat high-volume shunts in infants born before 26 weeks, and whose striking Bayesian signal for reduced pulmonary hemorrhage and NEC stopped the trial early. Then a companion JAMA Network Open comparative effectiveness study across four pharmacotherapy regimens. Along the way, Ben shares hemodynamics pearls from his Montreal training: why left ventricular output, LA:Ao ratio, and transductal velocity matter more than PDA diameter alone.
Selective early medical treatment of the patent ductus arteriosus in extremely low gestational age infants: a pilot randomised controlled trial (SMART-PDA). Mitra S, Hebert A, Castaldo MP, Disher T, El-Naggar W, Dhillon S, Alhassen Z, Koo J, Katheria AC, Hyderi A, Kumaran K, Ting J, Surak A, Larocque J, Pepper D, Hornberger L, Makoni M, Weisz DE, Jain A, Bacchini F, Cameron-Nola AJJ, Hatfield T, Dorling J, McNamara PJ, Thabane L.Arch Dis Child Fetal Neonatal Ed. 2026 May 18:fetalneonatal-2026-330462. doi: 10.1136/archdischild-2026-330462. Online ahead of print.PMID: 42150872
Pharmacologic Therapies for Patent Ductus Arteriosus in Extremely Preterm Infants. Mitra S, Jain A, Ting JY, Ben Fadel N, Drolet C, Abou Mehrem A, Soraisham AS, Jasani B, Louis D, Lapointe A, Dorling J, Khurshid F, Hyderi A, Kumaran K, Toye J, Harabor A, Weisz DE, Stavel M, Morin A, Bhattacharya S, Lalitha R, Afifi J, Augustine S, Castaldo MP, Hatfield T, Su YC, Shah PS; Canadian Neonatal Network Investigators.JAMA Netw Open. 2026 Jun 1;9(6):e2617477. doi: 10.1001/jamanetworkopen.2026.17477.PMID: 42262753 Free PMC article.
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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.
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In this episode, Ben and Daphna sit down with Dr. Scott, pediatrician, neonatologist, and inventor of the Tortle. She shares how a simple observation in her Idaho practice, babies developing flat heads despite diligent parents, sparked a second career in medical device innovation. The conversation covers the evolution from the original corrective beanie to the Midliner and Transportal, the physiologic rationale for midline positioning in IVH prevention, and real-world data from a Tennessee children's hospital that cut its IVH rate from 28% to under 6%. She also offers candid advice for clinicians looking to turn an idea into a product.
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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.
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Does the latest Cochrane evidence finally tip the balance in favor of erythropoiesis stimulating agents in preterm infants? In this VON Grand Rounds follow-up episode, Ben sits down with Dr. Roger Soll and Dr. Souvik Mitra to review the 2026 Cochrane systematic review on early ESA use in preterm newborns. Across 37 trials and over 6,000 infants, early ESAs consistently reduce the need for red blood cell transfusion. The review also confirms with high certainty that ESAs do not increase retinopathy of prematurity. The conversation covers shared decision making, drug selection, dosing, iron supplementation, and which patient populations should be prioritized.
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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.
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Neonatal sepsis physiology, steroids, vasopressors, and moms.gov. A full week on The Incubator Journal Club.
Adrianne and Nim open with a retrospective study from Toronto challenging the assumption that hypoxemic respiratory failure in septic preterm infants is driven by elevated pulmonary vascular resistance. The data points instead to left ventricular dysfunction as a key contributor, raising questions about the reflex to reach for nitric oxide first.
Nim then reviews a double-blind RCT from northern India evaluating early hydrocortisone versus placebo in neonatal fluid-refractory shock. The primary outcome did not reach statistical significance, but an 11 percent absolute reduction in mortality and a 70 percent open-label crossover rate tell a story of their own.
Adrianne closes the journal club with a double-blind RCT comparing norepinephrine to dopamine for neonatal septic shock, finding no significant difference in shock reversal at 30 minutes, though significant methodological limitations make the findings hard to act on.
Eli and Ben close the week on Neo News with a look at the newly launched moms.gov and what clinicians should know before their patients bring it up.
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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.
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In this episode of Neo News, Ben and Eli discuss the federal government's Mother's Day press conference and the launch of moms.gov, a new website aimed at supporting new and expecting mothers. They examine what the administration got right, including the real barriers families face in accessing maternal care and the economic challenges of having children in America today. They also dig into what the website links to, including Option Line, run by Heartbeat International, an organization with a specific position on abortion, and what that means for the information patients will actually receive. A grounded, clinically relevant conversation about a website your patients are already seeing.
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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.
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In this double-blind randomized controlled trial, Adrianne and Nim examine whether norepinephrine outperforms dopamine as a first-line vasoactive agent in neonates with fluid-refractory septic shock. The primary outcome, shock reversal at 30 minutes, was not significantly different between groups, at 32 percent for norepinephrine and 46 percent for dopamine. Secondary outcomes including mortality, IVH, NEC, and need for additional vasoactive support were also similar. The episode critically examines the methodological limitations of the study, including unclear sepsis definitions, absence of echo phenotyping, and unusually high starting doses, and asks whether the field needs better tools before these questions can be properly answered.
Norepinephrine versus Dopamine for Septic Shock in Neonates: A Randomized Controlled Trial.Mazhari MYA, Priyadarshi M, Singh P, Chaurasia S, Basu S.J Pediatr. 2025 Jul;282:114599. doi: 10.1016/j.jpeds.2025.114599. Epub 2025 Apr 17.PMID: 40252959 Clinical Trial.
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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.
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In this double-blind randomized controlled trial from northern India, Nim and Adrianne review whether early hydrocortisone reduces 14-day all-cause mortality in preterm infants with fluid-refractory shock. The primary outcome showed no statistically significant difference between groups, though an 11 percent absolute reduction in mortality in the hydrocortisone group raised clinical interest. A major limitation was the high rate of open-label steroid crossover, with over 70 percent of both groups ultimately receiving hydrocortisone. The study highlights the difficulty of achieving equipoise when clinicians already believe strongly in a therapy, and raises important questions about study design in neonatal shock research.
Early hydrocortisone verses placebo in neonatal shock- a double blind Randomized controlled trial. Dudeja S, Saini SS, Sundaram V, Dutta S, Sachdeva N, Kumar P.J Perinatol. 2025 Mar;45(3):342-349. doi: 10.1038/s41372-025-02222-3. Epub 2025 Feb 13.PMID: 39948354 Clinical Trial.
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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.
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In this retrospective single-center study from Toronto, Adrianne and Nim explore the echo findings of preterm infants with septic shock and hypoxemic respiratory failure. Contrary to the common assumption that elevated pulmonary vascular resistance drives hypoxemia in sepsis, the data points to left ventricular dysfunction as a key contributor. Babies with hypoxemic respiratory failure showed lower LV systolic and diastolic performance, while pulmonary pressures were similar between groups. Mortality was significantly higher in the hypoxemic group. This challenges the reflex to reach for nitric oxide first and asks clinicians to look at the whole heart.
Cardiopulmonary Physiology of Hypoxemic Respiratory Failure Among Preterm Infants with Septic Shock. Kharrat A, Nissimov S, Zhu F, Deshpande P, Jain A.J Pediatr. 2025 Mar;278:114384. doi: 10.1016/j.jpeds.2024.114384. Epub 2024 Nov 6.PMID: 39510164
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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.
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What would it really mean to shorten neonatology fellowship training to two years? In this episode, Ben and co-host Dr. Shetal Shah sit down with three division heads, Dr. Jill Maron (Brown), Dr. Patrick McNamara (University of Iowa), and Dr. Sarah Taylor (Yale), to examine the ABP's proposed changes from the perspective of those who run major academic NICUs. From the operational and financial strain of losing an entire class of third-year fellows, to the erosion of scholarly development, dwell time, and faculty wellbeing, the conversation makes clear that the costs of this proposal go far deeper than the curriculum. How do you staff an 80-bed NICU without junior fellows? Who funds the gap? And what happens to the next generation of academic neonatologists if we train them in isolation from the very experiences that shape their identity as clinicians and scholars?
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What does it mean to truly improve outcomes for very low birth weight infants, and are we actually doing it? In this episode, Daphna sits down with Dr. Joseph Kaempf, neonatologist and Medical Director of Value Research and Innovation at Providence Health System in Oregon, to examine some uncomfortable truths about neonatal quality improvement. Dr. Kaempf shares findings from a study spanning 16 NICUs over 14 years showing that composite morbidity outcomes have remained flat while length of stay has increased. He explores why traditional QI tools like driver diagrams and PDSA cycles may no longer be sufficient, and why augmented intelligence may be the next frontier. The conversation also touches on culture as a driver of NICU performance and the gap between institutional interests and true shared decision-making with families. A candid episode for anyone invested in the future of neonatology.
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Phototherapy duration, jaundice and UTIs, extended CPAP, and The Pitt. A full week on the Incubator Journal Club.
Ben opens with a nationwide Swedish cohort study from JAMA Network Open examining phototherapy duration in nearly 5,000 very preterm infants. Longer phototherapy was not significantly associated with late neonatal mortality, but six to seven days was associated with significantly higher rates of severe neonatal morbidity. With 95% of the cohort receiving phototherapy, Ben and Daphna question how much evidence actually supports the near-universal practice.
Daphna follows with a retrospective study from Istanbul showing that 31% of term and near-term neonates hospitalized for unexplained hyperbilirubinemia had culture-proven UTIs, with pathological renal ultrasound findings independently associated with a 4.6-fold increased odds of UTI.
Ben then reviews the extended CPAP secondary analysis by Mamidi and McEvoy, showing that two additional weeks of bubble CPAP reduced intermittent hypoxemia episodes from 151.7 to 57.6 compared to discontinued CPAP.
Daphna closes with the NEOASP five-day UTI treatment guideline from Nationwide Children's Hospital, where a structured stewardship approach yielded a 1% failure rate.
Ben and Eli close the week reflecting on The Pitt and what it reveals about the broken realities of American healthcare.
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In this episode of Neo News, Ben and Eli discuss the cultural phenomenon of HBO Maxâs new hit medical drama, The Pitt. Sparked by an insightful critique in The New Yorker by Dr. Dhruv Khullar, they dive into why this Noah Wyle-led series is capturing the attention of millions of Americans, including healthcare workers and patients alike. They explore how the showâs unflinching portrayal of systemic failures, from ER overcrowding to uninsured patients leaving against medical advice, mirrors their daily reality in the hospital. Tune in as they discuss whether the shared humanity seen on screen can bridge the gap between doctors and patients or simply highlight the exhausting "pit" of modern medicine!
The Pitt: https://www.newyorker.com/culture/the-lede/what-the-pitt-taught-me-about-being-a-doctor
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Is five days of antibiotics enough to treat a urinary tract infection in a NICU infant? In this Journal Club episode, Ben and Daphna review a single-center study from Nationwide Children's Hospital examining adherence and safety of a five-day antibiotic treatment guideline for culture and urinalysis-proven UTIs in the NICU. Among 77 infants with 93 bacterial UTIs, the five-day course was associated with a 1% failure rate, defined as reinitiation of antibiotics within seven days for the same organism. The episode also explores the potential role of enteral antibiotic therapy and what shorter treatment courses could mean for babies still weeks away from discharge.
Urinary tract infection in the neonatal intensive care unit. Magers J, Burton A, Prusakov P, White NO, Miller RR, Moraille R, Theile AR, SĂĄnchez PJ; Nationwide Childrenâs Hospital Neonatal Antimicrobial Stewardship Program (NEO-ASP).J Perinatol. 2026 May;46(5):754-760. doi: 10.1038/s41372-026-02690-1. Epub 2026 Apr 29.PMID: 42056240 Free PMC article.
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What happens to intermittent hypoxemia when you keep a stable preterm infant on CPAP for two extra weeks? In this Journal Club episode, Ben and Daphna review a secondary analysis from the Journal of Pediatrics by Mamidi and McEvoy. Among 95 infants randomized to either two additional weeks of bubble CPAP on room air or discontinued CPAP, those in the extended CPAP group experienced significantly fewer intermittent hypoxemia episodes (57.6 versus 151.7), higher baseline saturations, and greater functional residual capacity. The episode also touches on the practical implications for units navigating oral feeding protocols alongside extended CPAP.
Extended Continuous Positive Airway Pressure in Infants Born Preterm Decreases Intermittent Hypoxemia: A Secondary Analysis of a Randomized Controlled Trial. Mamidi RR, Go MDA, Harris J, Olson M, Milner K, Tepper RS, Morris C, Park B, Schelonka R, MacDonald KD, McEvoy CT.J Pediatr. 2026 May 25:115165. doi: 10.1016/j.jpeds.2026.115165. Online ahead of print.PMID: 42190903
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In this Journal Club episode, Daphna reviews a retrospective cohort study from Istanbul examining clinical, laboratory, and ultrasound factors associated with UTI in neonates hospitalized for unexplained hyperbilirubinemia. Among 96 term and near-term infants, 31% had culture-proven UTIs, a striking prevalence. Pathological renal ultrasound findings were independently associated with UTI, with affected neonates 4.6 times more likely to have a concurrent infection. Notably, standard laboratory markers including CRP and white blood cell count failed to distinguish UTI-positive from UTI-negative infants. The findings prompt a practical question: should urine culture be part of the routine workup for neonatal hyperbilirubinemia?
Renal ultrasonography findings are associated with urinary tract infection in neonates with asymptomatic hyperbilirubinemia. Sarı EE, SalihoÄlu Ă.J Perinatol. 2026 Apr 13. doi: 10.1038/s41372-026-02686-x. Online ahead of print.PMID: 41975209
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In this Journal Club episode, Ben and Daphna review a nationwide Swedish cohort study examining the association between phototherapy duration and neonatal outcomes in very preterm infants (22 to 31 weeks). The studyâs primary outcome, late neonatal mortality on days 8 to 27, was not significantly associated with phototherapy duration. However, longer phototherapy exposure was associated with increased odds of severe neonatal morbidity, including IVH and BPD, in infants born at 26 to 31 weeks. The findings prompt an important conversation about the near-universal use of phototherapy in preterm neonates and whether current practice warrants reassessment.
Phototherapy, Morbidity, and Mortality in Very Preterm Newborns. Deschmann E, HÄkansson S, Söderling J, Norman M.JAMA Netw Open. 2026 May 1;9(5):e2614107. doi: 10.1001/jamanetworkopen.2026.14107.PMID: 42166159 Free PMC article.
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What if closing a PDA could be done at the bedside in under 10 minutes, without transporting a fragile preterm infant to the cath lab? Dr. Shyam Sathanandam, Chief of Cardiovascular Medicine at Nicklaus Children's Heart Institute, joins us to discuss the evolution of transcatheter PDA closure in extremely preterm infants. We cover how bedside procedures protect the most vulnerable neonates, which infants are most likely to benefit from closure, the learning curve and complication profile, and Dr. Sathanandam's vision of eventually training neonatologists to perform this procedure themselves.
Dr. Shyam Sathanandam has consulting and compensation relationships with Abbott Laboratories and Medtronic, both relevant to topics discussed in this episode.
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Opioid withdrawal dosing, intranasal breast milk, human milk fortification in Japan, neonatal dysphagia, and vaccine policy. A full week on the Incubator Journal Club.
Ben opens with the Optimized NOW trial in JAMA: symptom-based dosing reduced time to medical readiness for discharge by nearly two and a half days in NOWS infants managed with Eat Sleep Console, and allowed 65% of pharmacologically treated infants to avoid scheduled opioids entirely.
Daphna reviews a small RCT out of Turkey showing improved cerebral oxygenation and favorable vital sign trends after intranasal breast milk administration in preterm infants, adding to the growing tolerability data for this intervention.
Ben then covers the JASMINE trial, a Phase 3 RCT in Japan showing significantly better weight gain velocity with an exclusive human milk diet in very low birth weight infants.
Daphna closes with a retrospective cohort study on FEES-confirmed dysphagia in preterm infants. Of those who met criteria for evaluation, every single one had laryngeal penetration and 57% were aspirating.
Ben and Eli close the week on the quiet dismantling of vaccine infrastructure in the US and what it means for the populations in your NICU.
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In this fast-paced episode of Neo News, Eli and Ben tackle the rapidly shifting landscape of vaccine regulation and economics in the US. They discuss recent political maneuvers surrounding the Vaccine Injury Compensation Program (VICP) and how expanding liability could quietly push manufacturers out of the market entirely. The hosts also examine the FDA's recent hesitation to review Modernaâs new mRNA flu vaccine, highlighting how these administrative roadblocks threaten the financial viability of developing novel vaccinesâincluding critical immunizations for pediatric and neonatal populations. Tune in for a sharp analysis of how top-down policy changes might reshape everyday clinical practice!
1) https://thehill.com/policy/healthcare/5689850-kennedy-dismisses-vaccine-advisors/
2) https://www.washingtonpost.com/opinions/2026/01/15/rfk-jr-vaccines-autism-vicp/
3) https://www.nytimes.com/2026/02/18/health/fda-moderna-flu-vaccine-mrna.html
4) https://www.nytimes.com/2026/02/16/health/rfk-vaccine-manufacturers.html
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How often are we missing dysphagia in our most vulnerable NICU patients? In this episode of Journal Club, Daphna reviews a retrospective cohort study from the Journal of Perinatology examining the incidence and risk factors of dysphagia confirmed by flexible endoscopic evaluation of swallowing (FEES) in very preterm and very low birth weight infants. Among infants showing persistent feeding difficulties at 38 weeks post-menstrual age, laryngeal penetration was detected in all infants who underwent FEES, and tracheal aspiration in nearly 60%. Ben and Daphna discuss whether we are naming dysphagia for what it is, whether earlier instrumental assessment could change outcomes, and what it means for families to finally understand why their baby is struggling to feed.
Incidence and factors associated with dysphagia in infants born very preterm or very low birth weight. Reynolds J, Suterwala M, Desai S, Chiruvolu A.J Perinatol. 2026 Apr 29. doi: 10.1038/s41372-026-02701-1. Online ahead of print.PMID: 42056238
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What does it take to turn a single struggling baby into a national standard of care? In this episode, Ben sits down with Professor Katsumi Mizuno (Showa Medical University) and Dr. Melinda Elliott (Chief Medical Officer, Prolacta Bioscience) to discuss the landmark Jasmine Trial, the first randomized controlled trial of an exclusive human milk diet (EHMD) in Japan. The results: significantly better weight and length gain, fewer antibiotic days, and improved feeding tolerance in very preterm infants. After an eight-year regulatory journey, Japan's Pharmaceuticals and Medical Devices Agency (PMDA) granted Prolacta's human milk-based fortifier PreemieFort drug-level designation, a global first, ensuring equitable, nationally reimbursed access for every preterm infant in the country. The conversation also looks ahead to the Fuji Trial and what Japan's precedent-setting decision could mean for Europe and the US.
The guests joining us today have a direct financial or professional relationship with the topic being discussed in this episode. This may include employment, a consultant role, research funding relationship, or other ties to the company or product being reviewed.
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Japan has some of the best survival rates for extremely preterm infants in the world, yet feeding practices there look very different from what many of us are used to. In this episode of Journal Club, Ben reviews the JASMINE trial, a multicenter phase three randomized controlled trial evaluating an exclusive human milk diet compared to a standard cow milk-based diet in very low birth weight infants in Japan. Infants on an exclusive human milk diet gained weight significantly faster, reached full feeds six days sooner, and had fewer antibiotic days. Ben then sits down with first author Professor Katsumi Mizuno and Dr. Melinda Elliott, CMO of Prolacta Bioscience, to discuss the backstory and broader implications of this landmark trial.
Growth and safety evaluation in very low birth weight infants receiving an exclusive human milk diet: a phase III randomized control trial in Japan. Mizuno K, Miyazawa T, Kondo U, Nishikubo T, Yamamoto Y, Nakano Y, Hiroma T, Ikeda K, Murase M, Jimi H, Hokuto I, Miyata M.J Perinatol. 2026 Apr 27. doi: 10.1038/s41372-026-02695-w. Online ahead of print.PMID: 42045666
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Could putting a few drops of breast milk in a preterm infant's nose actually improve cerebral oxygenation? In this episode of Journal Club, Daphna reviews a randomized controlled trial from the European Journal of Pediatrics investigating the physiologic effects of intranasal expressed breast milk (EBM) administration in preterm infants. The study found that infants receiving 0.2 mL of fresh breast milk intranasally three times daily showed significantly higher cerebral oxygenation levels, along with more favorable trends in heart rate and respiratory rate, compared to controls. While time to full oral feeding and length of hospital stay were unchanged, the safety data is reassuring. Ben and Daphna discuss what outcomes we should even be measuring, and whether the evidence is already good enough to just do it.
Effect of intranasal breast milk administration on cerebral oxygenation, vital signs, and transition time to full oral feeding in preterm infants: a randomized controlled study. YĂŒcel A, KĂŒĂ§ĂŒkoÄlu S, Konak M.Eur J Pediatr. 2026 Apr 16;185(5):272. doi: 10.1007/s00431-026-06922-6.PMID: 41986747
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One infant is diagnosed with neonatal opioid withdrawal syndrome every 27 minutes, and rates are rising. In this episode of Journal Club, Ben and Daphna review the Optimized NOW randomized clinical trial, a landmark multicenter study published in JAMA. The trial compared symptom-based dosing, a single opioid dose given when a withdrawal threshold is met against the traditional scheduled opioid taper in infants managed with Eat Sleep Console. The results are striking: symptom-based dosing reduced time to medical readiness for discharge by nearly two and a half days, and 65% of pharmacologically treated infants avoided scheduled opioid dosing entirely. Could this be the evidence-based approach that finally reshapes how we treat NOWS pharmacologically?
Symptom-Based Dosing for Neonatal Opioid Withdrawal: The OPTimize NOW Randomized Clinical Trial. Devlin LA et al HEAL Evaluation of Limited Pharmacotherapies for Neonatal Opioid Withdrawal Syndrome (HELP for NOWS) Consortium.JAMA. 2026 Apr 25:e265782. doi: 10.1001/jama.2026.5782. Online ahead of print. PMID: 42033722
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The NICU is one of the loudest environments a newborn will ever experience, yet it is also where the most vulnerable infants spend their earliest, most developmentally critical days. In this Tech Tuesday episode, Ben and Daphna sit down with Gabby Daltoso and Sophie Ishiwari, co-founders of the Sonura Beanie. Their device tackles two pressing NICU challenges at once: harmful noise exposure and disrupted parental connection. By embedding a low-pass filtration system tuned to the acoustic environment of the womb into standard hospital beanies, Sonura attenuates high-frequency alarms while preserving the frequency of the human voice. Parents can also send recordings of songs, stories, and their heartbeat directly to their infant at the bedside. With a feasibility trial underway at Penn Medicine and the University of Pennsylvania Presidentâs Innovation Prize secured, Gabby and Sophie are just getting started.
To learn more, visit www.sonuracare.com
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Every neonatologist has built a protocol or written a guideline, and most have done it completely alone. In this episode, Ben sits down with Dr. Christina Muffy Sollinger (UC Davis) and Dr. Sarvin Ghavam (CHOP), the co-founders of NeoGuide, a national collaborative dedicated to connecting clinicians around the shared work of clinical guidelines and practice pathways. Born from a single email that broke a listserv and generated over 120 responses overnight, NeoGuide has grown into a structured community offering a seminar series on topics like transfusion medicine and HIE management, and a curriculum series focused on implementation science. Muffy and Sarvin discuss how to build consensus without promoting cookie-cutter medicine, the moral distress of clinical uncertainty, and their vision for a living repository of institutional pathways. Whether you are at a level four academic center or a small rural NICU, you shouldnât have to start from scratch.
To learn more, visit NeoGuide.org
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Cerebral oxygenation, staffing economics, delivery room scoring, neurodevelopmental prognostication, and public health â a full week on the Incubator Journal Club.
Ben walks through the NIRTURE trial, a single-device RCT testing cerebral oximetry-guided care in infants born under 29 weeks. The intervention dramatically reduced the burden of cerebral hypoxia and hyperoxia compared to standard care. Secondary clinical outcomes were neutral and neurodevelopmental follow-up is still pending. The question of whether stabilizing cerebral oxygenation actually moves the needle for these babies remains unanswered.
Daphna covers a brief communication from the Journal of Perinatology on what happens to billing and productivity when NICUs shift to 24-hour in-house attending coverage. Clinical FTE went up, work RVUs went down â and the reason is counterintuitive. Attendings present overnight were weaning babies faster. Better care, less revenue. The coding system was not built to capture that.
Ben then pairs the 5-minute Apgar with umbilical artery pH in very preterm infants using EPICE cohort data. When both are low, risk is highest. When they compete, the Apgar wins.
Daphna rounds out Journal Club with a systematic review showing that combining EEG and brain MRI outperforms either tool alone for neurodevelopmental prognostication in preterm infants.
The week closes with Ben and Eli on the sweeping domestic and international public health funding cuts â and what they mean for the vulnerable populations in your NICU.
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In this episode of Neo News, Ben and Eli tackle the recent, quietâbut massiveâpublic health funding cuts implemented by the Department of Health and Human Services. With $600 million pulled back from four targeted states and additional CDC block grants eliminated, they discuss the severe domestic implications for local health departments, HIV/STI surveillance, and lead poisoning prevention. They also zoom out to examine the global health consequences of the US withdrawing from the WHO. Tune in as the hosts break down why these macro-level policy shifts directly impact the frontlines of neonatal care, from the need to scrutinize prenatal labs more closely to adapting clinical protocols for vulnerable populations and new arrivals.
https://www.nytimes.com/2026/02/11/health/hhs-california-public-health-lawsuit.html
https://www.washingtonpost.com/health/2026/02/19/alternative-world-health-organization-proposal/
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In this episode of Journal Club, we wrap up a marathon recording session with a deep dive into the world of neonatal neuroprognostication. Daphna reviews a systematic review and meta-analysis from Pediatric Neurology that evaluates whether combining EEG and MRI provides better answers for families of preterm infants. While MRI remains a powerful tool for structural assessment, the data suggests that adding the functional insights of EEG significantly boosts specificity, particularly when predicting severe neurodevelopmental outcomes. We discuss the importance of timing these studies and the clinical value of sleep-wake cycling as a developmental milestone at the bedside.
Combined Use of Electroencephalography and Magnetic Resonance Imaging in the Prognostication of Neurodevelopmental Outcomes in Preterm Infants - A Systematic Review and Meta-Analysis. Forrest CD, Biagioni T, Liley HG, Lai MM, Colditz PB, Ware RS, Boyd RN, Roberts JA.Pediatr Neurol. 2026 Feb;175:116-129. doi: 10.1016/j.pediatrneurol.2025.11.005. Epub 2025 Nov 13.PMID: 41337899
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Ben kicks things off with a major career update before we dive into a critical study from JAMA Network Open. We explore the predictive value of the five minute Apgar score when combined with umbilical artery pH in very preterm infants. While the Apgar score was originally designed for term babies, this analysis of the EPICE cohort reveals its enduring utility even in the smallest patients. We discuss how these two measures interact, which one "wins" when they conflict, and why the clinician assessment remains a powerful predictor of mortality and severe morbidity in the NICU.
Apgar Score Plus Umbilical Artery pH and Adverse Neonatal Outcomes in Very Preterm Infants. Ehrhardt H, Behboodi S, Maier RF, Aubert AM, à dén U, Staude B, Draper ES, Gudmundsdottir A, Siljehav V, Varendi H, Weber T, Zemlin M, Zeitlin J; EPICE/SHIPS Research Group.JAMA Netw Open. 2026 Feb 2;9(2):e2557913.
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Is your NICU considering the shift to 24 hour in house attending coverage? In this episode of Journal Club, we explore a provocative brief communication from the Journal of Perinatology. Ben and Daphna discuss the impact of moving from home call to on site presence at UC Davis. While the change was intended to improve patient care, the data reveals a surprising 15 percent decrease in work RVUs. We examine how proactive weaning and bedside presence might actually lower billing levels under current CPT codes. Are we being penalized for doing the right thing for our patients?
From on-call to on-site: the impact of 24-hour in-house neonatology on billing patterns and physician productivity. Donohue L, Lakshminrusimha S.J Perinatol. 2026 Feb;46(2):289-292. doi: 10.1038/s41372-025-02530-8. Epub 2026 Jan 5.PMID: 41490931 Free PMC article. No abstract available.
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In this episode of Journal Club, Ben and Daphna dive into the results of the NIRTURE trial, recently published in JAMA Network Open. Building on the lessons of SafeBoosC 3 , the NIRTURE investigators aimed to reduce the burden of cerebral hypoxia and hyperoxia in extremely preterm infants using a standardized NIRS guided treatment protocol. While the study showed a dramatic improvement in maintaining cerebral normoxia, driven largely by a reduction in hyperoxia , the clinical outcomes before discharge remained neutral. Join us as we discuss whether regional oximetry is a must have bedside tool or just another data point in search of a clear clinical benefit.
Cerebral Oximetry-Guided Treatment and Cerebral Oxygenation in Extremely Preterm Infants: A Randomized Clinical Trial. Jani PR, Goyen TA, Balegar KK, Maheshwari R, Saito-Benz M, Schindler T, Moore J, Merhi M, Cruz M, Song Y, McDonagh H, Luig M, Tracy M, D'Cruz D, Perdomo A, Morakeas S, Dasireddy V, Culcer M, Shingde V, Bennington K, Michalowski J, Fucek A, Querim J, Stevens S, Santanelli J, Elhindi J, Gloss B, Halliday R, Shah D, Popat H.JAMA Netw Open. 2026 Feb 2;9(2):e2557620.
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The American Board of Pediatrics (ABP) recently announced a move toward competency-based subspecialty training that would shorten fellowships â including neonatology â from three years to two. The proposal has sent shockwaves through the training community. In this episode, Daphna sits down with three leaders from the Organization of Neonatal Perinatal Training Program Directors (ONTPD): Dr. Patrick Myers from Northwestern, Dr. Heather French from the Children's Hospital of Philadelphia, and Dr. Melissa Scala from Stanford. Together, they break down what competency-based medical education actually means in practice, why the math simply doesn't add up when applied to neonatology, and what this could mean for procedural training, scholarly activity, fellow well-being, and ultimately patient care. They also address the workforce concerns driving the ABP's proposal, share survey data from program directors across the country, and offer concrete alternative pathways forward. The message from the field is clear: the community wants to innovate â but they want a seat at the table first.
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Dr. Benny Rossner, PGY-2 pediatrics resident and veteran physician recruiter with 15 years of experience building clinical teams across the country, joins Ben and Rupa for a candid look at the neonatology workforce from a side of the conversation trainees rarely hear. He breaks down why demand for neonatologists is rising â sicker and younger patients, a shrinking APP pipeline into high-acuity specialties, and hospitals stretching budgets on locums before finally raising permanent salaries â and why fellows coming out of training have more negotiating power than they typically realize. He also shares practical advice on contract negotiations, non-competes, and why knowing the right people still matters enormously when it comes to landing the most competitive academic or metropolitan positions.
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Dr. Daniel Rauch, PAS 2026 program chair, joins Ben for a behind-the-scenes look at what it takes to pull off a conference of this scale â and what he's learned from this year's record-breaking attendance in Boston. He reflects on the sessions that packed rooms beyond capacity, from the Tiny Baby Collaborative to AI in pediatrics, and shares what's on the horizon for PAS 2027 in Minneapolis and PAS 2028 in Vancouver. He also makes the case for why PAS remains uniquely valuable for trainees and early career clinicians â not just for the science, but for the cross-disciplinary hallway conversations that become next year's publications â and highlights the steps the conference is taking to be more inclusive, from closed captioning and a first-ever Spanish language session to on-site daycare and mobility devices for attendees with ambulatory difficulties.
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Dr. Gabriel Altit and Daniela Villegas from the NeoCardioLab at Montreal join Ben and Rupa to reflect on a packed PAS filled with hemodynamics science â from pulmonary hypertension phenotyping to heart-brain interactions in the golden hour. Dr. Altit makes the case that just as neonatology learned to embrace gentle ventilation, it is time to think about gentle hemodynamics â intervening thoughtfully, recognizing different clinical phenotypes, and knowing when to remove interventions before they carry a price. He also previews early 3D echo data suggesting that a single clip at day 7 to 10 of life may already carry a signature predicting which babies will develop adverse cardiopulmonary outcomes by 36 weeks. Daniela shares her approach to family consent and research recruitment â sitting down, leaving papers behind, connecting families to the history of research that made current NICU care possible, and always giving them space to process before returning for an answer.
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Dr. Kristen Leeman and Dr. Jonathan Levin join Ben to debrief a packed interactive session on tracheostomy timing and counseling for babies with severe bronchopulmonary dysplasia (BPD). Using iterative cases and live audience polling, they mapped the wide variability in practice across the country â finding rough consensus that tracheostomy conversations become likely around 44 to 48 weeks post-menstrual age for intubated infants and 48 to 52 weeks for those on non-invasive ventilation, with key comorbidities like pulmonary hypertension, poor growth, and neurological injury shifting the calculus significantly. Families who participated in the session delivered a powerful message: the conversation should start early, be repeated often, and be framed not as a failure but as a transition â and continuity of care, having a familiar face who knows the baby and the family, made all the difference.
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Dr. Rangasamy Ramanathan, division chief at Cedars-Sinai Guerin Children's Hospital and one of neonatology's most prolific investigators, joins Ben to share what's keeping him busy â 14 active clinical trials including studies on IGF-1 for lung injury prevention, oral insulin for weight gain, and the upcoming phase three trial of aerosolized surfactant. He reflects on what has sustained his passion through decades of work, from training a third of California's neonatologists to launching Southern California's first NeuroNICU with 24-7 neurology coverage and in-house whole genome sequencing. He also previews his next innovation â the ROM Smith ventilator, designed to be manufactured and distributed at cost to resource-limited settings around the world where babies are dying for lack of a $30,000 machine he believes he can build for under $2,000.
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Dr. Thais Queliz, neonatologist at Winnie Palmer Hospital in Orlando, presents ten years of data from one of the country's highest-volume programs caring exclusively for babies born at 22 to 24 weeks. She shares how survival rates for 22 and 23-weekers climbed from 40% before the Tiny Baby program launched to 67% overall â and 72% over the last two years â driven by institutional alignment, standardized protocols, and a dedicated multidisciplinary team. She also presents Golden Hour data showing a jump from 8% to 75% completion rate after implementing strict checklists and role-defined workflows that cut average admission time from nearly two hours to 54 minutes. And she previews work on prolonged empiric antibiotics in this population â extending courses based on placental pathology â which has been associated with decreased mortality in 22 and 23-weekers, echoing findings presented earlier in the conference by her fellow Dr. Gesca Borchardt.
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Dr. Indrani Bhattacharjee, neonatologist and POCUS program director at Tufts Medical Center in Boston, joins Ben to discuss a fascinating and largely unexplored frontier â intestinal ultrasound in healthy preterm infants. Rather than waiting for NEC to appear, her team has been systematically scanning babies born under 32 weeks every week from one week of age until eight weeks or discharge, building what may be the first normative dataset for bowel wall thickness in this population. Early findings are already challenging the standard radiological definitions, showing that extremely preterm babies have thinner bowel walls than current benchmarks would classify as normal â raising the question of whether definitions derived from term or older patients have ever been appropriate for our tiniest babies. The publication is forthcoming in the European Journal of Pediatrics.
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Dr. Surabhi Aggarwal, neonatologist at Stony Brook University, joins Ben and Rupa to share five years of experience building a LISA â Less Invasive Surfactant Administration â program from the ground up at her institution. She walks through the obstacles of getting IRB approval, gaining clinical buy-in from colleagues comfortable with intubation, and how the introduction of video laryngoscopy was the turning point that finally got the practice off the ground. She shares early results showing that 30% of eligible babies received surfactant via LISA rather than intubation, discusses the technical nuances of catheter placement and confirmation, and weighs in on the emerging SALSA technique using an LMA â with a candid admission that she may be a little biased. She also highlights her work with MidCan, the AAP mid-career neonatologist group supporting clinicians between seven and seventeen years post-training.
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Dr. Arpitha Chiruvolu, neonatologist and infant nutrition researcher, joins Ben to share three posters from this year's PAS covering two of her core research interests. She presents pilot data on using Prolacta human milk cream as an alternative to dextrose gel for treating asymptomatic neonatal hypoglycemia â highlighting the well-known limitations of dextrose gel including inconsistent dosing, poor tolerance, and the way it interferes with breastfeeding immediately after administration. In 25 babies treated with cream, blood glucose rose from a median of 36 to 56 mg/dL, only one baby required NICU admission, and nurses and families loved it. She also shares her center's experience with probiotics in extremely low birth weight infants â where NEC rates dropped significantly with no cases of probiotic sepsis â and raises the urgent question of what is happening to NEC rates now that probiotics have been pulled from use in the US.
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Dr. David Sas, pediatric nephrologist at Mayo Clinic, joins Ben to discuss primary hyperoxaluria type 1 â a rare but devastating genetic disease where the liver overproduces oxalate, flooding the kidneys with crystals and leading to end-stage kidney failure in roughly 60% of patients, historically requiring both a liver and kidney transplant. He presents 60-month long-term extension data on Lumasiran, an siRNA-based therapy that suppresses oxalate production at its source â showing that urinary oxalate drops rapidly within the first three months and stays down with quarterly injections, potentially changing the trajectory of this disease forever. He also issues a direct call to urologists and nephrologists everywhere: if your patient has recurrent calcium oxalate stones, check a 24-hour urine â because primary hyperoxaluria is almost certainly being missed.
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Dr. Kyle Willsey, pediatric critical care transport director at Cedars-Sinai, joins Daphna to discuss one of the least standardized corners of pediatric and neonatal medicine â critical care transport. With children's hospitals closing across the country and tertiary centers absorbing more of the patient load, the demand for safe, well-trained transport teams is growing at the same time that national standards remain nearly nonexistent. He shares the challenges of building a transport program from the ground up, presents early pilot data using the NASA Task Load Index to measure the subjective cognitive burden on transport nurses and respiratory therapists, and makes an open call for collaboration with anyone else navigating the same uncharted territory â because the transport leg of a critically ill child's journey should never be an afterthought.
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Dr. Emily Wassmer, researcher at Children's Hospital of Philadelphia, presents findings from one of the first studies to examine gaming addiction in young children ages 5 to 12 with ADHD diagnoses. Using a newly developed caregiver-report screening tool based on DSM-5 criteria for internet gaming disorder, she found that inattention â more than hyperactivity, anxiety, depression, or autism symptoms â was the factor most strongly associated with meeting criteria for gaming addiction, mirroring patterns seen in adolescent research. Perhaps most striking was the parenting finding: each additional negative parenting behavior, such as yelling or losing one's temper, tripled the child's risk of gaming addiction â suggesting that evidence-based parent training programs already used in ADHD populations may be one of the most promising avenues for intervention.
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Dr. Lily Lou joins Daphna and Rupa to reflect on this year's Silverman Lecture at PAS â the annual honorary lecture of the AAP Section on Neonatal Perinatal Medicine â delivered by Dr. John Ioannidis of Boston, who turned the lens of research methodology back on the research community itself. Drawing on meta-analyses of meta-analyses, he offered ten provocations about how neonatology studies its own practice: are we studying the right populations, asking about race and ethnicity appropriately, and publishing the right amount? Dr. Lou also makes a heartfelt call for trainees to prioritize these foundational lectures alongside the practical career-building sessions, arguing that understanding the history and philosophy of how neonatology does science is just as important as learning how to get published.
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Dr. Satyan Lakshminrusimha, pediatric chair and neonatologist, joins Ben hot off the ONTPD meeting to share his perspective on the ABP fellowship reform debate â and it's more nuanced than a simple yes or no to a two-year fellowship. He argues that the real problem is a six-year training pipeline that is driving medical students away from pediatric subspecialties under crushing debt, and that the solution for procedure-heavy specialties like neonatology is not to shorten fellowship but to truncate the pediatric residency to two years â following the precedent already set by pediatric neurology. He also makes the case that the workforce crisis is ultimately an entry ticket problem: before debating fellowship length, we need to convince more medical students to choose pediatrics in the first place, and more pediatric residents to choose subspecialty training before it's too late.
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Dr. Nathan Sundgren, neonatologist and NRP educator at Texas Children's Hospital, joins Ben to discuss one of the most deceptively difficult skills in neonatal resuscitation â effective bag mask ventilation. He shares findings from a fellowship training study showing that respiratory function monitor feedback improves ventilation technique equally well across all three device types, and tackles the harder question of why that same technology has yet to show clinical benefit in the delivery room â pointing to human factors, cognitive overload, and the need for a dedicated respiratory coach role rather than a better device alone. He also reflects on the evolution of team leadership in neonatal resuscitation, why doing a procedure and leading a team simultaneously is impossible, and where people can find his free educational content on YouTube at Texan Neo-Ed.
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Dr. Matthew Saxonhouse, neonatologist at Atrium Health, joins Ben to discuss two initiatives designed to fill the gaps that traditional conferences often leave behind. The first is Neonatal Insights, a biennial meeting returning January 29-31, 2027 in Houston â both in person and virtual â where controversial topics like the new hypoglycemia guidelines, cord blood transfusions, optimal caloric targets for growing infants, and wasteful NICU practices are presented from all sides with the explicit goal of reaching a working consensus. The second is Neonatal Insider, a monthly virtual series combining physiology and current evidence on hot topics, now opening its five-year archive to subscribers. He also reflects on why education that presents competing perspectives honestly is one of the most valuable things neonatology can offer its community.
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Dr. Mitchell Goldstein, neonatologist at Loma Linda University and editor-in-chief of Neonatology Today, joins Ben to share the story behind one of neonatology's most accessible and wide-reaching publications â a peer-reviewed, open-access journal with 25,000 monthly readers worldwide, no publication fees, no page limits, and no color charges. He explains the philosophy behind the Academic True Open Model that guides the journal, why author development and rapid peer review turnaround of as little as 72 hours set it apart, and how the journal has used platforms like LinkedIn to find voices that traditional publishing would never have reached. He also highlights the 39th International Gravens Conference on the Physical and Developmental Environment of the High-Risk Infant, taking place June 16-18 in South Bend, Indiana â use code Special10 for 10% off registration.
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Christie Lawrence, clinical nurse specialist at Rush University Medical Center, joins Ben to discuss sudden unexpected infant death (SUID) â the updated term that encompasses all sleep-related infant deaths, including what was formerly called SIDS. In Cook County alone, an infant dies every week from SUID, with Black infants dying at 14 times the rate of white infants â a disparity far exceeding the already alarming national figure of three times. She explains why shifting the language from the mysterious "SIDS" to the more concrete word "suffocation" is not about being harsh but about giving families something they can actually understand and act on â and why meeting families where they are, involving the whole family unit, and addressing real barriers to safe sleep is the only way to move the needle on a problem that has been hiding in plain sight.
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Dr. Jayasree Nair, neonatal resuscitation expert, joins Ben to reflect on one of the most humbling realities in neonatology â nearly everything we know about epinephrine use in extensive neonatal resuscitation comes from animal studies, adult data, or pediatric populations, not neonates. She explains why the pyramid of resuscitation research narrows dramatically as you move toward chest compressions and epinephrine, why randomized controlled trials in this space may never be fully achievable, and why collaborative registries like the DRIVE network offer one of the most promising paths forward. She also shares her experience piloting the new NRP NICU resuscitation module and reflects on how the two-year fellowship debate ultimately circles back to the same root problem: the financial sustainability of a career in academic pediatrics.
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Dr. Elisabeth Kuhn, researcher focused on hospital operations, presents findings from a mixed-methods study examining how US children's hospitals measure and respond to capacity strain â the point at which demand for care outpaces the ability to deliver it safely. In a survey of 45 tertiary children's hospitals, 43 reported experiencing capacity strain in the past year, underscoring just how widespread and persistent the problem has become since the triple-demic brought it into sharp focus. She argues that current metrics like occupancy rates and boarding times fail to capture the real clinical experience of strain â which is driven by acuity and complexity, not just bed counts â and calls for better measurement tools tied directly to patient outcomes, alongside broader policy change to address what no amount of internal reshuffling can fully solve.
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Kimberly Novod, community health advocate, founder of Sol's Light, and fierce voice for health equity, joins Ben for a conversation about what it actually means to build trust between hospitals and the communities they serve. Drawing on her experience in New Orleans â where the prematurity rate sits at 14% and environmental factors like air, water, and soil quality in areas like Cancer Alley drive devastating birth outcomes â she makes the case that health equity cannot be achieved within hospital walls alone. She calls on institutions to stop designing solutions without asking the people they're meant to serve, to share research findings back with the communities that participated in them, and to invest meaningfully in family partners who reflect the full spectrum of lived experience â not just the ones with the rosiest stories to tell.
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Dr. Brandon Hadfield and Dr. Debora Abimana join Ben for a conversation that brings the incubator's global neonatology work full circle â from the founding of Rwanda's first neonatology fellowship program to seeing its first trainee present scholarly work at PAS. Dr. Abimana shares findings from her research on healthcare provider attitudes toward donor human milk in Rwandan NICUs, where the concept is largely welcomed but faces cultural concerns around infants adopting the characteristics of their donor â a barrier the team hopes to address through targeted community education. She also paints a vivid picture of the need: NICUs without TPN, near-universal breastfeeding rates driven by necessity rather than choice, and critically ill mothers who simply cannot produce enough milk for their premature babies in those first crucial hours.
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Dr. Zubair Aghai, neonatologist at Thomas Jefferson University in Philadelphia, presents results from one of the largest neonatal trials ever conducted â enrolling 3,448 late preterm and term infants across India to test whether umbilical cord milking in non-vigorous newborns reduces death or moderate-to-severe HIE. With over 100,000 deliveries screened and real-time data collected by research staff present at every delivery around the clock, the primary outcome showed no short-term harm from cord milking â and a secondary signal of reduced infection risk, possibly driven by the immunoglobulins transferred with the extra blood. He also explains why non-vigorous babies stand to gain the most from this simple ten-second intervention, and previews two-year neurodevelopmental follow-up data still to come.
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Dr. Ryan McAdams guest hosts alongside the NeoMind AI team â Dr. Ameena Husain, Dr. Kristyn Beam, Dr. Brynne Sullivan, and Dr. Zach Vesoulis â to recap their third annual pre-conference AI workshop at PAS, including a live predictive modeling bake-off using the Epic Cosmos database to predict late-onset sepsis in nearly 100,000 preterm infants. The group discusses where AI stands today in neonatology â from using large language models to reduce administrative burden and improve family communication, to Epic's growing investment in neonatal-specific tools â and makes an honest case for what clinicians should start doing now and what still requires caution. They close with an open invitation to join NeoMind AI, a growing community of neonatologists, data scientists, and researchers working to ensure the NICU is not left behind as this technology reshapes medicine.
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Dr. Melissa Zhou, researcher at the Developing Brain Institute at Children's National, joins Daphna to discuss functional MRI and what it reveals about how preterm brains are building connections during the NICU stay. Using functional connectivity â measuring how different brain regions communicate with each other over time â her team compares preterm infants to healthy in utero fetuses scanned as early as 20 weeks, finding that the ex utero preterm brain actually looks more mature in terms of connectivity, suggesting the NICU environment itself accelerates certain aspects of brain development. She shares why extremely and very preterm infants show a distinctly different pattern of connectivity compared to moderately preterm babies who seem to bounce back more quickly, and why the team's next goal is to use these early functional findings to predict which babies will struggle with neurodevelopmental outcomes at 36 months â and which ones will be just fine.
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Dr. Gesca Borchardt, third-year neonatology fellow at Winnie Palmer Hospital, presents findings from a retrospective study of 296 infants born under 25 weeks examining whether extending empiric antibiotic use beyond 72 hours reduces mortality in this vulnerable population. She shares why her unit moved to a seven-day antibiotic course for babies with placental pathology positive for chorioamnionitis â and what they found when they looked at the data. At 22 and 23 weeks, longer antibiotic courses were associated with a statistically significant decrease in mortality. At 24 weeks, no difference was seen. One puzzling finding clouds the picture however: an increased incidence of spontaneous intestinal perforation in the prolonged antibiotic group â a signal the team is still trying to understand and that the wider community will want to watch closely.
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Dr. Kevin Cook, researcher at the Developing Brain Institute at Children's National, joins Daphna to discuss functional MRI and what it reveals about how preterm brains are building connections during the NICU stay. Using functional connectivity â measuring how different brain regions communicate with each other over time â his team compares preterm infants to healthy in utero fetuses scanned as early as 20 weeks, finding that the ex utero preterm brain actually looks more mature in terms of connectivity, suggesting the NICU environment itself accelerates certain aspects of brain development. He shares why extremely and very preterm infants show a distinctly different pattern of connectivity compared to moderately preterm babies who seem to bounce back more quickly, and why the team's next goal is to use these early functional findings to predict which babies will struggle with neurodevelopmental outcomes at 36 months â and which ones will be just fine.
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Dr. Katie Ottolini, researcher at the Developing Brain Institute at Children's National in Washington DC, presents findings from a longitudinal MRI study comparing brain growth trajectories in preterm infants to healthy fetuses â scanning as early as 25 weeks and through term corrected age. Even in preterm babies with no significant brain injury and appropriate growth at birth, brain volumes were already smaller by the first MRI at around two weeks of life. She shares which regions are most vulnerable, why the amygdala-hippocampus shows a distinct window of impaired growth beginning after 32 weeks that may represent an opportunity for intervention, and why the goal for neonatology must now shift from neuroprotection alone to what she calls neuropromotion â actively supporting optimal brain development through nutrition, sleep, and other targeted interventions.
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Dr. Lori Devlin, neonatologist and principal investigator of the Optimize Now trial, shares results from the first multicenter randomized trial comparing symptom-based opioid dosing to scheduled opioid tapers in babies with neonatal opioid withdrawal syndrome (NOWS). Published in JAMA on the day of this recording, the trial found that symptom-based dosing reduced medical readiness for discharge by an additional 2.1 days â and that 65% of babies who would traditionally have been placed on a scheduled opioid taper never needed one at all. She also previews the next trial in this series, TREAT Now, which will compare buprenorphine versus morphine for babies who do require pharmacologic treatment, and reflects on how far the field has come since Eat Sleep Console first changed the way we think about caring for this population and their families.
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Dr. John Feister, neonatologist and health equity researcher at Cincinnati Children's Hospital, presents two studies that challenge us to look beyond the bedside. The first reveals that NICU babies whose families prefer a language other than English have nearly double the in-hospital mortality rate of English-speaking families â a difference that persisted even after adjusting for medical and sociodemographic risk factors, and one he suspects is driven in part by barriers to family advocacy and end-of-life communication. The second introduces the concept of medical-financial partnerships, and specifically a hospital-based free tax preparation clinic that helped NICU and hospital families claim thousands of dollars in refundable tax credits â with 90% of participants reporting that the service improved their trust in their medical team.
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Dr. Ravi Jhaveri, infectious disease physician at Lurie Children's Hospital in Chicago, joins Daphna for a conversation spanning two underappreciated threats in pediatrics. On hepatitis C, he shares that up to 90% of perinatally exposed infants never get tested despite clear guidance â and makes the case for point-of-care, heel-stick based testing that meets families where they are rather than relying on follow-up that often never happens. On long COVID, he reframes the vaccine conversation away from acute illness and toward something families actually care about: protecting their child's ability to show up for the things that matter most to them â sports, dance, school â since even mild or repeat COVID infections can double the risk of debilitating long COVID symptoms.
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Dr. Sharon Levy, director of the Division of Addiction Medicine at Boston Children's Hospital, joins Daphna for a wide-ranging conversation on adolescent substance use. She shares data showing a sudden spike in nicotine exposure among teens in treatment for substance use disorders â likely driven by larger vape devices and cooling agents that eliminate the burn sensation â and introduces one of the most novel concepts in addiction medicine: a vaccine that would create antibodies against fentanyl, blocking its effect at the meningeal level before it reaches the brain. She also presents findings on why current surveillance questions fail to capture how teens actually talk about drug use, and why kids who need treatment most are paradoxically the ones most likely to answer screening questions honestly.
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Dr. Jonathan Flyer, pediatric and fetal cardiologist at the University of Vermont, presents findings from a Vermont Oxford Network analysis of over 11,000 extremely low birth weight infants examining whether the method of patent ductus arteriosus (PDA) closure â transcatheter device versus surgical ligation â makes a difference for neurodevelopmental outcomes at 18 to 24 months. The answer: no difference between the two techniques on Bayley-4 cognitive, language, and motor scores. The more sobering finding is that both groups scored well below the normative mean of 100, sitting in the high 70s to low 80s â a reminder of just how much ground this population has to cover. He also makes a case for centering the counseling conversation not on technique but on what each center does best, and what families actually care about most: their child's brain.
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Dr. Brandon Tucker and Dr. Jenelle Ferry share two studies tackling some of the most pressing challenges in the care of extremely low birth weight infants. Dr. Tucker presents a quality improvement initiative examining whether switching from PRN glycerin suppositories to scheduled glycerin enemas every 12 hours reduces feeding intolerance and spontaneous intestinal perforation in babies under 1,000 grams â with early results trending in the right direction. Dr. Ferry then shares findings from a meta-analysis of 14 studies and nearly 4,700 babies showing that an exclusive human milk diet is associated with a roughly 20% reduction in the odds of death â a finding that reached statistical significance when RCTs and observational cohorts were pooled together, and one that carries real weight for units still weighing the evidence on human milk-based nutrition.
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Dr. John James Parker, internist, pediatrician, and researcher at Northwestern University and Lurie Children's Hospital, joins Daphna and Rupa for a conversation about one of the most overlooked players in family-centered care â fathers. He shares why paternal stress in the NICU and postpartum period often peaks later than maternal stress, why discharge instructions routinely go home with only one parent, and how a few small changes â making eye contact with dad, asking him a question, giving him a specific task â can fundamentally shift how engaged fathers feel in their child's care. He also reflects on the inaugural Fathers in Pediatrics special interest group at PAS, and makes the case that thinking about the whole family unit, including the mental and physical health of every caregiver, is not a nice-to-have but a core part of caring for the child.
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Dr. Christina Rojas, from Lurie Children's Hospital, presents findings from a multi-center study across eight hospitals examining how often hospitalized patients and families receive communication touchpoints from their care team â and whether that differs based on preferred language. Across more than 30 languages represented in the study, families who preferred a language other than English experienced significantly fewer room visits, less direct communication when staff did enter the room, and a 55% gap in language-concordant interactions. She discusses what this means for patient safety â since missed touchpoints are missed opportunities to catch medication errors and address family concerns â and makes the case that interpreter access needs to stop being an extra step and start being the cultural default built into every care process.
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Dr. Ayesha Khalid, resident at Marshall University, presents findings from a large meta-analysis pooling data from eight national registries across Europe â covering 2.5 million pregnancies â to examine whether prenatal acetaminophen exposure is truly linked to autism spectrum disorder (ASD) and attention deficit hyperactivity disorder (ADHD) in children. She shares why the association with ASD largely disappears when accounting for heterogeneity and confounders, why the previously reported link with ADHD appears significantly smaller than what has been published, and why publication bias may have inflated the estimates we have been working from. She also addresses the critical limitation that no patient-level dose or timing data was available, why the risk-benefit calculation around fever control in pregnancy complicates any simple recommendation, and what kind of studies â ideally sibling-controlled designs like those done in Sweden â would be needed to actually settle this question.
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Dr. Lyubina Yankova, hospitalist at Yale, presents findings from a large retrospective multi-center analysis across 106 sites examining whether the combination of procalcitonin and C-reactive protein (CRP) can match or outperform the inflammatory marker combinations currently recommended by the 2021 AAP guidelines for risk-stratifying febrile infants between 8 and 60 days of age. She shares why this combination showed similar sensitivity but higher specificity for detecting invasive bacterial infections â meaning fewer false positives, fewer unnecessary lumbar punctures, and fewer unnecessary antibiotics. She also addresses the limitations of retrospective data, why preterm infants were excluded from this analysis and what future research in that population might look like, and what it would take for guideline committees to feel confident enough to incorporate this combination into routine practice.
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Dr. Ofer Levy, director of the Precision Vaccines Program at Boston Children's Hospital and member of the FDA's Vaccines and Related Biologic Products Advisory Committee, makes the case that vaccines must be tailored to the immune system of the person receiving them â and that immune system changes dramatically from the moment of birth through old age. He explains why preterm infants, who represent 11% of births worldwide, carry an increased risk of infection-related hospitalization all the way through age 18, and why almost no investment has been made in understanding how to optimally immunize them. He also discusses the FDA Modernization Act 2.0, which is shifting vaccine development away from animal models toward human in vitro modeling and systems biology, and reflects on what precision vaccinology could mean for rebuilding public trust in a deeply polarized conversation â not by dismissing concerns, but by taking vaccine safety science more seriously than ever before.
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Dr. Anup Katheria, one of the world's leading researchers in umbilical cord management, joins Daphna to share the latest data on deferred cord clamping and cord milking across gestational ages. He presents new two-year follow-up findings showing that while cord milking remains a reasonable alternative to immediate cord clamping, delayed cord clamping still carries a measurable advantage in Bayley scores for motor and language â even in babies between 28 and 32 weeks where short-term outcomes looked identical. He also breaks down the practical decision tree for vigorous versus non-vigorous babies at different gestational ages, shares his vision for involving obstetricians more actively in that critical first minute of life, and previews an upcoming large-scale Neonatal Research Network trial testing 100% oxygen delivery during the cord clamping window. He closes with a call to move away from traditional composite outcomes in neonatal trials toward ranked ordinal outcomes that better reflect what actually matters to families.
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Daphna is back for day two of PAS 2026 in Boston, joined in the booth by Christa and Rupa. More episodes coming all day â and if you're at the conference, stop by and say hi.
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Dr. Bridget Young, researcher at the University of Rochester, shares early but promising work on using freeze-dried mother's own breast milk â including a skim milk fraction â as a fortifier for human milk feeds in the NICU. She explains why milk variability makes accuracy the central challenge in this approach, how her team validated a method using macronutrient analysis to consistently hit a target caloric density of 28 kcal per ounce, and why the skim milk fraction in particular can deliver a protein content that rivals commercial bovine fortifiers. She also introduces the concept of mother's own breast milk cream â a centrifuge-derived calorie booster that families in her unit have found deeply empowering â and lays out honestly what it would take to bring lactoengineering from a research setting into routine clinical practice.
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From lumbar punctures to mitochondrial recycling, this booth interview from PAS 2026 covers a lot of ground. Ben and Daphna sit down with Dr. Ioanna Kotsopoulou from Mass General to discuss two distinct but equally compelling topics. First, a quality improvement project that took ultrasound-guided LP use from 12 to 73 percent and first attempt success from 32 to 68 percent. Then a pivot to basic science: impaired mitophagy in pulmonary hypertension, and whether dysfunctional mitochondrial recycling in cardiomyocytes may be contributing to the cardiac phenotype we see in these patients. A wide-ranging conversation with something for every neonatologist.
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Dr. Nathan Kupperman and Dr. Brett Bernstein, lead investigators on a landmark international pooled analysis published in JAMA, present the most comprehensive evidence to date on whether a lumbar puncture can be safely avoided in febrile infants under one month of age. Using a simple three-criteria rule â negative urinalysis, procalcitonin of 0.5 or below, and absolute neutrophil count of 4,000 or below â across more than 2,500 prospectively collected cases from multiple international cohorts, the rule did not miss a single case of bacterial meningitis. They explain what this means for shared decision-making with families, why the number needed to perform a lumbar puncture to identify one case of bacterial meningitis is now vanishingly close to infinity for low-risk infants, and why implementing this approach requires a multidisciplinary coalition across emergency medicine, infectious disease, and inpatient teams before any individual physician changes their practice.
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What does it actually feel like to be told your 22-week baby has no chance â before anyone asks what you want? In this booth interview recorded live at PAS 2026, Ben and Daphna sit down with two NICU parents, Christelle and Reem, both of whom delivered at the limits of viability. They share candid, at times difficult accounts of prenatal counseling experiences where they felt dismissed, pressured, and unheard â and what it would have taken to make those conversations feel human. This episode is a reminder that listening is not a soft skill. It is the clinical skill.
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Point-of-care biomarkers for predicting sepsis mortality, not from a resource-rich academic center, but from a tertiary referral hospital in Tanzania. In this booth interview from PAS 2026, Ben and Daphna sit down with Dr. Abigail Sorensen, a pediatrician now based in East Africa, to discuss how a lasso model combining malnutrition, altered mental status, respiratory distress, and procalcitonin can risk-stratify children with sepsis at the bedside. The lessons here are not just for low-resource settings. They are for anyone trying to identify the sickest kids before it is too late, with the tools already in front of them.
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Dr. Jennifer Harling, pediatrician and neonatologist who spent six years practicing in Burundi, one of the poorest countries in the world, shares what it took to introduce breast milk fortification, bubble CPAP, and revised sepsis protocols in a setting with nurse-to-patient ratios as high as one to forty and near-zero access to medical supplies. She reflects on the extraordinary obstacles of implementing quality improvement in resource-limited environments â from procurement failures to language barriers to training nurses with limited formal education â and explains why sustainability ultimately came down to the same thing it does everywhere: culture. She also turns the lens around and offers what may be the most universally applicable lesson she brought back from Burundi: slow down, and ask the parent what their number one concern is today.
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Dr. Ward Rice, neonatologist and researcher within the Neonatal Research Network, presents two-year follow-up data from the landmark ACT NOW Eat Sleep Console trial â one of the largest multi-center randomized trials ever conducted on neonatal opioid withdrawal syndrome. He shares findings on neurodevelopmental and behavioral outcomes at two years of age in babies exposed to buprenorphine versus methadone in utero, explaining why the short-term advantages of buprenorphine did not translate into measurable differences at this time point â but why both groups still scored below population norms on Bayley testing, underscoring the ongoing developmental risk in this population. He also discusses why longer follow-up is planned, what a smaller four-year study suggests may still emerge, and why this research ultimately informs prenatal decision-making by obstetric colleagues just as much as neonatal care at the bedside.
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Dr. Christa Matrone, neonatologist and program director at Winnie Palmer Hospital in Orlando, Florida, joins Ben and Daphna for a candid conversation about one of the most consequential announcements to hit neonatology training in years. She breaks down the American Board of Pediatrics proposal to create an optional two-year clinical training pathway for all pediatric subspecialties â including neonatology â starting as early as 2028, and explains why the neonatology community was largely caught off guard. She shares her nuanced perspective as a program director at one of the highest-volume units in the country, acknowledging both the potential benefits of a shorter clinical pathway and the serious concerns around clinical readiness, trainee wellbeing, and the future pipeline of physician scientists. She also calls on trainees and practicing neonatologists alike to make their voices heard before this conversation moves any further without them.
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Dr. Allison Lure, neonatologist and clinical informatics fellow, presents findings from a large primary care network spanning over 80 practices in Massachusetts on how term and preterm infants grow longitudinally after discharge. She shares why the standard practice of correcting for gestational age until two years may be sufficient for moderate and late preterm infants but falls short for babies born below 32 weeks â who may need correction extended to three years or beyond to avoid being misclassified as failing to thrive. She also sheds light on the often-overlooked growth trajectories of moderate and late preterm babies, a population rarely captured in NICU follow-up clinics, and explains what her work in clinical informatics is teaching her about how to store, structure, and extract meaningful data from the electronic health record.
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Dr. Parvesh Garg, neonatologist and researcher specializing in necrotizing enterocolitis (NEC) and acute kidney injury (AKI) in preterm infants, shares more than a decade of work on two of the most understudied organ systems in the NICU. He explains why surgical NEC is an independent risk factor for long-term neurodevelopmental impairment, how aggressively managing hypotension at the time of diagnosis may protect both the brain and the kidneys, and why the severity of NEC-associated AKI should be used as a prognostic tool in counseling families. He also presents early but fascinating laboratory findings suggesting that low-dose dexamethasone â unlike high doses â may help limit intestinal epithelial loss once NEC has set in, drawing a parallel to what therapeutic hypothermia does for HIE: the event has happened, but the inflammatory cascade may still be containable.
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Dr. Wanda Barfield, MD, MPH, neonatologist at Emory University, former director of the Division of Reproductive Health at the CDC, and former Assistant Surgeon General of the United States Public Health Service, joins Ben and Daphna for a conversation about the broader obligations of pediatricians in an era of growing maternal and infant health disparities. She reflects on what it means to truly know your community â not just your unit â and makes the case that engaging with local health departments, infant mortality review committees, and population health data can make you a better clinician at the bedside. She also offers practical advice on networking at large conferences and why showing up to learn, even without a poster or presentation, can be some of the most valuable time a physician spends at a meeting.
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Dr. Ravi Patel, neonatologist and leading voice in neonatal hematology and transfusion medicine, joins Ben and Daphna to discuss the launch of NeoHeat â the first dedicated neonatal hematology and transfusion medicine group at PAS. He explains why transfusion medicine in neonatology is still full of unanswered questions, from how we manage iron supplementation to whether we are truly following the latest transfusion threshold guidelines at the bedside. He also introduces one of the most exciting emerging concepts in the field: using cord blood from healthy term newborns to transfuse premature infants, replacing adult hemoglobin with fetal hemoglobin â an innovation already being adopted in some European centers that could have wide-ranging implications beyond anemia alone.
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Dr. Seetha Shankaran one of the pioneers of therapeutic hypothermia for hypoxic-ischemic encephalopathy (HIE) and longtime member of the NICHD Neonatal Research Network, reflects on a career devoted to preventing and treating neonatal brain injury. She discusses what neonatal MRI can and cannot tell us about long-term neurodevelopmental outcomes in infants with HIE, why a normal MRI does not equal a normal future, and how the pattern of brain injury on imaging should shape the counseling conversation with families. She closes with a message that no imaging study can replace: consistent, long-term follow-up remains the most important tool we have.
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Dr. Charles Roehr, neonatologist from Bristol, UK and faculty member of the Tiny Baby Collaborative, makes the case that caring for extremely preterm infants is as much about engaging families as it is about mastering the medicine. He discusses why parents of tiny babies are among the most vulnerable to enter a research conversation â often facing precipitous deliveries with little to no preparation â and what it takes for clinical teams to meet them where they are. He also addresses one of the hardest conversations in neonatology: how to counsel families around survival and neurodevelopmental outcomes when center-to-center variability is so wide, and why translating evidence from one unit to another remains one of the field's most stubborn unsolved problems.
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Jennifer Canvasser, founder of the NEC Society and mother of Micah, a 27-weeker who passed away from necrotizing enterocolitis (NEC) in 2014, shares what is new at the world's largest organization dedicated to NEC. She discusses the upcoming NEC Family Summit â the first of its kind globally â taking place in Davis, California this September, and explains why bringing families together as active research partners is not just about healing but about advancing the science. She also addresses how clinicians can better empower NICU families with information before a diagnosis is ever made, and highlights the free evidence-based resources the NEC Society has developed for units and families navigating this devastating disease.
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Dr. Atul Malhotra, neonatologist and researcher at Monash University in Melbourne, Australia, makes the case that cell therapy for neonatal brain injury is a slow burn that is finally gaining momentum. He shares why tempering expectations doesn't mean losing hope, how regulatory complexity sets stem cells apart from conventional therapies, and why cell therapy may look different for preterm infants with white matter injury versus term infants with HIE.
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Breaking news from the American Board of Pediatrics: a proposal to move all 15 pediatric subspecialties to a two-year, competency-based training model by July 2028 just dropped, and Ben and Daphna are breaking it down in real time. What does shifting from time-based to EPA-grounded training mean for neonatology fellows? Is two years actually enough? What happens to scholarship, research exposure, and the physician-scientist pipeline? And should neonatology take this reshuffling of the cards as an opportunity to chart its own course entirely? This is essential listening for fellows, program directors, and anyone who cares about the future of our workforce.
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The transfusion threshold consensus is here â but practice hasn't fully caught up. In the second episode of On with VON, Ben and Daphna sit down with Dr. Roger Soll and Dr. Ravi Patel to extend the conversation from the Vermont Oxford Network Grand Rounds on evidence to practice for transfusion thresholds.
The core finding across trials is consistent: lower thresholds for both packed red blood cells and platelets appear safe. The guidelines are freely available in JAMA Network Open and actionable â 11, 10, 9 grams per deciliter across the first three weeks for infants on respiratory support. So why hasn't practice shifted uniformly?
The group works through the populations the trials didn't fully capture â hypoxic-ischemic encephalopathy, the most premature infants, and babies in the first week of life when intraventricular hemorrhage risk peaks. On NEC and feeding during transfusion: the data may surprise you. On transfusion volume and infusion duration: an underappreciated variable, particularly for platelets.
The episode closes with practical guidance on implementing transfusion guidelines at the unit level â who needs to be in the room, how informatics tools can support decision-making, and why understanding protocol deviations matters as much as the guidelines themselves.
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The AAP has weighed in on therapeutic hypothermia for HIE, and Daphna walks through the clinical report in full. The core eligibility criteria haven't moved â but the edges have gotten more nuanced. Late initiation, the 35-week zone, mild HIE, sentinel events, MRI timing, and feeding during cooling are all addressed.
Also this week: a prospective pilot from Australia tests whether adding bedside ultrasound to plain radiography improves surgical risk stratification in NEC. The X-ray-only model couldn't separate the clusters. The combined model produced a more than six-fold difference in odds of surgery â complex ascites, absent peristalsis, and abnormal bowel perfusion did the heavy lifting.
Daphna then covers F-NeoBright, a small but compelling feasibility study testing intranasal fresh breast milk in infants with moderate to severe HIE. Ten babies, high adherence, no safety signals, and parents administering doses at home.
Ben rounds out Journal Club with the two-year follow-up of the CALI trial examining outcomes after early caffeine plus LISA versus CPAP alone. Mortality trended toward LISA. The statistics didn't get there â but the direction held.
The week closes with Ben and Eli on the Guttmacher Institute study linking restrictive abortion laws to higher maternal mortality across two decades of US data.
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In this episode of Neo News, Ben and Eli discuss a sobering Guttmacher Institute study recently featured in Bloomberg. Analyzing data from 2005 to 2023, the research reveals a troubling association between restrictive abortion laws and increased maternal mortality, specifically driven by cardiovascular complications and violent deaths. The hosts explore the clinical and social pathophysiology behind these findings, emphasizing how a lack of prenatal care and compounded social stressors disproportionately affect birthing people. Tune in for an important conversation on the "package" of restrictions driving these outcomes and practical ways neonatal professionals can advocate for maternal health equity!
https://www.bloomberg.com/news/articles/2026-02-12/pregnant-women-die-at-higher-rates-when-states-restrict-abortion?srnd=phx-industries-health
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In this Journal Club episode, Ben reviews a secondary analysis of the CALI trial, published in JAMA Network Open, examining two-year neurodevelopmental and pulmonary outcomes in preterm infants who received early caffeine combined with LISA versus caffeine and CPAP alone. Building on the original CALI trial's finding that early caffeine prior to LISA reduced intubation rates and BPD, this follow-up asks the next logical question: does that early advantage translate into better long-term outcomes? Ben walks through the Bayley scores, gross motor function, ASQ-3, M-CHAT, and pulmonary outcomes â and delivers a reassuring if not statistically significant picture. Tune in for a deep dive into the evidence behind one of neonatology's most debated respiratory strategies!
Two-Year Outcomes of Less Invasive Surfactant Administration Among Preterm Neonates: A Secondary Analysis of a Randomized Clinical Trial. Dorner RA, Morales A, Banerji A, Uy C, Ines F, Finer N, Vaucher Y, Katheria AC.JAMA Netw Open. 2026 Mar 2;9(3):e263852. doi: 10.1001/jamanetworkopen.2026.3852.PMID: 41915392
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In this Journal Club episode, Daphna presents the F-NeoBright trial â a pilot feasibility and safety study out of Hungary exploring intranasal fresh breast milk administration in neonates with moderate to severe HIE undergoing therapeutic hypothermia. With so few adjunct therapies available beyond cooling, the idea of harnessing breast milk's rich bioactive components â including neurotrophic growth factors, cytokines, and multipotent stem cells â to support the developing brain is both compelling and refreshingly low-risk. Daphna walks us through the protocol, the feasibility outcomes, and why 100% of approached families consented, including those who had never planned to breastfeed. Sometimes the simplest intervention really is the right one!
F-NEO-BRIGHT: feasibility and safety of intranasal fresh breast milk in neonatal encephalopathy. Tarjanyi E, Jermendy A, Szabo M, Brandt FA, Szasz B, Nyilas N, Meder U.Pediatr Res. 2026 Mar 3. doi: 10.1038/s41390-026-04847-2. Online ahead of print.PMID: 41776367
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In this Journal Club episode, Ben takes the lead and reviews a prospective cohort pilot study from the Archives of Disease in Childhood examining whether combining abdominal ultrasound with plain radiography can improve surgical risk stratification in neonates with suspected NEC. With mortality remaining as high as 20â40% and diagnosis still heavily reliant on clinical judgment, the stakes couldn't be higher. Ben walks through the study's unsupervised clustering approach, explaining how adding ultrasound data to X-ray findings produced a more than six-fold difference in the odds of surgery between risk groups â something X-ray alone simply couldn't achieve. Tune in to hear why dynamic ultrasound features like peristalsis, ascites, and bowel perfusion may be the missing piece in your NEC diagnostic toolkit!
Combining abdominal ultrasound and radiography for surgical risk stratification in necrotising enterocolitis: a prospective cohort pilot study. Priyadarshi A, Angiti R, Chabra S, McAdams R, Webb A, Badawi N, Hinder MK, Tracy MB.Arch Dis Child Fetal Neonatal Ed. 2026 Mar 5:fetalneonatal-2025-329960. doi: 10.1136/archdischild-2025-329960. Online ahead of print.
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In this Journal Club episode, Ben and Daphna dive into the American Academy of Pediatrics' February Clinical Report on Therapeutic Hypothermia for Neonatal Hypoxic-Ischemic Encephalopathy. Daphna, who presented this paper at the Florida Neonatal Neurologic Network, walks us through the key action statements â from the established 33.5°C target temperature to the more nuanced discussions around late cooling (6â24 hours), gestational age eligibility at 35 weeks, and the controversial question of cooling mild HIE. They also cover optimal MRI timing post-rewarming, continuous EEG monitoring, early enteral feeds during cooling, and the growing evidence supporting the "cool cuddle." A must-listen for anyone navigating the evolving landscape of HIE management!
Therapeutic Hypothermia for Neonatal Hypoxic-Ischemic Encephalopathy: Clinical Report. Zanelli SA, Wusthoff CJ, Lucke AM, Kaufman DA; Committee on Fetus and Newborn; Section on Neurology.Pediatrics. 2026 Feb 1;157(2):e2025073627. doi: 10.1542/peds.2025-073627.PMID: 41581784 Review.
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In this Tech Tuesday episode, Ben sits down with Dr. Itamar Nitzan and Alon Meritrikin-Gold, the co-founders of SkinCubator, a revolutionary wearable incubator designed to transform neonatal skin-to-skin care. They discuss how reframing kangaroo care from a rare procedure to a continuous necessity inspired this paradigm-shifting device. The hosts dive into the clinical logistics, from safely transferring intubated extremely preterm infants to alleviating parental anxiety and nursing resistance. Tune in to hear how this innovative "pocket incubator" maintains thermoregulation, secures critical lines, and promises to safely extend skin-to-skin duration for our most vulnerable NICU patients!
Learn more about the skincubator: https://www.skincubator-neocare.com/
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In this interview episode, Ben and Daphna sit down with Professor Brett Manley to discuss a paradigm shift in neonatal research: adaptive platform trials. Frustrated by the inefficiencies and underpowered results of traditional RCTs, Dr. Manley outlines the ambitious Platypus Adaptive Platform Trial launching in Australia and New Zealand. They dive into how shared primary outcomes, novel consent models, and massive cross-center collaboration can answer pressing clinical questionsâlike optimal PPROM antibiotics and caffeine dosingâsimultaneously. Tune in for a fascinating conversation on moving beyond medical dogma, embracing humility, and keeping families at the center of NICU research!
Learn more about the Platipus trial here: https://www.platipustrial.org/
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This week on The Incubator Podcast, Ben and Daphna cover five topics spanning clinical practice, emerging technology, and neonatal policy. They open with a large Swedish national cohort study from JAMA Network Open examining early prophylactic hydrocortisone in extremely preterm infants, debating whether a blanket approach to BPD prevention holds up across gestational ages and in the presence of chorioamnionitis.They then take a critical look at predischarge car seat tolerance screening, questioning whether this decades-old AAP recommendation still earns its place in routine NICU discharge planning given its failure to reduce mortality or readmissions.
The conversation shifts to BPD-associated pulmonary hypertension, reviewing a PPHNet study that challenges whether current grading criteria and assessment timepoints adequately capture pulmonary vascular disease severity. They then explore oculomics â a compelling new frontier in which deep learning applied to routine ROP screening images can predict BPD and pulmonary hypertension weeks ahead of clinical diagnosis.
The week closes with a Neo News policy discussion on the regulatory pressures threatening freestanding birth centers nationwide, and the downstream consequences for maternal health equity, newborn screening, and neonatal advocacy.
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In this Neo News segment, Ben and Eli tackle a pressing Stateline report on the paradoxical struggle of freestanding birth centers. While hospital labor and delivery units are closing nationwide, alternative birth centers are facing aggressive regulatory hurdles and forced closures in states like Alabama. The hosts discuss the downstream effects on maternal health equity, the rise of unregulated crisis pregnancy centers, and the clinical realities of out-of-hospital births like hyperbilirubinemia and missed newborn screens. Plus, they dive into the EMTALA implications for hospital transfers and highlight key takeaways on neonatal advocacy and teleneonatology from the recent Delphi Conference. Tune in for a critical policy discussion!
https://stateline.org/2026/01/05/freestanding-birth-centers-are-closing-as-maternity-care-gaps-grow/
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In this Journal Club episode, Ben and Daphna explore an exciting new frontier in neonatology: oculomics. Reviewing a recent paper from JAMA Ophthalmology, they discuss how deep learning models applied to routine ROP screening images can predict the development of BPD and pulmonary hypertension in preterm infants. By combining visual features extracted via neural networks with standard demographic data, researchers achieved impressive predictive accuracy weeks before clinical diagnosis is typically made. Tune in to hear how the eyes might just be the window to the neonatal pulmonary vasculature!
Deep Learning-Based Prediction of Cardiopulmonary Disease in Retinal Images of Premature Infants. Singh P, Kumar S, Tyagi R, Young BK, Jordan BK, Scottoline B, Evers PD, Ostmo S, Coyner AS, Lin WC, Gupta A, Erdogmus D, Chan RVP, McCourt EA, Barry JS, McEvoy CT, Chiang MF, Campbell JP, Kalpathy-Cramer J.JAMA Ophthalmol. 2026 Jan 22:e255814. doi: 10.1001/jamaophthalmol.2025.5814. Online ahead of print.PMID: 41569552
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In this episode of Journal Club, Ben and Daphna review a pivotal paper from the Journal of Pediatrics led by the Pediatric Pulmonary Hypertension Network (PPHNet). The study explores invasive hemodynamic metrics and long-term outcomes in infants with BPD-associated pulmonary hypertension. Surprisingly, researchers found an almost equal distribution of pulmonary hypertension across mild, moderate, and severe BPD grades using the Jensen criteria. The hosts discuss the implications of these findings, questioning whether our traditional 36-week assessment timepoint is sufficient and if current grading criteria capture the true severity of pulmonary vascular disease in these vulnerable infants.
Pulmonary Hemodynamics and Long-Term Outcomes in Children with Pulmonary Hypertension-Associated Bronchopulmonary Dysplasia. Austin ED, Mullen MP, Avitabile CM, Krishnan US, Rosenzweig EB, Keller RL, Kinsella JP, Yung D, Steffes L, Bates A, Elia EG, Romer LH, McGrath-Morrow S, Bernier ML, Mandl KD, Raj JU, Sleeper LA, Abman SH; Pediatric Pulmonary Hypertension Network (PPHNet) Investigators.J Pediatr. 2026 Feb;289:114869. doi: 10.1016/j.jpeds.2025.114869. Epub 2025 Oct 24.
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In this Journal Club episode, Ben and Daphna review a systematic review and meta-analysis from JAMA Network Open questioning the clinical value of predischarge car seat tolerance screening (CSTS). Driven by data suggesting that testing does not reduce 30-day mortality or hospital readmissions, they discuss the high failure rates, varying definitions of bradycardia and desaturation, and the unintended consequence of prolonged NICU stays. They also highlight the practical reality of CSTS in ensuring parents actually have an appropriate car seat at discharge. Tune in for a critical look at whether this 1991 AAP recommendation still holds up today!
Predischarge Car Seat Tolerance Screening in Preterm and At-Risk Full-Term Infants: A Systematic Review and Meta-Analysis. King BC, Dalvie N, Hay S, Jensen EA, Zupancic JAF.JAMA Netw Open. 2026 Feb 2;9(2):e2558197. doi:0.1001/jamanetworkopen.2025.58197.
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In this Daily Journal Club episode, Ben and Daphna review a massive Swedish national cohort study from JAMA Network Open examining early prophylactic hydrocortisone in extremely preterm infants. They discuss the targeted regimens used, differences in gestational age outcomes, and whether a blanket prophylactic approach is truly effective for preventing BPD. With impressive data covering 98% of all NICU admissions in Sweden, the hosts debate the nuances of targeting 24 to 25-weekers versus older preemies and the potential confounding impact of chorioamnionitis. Tune in for your daily snack of evidence-based medicine and insights into optimizing NICU steroid protocols!
Early Prophylactic Hydrocortisone and Bronchopulmonary Dysplasia-Free Survival in Extremely Preterm Infants. SmedbÀck V, Björklund LJ, Flisberg A, Wróblewska J, Baud O, Wejryd E, à dén U.JAMA Netw Open. 2026 Feb 2;9(2):e2560146. doi:10.1001/jamanetworkopen.2025.60146.
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Dr. Kelly Mahaney, Assistant Professor of Pediatric Neurosurgery at Stanford and researcher focused on the role of iron in post hemorrhagic hydrocephalus, joins the podcast to challenge the traditional watch and wait approach to IVH complications. She describes Stanfordâs early radiographic intervention pathway, which has reduced shunt dependency from 90% to 45% in reservoir-placed infants, explains why waiting for clinical symptoms means waiting too long, and outlines her effort to build a statewide CPQCC nested network to standardize and study early intervention practices across California NICUs.
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Dr. Sanjay Sinha, interventional pediatric cardiologist, Assistant Professor of Pediatrics at CHOC and UCI, and Co-Director of the UCLA Congenital Lymphatic Imaging and Intervention Program, opens a new chapter for neonatologists on neonatal chylothorax and lymphatic disease. He explains how to recognize lymphatic mimickers at the bedside, why woody edema should raise the index of suspicion, how MR lymphangiography is reshaping diagnosis and surgical planning, and how early targeted intervention is dramatically reducing NPO time and hospital length of stay in a population that was previously managed with a prolonged watch and wait approach.
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Dr. Clara Song, neonatal intensivist with Southern California Permanente Medical Group, Chair of the AAP Section on Neonatal Perinatal Medicine Executive Committee, and founding leader of the Women in Neonatology group, shares the lessons from her Cool Topics talk on quiet power and soft skills in leadership. She explores how communication, emotional intelligence, and servant leadership drive team performance more than technical expertise, breaks down the four personality types every leader needs to understand, and offers a practical framework for structuring communication so every type of team member actually receives the message.
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Dr. Robin Steinhorn, Professor and Vice Dean for Childrenâs Clinical Services at UC San Diego and President of Childrenâs Specialists of San Diego, tackles one of neonatologyâs most uncomfortable conversations: compensation. She breaks down how to identify reliable benchmark data, explains why neonatologists are generating more RVUs than ever while pay has not kept pace with workload complexity, addresses gender discrepancy trends in the literature, and offers practical strategies for individuals and division chiefs to use rigorous national data when advocating for fair compensation at the institutional level.
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Dr. Susan Hintz, Medical Director of the Fetal and Pregnancy Health Program and Robert L. Hess Family Endowed Professor at Stanford Medicine, delivers this yearâs Cool Topics keynote on collaboration, shared purpose, and the lessons learned building high risk infant follow-up infrastructure through the CPQCC. She challenges the neonatal community to move beyond the handoff to a pediatrician and think deliberately about true medical home design, including coordinated care teams, clearly defined roles across subspecialty and follow-up clinics, and better use of community based resources to support families long after NICU discharge.
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Dr. Caitlin Carter, Clinical Director of Nephrology at Rady Childrenâs Hospital and associate clinical professor at UC San Diego, joins the podcast to challenge how neonatologists recognize and follow up on acute kidney injury. She explains why creatinine alone is insufficient, how biomarkers like NGAL can detect tubular injury before function declines, and why AKI too often disappears from the discharge summary. She also outlines published consensus guidelines on post NICU nephrology follow-up, with clear thresholds based on gestational age and AKI severity.
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Dr. Tarah Colaizy, Professor of Neonatology at the University of Iowa Stead Family Childrenâs Hospital and Medical Director of the Motherâs Milk Bank of Iowa, challenges the one size fits all approach to nutrition in periviable infants. She shares the Iowa philosophy of individualized, principle driven feeding management, explains why rigid protocol adherence can backfire in the most immature babies, and walks through her unitâs glycerin protocol for meconium obstruction of prematurity. She also discusses the practical realities of frequent low volume lab monitoring and the importance of patience over speed in enteral feeding advancement.
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Dr. Satyan Lakshminrusimha, Chair of Pediatrics and Pediatrician in Chief at UC Davis Childrenâs Hospital, makes a compelling case for rebranding and restructuring neonatology as a field. He argues for adopting the title of neonatal critical care physician, addresses the stark disparity between NICU revenue generation and neonatologist compensation, and outlines a step by step resuscitation framework for the field, from restoring professional identity to establishing a dedicated neonatal residency pathway and ultimately recognizing neonatology as its own independent department.
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Dr. Elizabeth Crouch, neonatologist, neuroscientist, and physician scientist at UCSF and co-host of At the Bench on The Incubator Podcast, joins Ben and Daphna live at Cool Topics to discuss palliative and comfort care in the NICU. Drawing from her research on organ donation, autopsy, and research donation after neonatal loss, Dr. Crouch shares how meaning making supports families through grief, offers practical tips for approaching these conversations with compassion and good timing, and reflects on the role of chaplains, ethics consultants, and care pathways in supporting a death with dignity.
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Dr. Jochen Profit, Chair and Principal Investigator at CPQCC and Wendy J. Tomlin-Hess Endowed Professor of Pediatrics at Stanford Medicine, joins the podcast to discuss what truly separates high performing NICUs from the rest. He makes the case for process metrics over mortality as quality markers, highlighting normothermia on admission, breast milk feeding at discharge, and infection rates as deceptively simple yet deeply revealing indicators of unit culture. The conversation also explores how toxic work environments and provider burnout silently undermine quality improvement efforts.
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Dr. Shmuel Zangen, Director of Neonatology at Barzilay Medical Center in Ashkelon, Israel, and former chair of the Israeli Neonatal Association, joins the podcast during his California sabbatical embedded with CPQCC. Having already led national QI collaborations targeting nosocomial infections and intraventricular hemorrhage across all 26 Israeli NICUs, he shares what he is learning about the culture, infrastructure, and methodology behind effective statewide quality improvement, and what he hopes to bring home as Israel transitions its neonatal database to the Ministry of Health.
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Dr. Alexis Davis, Clinical Professor of Pediatrics at Stanford and Medical Director of the NephroNICU at Lucile Packard Childrenâs Hospital, makes the case that neonatology is entering a nephro era. She discusses how AKI prevention through initiatives like the BABY NINJA collaborative, fluid management strategies, and the emerging concept of the NephroNICU are reshaping how we think about kidney health in premature infants. She also addresses the complex ethical and practical considerations around dialysis and renal replacement therapy in newborns with congenital kidney failure.
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RaâNiesha Bratton, MPH, CHES, CPQCC Family Advisory Council board member and public health advocate, and Joanne Tillman, CPQCC Family Engagement Coordinator, join the podcast to discuss what genuine family centered care looks like in practice. Drawing from lived NICU experience, RaâNiesha shares how implicit bias and cultural incompetence harm families at their most vulnerable and how structured family advisory councils can drive systemic change. The conversation also tackles peer to peer support gaps, bereavement resources, and how to access the CPQCC NICU Family Advisory Council Toolkit.
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Silvia Bor, NICU mom to a 24 weeker and Family Advisory Council member for the CPQCC, makes the case for why family centered care must go beyond a philosophy and become a structured practice. She shares how involving parents in quality improvement initiatives, including the NEOBrain early skin to skin project, drives meaningful change at the bedside. She also outlines the CPQCC toolkit for building hospital level Family Advisory Councils and discusses how to identify the right parent advocates, including those whose NICU journeys ended in loss.
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Recorded live at the Cool Topics in Neonatology conference, this episode features Dr. Denise Suttner, Clinical Director of the Rady Children's Hospital NICU, professor of pediatrics at UC San Diego, and director of the San Diego Regional ECMO Program. Dr. Suttner discusses the California Perinatal Quality Care Collaborative (CPQCC) as a model for statewide neonatal quality improvement, the importance of family centered communication in the NICU, and the value of state level professional organizations in advancing advocacy for neonatal healthcare funding and pediatric subspecialty reimbursement.
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In this episode, we sit down with Dr. Jessica Shui, attending neonatologist at Mass General for Children, to explore the game-changing potential of Electrical Impedance Tomography (EIT) in the NICU. We dive into her recent paper in the Journal of Perinatology on using non-invasive EIT to identify optimal PEEP in infants with severe bronchopulmonary dysplasia. Dr. Shui explains how this real-time, radiation-free technology allows clinicians to visualize lung mechanics, dynamically titrate ventilator settings, and confidently reduce PEEP without risking atelectasis. Join us as we discuss moving beyond blind adjustments and stepping into the future of personalized neonatal respiratory care.
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The PDA debate has a new data point. TREOCAPA, a phase 3 multicenter European RCT, tested prophylactic acetaminophen in infants born at 23 to 28 weeks. The ductus closed more reliably. Whether that translated into better survival without severe morbidity at 36 weeks is where the conversation gets interesting.
Also this week: a large multicenter cohort study puts real numbers on diazoxide use across US NICUs and the pulmonary hypertension risk that has driven so much practice variation. The NeoDry trial tests whether drying very preterm infants before plastic wrapping improves normothermia at admission, with results that are a good reminder of why we run trials. And a retrospective from NYU raises the question of whether standard caffeine dosing in the most premature infants is leaving something on the table.
The episode closes with Ben and Eli on Floridaâs infant formula heavy metal report and why publishing findings without methods may be as much a public health problem as the data itself.
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In this Neo News episode, Ben and Eli dive into the recent controversial announcement from the state of Florida regarding heavy metals and pesticides found in infant formulas. They discuss the implications of releasing testing data without transparent methodology or clinical context, especially for unregulated or recalled brands like ByHeart and Similac Soy Isomil. How should NICU clinicians counsel parents who want to bring their own formulas from home? Tune in as they unpack the regulatory loopholes, the evolving public health initiatives, and the ongoing challenge of navigating unverified reports in neonatal care!
https://www.miamiherald.com/news/politics-government/article314266407.html
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In this episode of Journal Club, Ben and Daphna review a retrospective cohort study exploring the effects of higher caffeine maintenance dosing on BPD and neurodevelopmental outcomes. They discuss the transition from the standard CAP trial doses to higher regimens for infants born at or before 28 weeks gestation. Does an average daily dose of over six milligrams per kilogram reduce severe BPD or improve Bayley cognitive scores at six months? Tune in as they debate the safety, clinical implications, and their own unit's practices regarding caffeine management in the NICU!
Effects of higher caffeine dosing on rates of bronchopulmonary dysplasia and neurodevelopmental outcomes. Fleishaker S, Kazmi SH, Mavrogiannis N, Street H, Ravuri H, Moinuddin T, Pierce K, Verma S.J Perinatol. 2026 Feb 23. doi: 10.1038/s41372-026-02593-1. Online ahead of print.PMID: 41731043
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In this Journal Club episode, Ben and Daphna review the eye-opening results of the NeoDry Trial recently published in JAMA Network Open. They explore the clinical rationale of whether drying very preterm infants before applying a plastic wrap in the delivery room improves rates of normothermia upon NICU admission. While the intervention did not significantly improve temperatures, it unexpectedly revealed an alarming increased mortality risk for the smallest neonates. Tune in as they break down the study's design, discuss the potential causes for this stark safety signal, and highlight the ongoing challenge of maintaining thermoregulation for our most vulnerable preemies!
Drying Very Preterm Infants Before Plastic Wrapping at Birth: A Randomized Clinical Trial. Cavallin F, Doglioni N, Risso FM, Monari CB, Aversa S, Troiani S, Battajon N, Moschella S, Villani PE, Vedovato S, Maiorca D, Frezza S, Lista G, Laforgia N, Mondello I, Sibona I, Staffler A, Pratesi S, Paviotti G, De Bernardo G, Lama S, Miselli F, Bua J, Gitto E, Pesce S, Baraldi E, Trevisanuto D; NEODRY Trial Group.JAMA Netw Open. 2026 Mar 2;9(3):e2556902. doi: 10.1001/jamanetworkopen.2025.56902.
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In this Journal Club episode, Ben and Daphna review a large cohort study from the Journal of Perinatology on the prevalence and safety of diazoxide in the NICU. With neonatal hypoglycemia seemingly on the rise, they discuss off-label use for transient hyperinsulinism and evaluate real-world data from over 340 Pediatrix units. They dive into the rates of concurrent diuretic therapy, respiratory support, and the dreaded risk of pulmonary hypertension. Tune in for a clinical breakdown of when and how this medication is being utilized across centers, plus Ben's echocardiography struggles with cranky term babies on diazoxide!
Prevalence and safety of diazoxide in the neonatal intensive care unit. Collins LC, Daniel KB, Tolia VN, Parikh P, Gray KD, Greenberg RG.J Perinatol. 2026 Feb 3. doi: 10.1038/s41372-026-02568-2. Online ahead of print.PMID: 41634357
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In this Journal Club episode, Ben and Daphna review the highly anticipated TREOCAPA trial results exploring the prophylactic use of acetaminophen for PDA closure in extremely preterm infants. They break down the study's tailored dosing regimens, safety outcomes like cholestasis, and discuss why achieving a higher rate of early ductal closure didn't necessarily translate to improved survival without severe morbidity. Plus, they share a nod to recent Neo Conference interviews and the realities of conducting clinical research in private practice. Tune in for a nuanced discussion on individualizing PDA management in the NICU!
Prophylactic Treatment of Patent Ductus Arteriosus With Acetaminophen: A Randomized Clinical Trial. RozĂ© JC, Cambonie G, Flamant C, PatkaĂŻ J, MĂŒhlbacher T, Gascoin G, Rideau Batista Novais A, Tauzin M, Le Duc K, BeuchĂ©e A, Joye S, Babacheva E, Bouissou A, Ligi I, Tammela O, Plourde M, Dempsey E, Tosello B, Nguyen K, Vincent M, Andresson P, Binder C, Kruse C, Barcos Munoz F, Kuhn P, Proença E, Bartocci M, Kermorvant-Duchemin E, Nellis G, Lumia M, Giapros V, Rigo V, Sankilampi U, Mendes da Graça A, RĂžnnestad A, Soukka H, MondĂŹ V, Aikio O, Torre-Monmany N, RĂŒegger C, Baud O, Zeitlin J, Morgan AS, Baruteau AE, Ancel PY, Carbajal R, Bouazza N, Diallo A, Levoyer L, Kemper R, Hallman M, Alberti C, Ursino M; TREOCAPA Study Group.JAMA Pediatr. 2026 Feb 16:e256150. doi: 10.1001/jamapediatrics.2025.6150. Online ahead of print.PMID: 41697673
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Live from the NEO Conference in Las Vegas, Ben and Daphna sit down with Dr. Tarek Nakhla to discuss his new book, Saving Babies Behind the Doors of the Neonatal Intensive Care Unit. Moving beyond standard medical textbooks, Dr. Nakhla shares how chronicling nearly 30 years of challenging patient encounters and complex family dynamics can serve as an essential guide for new trainees. The conversation highlights the therapeutic power of narrative medicine for clinicians and the profound impact of non-clinical staff on the family experience. Discover why capturing the human side of neonatology is just as critical as the clinical science.
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How can a database tracking 20% of all US NICU admissions change the way we practice neonatology? Live from the NEO Conference, Ben and Daphna sit down with Dr. Veeral Tolia to discuss his groundbreaking work with the Pediatrix Clinical Data Warehouse. Dr. Tolia dives into the power of leveraging decades of observational data to supplement randomized trialsâfrom analyzing the 50-fold increase in Precedex usage to studying natural experiments like the vitamin A shortage. The group also looks ahead to the Newborn Express dataset, exploring how socioeconomic metrics like the Child Opportunity Index might help us understand the alarming rise in neonatal vitamin K refusals.
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How will artificial intelligence fundamentally change the way we chart, teach, and monitor patients in the NICU? Live from the NEO Conference, Ben and Daphna sit down with Dr. James Barry to explore the critical need for "AI literacy" among bedside clinicians. Dr. Barry draws parallels between driver's education and safe AI use, highlighting the hidden dangers of automation complacency with AI scribes. They also discuss the exciting potential of computer vision in respiratory monitoring and how the CONCERN early warning system is quantifying nursing intuition. Join us as we navigate the guardrails of neonatology's technological future.
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Can groundbreaking neonatal research thrive outside of academic medicine? Live from the NEO Conference, Ben and Daphna sit down with Dr. Kaashif Ahmad, Vice President of Research at Pediatrix. Dr. Ahmad shatters the myth that community NICUs can't drive clinical science, discussing how everyday documentation in systems like Baby Steps quietly fuels hundreds of publications. He also unveils "The Parent Network," a revolutionary initiative designed to partner with family-led organizations from day one to establish comparative effectiveness trial priorities. Tune in to discover how private practice clinicians are successfully balancing bedside care with robust, meaningful research.
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How does individualized medicine shape both patient trust and neonatal careers? Live from the NEO Conference, Ben and Daphna catch up with Dr. Zubin Shah, Clinical Ambassador for Pediatrix. The team explores the power of tailoring bedside conversations to individual babiesâwhether discussing targeted hemodynamics or framing RSV prevention with nirsevimabârather than relying solely on generalized trial data. Dr. Shah also sheds light on the evolving landscape of neonatal recruitment, emphasizing how peer mentorship and direct networking can help new physicians find practices that balance rigorous clinical care with research and quality improvement.
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When parents fundamentally disagree on life-saving interventions in the delivery room, how do clinical teams decide the next step? Live from the NEO Conference, Ben and Daphna sit down with Dr. Mark Mercurio, Executive Director of the new Center for Pediatric Bioethics at Boston Childrenâs Hospital. Dr. Mercurio dissects a highly complex ethical case regarding parental disagreement over resuscitation at the border of viability. Emphasizing the distinction between parental "preference" and parental "judgment," he explores the necessity of clinical humility, the hidden margins of error in gestational age dating, and how admitting our own medical uncertainty is the first step toward honest family counseling.
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Join Ben and Daphna live from the NEO Conference as they welcome the 2026 Legends in Neonatology Award recipient, Dr. Waldemar "Wally" Carlo. In this inspiring conversation, Dr. Carlo discusses the driving forces behind his enduring passion for clinical care and the critical need for robust bedside research. They explore how full-time clinicians can actively shape the research agenda by turning everyday diagnostic uncertainties into innovative trials. Dr. Carlo also offers a preview of his highly anticipated lecture on neonatal oxygen targets, revealing why it remains one of the most rigorously studiedâyet complexâareas in modern medicine.
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Does our fear of necrotizing enterocolitis do more harm than good? In this live episode from the Neo conference, Ben and Daphna sit down with Dr. Ariel Salas to challenge the "culture of fear" surrounding neonatal nutrition. Dr. Salas argues that while we obsess over ill-defined NEC risks, we may be sacrificing the proven benefits of early feeding on sepsis reduction. From the emotional weight of "wasted" breast milk to the "illusion of control" provided by strict protocols, this conversation urges neonatologists to move toward a family-centered, evidence-based approach that prioritizes human milk over clinical hesitation.
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Live from the Neo Conference in Las Vegas, Ben and Daphna sit down with Dr. Zach Anderson from Winnie Palmer Hospital to demystify the integration of Point of Care Ultrasound (POCUS) in the NICU. Moving beyond the intimidation of complex cardiac scans, Zach explains why starting with "pinch points" like vascular access or bladder volume can revolutionize bedside decision-making. From the SAFER protocol to managing the agitated infant on ECMO, this episode explores how POCUS serves as a powerful problem-solving tool that bridges the gap between clinical mystery and immediate intervention.
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In this live episode from the Neo Conference in Las Vegas, we welcome back Dr. Souvik Mitra to unpack the evolving landscape of PDA management in extremely preterm infants. We dive into the recent AAP guidelines recommending against early medical treatment and explore potential unintended consequences, including rising transcatheter closure rates and delayed intervention. Dr. Mitra shares his institution's approach using the SMART-PDA criteria, highlighting the importance of treatment timing and proper patient selection. Join us for a nuanced discussion balancing large pragmatic trial data with bedside clinical judgment for our most vulnerable babies.
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In this live episode from the Neo Conference in Las Vegas, we welcome back Dr. Souvik Mitra to unpack the evolving landscape of PDA management in extremely preterm infants. We dive into the recent AAP guidelines recommending against early medical treatment and explore potential unintended consequences, including rising transcatheter closure rates and delayed intervention. Dr. Mitra shares his institution's approach using the SMART-PDA criteria, highlighting the importance of treatment timing and proper patient selection. Join us for a nuanced discussion balancing large pragmatic trial data with bedside clinical judgment for our most vulnerable babies.
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In this weekâs journal club episodes, we review several interesting and important studies in neonatal medicine. Ben and Daphna start with a provocative echocardiography study out of Edmonton showing that standard chest compressions in newborns likely target the right heart and great vessels, not the left ventricle. A small sample size, but a finding that anyone who ultrasounds hearts all day will instantly recognize.
Daphna presents a retrospective multicenter study from Nationwide Childrenâs on antibiotic duration for Gram-negative bloodstream infections in the NICU. Short course (â€8 days) showed no treatment failures, while 14% of infants in the long duration group developed a multi-drug resistant organism infection. Eight days versus ten: does the difference matter? The data says yes.
Ben reviews a randomized controlled trial from UAB on early vitamin D supplementation in extremely preterm infants fed human milk. Eight hundred units daily for the first two weeks appears safe and effective at achieving vitamin D sufficiency, but did it move the needle on BPD? And is that even the right question to ask?
Daphna brings a QI paper from Levine Childrenâs on universal social determinants of health screening across nine pediatric divisions, achieving 92% compliance and connecting thousands of families to resources through findhelp.org. A reminder that the tools are already there â we just have to use them.
The episode wraps with Ben, Daphna, and Eli discussing Coloradoâs landmark paid NICU leave law â the first in the nation to require employers to provide up to 12 weeks of paid leave for parents with a baby in the NICU. What does the evidence say, and how do we advocate for this in our own states?
Science, equity, and advocacy â all in one episode.
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In this episode of Neo News, we break down Coloradoâs groundbreaking legislation mandating 12 weeks of paid leave for NICU parentsâa potential blueprint for national change. We explore the critical intersection of policy, economics, and infant health, discussing why supporting families at the bedside isn't just morally right but economically smart. We also highlight new research from economists like Maya Rossin-Slater and Mariam Khan linking paid leave to reduced neonatal mortality. Plus, find out how you can turn these policy shifts into advocacy tools for your own state. Join us for a concise, high-impact update on the future of NICU care.
Boese, L. (2024, December 18).Why Coloradoâs paid NICU leave law could spark nationwide trend. HR Executive. https://hrexecutive.com/why-colorados-paid-nicu-leave-law-could-spark-nationwide-trend/
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Ben and Daphna conclude Journal Club with a quality improvement study from Pediatrics titled "Improving Health-Related Social Needs Screening and Support Across a Pediatric Health Care System". The hosts discuss the successful implementation of universal social determinants of health (SDOH) screening across nine pediatric divisions at Levine Children's. They highlight the impressive resultsâscreening compliance reaching 92%âand the practical impact of connecting families to resources like FindHelp.org, which led to a 56% resolution rate in food insecurity for positive screens. Daphna makes a personal commitment to improve resource accessibility in her own unit.
Improving Health-Related Social Needs Screening and Support Across a Pediatric Health Care System. Laroia R, Minor W, Carr A, Buitrago Mogollon T, White BB, Mabus S, Stilwell L, Ahmed A, Mehta S, Obita T, Reed S, Senturias Y, Mittal S, Horstmann S, Demmer L, Dantuluri K, Chadha A, Noonan L, Courtlandt C.Pediatrics. 2026 Feb 5:e2024070035. doi: 10.1542/peds.2024-070035. Online ahead of print.PMID: 41638605
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Ben and Daphna review a randomized controlled trial published in The Journal of Pediatrics by Dr. Ariel Salas and colleagues at UAB. The study investigates whether early high-dose vitamin D supplementation (800 IU/day starting day 1) in extremely preterm infants reduces the incidence of Bronchopulmonary Dysplasia (BPD) compared to standard care (starting day 14). The hosts discuss the physiologic rationale linking vitamin D to lung development, the use of impulse oscillometry to measure lung mechanics, and the secondary findings regarding metabolic bone disease. They explore why the "physiologic rationale" doesn't always translate to clinical significance.
Early Vitamin D Supplementation in Infants Born Extremely Preterm and Fed Human Milk: A Randomized Controlled Trial. Salas AA, Argent T, Jeffcoat S, Tucker M, Ashraf AP, Travers CP.J Pediatr. 2025 Dec;287:114754. doi: 10.1016/j.jpeds.2025.114754. Epub 2025 Jul 24.PMID: 40714046 Clinical Trial.
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In this episode of Journal Club, Ben and Daphna review a retrospective cohort study from Pediatrics examining antibiotic duration for uncomplicated Gram-negative bloodstream infections in the NICU. The study, a collaboration between Nationwide Childrenâs Hospital and UT Health San Antonio, compares outcomes between short course (â€8 days) and long course (â„9 days) therapy. The hosts discuss the startling finding that while recurrence rates were similar, the long-duration group had a 14% rate of developing multi-drug resistant (MDR) infections within 90 days, compared to 0% in the short-duration group.
Duration of Antibiotic Therapy for Gram-Negative Bloodstream Infections in the Neonatal Intensive Care Unit. Djordjevich CJ, Magers J, Cantey JB, Prusakov P, SĂĄnchez PJ.J Pediatr. 2026 Jan 17:114993. doi: 10.1016/j.jpeds.2026.114993. Online ahead of print.PMID: 41554433 Free article.
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In this episode of Journal Club, Ben and Daphna review a thought-provoking study from the Archives of Disease in Childhood titled "Chest Compression in Newborn Infants: What Anatomical Structures Are We Compressing?". The hosts explore the anatomical findings suggesting that current neonatal CPR guidelinesârecommending compressions over the lower third of the sternumâmay actually be targeting the right ventricle and great veins rather than the left ventricle. They discuss the implications for the "cardiac pump" vs. "thoracic pump" theories and what this means for the future of resuscitation guidelines.
Chest compression in newborn infants: what anatomical structures are we compressing? Chua CT, O'Reilly M, Surak A, Schmölzer GM.Arch Dis Child Fetal Neonatal Ed. 2026 Jan 16:fetalneonatal-2025-329582. doi: 10.1136/archdischild-2025-329582. Online ahead of print.PMID: 41545184
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Dr. Sheri Fink, Pulitzer Prize-winning correspondent for The New York Times and author of Five Days at Memorial, joins us for a compelling discussion on the ethics of survival. Dr. Fink, an MD-PhD, discusses her recent article "Noah is Still Here," which chronicles one family's journey with Trisomy 18âa condition once universally deemed incompatible with life. She and Eli explore the shifting paradigms of care, the tension between medical prognosis and parental hope, and the "two truths" clinicians must hold when counseling families in the grey zone. A must-listen for anyone navigating complex bioethics in the NICU.
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In this premiere episode of On with Von, The Incubator launches an exciting new collaboration with the Vermont Oxford Network (VON). Hosts Dr. Ben Courchia and Dr. Daphna Yasova Barbeau sit down with Dr. Roger Soll, President of VON, and Dr. Bob White, a pioneer in NICU design, to explore the critical "Evidence to Practice" gap in the NICU environment. Moving beyond simple neuroprotection, the conversation dives into neuropromotion, examining the impact of light, sound, and sensory inputs on the developing brain. From debunking misconceptions about retinopathy to optimizing design for family integration, this discussion offers actionable insights for every bedside clinician.
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How much oxygen is enough when resuscitating extremely preterm infants? This week on The Incubator Podcast, Ben and Daphna explore the TORPIDO 30/60 trial comparing 60% versus 30% FiO2 at birth. While primary outcomes were similar, babies in the 60% group needed fewer chest compressions and less epinephrineâa signal worth discussing.
They examine an Indian non-inferiority study on surfactant thresholds (40% vs 30% FiO2), where waiting until 40% meant significantly fewer intubations and shorter respiratory support for the youngest babies. Ben presents compelling Melbourne data showing growth-restricted preterm infants face six-fold higher NEC riskâeven with identical feeding protocolsâand discusses how critical birth history gets "lost" as babies grow.
Daphna tackles therapeutic hypothermia in late preterm infants, reviewing Toronto's retrospective analysis showing 34-35 weekers experience higher mortality and more brain injury compared to 36-37 weekers. As units rewrite cooling protocols, are we moving too fast on limited evidence?
The episode concludes with Ben, Daphna, and Eli discussing the repeal of "sensitive locations" protections for immigration enforcement. Through the story of a mother detained while visiting her NICU baby in Chicago, they explore how these policies impact family-centered care and highlight advocacy opportunities through the Protecting Sensitive Locations Act.
Current research meets real-world NICU challengesâall in one episode.
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In this episode of Neo News, the team examines the intersection of immigration policy and neonatal care. We review a recent op-ed discussing the "chilling effect" of immigration enforcement on families seeking care in "sensitive locations" like hospitals. The discussion highlights a harrowing report from The 19th about a family detained by ICE while en route to the NICU, sparking a conversation on how fear impacts parental presence and follow-up adherence. The hosts explore the Protecting Sensitive Locations Act and the critical role neonatologists play in advocating for safe access to healthcare for all families.
Vernon, L., Swenson, S., & Miller, E. (2025, October). Immigration policies are creating impossible choices for NICU families. Cleveland.com. https://www.cleveland.com/opinion/2025/10/immigration-policies-are-creating-impossible-choices-for-nicu-families-lelis-vernon-sarah-swenson-and-emily-miller.html
Barclay, M. L. (2025, December). Postpartum immigrant detention by ICE. The 19th. https://19thnews.org/2025/12/postpartum-immigrant-detention-ice/
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In this segment, Ben and Daphna review a retrospective study from the Hospital for Sick Children comparing outcomes of therapeutic hypothermia in late preterm (34-35 weeks) versus early term (36-37 weeks) infants. They discuss the significantly higher rates of mortality, hemodynamic instability, and hypoglycemia found in the younger cohort, known as "Group 1". The hosts explore the implications of using MRI scoring systems like the Weeke score for preterm brains and debate the ethical challenges of conducting future randomized trials as clinical practice shifts away from cooling younger babies based on emerging retrospective data.
Whole-body hypothermia in late preterm and early term infants: a retrospective analysis from a neurocritical care unit. Martinez A, Cikman G, Al Kalaf H, Wilson D, Banh B, Abdelmageed W, Beamonte Arango I, Christensen R, Branson HM, Cizmeci MN.Pediatr Res. 2026 Jan 7. doi: 10.1038/s41390-025-04701-x. Online ahead of print.PMID: 41501407
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In this episode of Journal Club, Ben and Daphna review a prospective cohort study from the Journal of Perinatology that examines the care of neonates following in-utero growth restriction. The hosts unpack the critical distinction between Fetal Growth Restriction (FGR) and Small for Gestational Age (SGA), highlighting how the "decay of information" in the NICU can lead clinicians to overlook early risk factors as babies grow. They discuss the studyâs alarming findings regarding the six-fold increased risk of Necrotizing Enterocolitis (NEC) in SGA infants and the importance of maintaining a comprehensive medical history throughout a patient's stay.
Care of neonates following in-utero growth restriction: A prospective cohort study exploring neonatal morbidity. Alda MG, Wood AG, MacDonald T, Charlton JK.J Perinatol. 2025 Sep;45(9):1219-1225. doi: 10.1038/s41372-025-02397-9. Epub 2025 Aug 21.PMID: 40841433 Free PMC article.
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In this episode of Journal Club, Ben and Daphna review a non-inferiority trial from the European Journal of Pediatrics exploring surfactant administration thresholds in preterm neonates. The study, conducted in India, compares a 30% versus 40% FiO2 threshold for babies 26-32 weeks gestational age. The hosts break down the counterintuitive findings regarding respiratory support duration in younger subgroups and discuss the broader implications of using rigid FiO2 heuristics versus individualized patient assessment. They also debate how resource availability influences clinical protocols and the potential benefits of "LISA" (Less Invasive Surfactant Administration) for avoiding intubation.
Higher (40%) versus lower (30%) FiO2 threshold for surfactant administration in preterm neonates between 26 and 32 weeks of gestational age: a non-inferiority randomized controlled trial. Haq MI, Datta V, Bandyopadhyay T, Nangia S, Anand P, Murukesan VM.Eur J Pediatr. 2025 Nov 25;184(12):793. doi: 10.1007/s00431-025-06628-1.PMID: 41288797 Clinical Trial.
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In this episode of The Incubator, Ben and Daphna return from the Delphi Conference to dive back into Journal Club. They review the highly anticipated TORPIDO 30/60 trial published in JAMA, comparing initial oxygen concentrations of 30% versus 60% for preterm resuscitation. The hosts discuss the primary outcomes of survival and brain injury, while highlighting intriguing secondary findings regarding chest compressions and epinephrine use in the delivery room. They also share exciting updates on the Vermont Oxford Network collaboration and a new family study from the GFCNI.
Targeted Oxygen for Initial Resuscitation of Preterm Infants: The TORPIDO 30/60 Randomized Clinical Trial. Oei JL, Kirby A, Travadi J, Davis P, Wright I, Ghadge A, Yeung C, Cruz M, Keech A, Hague W, Lui K, Vento M, Gordon A, De Waal K, Chaudhari T, Hong TSL, Morris S, Kushnir A, Bonney D, Tracy M, Kumar K, Chhnia AS, Baral VR, Muniyappa P, Cheah FC, Sarnadgouda P, Rajadurai VS, Balakrishnan U, Oleti TP, Aldecoa-Bilbao V, Couce ML, Collados CT, FernĂĄndez RE, Moliner E, Ruiz Gonzalez MD, Singhal M, Agrawal G, Singh J, Pal S, Nayya S, Arora R, Amboiram P, Simes J, Tarnow-Mordi W; TORPIDO30/60 Collaborative Group.JAMA. 2025 Dec 10:e2523327. doi: 10.1001/jama.2025.23327. Online ahead of print.PMID: 41369162
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This recording captures the AI panel discussion from the 2026 Delphi Neonatal Innovation Conference, held live on Monday afternoon. Dr. Jim Barry (University of Colorado), Dr. Thao Ho (UCSF), Lindsey Knake (University of Iowa), Selva Selvaraj (Nicklaus Children's Health System), and Dr. Ryan McAdams (University of Wisconsin-Madison) discuss where AI stands in the NICU today.
The panelists cover predictive models for sepsis and NEC, AI documentation tools, and the gap between research prototypes and clinical implementation. They address challenges with generalizability across different units, ethical considerations, parent-facing AI applications, and what might be standard practice in ten years. If you're trying to figure out what's actually working versus what's still theoretical, this conversation covers the current state of play.
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What if the smallest patients finally had a diaper designed just for them? For years, NICUs have struggled to find appropriately sized diapers for extremely premature infants, often resorting to makeshift solutions that compromised skin integrity and care quality. That changes now. In this breaking news episode, Ben sits down with Harry McCusker, Director of Research and Development for North America Pampers Diapers, to discuss the groundbreaking launch of the Pxxs diaperâthe world's smallest commercially available diaper, specifically engineered for micropreemies born as early as 21-23 weeks gestation. Weighing less than a nickel and designed with input from NICU professionals worldwide, the Pxxs addresses critical challenges in skin protection, fluid management, and developmental care for our most vulnerable patients. Join us as we explore how this innovation represents more than just a smaller diaperâit's Pampers' commitment that every preemie deserves products designed with their unique needs in mind.
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Could a simple blood test help identify chronic pulmonary hypertension when echo access is limited? This week on The Incubator Podcast, Ben and Daphna explore this question and others relevant to daily NICU practice. A Toronto study examines NT-proBNP as a practical diagnostic tool in extremely preterm infants.
They also examine a puzzling finding from Italy and Belgium: despite near-universal antibiotic use in neonates with HIE undergoing cooling, actual culture-positive sepsis rates are surprisingly low. What does this mean for our approach to empiric antibiotics?
Ben presents Norwegian data showing that serial physical exams cut antibiotic exposure in half for term and late preterm infantsâwithout compromising safety. Daphna follows with research connecting NICU capacity strain to patient outcomes, underscoring why adequate staffing isnât just about comfort, but about survival.
The episode concludes with Ben, Daphna, and Eli discussing the recent CDC changes to Hepatitis B birth dose recommendations. With federal guidance now diverging from AAP recommendations, how do we navigate conversations with families? They explore transmission risks parents may overlook and share approaches to shared decision-making when expert opinions conflict.
A full week of neonatal medicine research and real-world clinical challenges, all in one episode
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This week on Neo News, we tackle the recent and controversial divergence between CDC and AAP guidelines regarding the birth dose of the Hepatitis B vaccine. With the CDC now recommending a deferred schedule for infants of Hepatitis B-negative mothers, we explore the clinical implications, the risks of vertical transmission, and the challenge of navigating discordant public health advice. We discuss how to handle shared decision-making in an era of waning vaccine confidence and why the "birth dose" remains a critical safety net in a community setting. Join us as we break down the data behind the headlines.
American Academy of Pediatrics. (2025, December 15). AAP: CDC decision on universal birth dose of hepatitis B vaccine irresponsible and purposely misleading. AAP News. https://publications.aap.org/aapnews/news/33980/AAP-CDC-decision-on-universal-birth-dose-of?searchresult=1?autologincheck=redirected
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In this episode of Journal Club, Ben and Daphna review a retrospective cohort study from the Journal of Perinatology examining the association between NICU capacity strain and neonatal outcomes. We discuss how high census and acuity on admission day correlate with increased mortality and morbidity when adjusted for hospital and patient factors. Join us as we explore why being "slammed with admissions" is more than just a badge of honorâitâs a critical safety metric for our patients.
The association of NICU capacity strain with neonatal mortality and morbidity. Salazar EG, Passarella M, Formanowski B, Rogowski J, Edwards EM, Halpern SD, Phibbs C, Lorch SA.J Perinatol. 2025 Dec;45(12):1801-1808. doi: 10.1038/s41372-025-02449-0. Epub 2025 Oct 20.PMID: 41116036 Free PMC article.
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In this episode of The Incubator Podcast, Ben and Daphna review a pivotal population-based study from Norway examining a new approach to Early-Onset Sepsis (EOS). The hosts discuss whether serial physical examinations can safely replace routine antibiotic prophylaxis in at-risk term and late-preterm infants. With antibiotic exposure often far exceeding sepsis incidence, this study offers compelling data for a "less is more" strategy. Tune in as Ben and Daphna explore the safety, efficacy, and bedside implications of substituting automatic treatment with structured clinical monitoringâand what this means for reducing unnecessary interventions in the NICU.
Serial physical examination to reduce unnecessary antibiotic exposure in newborn infants: a population-based study. Vatne A, Eriksen BHH, Bergqvist F, Fagerli I, Guthe HJT, Iversen KV, Ud Din FS, van der Weijde J, KvalĂžy JT, Rettedal S.Arch Dis Child Fetal Neonatal Ed. 2025 Nov 19:fetalneonatal-2025-329639. doi: 10.1136/archdischild-2025-329639. Online ahead of print.PMID: 41260908
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In this episode of Journal Club, Ben and Daphna dive into a multicenter retrospective study from the European Journal of Pediatrics questioning the necessity of universal empiric antibiotics in neonates undergoing therapeutic hypothermia for HIE. Comparing Italian and Belgian cohorts, the team discusses the reality of a 111 Number Needed to Treat (NNT) for a single case of culture-proven sepsis. From the diagnostic challenges of overlapping clinical markers to the fascinating "asymptote" of postnatal leukocyte trends, we explore whether it's time to shift from routine to selective antibiotic use in our most complex patients.
Antibiotic use in neonates with hypoxic-ischemic encephalopathy undergoing therapeutic hypothermia: time to rethink universal empirical treatment. De Rose DU, Piersigilli F, Auriti C, Campi F, Cortazzo V, Samaey A, Carkeek K, Martini L, Maddaloni C, Santisi A, Ronci S, Iacona G, Bersani I, Savarese I, Danhaive O, Cilio MR, Bernaschi P, Dotta A, Ronchetti MP.Eur J Pediatr. 2025 Nov 22;184(12):781. doi: 10.1007/s00431-025-06652-1.PMID: 41275063
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In this Journal Club episode of the Incubator Podcast, Ben Courchia and Daphna Yasova-Barbeau review a study from the Journal of Perinatology evaluating NT-proBNP as a diagnostic tool for chronic pulmonary hypertension in extremely preterm infants. The discussion walks through the clinical burden of pulmonary hypertension in babies with bronchopulmonary dysplasia, the limitations of echocardiography, and the appeal of accessible biomarkers. Using data from a SickKids Toronto cohort, the hosts unpack sensitivity, specificity, cutoff values, and real-world applicability, while exploring how NT-proBNP could support screening, risk stratification, and bedside decision-making in everyday NICU practice.
Can N-terminal pro-brain natriuretic peptide accurately diagnose chronic pulmonary hypertension among extremely low gestational age neonates: A Retrospective Cohort Study. Garcia-Gozalo M, Jain A, Weisz DE, Jasani B.J Perinatol. 2025 Nov 13. doi: 10.1038/s41372-025-02462-3. Online ahead of print.PMID: 41233504
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This week on The Incubator Podcast, Ben and Daphna review several recent studies in neonatal care. They start with a JAMA trial comparing expectant versus active PDA management in preterm infants, noting a survival signal favoring expectant care and discussing how this fits within current practice. They then review outcomes of 21-week gestation infants from the University of Iowa, focusing on resuscitation strategies and survival at the limits of viability.
The conversation continues with the ICAF trial, examining whether extending caffeine therapy through 41 weeks postmenstrual age meaningfully reduces intermittent hypoxia and for which infants this may matter. A large national cohort study on antenatal corticosteroids between 21 and 24 weeks gestation is also discussed, highlighting practice variation and implications for counseling.
The episode closes with a Neo News segment on legal liability in the NICU following a recent $32 million NEC settlement. Ben, Daphna, and Eli consider informed consent around nutritional care and how evolving legal pressures may influence communication and clinical decision making.
This compilation brings together research and policy discussions from the week in a single long-form episode.
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In this episode of Neo News, Ben, Daphna, and Eli tackle the complex and emotionally charged landscape of legal liability in the NICU. Following a recent $32 million settlement involving necrotizing enterocolitis (NEC) and cow's milk-based formula, the team debates the future of informed consent for routine nutritional care. They explore how legal precedents may force neonatologists to replace bedside counseling with transactional forms, potentially eroding trust and complicating evidence-based practice. Join us as we discuss how to balance transparency, parental autonomy, and the reality of risk in the pursuit of better outcomes for our tiniest patients.
WTNH News 8. (2025, December 15). Parents, attorneys emphasizing importance of informed consent to NICUs following babyâs death at Yale New Haven Hospital. WTNH. https://www.wtnh.com/news/connecticut/new-haven/parents-attorneys-emphasizing-importance-of-informed-consent-to-nicus-following-babys-death-at-yale-new-haven-hospital/
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In this Journal Club episode, Ben and Daphna review a large national cohort study examining the association between antenatal corticosteroid exposure and survival in extremely preterm infants born between 21 and 24 weeksâ gestation. They discuss biologic plausibility, practice variation, and the challenges of interpreting retrospective data, while focusing on how these findings may inform counseling and shared decision-making at the margins of viability.
The Effects of Antenatal Corticosteroids on Extremely Premature Neonates Born between 21 and 24 Weeks. Yao R, Tritch N, Vedhanayagam K, Ali N, Reimche-Vu H, Gedestad I, Karageuzian S, Contag S.Am J Perinatol. 2025 Nov 6. doi: 10.1055/a-2722-8107. Online ahead of print. PMID: 41086871
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Ben and Daphna review the ICAF randomized clinical trial evaluating extended caffeine therapy in preterm infants and its impact on intermittent hypoxia through 41 weeks postmenstrual age. They discuss the study design, oximetry outcomes across multiple saturation thresholds, inflammatory biomarkers including TNF-α, and clinically relevant safety signals such as oxygen restart rates, length of stay, and weight gain. The conversation focuses on what intermittent hypoxia may mean for ongoing risk, and whether a targeted subgroup of infants might benefit from extending caffeine beyond traditional stopping points.
Intermittent hypoxia and caffeine in infants born preterm: the ICAF Randomized Clinical Trial. Eichenwald E, Corwin M, McEntire B, Knoblach S, Limperopoulos C, Kapse K, Kerr S, Heeren TC, Ikponmwonba C, Hunt CE; ICAF Study Group.Arch Dis Child Fetal Neonatal Ed. 2025 Nov 24:fetalneonatal-2025-329230. doi: 10.1136/archdischild-2025-329230. Online ahead of print.PMID: 41285561
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In this Journal Club episode, Ben and Daphna review a salient study from JAMA Network Open examining outcomes of infants born at 21 weeksâ gestation at the University of Iowa. They walk through resuscitation practices, early physiologic challenges, survival trends, and short-term developmental outcomes, while placing the data in the broader context of shifting limits of viability. The discussion highlights both cautious optimism and the many unanswered questions that remain as neonatology continues to push the boundaries of what is possible.
Outcomes of Infants Born at 21 Weeks' Gestational Age. Hyland RM, Mat HD, Boly TJ, Thomas BJ, Stanford AH, Harmon HM, Bermick JR, Davila RC, Colaizy TT, Dagle JM, Klein JM, Greiner AL, Bell EF, McNamara PJ; University of Iowa Neonatology Program.JAMA Netw Open. 2025 Dec 1;8(12):e2548211. doi:10.1001/jamanetworkopen.2025.48211.PMID: 41385227 Free PMC article.
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In this Journal Club episode, Ben and Daphna review a major randomized clinical trial published in JAMA comparing expectant management with active pharmacologic treatment of patent ductus arteriosus in preterm infants. They walk through the trial design, inclusion criteria, and outcomes, highlighting the unexpected survival difference favoring expectant management despite similar rates of bronchopulmonary dysplasia. The discussion explores the implications for bedside decision-making, the limitations of PDA-focused strategies, and the need for a more physiologic, patient-centered approach to ductal management in extremely preterm infants.
Expectant Management vs Medication for Patent Ductus Arteriosus in Preterm Infants: The PDA Randomized Clinical Trial. Laughon MM, Thomas SM, Watterberg KL, Kennedy KA, Keszler M, Ambalavanan N, Davis AS, Slaughter JL, Guillet R, Colaizy TT, Cotten CM, Dhawan MA, Bose CL, Talbert J, Smucny S, Benitz WE, Rysavy MA, Ohls RK, Baserga MC, DeMauro SB, Jaleel M, Jackson WM, Carlo WA, Puopolo KM, Hibbs AM, Katheria A, SĂĄnchez PJ, D'Angio CT, Patel RM, Johnson BA, Chock VY, Bhatt AJ, Merhar SL, Moore R, Laptook AR, Ghavam S, Fuller J, Vyas-Read S, Kicklighter SD, Steinbrekera B, Anderson K, Reynolds AM, Wyckoff MH, Montoya C, Das A, Do B, Chang S, Higgins RD, Walsh MC; Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network.JAMA. 2025 Dec 9:e2523330. doi: 10.1001/jama.2025.23330. Online ahead of print.PMID: 41364689
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As 2025 comes to a close, Ben and Daphna reflect on a year of growth, community, and evolution for The Incubator Podcast. In this end-of-year wrap-up, they preview major changes coming in 2026, including new standalone podcast feeds, expanded journal club content, CME opportunities, and exciting partnerships with organizations like the Vermont Oxford Network and PAS. They also share whatâs ahead for the Delphi Conference and offer a candid look at their personal and professional goals for the year ahead. Thank you for being part of this extraordinary neonatal community.
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Transitioning from fellowship to your first attending job? You're probably not prepared for the business side of medicineâand that's exactly the problem Dr. Tung Giep addresses in this episode. Dr. Giep, a neonatologist with over 30 years of experience, shares hard-earned lessons from building and selling a private practice in Houston, navigating toxic work environments, and eventually finding his place in telemedicine. His new book, The Business of Medicine: The Definitive Guide to Help New Physicians Start Their Career on the Right Path and Avoid Costly Mistakes, tackles what medical training ignores: contract negotiation, non-competes, choosing the right CPA and attorney, and understanding your self-worth.
Ben and Dr. Giep discuss why new physicians get blindsided by job offers, how to vet a practice properly, and the reality of community neonatology versus academic medicine. They also explore the growing role of AI in healthcare and what it means for the next generation of physicians. Whether you're finishing fellowship or reconsidering your current position, this conversation offers practical guidance on taking control of your careerâand avoiding costly mistakes along the way.
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In this Journal Club episode, Ben and Daphna review five recent studies with practical implications for neonatal care. The FEED1 trial examines whether starting full milk feeds from day one is safe in 30-32 week preterm infants, finding no difference in length of stay compared to gradual feeding but fewer central line days. A brief communication from UAB explores high-volume feeding strategies (â„170 ml/kg/day) and their impact on body composition in very preterm infants.
The hosts discuss a mannequin study from Italy measuring forces applied during intubation with different laryngoscope types and bed heights, revealing that video laryngoscopy at navel height applies the lowest forcesâcontrary to most clinicians' perceptions.
A large Japanese cohort study highlights the association between maternal psychological distress and neurodevelopmental delays, with postpartum distress showing stronger effects than prenatal stress. Finally, analysis of Neonatal Research Network data identifies predictors of early cord clamping in extremely preterm infants, with lack of magnesium sulfate, cesarean delivery, and antepartum hemorrhage being key factors.
The episode wraps with reminders about upcoming conferences, including the Delphi Conference in Fort Lauderdale in January 2026.
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Treatment of Hypotension of Prematurity: a randomised trial.
Alderliesten T, Arasteh E, van Alphen A, Groenendaal F, Dudink J, Benders MJ, van Bel F, Lemmers P. Arch Dis Child Fetal Neonatal Ed. 2025 Dec 15;111(1):F60-F66. doi: 10.1136/archdischild-2024-328253.PMID: 40413017 Clinical Trial.
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Full exclusively enteral fluids from day 1 versus gradual feeding in preterm infants (FEED1): a open-label, parallel-group, multicentre, randomised, superiority trial.
Ojha S, Mitchell EJ, Johnson MJ, Gale C, McGuire W, Oddie S, Hall SS, Meakin G, Anderson J, Partlet C, Su Y, Johnson S, Walker KF, Ogollah R, Mistry H, Naghdi S, Montgomery A, Dorling J; FEED1 collaborative.Lancet Child Adolesc Health. 2025 Dec;9(12):827-836. doi: 10.1016/S2352-4642(25)00271-8. Epub 2025 Oct 17.PMID: 41115446 Free article. Clinical Trial.
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Early body composition outcomes of infants born very preterm and receiving high volume, human milk feedings (â„170 ml/kg/day) before postnatal day 14.
Gunawan E, Molleti M, Salas AA.J Perinatol. 2025 Oct 31. doi: 10.1038/s41372-025-02469-w. Online ahead of print.PMID: 41174086 No abstract available.
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Applied forces during neonatal intubation with direct and video laryngoscopy at different bed elevations: a randomized crossover manikin study.
Cavallin F, Pasquali G, Maglio S, Villani PE, Menciassi A, Tognarelli S, Trevisanuto D.Eur J Pediatr. 2025 Nov 5;184(12):732. doi: 10.1007/s00431-025-06524-8.PMID: 41191125 Free PMC article. Clinical Trial.
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Maternal Psychological Distress Before and After Childbirth and Neurodevelopmental Delay in Toddlers.
Matsumura K, Tanaka T, Kuroda M, Tsuchida A, Hatakeyama T, Kasamatsu H, Inadera H; Japan Environment and Childrenâs Study Group.JAMA Netw Open. 2025 Oct 1;8(10):e2540907. doi: 10.1001/jamanetworkopen.2025.40907.PMID: 41171271 Free PMC article.
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Antenatal Prediction of Early Cord Clamping among Infants Born Extremely Preterm.
Katheria A, Dorner RA, Grobman W, Rysavy MA, Koo J, Wyckoff MH, Sandoval G, DeMauro SB, Das A, Lee HC, Cotten M, Calvo L, Saha S; Eunice Kennedy Schriver National Institute of Child Health and Human Development Neonatal Research Network.J Pediatr. 2025 Oct 31:114878. doi: 10.1016/j.jpeds.2025.114878. Online ahead of print.PMID: 41177398
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Three third-year fellows present diverse research at Hot Topics. Juhi from University of Illinois in Chicago demonstrates lung ultrasound's potential to predict respiratory support duration in 30+ week infants, with first six-hour exams showing strongest correlationâsuggesting possible replacement for admission chest x-rays. Tanima from Boston Children's applies large language models to extract IVH prognostic variables from AI literature, identifying critical gaps including absence of resolution prediction studies. Hailey conducts qualitative research on physician experiences with NICU mortality/morbidity, identifying three impactful loss categories: outcome-expectation mismatches, meaningful relationships, and weight of responsibilities. Their work exemplifies emerging neonatologist interests in point-of-care ultrasound, artificial intelligence applications, and clinician wellbeing.
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Dr. Jeffrey Gould and Dr. David Stevenson recount founding California Perinatal Quality Care Collaborative (CPQCC) in the mid-1990s, transforming California's fragmented perinatal care system. Initial success required organizational development expertiseânot just databasesâto transform stakeholders into partners by identifying mutual value. They created California Association of Neonatology, secured Packard Foundation support, and unified competing academic centers and private practitioners. CPQCC's disciplined approachâpods meeting biweekly, shared data, non-hierarchical teamsâcontributed to California achieving the nation's lowest maternal mortality while national rates climb. Gould emphasizes quality improvement as structural intervention building relationships and improving working conditions. For aspiring leaders, they advise: identify what teams value, use data to reveal challenges, build consensus around shared goals.
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Dr. Elizabeth Foglia, University of Pennsylvania/Children's Hospital of Philadelphia and scientific PI for AAP's DRIVE (Delivery Room Intervention and Evaluation) Network, discusses building a 3,000-hospital US collaboration to understand real-world delivery room practices. Despite robust evidence supporting supraglottic airways for PPV in infants 34+ weeks, surveys show minimal provider useârepresenting a significant evidence-to-practice gap. The SUGAR trial compares implementation strategies to increase adoption using hybrid effectiveness-implementation design. DRIVE currently includes 50 hospitals with diverse delivery room configurations, providing infrastructure for pragmatic trials, quality improvement, and benchmarking. First network-wide meeting launches multi-center QI project in February. Sites can join via AAP DRIVE Network website.
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In this episode of The Incubator Podcast, recorded live at Hot Topics in Neonatology in Washington, DC, we sit down with Dr. Daniele De Luca, Chief of Pediatric and Neonatal Critical Care at AP-HP Paris-Saclay University and leader of one of Europe's largest NICUs. Dr. De Luca discusses the groundbreaking Lancet Child & Adolescent Health Commission on the Future of Neonatology, a three-year initiative involving over 100 global key opinion leaders addressing the critical innovation gap in our specialty. He explores why neonatal medicine has experienced a slowdown in therapeutic advances since the 1990s, despite treating patients who will become citizens for decades ahead. The conversation covers the multifactorial barriers to innovationâfrom regulatory challenges to funding constraintsâand the Commission's comprehensive recommendations for industry, regulators, academic centers, and patient representatives. Dr. De Luca emphasizes the urgent need to avoid treating babies in 20 years the same way we did 20 years ago, highlighting specific examples like the decades-long journey from drug development to registration and the paradox of FDA-approved equipment. He calls for a united approach to elevate neonatology's profile, establish formal specialty recognition, and accelerate the translation of research into bedside care.
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Dr. Matthew Laughon, Professor at University of North Carolina and NICHD Neonatal Research Network investigator, presents the landmark PDA Management Trial comparing expectant management versus active medical treatment (indomethacin, ibuprofen, or acetaminophen). The trial stopped early due to futility and safety concernsâmortality exceeded 10% in the treatment group versus 4% with expectant management, with more infection-related deaths among treated infants. Secondary outcomes (BPD, NEC, ROP) showed no differences. The study included infants with symptomatic PDAs but excluded those with severe cardiopulmonary compromise. Findings support expectant management for symptomatic PDAs through 21 days of life, aligning with recent guidelines recommending no routine treatment in the first two weeks.
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Dr. Michael Narvey, neonatologist and Vice President of Canadian Pediatric Society, challenges the validity of pre-discharge car seat testing. After leading Canadian work resulting in nationwide abandonment of the test in 2016, he argues the test doesn't represent real-world conditions (potholes, movement) and lacks evidence demonstrating it saves lives from apnea or desaturations. Based on 50 years of autopsy data, rare car seat-related deaths result from unsupervised asphyxiation when infants slide down onto strapsânot from events in moving vehicles. Narvey distinguishes between eliminating the test versus maintaining essential car seat safety education, emphasizing proper positioning and avoiding unsupervised use outside vehicles. Some US centers are reconsidering this practice.
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Nicole and Maureen from Lactalogics present innovative donor human milk processing using gentle ultra-high temperature pasteurizationâexposing milk to heat for only 10 seconds versus 30-40 minutes with traditional methods. Their tube-in-tube system (milk and steam traveling opposite directions) maintains safety by eliminating pathogens while better preserving inherent nutrients. Products launching April 2026 include shelf-stable options for term infants (20 cal, 1.1g protein/100mL) and preterm infants (20 cal, 1.6g protein/100mL), plus a human milk fortifier reaching 24 calories. Donor moms require rigorous screening and 500+ ounce surplus. The shelf-stable format supports both in-hospital use and post-discharge bridging when mothers face milk supply challenges.
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Dr. Elaine Boyle, Professor of Neonatal Medicine at University of Leicester, presents the SURFON trial evaluating early surfactant versus expectant management in 34-38 week infants with respiratory distress. This pragmatic trial enrolled infants requiring 30-45% oxygen or non-invasive support. Primary outcomes showed no difference in hospital length of stay or progression to severe respiratory disease. Early surfactant reduced NICU duration and non-invasive support by less than one day each, with borderline pneumothorax increase requiring treatment of 80+ infants to prevent one case. Findings suggest watch-and-wait approaches remain safe and reasonable for this population, though this group requires continued research given their potential for severe illness.
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Dr. Shalini Ojha, Professor of Neonatal Medicine at University of Nottingham, presents the Feed One trial examining full enteral feeding (60 mL/kg/day) from day one versus gradual advancement in 30-32 week infants. While the primary outcome of hospital length of stay showed no difference (median 32 days), full feeding significantly reduced parenteral nutrition use, IV cannulations, and associated interventions without increasing necrotizing enterocolitis risk (4 versus 6 cases). This pragmatic trial challenges the unfounded fear that early full feeding causes NECâdemonstrating that moderate preterm infants can safely receive complete enteral nutrition from birth, simplifying care particularly in resource-limited settings while avoiding complications from IV access and parenteral nutrition.
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Dr. Pankaj Agrawal, Division Chief of Neonatology at University of Miami, discusses rapid genomic advancesâfrom six-month diagnostic timelines in 2000 to same-day sequencing today. While current practice targets phenotype-based testing for unexplained conditions or dysmorphic features, Agrawal advocates moving toward universal NICU sequencing to identify previously unrecognized conditions. Key barriers include administrative buy-in, cost concerns, consent processes, and result disclosure challenges. Even negative results provide valueâoffering families reassurance and contributing to research databases. With only 5,000 of 20,000 genes linked to human disease, ongoing gene discovery work continues. Agrawal emphasizes the NICU as ideal for genomic implementation given high genetic disease prevalence and intervention opportunities.
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Three first-year fellows from University of VirginiaâJamie, Megan, and Brianneâshare their Hot Topics conference experience. Despite being early in training, they engage deeply with cutting-edge research across diverse interests: POCUS and hemodynamics (Jamie), ENT non-surgical interventions (Brianne), and neurodevelopmental outcomes with Tiny Baby projects (Megan). They value learning from practice variation across institutions, particularly regarding fluid management and humidity protocols. Rather than finding evidence gaps discouraging, they're inspired by opportunities for future research. They plan to share conference insights through journal club upon returning to UVA. The fellows emphasize how accessible and collaborative neonatology speakers are, encouraging early-career engagement with research leaders.
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Dr. Kavya Rao from University of Buffalo discusses quality improvement initiatives following completion of her master's in QI. Her team successfully implemented antibiotic stewardship by safely discontinuing antibiotics at 24 hours for early onset sepsis in clinically well infants with negative blood cultures, initially studying all gestational ages with plans for subset analysis. Additional projects include reducing PRBC and platelet transfusions using lower thresholds based on updated guidelines. Rao emphasizes finding QI topics through clinical passion and data-driven identification of performance gaps, using benchmarking with Vermont Oxford Network data. She co-mentors fellows in QI with Dr. Valerie Albertson and expresses enthusiasm for the Tiny Baby Collaborative, recognizing 22-weekers require distinct physiologic approaches.
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Julie Raskin, representing Congenital Hyperinsulinism International (CHI), advocates for universal newborn glucose screening following her son's brain injury from undiagnosed hyperinsulinism in 1996. Registry data reveals 28% of affected infants lack traditional risk factors (abnormal birth weight), and even high-risk babies are often discharged inappropriately. CHI's "Glucose is a Vital Sign" campaign promotes screening protocols currently under research, examining glucose plus ketone monitoring during initial days to identify affected infants without over-medicalizing healthy newborns. The organization maintains eight centers of excellence globally and provides international treatment guidelines at congenitalhi.org. Over 30 genes cause this diagnosable, treatable condition requiring immediate intervention to prevent preventable brain damage from prolonged hypoglycemia.
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Dr. Ariel Salas, recent R01 recipient, discusses challenging traditional feeding volume targets in preterm infants. His multi-center trial compares 180-200 versus 140-160 mL/kg/day volumes, examining body composition changes rather than weight alone. Salas emphasizes targeting fat-free mass gains over simple weight gain, as this component associates with better long-term neurodevelopmental outcomes. Body composition analysis reveals compartmental changes invisible to daily weightsâdistinguishing extracellular versus intracellular water shifts. This outcome provides reasonable compromise between immediate intervention effects and long-term results. Salas advocates acknowledging practice variation as opportunity for equipoise and fair testing, challenging arbitrary standards that persist despite limited evidence supporting them.
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Dr. Edgardo Szyld from Indiana University presents the PLANT study evaluating 20 minutes of prophylactic CPAP for late preterm infants (34-36+6 weeks) born via cesarean section. This population represents 70% of US preterm births and experiences five times higher respiratory distress rates with cesarean delivery. The pragmatic pilot enrolled 100 patients, demonstrating reduced NICU admissions without pneumothorax casesâaddressing previous safety concerns from observational data. Szyld's team is planning PLANT 2, targeting 35-36 weekers across 11 international centers, which will compare outcomes with and without antenatal steroids. This pragmatic approach addresses a high-volume but understudied population significantly impacting NICU resources.
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Dr. Ravi Patel, Professor at Emory University and Chair of the Georgia Perinatal Quality Collaborative, examines the tension between quality improvement and evidence-based medicine. He argues NICUs should prioritize high-certainty interventions (antenatal steroids, delayed cord clamping) rather than standardizing practices based on low-certainty evidence. Using tools like GRADE to assess evidence certainty helps determine when standardization is appropriate versus when practice variation allows for shared decision-making. Patel advocates re-energizing evidence generation as improvement in common morbidities has stalled. Examples like Eat Sleep Console demonstrate the value of prospective evaluation when adopting new practices. When evidence is uncertain, integrating family values and preferences becomes essential for individualized care decisions.
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Dr. Clara Song, Chair of the AAP Section on Neonatal-Perinatal Medicine, discusses urgent workforce challenges facing neonatology. With average neonatologist age around 50-55 and stable fellowship applications despite growing positions, the field faces potential shortages. The section launched initiatives addressing fair compensation, including a new website comparing negotiated commercial payer rates across states and engaging state chapters for payer advocacy. Song highlights concerning trends where neonatologist productivity increased while compensation decreased as the field became female-dominated. She discusses the section's comprehensive staffing toolkit and proposes restructured training pathwaysâpotentially shortened residency with targeted 2-5 year fellowshipsâto attract trainees while ensuring adequate clinical preparation for increasingly complex neonatal care.
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Dr. Louise Owen from Royal Women's Hospital Melbourne presents the AEROPLANE trial comparing 21% versus 30% oxygen for 32-35 week infants at birth. This understudied cohort represents 80% of preterm births globally. Using cluster randomization with waived consent, the trial captured real-world practice across centers. Infants receiving 30% oxygen required less delivery room intervention including assisted ventilation, intubation, and chest compressions. Three-quarters of infants needing initial support continued requiring respiratory support beyond delivery. Both groups ultimately received average oxygen in the 50s, suggesting moderate preterm infants may behave more like very preterm rather than term babies regarding oxygen needs.
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Dr. Divya keerthy (New York Presbyterian Queens/Weill Cornell Medicine) and Dr. Katherine Nyman (UCSD/Rady Children's, San Diego) discuss their Hot Topics conference experience. Keerthy presents research on prenatal polycyclic aromatic hydrocarbon exposure measured via backpack monitors and silicone wristbands during the third trimester. Her longitudinal study tracked infant microbiome at three time points over six months, identifying two air pollutants affecting microbiome development. Nyman highlights interest in the Tiny Baby collaborative, particularly PDA management challenges in extremely premature infants. Both emphasize the value of Hot Topics' evidence-based sessions including "green and rotten apples" that stress-test current practices. They note the conference's focus on moderate preemies (32-34 weekers) who comprise 80% of NICU populations yet receive less research attention.
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Dr. Katherine P Callahan, neonatologist and bioethicist at Children's Hospital of Philadelphia, discusses the complexity of genetic testing in neonatal care. While the NICU serves as a launch point for genetic technologies due to high prevalence of genetic disease, genetic information is often ambiguous or uncertain rather than straightforwardly diagnostic. Variants of uncertain significance represent just one challengeâeven clearly pathogenic findings may have unclear implications for individual patients, as demonstrated when parents carry the same mutation as their severely affected child. Callahan emphasizes that genetic information poses "informational hazards" requiring careful consideration of psychological and ethical impacts. She advocates for acknowledging complexity, rethinking outcomes beyond traditional measures, and embracing shared decision-making rather than standardized approaches to genomic counseling.
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In this episode, Mandy Daly shares her profound journey as a NICU parent and her advocacy work through the Irish Neonatal Health Alliance (INHA). She discusses the emotional challenges faced by parents of preterm infants, the importance of family-centered care, and the need for systemic changes in neonatal healthcare. Mandy emphasizes the significance of building support networks, empowering families through education, and the impact of lived experiences in shaping healthcare policies. The conversation highlights the collaborative efforts required to improve outcomes for families navigating the complexities of neonatal care.
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In this episode, Leah Jayanetti speaks with Keira Sorrells, founder of the NICU Parent Network, about her personal journey through the NICU experience with her triplets and the advocacy work she has undertaken to support NICU families. They discuss the importance of family-centered care, the NICU Babies Bill of Rights, and the emotional challenges faced by parents in the NICU. Kira shares her insights on healing through storytelling and the need for self-care among NICU leaders, emphasizing that hope is an expression of love, regardless of the outcomes.
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In this episode of NeoNews, the team returns from a brief hiatus with a refreshed format and a packed review of neonatal stories dominating recent headlines. Eli, Ben, and Daphna open with updates on RSV prevention, highlighting new MMWR data showing significant gaps in nirsevimab and maternal vaccine uptakeâdespite strong evidence and renewed availability. They discuss how supply chain issues, insurance delays, and vaccine confusion continue to limit access, and they emphasize the unique role neonatologists can play in counseling families early and often. The hosts also review concerning national trends in congenital syphilis, noting that many affected infants had parents who received prenatal care but were never testedâan avoidable systems failure with major downstream costs. Additional segments cover the severity of last yearâs influenza season, the emergence of new RSV monoclonal antibodies, and the rising use of polygenic risk scoring in IVF. The team reflects on the ethical tension between innovation and eugenics concerns, and how neonatal providers can prepare for these conversations. Finally, the deep dive explores Sherri Finkâs powerful reporting on trisomy 18, variability in care across institutions, and the growing emphasis on transparent, value-driven shared decision-making with families.
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In this episode, Dr. Sidney Zven shares his unique journey from a civil engineering career to becoming a neonatology fellow at Walter Reed Military Medical Center. He discusses his experiences with food insecurity among military families, particularly focusing on WIC enrollment challenges and the impact of stigma and misinformation. Dr. Zven highlights his mentorship experience while working on a grant to address these issues and the importance of engaging stakeholders in community health initiatives. He also provides insights into his neonatology fellowship training and his aspirations for the future in military medicine.
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In this episode of At the Bench, Misty Good and David McCulley interview Dr. Bernard ThĂ©baud, a neonatologist and leader in lung and pulmonary vascular developmental biology and regenerative medicine. The conversation explores Dr. Thebaudâs journey into research, the importance of mentorship, and the challenges of translating research into clinical practice. They discuss the significance of recognizing opportunities, navigating critical feedback, and the promising mechanisms in regenerative medicine that could enhance lung repair in preterm infants. Dr. ThĂ©baud discusses the innovative use of mesenchymal stromal cells in lung therapy for neonatal patients. He shares insights on the unexpected findings from his research, the potential of umbilical cord-derived cells, and the future of neonatal lung regenerative medicine. The conversation also touches on the importance of mentorship, resilience in research, and fostering a positive lab environment.
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In the final episode of our Rethinking Phototherapy series, Ben speaks with Steve Falk, Chief Engineer of the Maternal Infant Care Strategic Business Unit at GE Healthcare. With more than three decades of engineering leadership, Steve has been instrumental in the development of landmark neonatal technologies, including the Giraffe Omnibed and Panda platforms.
This conversation highlights the critical role of engineering in making phototherapy precise, reliable, and safe. Steve explains how advances in LED technology have transformed phototherapy devices, ensuring consistent irradiance and long product life. He describes how engineers translate clinical needsâwavelength, intensity, surface coverage, and distanceâinto product requirements, and how rigorous usability testing with clinicians shapes intuitive bedside tools. The discussion also explores innovation on the horizon, from refining intermittent phototherapy strategies to integrating technologies that simplify care and support earlier discharge.
Listeners will gain a behind-the-scenes perspective on how engineering teams think about phototherapy as a true pharmacotherapy, and how collaboration between clinicians and industry can directly improve outcomes for newborns and families. This episode closes the series by reminding us that innovation in neonatal care happens not only in clinical practice, but also in the design labs where these essential tools are created.
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What happens when we challenge our long-standing assumptions about phototherapy in the NICU? In this special installment of our Rethinking Phototherapy series, Ben and Daphna are joined by Dr. Deepak Manhas to examine one of the most complex questions: how should we manage hyperbilirubinemia in preterm infants?
Unlike term babies, preemies face unique risksâshorter red blood cell lifespan, immature bilirubin conjugation, lower albumin binding, and increased blood-brain barrier permeabilityâall of which make them more vulnerable to bilirubin-induced neurologic dysfunction. This conversation explores why traditional guidelines cannot simply be applied to preterm infants and why clinicians often initiate phototherapy earlier.
Dr. Manhas discusses the creation of gestation-specific treatment charts, the challenges and dangers of exchange transfusion in this fragile population, and the uncertain role of therapies such as IVIG, albumin, and phenobarbital. The team also unpacks practical issues: what âdouble phototherapyâ should really mean, how to order irradiance and body surface area coverage with precision, and the role of bili blankets in promoting family bonding.
By situating this discussion in the broader Rethinking Phototherapy series, the episode highlights both the progress and the unanswered questions in caring for preterm infants.
đ Reference: Pathogenesis and Management of Indirect Hyperbilirubinemia in Preterm Neonates Less Than 35 Weeks: Moving Toward a Standardized Approach (NeoReviews)
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In the second installment of our Rethinking Phototherapy series, Ben and Daphna welcome Dr. Daniel Rauch, Professor of Pediatrics at the Hackensack Meridian School of Medicine and Division Chief of Pediatric Hospital Medicine and General Academic Pediatrics at Joseph Sanzari Childrenâs Hospital. Dr. Rauch co-authored the AAP technical report on phototherapy and brings a unique perspective on how light therapy should be understood and applied in clinical practice.
This conversation reframes phototherapy as a true pharmacotherapyâan intervention that must be delivered in precise doses with attention to wavelength, irradiance, body surface exposure, and treatment duration. Dr. Rauch explains why more light is not always better, how technology has evolved from âeasy-bake ovenâ style lamps to modern LED systems, and why maximizing body surface exposure often matters more than piling on extra light banks. The discussion also touches on cycling strategies, the value and limitations of transcutaneous monitoring, and the potential of home phototherapy to reduce unnecessary hospitalizations while supporting family bonding.
Listeners will gain practical insights into the art and science of phototherapy: how to optimize treatment, minimize harm, and communicate clearly with families navigating jaundice management.
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In this episode of The Incubator Podcast, Ben and Daphna sit down with Dr. Alex Kemper, Division Chief of Primary Care Pediatrics at Nationwide Childrenâs Hospital and Editor-in-Chief of Pediatrics. Dr. Kemper served as chair of the American Academy of Pediatrics subcommittee that authored the 2022 revision of the neonatal hyperbilirubinemia guidelines.
Together, they explore the motivations behind revisiting the 2004 guideline, the major changes introduced, and how these revisions are shaping clinical care. Dr. Kemper explains why treatment thresholds for phototherapy were raised, the careful balance between avoiding unnecessary interventions and preventing kernicterus, and the rationale for moving away from the risk stratification nomogram. The discussion highlights phototherapy as an effective but not benign therapyâone that can disrupt bonding, prolong hospitalization, and create family stress when overused.
Listeners will gain insight into the complexities of evidence review, the challenges of consensus-building over eight years of work, and the importance of shared decision-making and reliable follow-up after discharge. This conversation not only demystifies the new guidelines but also reframes the way clinicians think about jaundice management, risk stratification, and the broader impact on families.
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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.
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In this discussion, Dr. Hevil Shah (Cook Childrenâs Hospital) and Dr. Julie Lindower (UI Childrenâs) highlight the work of the CHNC Focus Group on Extremely Preterm Infants, centered on babies born between 21â23 weeksâ gestation. They share insights from a workshop on precision care, emphasizing lessons from Iowaâs long-term data showing improved survival and neurodevelopmental outcomes. The conversation explores variability in resuscitation and counseling practices across centers, and the importance of unified messaging among care teams. The groupâs next steps include publishing survey results and strengthening collaborationsâparticularly with the nutrition focus groupâto advance standardized, evidence-based care for the most premature newborns.
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In this keynote discussion, Dr. Natasha Henner (Lurie Childrenâs Hospital) examines how evolving reproductive policies are reshaping neonatal practice, from counseling at the limits of viability to supporting families after restrictive abortion laws. She discusses rising NICU admissions for infants with congenital differences, ethical tensions around âlife-limitingâ diagnoses, and gaps in perinatal hospice and home care resources. Dr. Henner emphasizes the need for shared frameworks among neonatologists, obstetricians, and palliative care teams, as well as simulation-based training to navigate moral distress and complex communication. Her call to action: welcome these difficult conversations to improve compassionate, coordinated family-centered care.
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In this keynote conversation, Dr. Amy Baughcum, PhD (Nationwide Childrenâs), Dr. Elizabeth Fischer, PhD (Childrenâs Wisconsin), and Dr. Lamia Soghier, MD, MeD, MBA (Childrenâs National) discuss building comprehensive perinatal mental health support systems that span from prenatal diagnosis to life after NICU discharge. Drawing inspiration from Dr. Joanna Coleâs fetal psychology model at CHOP, they emphasize early screening, interdisciplinary collaboration, and embedding psychologists or social workers within NICU teams. The speakers highlight strategies to normalize emotional distress, empower families to seek help, and align institutional priorities with psychosocial care. Their shared message: supporting parental mental health is essential, evidence-based, and foundational to optimal infant outcomes.
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This episode addresses NICU staff mental health with Dr. Chavis Patterson, PhD (Childrenâs Hospital of Philadelphia). He reviews common problemsâtoxic stress, compassion fatigue, irritability, sleep disturbanceâand practical mitigation strategies: brief micro-practices (five-minute arrival/departure routines), peer debriefs (e.g., âpink flagsâ), unit multidisciplinary check-ins, and institutional resources such as employee assistance programs and embedded NICU psychologists. Patterson stresses normalizing emotional responses, reducing stigma around seeking psychotherapy, and building structural supports by advocating for funded on-unit psychology positions. Immediate actions: start regular team debriefs, map local mental-health resources, pilot embedded psychology coverage, and lead institutional advocacy to make staff mental health standard NICU practice.
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This keynote episode features Dr. Jennifer Sucre (Vanderbilt University Medical Center), whose research bridges bedside observation and molecular biology to uncover why some preterm infants develop severe bronchopulmonary dysplasia (BPD) while others recover. Through innovative live imaging of lung development and mouse and human tissue models, her lab discovered that capillary âguidanceâ signalsâsemaphorinsâare crucial for lung repair and resilience. Loss of these pathways marks irreversible injury. Dr. Sucre emphasizes âbedside-to-benchâ science, finding lessons from resilient infants to inform therapy. Clinically, she urges providers to recognize individual resilience, foster hopeful communication with families, and envision a future where BPD is preventableânot inevitable.
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This episode features Dr. Giulia Lima (Boston Childrenâs Hospital), a CHNC Mentored Fellow, discussing risk factors for morbidity and mortality among preterm infants with congenital heart disease (CHD) using data from over 11,000 NICU admissions. Surprisingly, older gestational age did not predict improved survival once infants survived beyond three days. Major mortality predictors included surgical NEC, bloodstream infection, trisomy 21, airway anomalies, and compromised systemic output lesions. Multiple gestation appeared protective, though reasons remain unclear. Dr. Lima highlights the importance of standardized prenatal steroids, care coordination, and exploring socioeconomic and ethnic disparities to improve outcomes in this uniquely vulnerable CHD population.
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This episode features Dr. Sofia Isabel Perazzo (Childrenâs National Hospital) and Dr. Rakesh Rao (St. Louis Childrenâs Hospital) discussing a CHNC Explore analysis of intestinal stricture formation following surgical necrotizing enterocolitis (NEC). Using 15 years of CHND data, they examined over 2,400 surgical NEC cases, finding an overall stricture incidence of about 31%, with striking inter-center variability (24â38%). Lower gestational age, stoma creation, and combined drainage-laparotomy increased risk, while peritoneal drainage was protective. Hispanic ethnicity was associated with lower risk. Although their predictive model (AUC 0.67) was modest, the findings offer valuable benchmarks for parent counseling, quality improvement, and hypothesis generation.
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In this episode Dr. Murali Premkumar (Texas Childrenâs) presents an Explore/CHNC analysis of stricture formation after surgical NEC using 2010â2024 CHND data (2,411 surgical NEC infants). Overall CHNC stricture incidence â31% with marked inter-center variability (adjusted center rates ~24â38%). Multivariable analysis identified lower gestational age and stoma/laparotomy as associated with higher stricture risk, while initial peritoneal drainage associated with lower risk; Hispanic ethnicity showed lower unadjusted risk. A predictive model yielded AUC 0.67, highlighting missing variables (antibiotic duration, feeding practices). Practical implications: use these benchmarks to counsel families, generate hypotheses, and target QI by studying low-risk centers.
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This episode features Dr. Sarah Swenson (Childrenâs Nebraska), Dr. Cara Solness, PhD (Childrenâs Nebraska), and Dr. Desiree Leverette (Emory/Childrenâs Healthcare of Atlanta) discussing equitable approaches to parental mental health screening in the NICU. They highlight that traditional programs often screen only mothers for depression, missing significant distress among non-gestational parents, especially fathers. Universal screening identified five times more affected partners, improving opportunities for support. The guests underscore the developmental importance of including all caregivers, the need to address stigma and fears of CPS involvement, and the value of trauma-informed communication. They advocate for integrated NICU psychologists and tailored, equity-focused interventions, including telehealth and culturally responsive materials.
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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.
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In this episode, Dr. Marina Metzler (St. Louis Childrenâs) shares her experience as a mentored fellow within the CHNC network, focusing on her project investigating genetic diagnoses in neonates with hypoxic-ischemic encephalopathy (HIE). She discusses the application and mentorship process, the support available from statisticians and CHNC collaborators, and early findings showing that infants with genetic conditions often experience longer NICU stays, more ventilator support, and greater feeding challenges. Dr. Metzler highlights the potential for genetic testing to refine diagnosis, guide care, and inform families, while emphasizing the need for larger datasets and multi-center collaboration to advance understanding in this complex population.
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This episode features Joshua Hess, MSN, RN discussing strategies to encourage more nurses to attend neonatal conferences where interdisciplinary collaboration drives meaningful quality improvement. Hess highlights how nurse involvement ensures clinical decisions reflect bedside realities, especially in managing conditions like BPD. He describes his unitâs culture of first-name, physician-nurse partnership and how institutional support and presenting a poster helped him attend. He also shares his teamâs safe sleep quality initiative, which standardized education, created an order for âsafe sleep readiness,â and significantly reduced unsafe sleep environments. Hess encourages NICUs to empower nurses as conference participants, educators, and change leaders.
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This episode features Dr. Carolina Adams (Emory) and Dr. Faizah Bhatti (Oklahoma Childrenâs Hospital) discussing findings from the CHNC Retinopathy of Prematurity (ROP) Focus Group. Their survey of pediatric ophthalmologists across U.S. centers revealed wide variability in screening practices, communication with neonatologists, sedation protocols, and anti-VEGF dosing. Many clinicians continue using higher bevacizumab doses despite emerging evidence supporting dose reduction. The guests emphasize the need for consistent, collaborative protocols, especially for infants outside standard screening criteria and extremely premature infants now surviving earlier gestational ages. They preview upcoming technology, including handheld NICU-compatible OCT devices, that may enhance early detection, shared decision-making, and long-term visual outcomes.
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This episode reflects on key themes emerging from day two of the 2025 CHNC Symposium. Hosts highlight ongoing work within CHNC focus groups, including defining emergent neonatal transport criteria and improving care pathways for infants with intestinal failure. They emphasize the pivotal role of family partners in research and quality improvement, noting the need to reduce financial and logistical barriers that limit caregiver participation at conferences. The discussion also underscores the growing recognition of parental mental health as central to infant outcomes, encouraging universal screening and structured support. Overall, the episode calls for intentional collaboration across disciplines and with families to drive meaningful neonatal care improvement.
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In this episode, neonatologists Dr. Megan Paulsen (Childrenâs Minnesota) and Dr. Sarah Swenson explore strategies for supporting parental mental health in the NICU, emphasizing universal screening for depression, anxiety, and trauma. They highlight the critical impact of parental well-being on infant neurodevelopment, family stability, and long-term quality of life. Drawing on personal and professional experience, Dr. Paulson shares her journey as a NICU parent, illustrating gaps in current care. Practical recommendations include integrating psychologists and social workers into NICU teams, implementing structured follow-up, and advocating for system-level changes to ensure equitable, sustained mental health support for families.
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In this episode, Dr. Katie Huff (Cincinnati Childrenâs) and Dr. Pritha Nayak (Dallas Childrenâs) discuss the work of the CHNC Intestinal Failure Focus Group. They highlight the unique challenges of managing neonates post-NEC, including TPN, nutrition, and long-term outcomes. The groupâs recent survey revealed significant variability across centers, including the presence of dedicated intestinal rehab teams and approaches to outpatient follow-up. Future efforts will focus on neurodevelopmental support, optimizing feeding practices, and standardizing criteria for discharge on TPN. This work demonstrates how descriptive, collaborative research within CHNC can spark new hypotheses and improve outcomes for this complex neonatal population.
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In this episode, Dr. Elizabeth Anson and Dr. Luke Viehl from the CHNC Transport Focus Group discuss establishing consensus definitions for emergent neonatal transports across North American NICUs. Using a modified Delphi process, they surveyed 48 CHNC sites on diagnoses, clinical signs, and specialized equipment, achieving over 80% consensus in all categories. Standardized criteria aim to improve timely stabilization, support resource allocation, and facilitate advocacy with hospital administrators and insurers. Practical implications include guiding training, optimizing transport team composition, and integrating with initiatives such as therapeutic hypothermia for HIE. This work lays the foundation for research, system-level improvements, and safer, more equitable neonatal transport practices.
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In this episode, Dr. Jacqueline Evans, Dr. Theresa Grover, and Dr. Karna Murthy provide an update on the Childrenâs Hospitals Neonatal Consortium (CHNC), highlighting its growth to 52 centers and over 375,000 infants in the registry. They discuss the symposiumâs expansion, multi-center quality improvement collaboratives, and focus groups that enable data-driven research and clinical innovation. Emphasis is placed on leveraging the registry for rare disease insights, supporting career development, and fostering collaboration across institutions. Practical takeaways include opportunities for hospitals to join CHNC, engage with focus groups, and utilize registry data for research, QI, and improved neonatal patient care outcomes.
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This discussion features Dr. Charada Gowda and Dr. Jessica Fry, leaders in the CHNC collaborative network, highlighting ongoing work within the CDH and Palliative Care & Ethics (PACE) focus groups. The CDH group is developing consensus clinical practice guidelines and has created an outcomes calculator to support more informative prenatal counseling and individualized care planning. The PACE group focuses on improving collaboration between neonatology and palliative care teams and recently surveyed CHNC centers regarding resources to support clinicians after patient loss. Findings emphasize that simply knowing support tools exist improves staff well-being. Both groups model multidisciplinary collaboration that enhances clinical guidance, communication, and family-centered care across the NICU.
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This discussion features Dr. Malathi Balasundaram and Morgan Kowalski, leaders of the CHNC Family-Centered Care Task Force, outlining how Family Partnership Councils integrate families as true partners in NICU care, policy development, and quality improvement. Instead of providing feedback after decisions are made, families co-create guidelines and initiatives from the start, promoting empowerment and more meaningful parent presence. They describe barriers such as recruitment, compensation, scheduling, and staff uncertainty, and offer practical strategies including foundation support, transparent role expectations, and diversifying family representation. The Task Forceâs webinars, office hours, and survey-driven improvement tools help units build sustainable, equitable, family-centered practices across both NICU and follow-up care settings.
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This discussion features Dr. Clyde Wright, Professor of Pediatrics at Childrenâs Hospital Colorado and the University of Colorado School of Medicine, who studies perinatal innate immunity and neonatal lung injury. He highlights the rapid rise of acetaminophen as the most commonly used medication for ductal closure in preterm infants despite limited long-term safety data. Dr. Wright explains how acetaminophen metabolism via CYP2E1 produces a reactive metabolite that may affect mitochondrial function in developing lung cells, prompting consideration beyond hepatic toxicity markers. He encourages clinicians to remain judicious, especially outside optimal treatment windows, and calls for research incorporating respiratory outcomes and nuanced, individualized riskâbenefit discussions at the bedside.
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This discussion features Dr. Beena Kamath-Rayne, a neonatologist at Lurie Childrenâs and Senior Vice President of Global Health and Clinical Skills at the American Academy of Pediatrics, describing how collaborative programs are improving neonatal care quality nationwide. She explains the AAPâs NICU Verification (Neonatal Excellence) Program, which supports level IIâIV units in evaluating their structures, processes, and outcomes against national standards through a collaborative, non-punitive survey model. Dr. Kamath-Rayne also highlights the DRIVE Network, which captures delivery room practices to address variation, including CPAP use in term infants. Key takeaways include coordinating with obstetric teams, preparing early for NRP updates, and engaging in mentorship and global neonatal initiatives.
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In this CHNC 2025 conversation, Daphna speaks with Dr. Beverley Brozanski (St. Louis Childrenâs) and Dr. Anthony Piazza (Childrenâs Healthcare of Atlanta) about the evolution of quality improvement within the Childrenâs Hospitals Neonatal Consortium (CHNC). They trace the journey from the first collaborativeâreducing central line infectionsâto todayâs data-driven, multicenter initiatives powered by the Childrenâs Hospitals Neonatal Database (CHND). Reflecting on lessons learned, they emphasize data over time, inclusion of data abstractors as core collaborators, and mentorship that nurtures the next generation of QI leaders, illustrating how sustained collaboration continues to advance neonatal outcomes nationwide
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In this episode from the CHNC 2025 Symposium, The Incubator welcomes Dr. Briana Bertoni and Dr. Gene Pallotto to discuss the Childrenâs Hospitals Neonatal Consortiumâs (CHNC) CIQI program and its ongoing quality improvement initiatives. They share results from Project Home, a multicenter effort to increase human milk use at dischargeâhighlighting how transport teams, unified family education, and cultural awareness helped drive progress. The next phase takes a flexible âchoose-your-own-adventureâ approach, empowering NICUs to target unplanned extubations, nosocomial infections, or oral feeding readiness. With benchmarking, data support, and shared learning, CHNC continues to help diverse teams improve outcomes and shorten NICU stays across the network
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In this CHNC 2025 episode, The Incubator speaks with Dr. Sandy Johng (Seattle Childrenâs) and Dr. Kelsey Montgomery (Riley Childrenâs Hospital) about the collaborative work of the CDH Focus Group within the consortium. They discuss a national effort to evaluate bivalirudin versus heparin for ECMO anticoagulation in infants with congenital diaphragmatic herniaâa shift driven by promising anecdotal evidence but lacking robust data. Through shared cases, systematic review, and consensus guideline development, the group aims to unify practice and elevate research quality. The conversation highlights how real-time collaboration accelerates learning, improves care consistency, and fosters innovation across Level IV NICUs nationwide.
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Live from the Childrenâs Hospitals Neonatal Consortium (CHNC) 2025 Symposium in Denver, The Incubator host Dr. Daphna Yasova Barbeau sits down with Dr. Diana Montoya Williams, neonatologist and researcher, to explore how in-person collaboration shapes the future of neonatal medicine. They discuss CHNCâs role in connecting clinicians across Level IV NICUs through data sharing, quality improvement, and meaningful dialogue. The conversation highlights how conferences like CHNC rekindle professional motivation, strengthen care networks, and translate shared learning into improved outcomes for high-risk infantsâreminding neonatal providers why gathering, reflecting, and innovating together still matters in an increasingly digital world.
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Join Dr. Daphna Yasova Barbeau as she kicks off The Incubatorâs live coverage from the Childrenâs Hospitals Neonatal Consortium (CHNC) 2025 Symposium in Denver. This opening episode sets the stage for two days of conversations focused on improving care for high-risk infants through data sharing, collaboration, and quality improvement across Level IV NICUs. Daphna introduces the mission behind CHNC and its powerful Childrenâs Hospitals Neonatal Database (CHND)âa resource driving benchmarking and innovation nationwide. Tune in for context, purpose, and the energy that fuels this yearâs meeting before diving into interviews with CHNC leaders and attendees
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In this episode, Dr. Ruth Grace Babirekoba discusses the transformative efforts in newborn care in Uganda, emphasizing the importance of collaboration among healthcare professionals. She shares insights on the National Surfactant Administration Protocol and her personal journey in maternal and newborn health, highlighting the significance of mentorship and self-care for future leaders in healthcare.
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The Incubator Podcast welcomes Dr. Henry Lee, Associate Editor of the Textbook of Neonatal Resuscitation, to discuss the ninth edition of the Neonatal Resuscitation Program (NRP). They review major updates released October 22, 2025, including the extended 60 second delayed cord clamping, new guidance on cord milking, refined oxygen targets, ventilation parameters, and updates to airway management and corrective steps. They also highlight three new educational modules, NRP Cardiac, Resuscitation in the NICU, and Neonatal Education for Prehospital Professionals, emphasizing how these changes support evidence based and effective neonatal care worldwide.
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In this episode of Beyond the Beeps, Leah interviews Jennifer Bernardo, a passionate advocate and author of 'Week 26', who shares her journey through the NICU with her twins, Luke and Layla. Jennifer discusses the challenges of having premature babies, the healing power of writing, and the importance of community support. She emphasizes the role of presence in NICU care, the significance of involving siblings, and her advocacy efforts to raise awareness about the NICU experience. The conversation highlights the resilience of NICU parents and the hope that guides them through difficult times.
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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.
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Whatâs new in neonatal innovation and research this week?
Join Ben and Daphna for a lively Journal Club episode of The Incubator Podcast, recorded after a long NICU day but packed with energy and insight. They begin with an update on the newly released NRP 9th Edition, preview their excitement for the upcoming Delphi Neonatal Innovation Conference, and then dive into five remarkable studies shaping neonatal care.
From the use of CARPEDIEM for renal replacement therapy in the tiniest infants to a meta-analysis on high-dose vitamin D supplementation, the hosts explore how evolving evidence can transform bedside care. They examine a novel trial of nebulized nitroglycerin for PPHN, the role of electrical impedance tomography (EIT) in optimizing PEEP for infants with severe BPD, and new insights into NEC risk factors even among exclusively human-milk-fed babies.
With their trademark mix of curiosity, humor, and critical reflection, Ben and Daphna make complex studies both understandable and relevant for everyday NICU practice.
Stay informed and inspiredâlisten now, and explore more neonatal research and conference updates at www.the-incubator.org.
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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.
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Identifying optimal positive end-expiratory pressure with electrical impedance tomography guidance in severe bronchopulmonary dysplasia.
Shui JE, LaVita CJ, Alcala GC, Nichols JH, Jassar RK, Turcu RM, Lerou PH, Cereda MF, Carroll RW, Ribeiro De Santis Santiago R, Berra L.J Perinatol. 2025 Sep 30. doi: 10.1038/s41372-025-02433-8. Online ahead of print.PMID: 41028823
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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.
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Infant Renal Replacement Therapy Using Carpediemâą: A Multicenter Observational Cohort Study from the ICONIIC Learning Network.
Slagle CL, Vuong KT, Krallman KA, Casey L, Gist KM, Jetton JG, Joseph C, Luckritz K, Martin SD, Morgan J, Merrill KA, Plomaritas K, Ramirez D, Tran CL, Shin HS, Snyder AN, Van Wyk B, Yalon L, Goldstein SL, Menon S.J Pediatr. 2025 Sep 26:114838. doi: 10.1016/j.jpeds.2025.114838. Online ahead of print.PMID: 41016463 Free article.
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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.
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Short-term and long-term effects of vitamin D supplementation for preterm infants: a systematic review and meta-analysis.
Shin SH, Kim HJ, Heo JS.J Perinatol. 2025 Oct 7. doi: 10.1038/s41372-025-02440-9. Online ahead of print.PMID: 41057557
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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.
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Azithromycin for Prevention of Bronchopulmonary Dysplasia and Other Neonatal Adverse Outcomes in Preterm Infants: An Updated Systematic Review and Meta-Analysis.
Joseph M, Murali Krishna M, Karlinksi Vizentin V, Provinciatto H, Ezenna C.Neonatology. 2025 Aug 12:1-10. doi: 10.1159/000547537. Online ahead of print.PMID: 40795809 Free article.
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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.
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Nebulized nitroglycerin as an adjuvant drug in management of persistent pulmonary hypertension of newborns: a randomized controlled trial.
Farag MM, Ghazal HAE, Abdel-Mohsen AM, Rezk MA.Eur J Pediatr. 2025 Sep 1;184(9):586. doi: 10.1007/s00431-025-06381-5.PMID: 40888971 Free PMC article. Clinical Trial.
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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.
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Risk factors associated with the development of necrotizing enterocolitis in preterm infants on an exclusive human milk diet: a single-center case-control study.
Ailumerab H, Miller JL, DeShea L, Beasley WH, Chaaban H, Bergner EM.J Perinatol. 2025 Aug 30. doi: 10.1038/s41372-025-02401-2. Online ahead of print.PMID: 40885806
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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.
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In this episode, Dr. Manjari Pophale discusses her innovative global health project focused on implementing surfactant administration techniques in resource-limited NICUs across Africa. She shares insights into the project's development, the importance of mentorship, and the positive impact of the SALSA method on neonatal outcomes. The conversation highlights the challenges and successes of global health initiatives, emphasizing the need for effective training and community engagement.
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In this episode of At the Bench, Betsy Crouch and David McCulley engage in a thought-provoking conversation with Dr. Eleanor Molloy, a neonatologist and physician scientist. They explore Eleanor's journey in neonatology, the importance of inflammation in neonatal health, and the challenges and rewards of conducting research in this field. The discussion also highlights the significance of collaboration, both within research teams and with parents, to enhance clinical practice and improve outcomes for neonates. Eleanor shares insights on the role of biomarkers, the impact of sex differences in research, and the necessity of international collaboration in pediatric research. The episode concludes with reflections on the balance between clinical work and research, the importance of community in academia, and the need for a rallying call to inspire the next generation of clinician scientists.
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In this special episode recorded live at the NeoHeart Conference 2025 in San Diego, California, Ben and Daphna sit down with Dr. Steve Abman, the Dr. John Patrick Cleary Living with Legends Keynote Address Speaker. A true leader in pediatric medicine, Dr. Abman serves as Professor of Pediatric Pulmonary Medicine, Co-Director of the Pediatric Pulmonary Hypertension Program, Director of the Pediatric Heart and Lung Center, and President of the American Pediatric Society.
Through candid reflection and storytelling, Dr. Abman discusses his journey from social activism to medicine, his mentors who shaped his path, and the power of collaboration in improving outcomes for children with cardiopulmonary disease. He reminds us that the future of neonatology depends on staying curious, working together, and keeping the babyâand the familyâat the center of every decision.
This conversation is an inspiring reminder that science advances not just through data, but through generosity, humility, and shared purpose.
đ§Listen now and explore more at www.the-incubator.org.
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In this episode, Mbozu and Shelly-Ann are joined by Jean Musonda-Chintende, a critical care nurse and national trainer in advanced newborn care with the Ministry of Health in Zambia. Jean shares her decade-long journey in neonatal intensive care and her leadership in building and mentoring neonatal units across the country.
She discusses the process of setting up special care baby units in hospitals that previously lacked neonatal services, including assessing facility readiness, training staff, and ensuring standardized care through continued mentorship. Jean highlights partnerships with organizations such as UNICEF and Clinton Health Access Initiative that support equipment and training efforts.
The conversation also touches on the challenges of workforce retention, the importance of continuous education for nurses, and the power of recognition in maintaining morale. Jean reflects on her role in Zambiaâs historic 2017 conjoined twins separation, how that experience shaped her approach to critical care, and her personal mission to reduce neonatal mortality through training and compassion.
A deeply practical conversation about scaling neonatal care in resource-limited settings and the dedication it takes to make lasting change.
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In this episode of the Incubator Podcast, Dr. Mario RĂŒdiger, a prominent neonatologist from Germany, shares his journey into the field of neonatology, discussing the differences between European and American practices, the importance of flexibility in adopting new therapies, and the role of evidence in neonatal care. He emphasizes the significance of empowering parents in the NICU and advocates for a family-centered approach to care. The conversation also touches on the future of neonatal education, the impact of podcasting in the field, and the challenges of work-life balance for healthcare professionals. Dr. RĂŒdiger's insights provide a comprehensive view of the evolving landscape of neonatal care and the importance of advocacy in shaping policies that benefit both patients and practitioners.
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In this heartfelt episode of Beyond the Beeps, Leah and Christina discuss the emotional journey of navigating the NICU as a parent. Christina shares her experiences from the moment she went into preterm labor to the discharge day of her son, Caleb. The conversation highlights the importance of building a support system, advocating for your child, and finding resilience during challenging times. Christina emphasizes the need for information and education in the NICU environment, as well as the significance of self-care for parents. The episode concludes with a message of hope and encouragement for families facing similar journeys.
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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.
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In this Journal Club episode, Ben and Daphna review a wide range of new research shaping neonatal practice and policy.
The discussion begins with a randomized controlled trial from Korea examining antenatal corticosteroid use in twin pregnancies at risk for late preterm delivery, showing reductions in neonatal respiratory morbidity. They then turn to a meta-analysis on DHA with or without ARA supplementation in preterm infants, where results raised concerns about potential increased risk of BPD, highlighting the need for more precise dosing and study design.
A major feature of this episode is the release of the Improving Neonatology Staffing Toolkit, presented with guests Dr. Kerri Machut and Dr. Milenka Cuevas Guaman. They explain how the toolkit builds on consensus recommendations to offer practical guidance, case studies, and advocacy resources for units of all sizes.
Ben and Daphna also review a multi-center study comparing transcatheter closure and surgical ligation of the PDA in extremely preterm infants, finding similar neurodevelopmental outcomes at 2 years. Additional topics include an analysis of opt-out consent in neonatal trials, new data on the association between critical congenital heart disease and infant cancer, and a systematic review of autism screening tools for preterm children.
A dense episode full of data and practical implications for neonatology.
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Effect of enteral supplementation of DHA with or without ARA in preterm infants: a meta-analysis.
Dang D, Gao Z, Zhang C, Mu X, Lv X, Wu H.Arch Dis Child Fetal Neonatal Ed. 2025 Apr 15:fetalneonatal-2024-327606. doi: 10.1136/archdischild-2024-327606. Online ahead of print.PMID: 40233974
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Screening for Autism in Preterm Children: A Systematic Review.
Thomas KE, Raghuram K, Banihani R, Church PT, Mbuagbaw L, Penner M.Pediatrics. 2025 Sep 3:e2024069837. doi: 10.1542/peds.2024-069837. Online ahead of print.PMID: 40897396
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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.
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Support the show
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.
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Antenatal Corticosteroid in Twin-Pregnant Women at Risk of Late Preterm Delivery: A Randomized Clinical Trial.
Lee SM, Park HS, Choi SR, Lee J, Kim HJ, Park JY, Oh KJ, Cho GJ, Oh MJ, Chung JH, Kim SM, Kim BJ, Kim SY, Hong S, Jung YM, Lee SJ, Seong JS, Kim H, Oh S, Lee J, Jin YR, Kim JH, Cho HY, Park CW, Park JS, Jun JK.JAMA Pediatr. 2025 Sep 22:e253284. doi: 10.1001/jamapediatrics.2025.3284. Online ahead of print.PMID: 40982289
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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.
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Critical Congenital Heart Disease and Infant Cancer.
Chin S, Lupo PJ, Baer R, Hobbs CA, Chambers CD, Bandoli G.Pediatrics. 2025 Sep 25:e2025072934. doi: 10.1542/peds.2025-072934. Online ahead of print.PMID: 40992753 No abstract available.
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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.
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Parent and practitioner experiences of opt-out consent in neonatal intensive care: a mixed methods study within a trial.
Mitchell T, Andrzejewska I, Battersby C, Cole C, Daskalopoulou Z, Dorling J, Gale C, Graham M, Hubbard M, Hardy P, Hurd M, King AR, Manley BJ, Murray D, Nuthall E, O'Connor H, Ojha S, Roberts CT, Rodriquez A, Roehr CC, Stanbury K, Tume L, Young L, Woolfall K.Arch Dis Child Fetal Neonatal Ed. 2025 Aug 31:fetalneonatal-2025-328693. doi: 10.1136/archdischild-2025-328693. Online ahead of print.PMID: 40889884
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Comparison of neurodevelopmental outcomes of extremely preterm infants undergoing trans-catheter closure of the patent ductus arteriosus compared to surgical ligation.
Kaluarachchi DC, Chock VY, Do BT, Rysavy MA, Sankar MN, Laughon MM, Backes CH, Colaizy TT, Bell EF, McNamara PJ, Hintz SR, Natarajan G.J Perinatol. 2025 Sep 23. doi: 10.1038/s41372-025-02417-8. Online ahead of print.PMID: 40987835
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In this episode, Ben and Daphna sit down with Cassie Carrigan and Sacha Force to share the story of Cassieâs son, Caleb, and the lessons his short life continues to teach. Cassie, a mother, mental health therapist, and NICU parent, walks us through Calebâs complex diagnostic journey, multiple surgeries, and ultimately the genetic condition that explained his struggles. She reflects candidly on the emotional toll of repeated bad news, the challenge of decision-making in crisis, and the importance of partnership between parents and medical teams.
Alongside her, SachaâCalebâs NICU nurse and now a clinical educatorâoffers her perspective on building trust with families, balancing medical expertise with empathy, and carrying Calebâs legacy forward in her teaching of new nurses. Together, Cassie and Sacha describe how their bond has grown into an ongoing collaboration, bringing parentsâ voices directly into staff training and helping future NICU teams understand the lasting impact of compassionate care.
This conversation highlights the reality of navigating grief, the role of faith and resilience, and the importance of remembering that every babyâand every familyâshapes the professionals who care for them
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What if you could hold in your hands a roadmap to the most influential studies that have shaped modern neonatology? In this special episode of The Incubator Podcast, Ben and Daphna sit down with Dr. John Zupancic, Dr. Susanna Hay, and Dr. Roger Soll to discuss the release of their new book, 50 Studies Every Neonatologist Should Know. Together with their co-editors Dr. Barbara Schmidt and Dr. Haresh Kirpalani, the team has distilled decades of neonatal research into an accessible, thoughtfully structured volume designed to guide clinicians, trainees, and educators.
The conversation explores the motivation behind the book, the editorial process of selecting just 50 landmark trials from thousands, and the importance of revisiting historical studies to understand how evidence has evolved over time. From the groundbreaking DART trial to the early work of pioneers like Bill Silverman, the authors emphasize not only the science but also the stories, challenges, and human insights that lie behind each study.
Whether you are a seasoned neonatologist or just beginning your training, this episode provides a behind-the-scenes look at a project that brings clarity and context to evidence-based practice.
đ Get your copy of the book here: https://amzn.to/4nVTqcq
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In this episode, I had the pleasure of speaking with Dr Isabella Eiler from the Medical College of Wisconsin, Milwaukee, Wisconsin. She is originally from the Milwaukee area and first attended the Medical College of Wisconsin for medical school. She then went on to complete her pediatric residency at the Indiana University School of Medicine. In this episode of Rupa's Fellows Friday, Dr. Isabella Eiler discusses her journey in neonatology, particularly her interest in NeuroNICU and hypoxic ischemic encephalopathy (HIE). She shares insights from her research on missed opportunities for neonatal assessments and the importance of multidisciplinary collaboration in improving patient care. Dr. Eiler emphasizes the significance of mentorship during fellowship and the impact of social determinants on neonatal follow-up care. She also reflects on the challenges faced in research and offers valuable advice for future neonatology fellows.
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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.
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In this episode, we chat with Dr. Tim Nelin and Dr. Yarden Fraiman, two authors from the recently published special issue of Children on the life course implications of preterm birth. Together, they explore how inequitiesâboth environmental and socialâcan shape the long-term health trajectories of preterm infants.
Dr. Nelin introduces the idea of âmicroâ and âmacroâ environments, showing how factors such as air pollution, green space, violence, and neighborhood social vulnerability not only contribute to preterm birth risk but also affect infants once they leave the NICU. His research underscores how the same exposures tied to prematurity continue to drive health disparities long after hospital discharge.
Dr. Fraiman focuses on ADHD as a case study of inequity across the life course. He describes the âADHD care cascade,â illustrating how systemic bias and structural racism impact recognition, diagnosis, and treatment of ADHD among children born preterm. The conversation highlights how inequities layer over time, widening gaps in health and educational outcomes.
While the challenges are significant, the discussion also points to solutionsâranging from policy interventions and community partnerships to family-centered approaches. This episode emphasizes the urgent need to think upstream, addressing the drivers of inequity to create meaningful change for preterm infants and their families.
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In this episode, Dr. Daphna Barbeau is joined by Dr. Neal Halfon (UCLA) and Dr. Shirley Russ (Cedars-Sinai/UCLA), two leading voices in life course health development, to explore how this framework reshapes our understanding of preterm infant care and follow-up. Together, they discuss their article, Ensuring Optimal Outcomes for Preterm Infants After NICU Discharge: A Life Course Health Development Approach to High-Risk Infant Follow-Up.
Dr. Halfon introduces the seven principles of life course health developmentâdevelopment, unfolding, complexity, timing, plasticity, thriving, and harmonyâand explains how each reveals the dynamic, multilayered nature of health trajectories. Far from abstract, these principles highlight how small adjustments in the NICU can shape long-term outcomes, with early interventions compounding over time.
Dr. Russ reflects on how harmony across biology, family, and society is essential, while also emphasizing the risks posed by mismatches between development and environment. The discussion expands to consider how interventions can be more developmentally tailored, family-centered, strength-based, and designed for long-term optimization rather than short-term problem detection.
This episode encourages neonatal professionals to see beyond the walls of the NICU, adopting a design mindset that views care as a team process and recognizes the far-reaching impact of early decisions on a childâs ability not just to survive, but to thrive.
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In this episode, Dr. Daphna Barbeau welcomes Dr. Shirley Russ, Senior Project Scientist for the Life Course Translational Research Network, to discuss how life course health development can reframe neonatal care and follow-up after prematurity. Drawing from her extensive work leading the Prematurity Node within the network, Dr. Russ highlights why translating research into practice at scale is essential for improving lifelong outcomes.
The conversation emphasizes moving beyond a problem-focused, deficit-based model of NICU follow-up toward a strength-based approach that recognizes resilience, family capacity, and the broader developmental ecosystem surrounding each child. Dr. Russ outlines how interventions should not only detect problems but proactively optimize developmentâby supporting parentsâ mental health, fostering nurturing environments, and integrating community resources into care.
She also shares insights into co-designing research and interventions with families, ensuring that their lived experiences guide both priorities and solutions. Practical examples include addressing parental trauma, redesigning follow-up clinics, and viewing prematurity in the context of interconnected systemsâfrom family and community supports to schools and policies.
This forward-looking episode challenges clinicians to rethink follow-up care as more than monitoring milestones. Instead, it presents an opportunity to partner with families and communities to build healthier, more resilient futures for children born preterm.
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In this episode, Dr. Daphna Barbeau sits down with Dr. Richard Shaw (Stanford University) and Dr. Soudabeh Givrad (Weill Cornell Medical College), child psychiatry experts and co-authors of Neurodevelopmental, Mental Health, and Parenting Issues in Preterm Infants. Their conversation shines a spotlight on the often-overlooked intersection of prematurity, neurodevelopment, and family mental health.
Dr. Givrad explains how the rapid brain growth that normally occurs late in pregnancy makes preterm infants especially vulnerable to stress, pain, separation, and environmental influences in the NICU. She and Dr. Shaw outline the higher risks for challenges in cognition, language, and motor development, while emphasizing opportunities for early interventions that can positively shape outcomes.
The discussion then turns to âinfant mental healthâ and the ways relationships in the early years set the stage for emotional regulation, social development, and resilience. Both guests highlight how parental trauma, PTSD, depression, and anxiety affect not only caregiversâ well-being but also how they interact with and raise their children. Concepts such as vulnerable child syndrome, overprotection, and parental guilt are explored in depth.
Ultimately, this episode underscores why supporting parental mental health is as essential as any medical treatmentâbecause how parents experience and process the NICU journey profoundly shapes the lifelong health and development of their children.
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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.
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In this moving episode, Dr. Ben Courchia and Dr. Daphna Barbeau are joined by LaToshia Rouse, a certified doula and patient engagement consultant, and Dr. Jessica DiBari from the Maternal and Child Health Bureau. Together, they share insights from their two Parent Perspective articles in the special issue of Children, which focus on the NICU experience and the critical transition to home.
LaToshia and Jessica describe the NICU as a culture all its ownâone that parents enter suddenly, without preparation, and often with a sense of trauma and grief. They discuss the psychological distress families carry, the challenges of bonding with fragile infants, and the ways communication can either deepen wounds or help parents feel empowered. Practical steps like hand hugs, skin-to-skin care, and peer support emerge as powerful tools for connection.
The conversation then shifts to life after discharge, which both guests describe as one of the most daunting transitions. From feeding challenges and equipment management to the constant worry about emergencies, families must adapt quickly while navigating limited community support. LaToshia and Jessica emphasize the need for honest preparation, early planning, and continued guidance that helps parents shed the âfragile babyâ mindset and embrace their childâs resilience.
This episode highlights how listening to families transforms not only the NICU experience but also the long journey that follows.
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In this episode, Dr. Daphna Barbeau speaks with Dr. Paige Terrien Church and Dr. Ashwini Lakshmanan about one of the most delicate yet essential aspects of neonatal care: communication. Drawing on their recent articles, the discussion highlights how the words we choose in the NICU profoundly shape familiesâ experiences, hopes, and perceptions of their childâs future.
Dr. Church addresses the discomfort many clinicians feel when discussing disability, emphasizing how entrenched medical training and ableism can unintentionally bias conversations. She introduces the concepts of microethicsâthe subtle, everyday interactions between families and providersâand how language choices like âriskâ versus âpossibilityâ can dramatically shift tone and meaning. The group explores how framing outcomes around abilities and opportunities, rather than limitations, helps families make sense of uncertainty with dignity and clarity.
Dr. Lakshmananâs qualitative work brings in the voices of parents, revealing how uncertainty permeates the NICU journey and affects bonding, mental health, and confidence. Together, the guests highlight strategies for building trust, addressing parental guilt, and creating systems of support during the transition from hospital to home.
This episode challenges clinicians to pause, examine their own biases, and recognize language as a tool as powerful as any intervention delivered in the NICU.
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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.
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This episode sets the stage for a collection of conversations inspired by a recently published special issue in Children: Implications of Preterm Birth for Health and Well-Being Over the Life Course. Host Dr. Daphna Barbeau is joined by the editors, Dr. Susan Hintz and Dr. Jonathan Litt of Stanford University, to discuss why the concept of âlife courseâ is so critical for understanding the long-term impact of preterm birth.
Dr. Hintz and Dr. Litt explain how survival is only the beginning of the story. Preterm birth often shapes health trajectories well into childhood and adulthood, influenced not only by medical factors but also by family, environment, and community supports. They highlight how the issueâs twelve articles bring together diverse perspectivesâfrom developmental science to family voicesâthat reveal both the challenges and opportunities faced by preterm infants and their families.
For busy clinicians, this conversation reframes day-to-day NICU care within a broader, lifelong context. It shows how even routine interactions in the NICU can influence resilience, parental well-being, and future outcomes. More than an introduction, this episode is an invitation to think differently about what it means to care for premature infantsânot just today, but across their entire life course.
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In this episode of At the Bench, hosts Dr. Misty Good and Dr. Betsy Crouch sit down with Dr. AnneMarie Stroustrup, Chair of Pediatrics at Zucker School of Medicine, Physician-in-Chief at Cohen Childrenâs Medical Center, and senior vice president of the pediatric service line at Northwell Health.
Dr. Stroustrup reflects on her path from early work in biotechnology to training as a neonatologist and physician scientist. She shares how volunteer experiences in an under-resourced emergency department shaped her decision to pursue medicine, and how her MPH in epidemiology provided the tools to investigate critical questions about fetal and neonatal exposures.
The conversation highlights her research on environmental chemicalsâparticularly phthalatesâand their links to outcomes such as bronchopulmonary dysplasia, work within the NIH ECHO program, and the importance of large-scale, collaborative science. Dr. Stroustrup also discusses the persistence required in research, navigating funding rejections, and translating epidemiologic findings back to bench models.
The discussion concludes with her insights on leadership in neonatology, from directing divisions and fellowships to now serving as chair, balancing research, clinical duties, and family life while advocating for sustainable staffing models in pediatrics.
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In this weekâs Journal Club, Ben and Daphna review several recent neonatal studies with direct implications for practice.
They begin with the BORN trial from Italy, which investigated whether transfusing preterm infants with cord bloodâderived red blood cells, rather than adult donor blood, could reduce severe retinopathy of prematurity (ROP). While the intention-to-treat analysis showed no difference, per-protocol findings suggest potential benefits that warrant larger trials.
Next, they review a large international cohort study of outcomes in infants born at 22â23 weeks, highlighting striking variability in survival and morbidity across networks, with Japan showing the highest survival rates.
The EBNeo segment features Dr. Gabriel Altit discussing an Indian randomized trial comparing norepinephrine vs. dopamine as first-line therapy for neonatal septic shock. Although primary outcomes were similar, norepinephrine showed some favorable metabolic and perfusion markers.
The hosts then cover a delivery room resuscitation study identifying expiratory tidal volumes of 4â5 ml/kg as key for successful lung aeration, a Canadian trial of atropine for neonatal intubation, and a retrospective study from Alabama on optimal timing and frequency of pulmonary hypertension screening in BPD.
The episode concludes with a case report on the use of continuous glucose monitoring in a neonate with congenital hyperinsulinism.
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Cord red blood cell transfusions for severe retinopathy in preterm neonates in Italy: a multicenter randomized controlled trial. Teofili L, Papacci P, Pellegrino C, Dani C, Cresi F, Remaschi G, Ansaldi G, Giannantonio C, Campagnoli MF, Vania B, Fabbri M, de Vera d' Aragona RP, Molisso A, Beccastrini E, Dragonetti A, Pasciuto T, Gabbriellini S, Baroni S, Serrao F, Purcaro V, Raffaeli G, Villa S, Prati D, Mondello I, Falcone A, Patti ML, Boggini T, Bergamaschi P, Lepore D, Franco FGS, Orazi L, Mozzetta I, Baldascino A, Valentini CG, Locatelli E, Albiani R, Besso FG, Cantone GV, Coscia A, Trimarchi A, Cavallaro G, Ghirardello S, Vento G.EClinicalMedicine. 2025 Aug 13;87:103426. doi: 10.1016/j.eclinm.2025.103426. eCollection 2025 Sep.PMID: 40838199
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Continuous glucose monitoring in a neonate with hyperinsulinemic hypoglycemia and ABCC8 gene mutation. IwaĆczyk P, Majewska A, Issat T, Hoffman-Zacharska D, Krajewski P, Lipska-KarpiĆska K.Endocrinol Diabetes Metab Case Rep. 2025 Jun 5;2025(2):e250002. doi: 10.1530/EDM-25-0002. Print 2025 Apr 1.
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Screening for pulmonary hypertension in preterm infants with bronchopulmonary dysplasia: when, how often and does it matter? Gentle SJ, Carlo WA, Ambalavanan N.Arch Dis Child Fetal Neonatal Ed. 2025 Sep 5:fetalneonatal-2024-328405. doi: 10.1136/archdischild-2024-328405. Online ahead of print.
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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.
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Atropine Versus Placebo for Neonatal Nonemergent Intubation: A Randomized Clinical Trial. Afifi J, El-Naggar W, Hatfield T, Sandila N, Baier J, Narvey M.J Pediatr. 2025 Jul 9;286:114719. doi: 10.1016/j.jpeds.2025.114719. Online ahead of print.PMID: 40645282
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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.
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Respiratory Targets Associated With Lung Aeration During Delivery Room Resuscitation of Preterm Neonates. Rub DM, Hsu JY, Weinberg DD, Felix M, Nadkarni VM, Te Pas AB, Kuypers KLAM, Davis PG, Ratcliffe SJ, Kirpalani HM, Foglia EE.JAMA Pediatr. 2025 Aug 11:e252521. doi: 10.1001/jamapediatrics.2025.2521. Online ahead of print.
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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.
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Outcomes of Preterm Infants Born at 22 to 23 Weeks' Gestation in 11 International Neonatal Networks. Isayama T, Norman M, Kusuda S, Reichman B, Lehtonen L, Lui K, Adams M, Vento Torres M, Filippi L, Battin M, Guinsburg R, Modi N, HĂ„kansson S, Klinger G, de Almeida MF, Helenius K, Bassler D, Su YC, Shah PS; International Network for Evaluation of Outcomes (iNeo) Investigators.JAMA Pediatr. 2025 Aug 25:e252958. doi: 10.1001/jamapediatrics.2025.2958. Online ahead of print.
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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.
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Dopamine versus epinephrine for neonatal septic shock: an open labeled, randomized controlled trial. Singh G, Bhaskar V, Batra P, Gupta P.J Perinatol. 2025 Aug 28. doi: 10.1038/s41372-025-02399-7. Online ahead of print.PMID: 40877444
EBNEO Commentary: Review of the 'Norepinephrine Versus Dopamine for Septic Shock in Neonates: A Randomised Controlled Trial'. Altit G.Acta Paediatr. 2025 Jul 23. doi: 10.1111/apa.70241. Online ahead of print.PMID: 40698742 No abstract available.
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In this episode, Mbozu and Shelly-Ann are joined by Dr Kate Kan, Consultant Pediatrician and the director of the Neonatal Unit at theRegional hospital in Bamenda Cameroon. During the discussion, Dr Kan describes her journey from aspiring pediatrician to her current role as the head of the Neonatal Unit at her institution. She describes some of the challenges as well as the progress that is being made to improve neonatal care in her region.
Dr. Kan also highlights the impact of mentorship in her journey and shares her views on how mentorship not only guides individual careers but also enhances neonatal care in resource-limited settings.
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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.
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In this episode of The Incubator Podcast, Ben and Daphna sit down with Dr. Dena Hubbard, neonatologist and Director of Quality at Santa Barbara Cottage Hospitalâs NICU. Dr. Hubbard is widely recognized for her leadership in trauma-informed care, physician well-being, and advocacy work within the American Academy of Pediatrics.
She shares her journey from private practice to becoming a national voice for trauma-informed approaches in neonatal care. Dr. Hubbard explains how an early encounter with a NICU family transformed her understanding of parental stress, judgment, and resilienceâand how that moment shaped her mission to change the way care is delivered. She outlines the principles of trauma-informed care and how these practices differ from traditional family-centered models, emphasizing curiosity over judgment and building trust across the care team.
The conversation also explores physician wellness. Dr. Hubbard speaks candidly about burnout, the role of coaching and therapy, and how she redefined her professional path after personal challenges, including grief and illness. Her perspective offers both practical insights for the bedside and a message of hope for healthcare providers navigating stress and systemic pressures.
This episode highlights the importance of culture change in NICUs and the value of caring for both families and providers.
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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.
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In this Tech Tuesday episode, Ben speaks with Jason Beyer, Business Unit Leader for the Care Franchise at Chiesi USA, about the development of NeoCarePal, a free mobile app designed to simplify daily workflows in the NICU.
NeoCarePal brings together a curated collection of the most commonly used neonatal calculators and formulas in one easy-to-use platform. Instead of searching across multiple sources, clinicians can access tools for glucose infusion rates, oxygenation index, gestational and corrected age, umbilical catheter positioning, endotracheal tube depth, Sarnat scoring, bilirubin management based on the 2022 guidelines, and early onset sepsis risk â all validated and referenced directly in the app.
Jason explains how Chiesi moved beyond therapeutics to address unmet needs by listening to clinicians, running focus groups, and designing a solution that reduces frustration at the bedside. The conversation also covers the importance of user experience, ongoing updates based on feedback, and why providing NeoCarePal free of charge was central to its mission.
This episode highlights how industry and clinicians can collaborate to create practical, accessible tools that make neonatal care more efficient and reliable.
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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.
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In this Tech Tuesday episode, Ben speaks with Laurence Gulliver, General Manager for Humidification at Fisher & Paykel Healthcare. With nearly two decades at the company and a background in mechanical engineering and product development, Laurence has helped guide innovations that have shaped respiratory support for neonatal, pediatric, and adult patients worldwide.
The conversation explores the role of humidification in neonatal respiratory care and why it is often overlooked despite its impact on mucociliary function, secretion management, bronchoconstriction, and thermoregulation. Laurence explains the engineering challenges of delivering consistent humidity through ventilator circuits, the burden of condensation management, and how newer platforms like the F&P 950 are designed to improve performance and usability.
They also discuss Fisher & Paykelâs approach to product development, which relies heavily on feedback from caregivers to ensure technology addresses real-world challenges. The episode closes with a broader look at CPAP therapy, opportunities for further innovation in a seemingly simple modality, and the global vision that drives Fisher & Paykel to design solutions adaptable to diverse healthcare settings.
This conversation highlights how thoughtful engineering and collaboration with caregivers translate into meaningful improvements in neonatal outcomes.
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In this episode of The Incubator Podcast, Dr. Guilherme SantâAnna, Professor of Pediatrics at McGill University, joins Ben and Daphna to discuss his teamâs work on implementing an early bubble CPAP protocol in the delivery room. Although CPAP has long been considered standard practice for preterm infants, Dr. SantâAnna explains why intubation rates remain high in the most immature babies and how his group sought to change this pattern.
The conversation reviews the background of the protocol, which began at McGill in 2014, and the cultural shift required to adopt bubble CPAP as the default approach. Dr. SantâAnna describes the importance of multidisciplinary training, technical details such as proper prong sizing, fixation, humidification, and suctioning, as well as the challenges of sustaining practice change over a decade.
The results of this initiative are striking: lower rates of delivery room intubation, reduced severe BPD, and improvements in outcomes particularly for infants born before 28 weeks. Dr. SantâAnna also reflects on lessons learned, the global implications of bubble CPAP in resource-limited settings, and the importance of sharing knowledge to improve care everywhere.
This episode highlights how attention to detail, persistence, and team culture can transform neonatal respiratory care.
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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.
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In this episode of The Incubator Podcast, we welcome Dr. Cindy McEvoy, Professor of Pediatrics and Director of Neonatal Research at OHSU, to discuss her work on the use of extended CPAP in preterm infants. CPAP has long been a cornerstone of neonatal care, but how long should stable infants remain on support? Dr. McEvoy shares findings from two randomized controlled trials that explored whether an additional two weeks of CPAP could promote lung growth and improve longer-term outcomes.
We review the physiologic rationale behind extended CPAP, including the role of mechanical stretch in stimulating alveolar and vascular development. Dr. McEvoy explains the stability criteria used to determine eligibility for extended CPAP and how her team measured pulmonary function in neonates. Results from her studies showed significant improvements in lung volume, diffusion capacity, and expiratory flows, with early signals of reduced wheezing at one year of age.
The conversation also touches on feeding tolerance, the practicalities of implementing extended CPAP in the NICU, and the need for larger multicenter studies to confirm these findings. This episode offers an evidence-based look at how a simple extension of an existing therapy might reshape respiratory outcomes for preterm infants.
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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.
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In this episode of At-the-Bench, hosts David McCulley and Misty Good interview Dr. Jennifer Wambach, a neonatologist and researcher specializing in rare neonatal lung diseases. Dr. Wambach shares her journey into neonatology, her research on genetic lung diseases, and the importance of mentorship in developing future physician-scientists. The conversation also covers the Undiagnosed Diseases Network, current research on genetic lung diseases including ABCA3 deficiency, and the challenges faced in rare disease research. Dr. Wambach emphasizes the need for resilience and adaptability in scientific careers, offering valuable advice for early-career investigators.
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In this episode of The Incubator Podcast, we sit down with Dr. David Askenazi, Dr. Heidi Steflik, and Dr. Kimmy Vuong to explore the latest research and practice shifts in neonatal nephrology. The discussion begins with the often-overlooked role of the kidney in the NICU and why kidney health has direct implications for outcomes far beyond discharge.
The group reviews three recent high-impact papers. The first, a secondary analysis of the PENUT trial, examines whether PDA treatment in extremely low gestational age infants influences two-year kidney outcomes, raising questions about long-term renal risks and benefits of medical and surgical interventions. The second paper presents a consensus statement on kidney health monitoring for NICU graduates, offering structured recommendations on risk stratification and follow-up for preterm, critically ill, and cardiac infants. Finally, we highlight a quality improvement initiative that used the âCan You PLOTSâ bundle to reduce ventilator days by addressing fluid overload systematically, underscoring the importance of early, proactive kidney-focused care.
This conversation emphasizes kidney disease as a critical factor in neonatal medicine, the growing pathways for neonatal nephrology training, and practical steps teams can take now to better integrate kidney health into NICU care.
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Association of patent ductus arteriosus treatment in extremely low gestational age neonates with two year kidney outcomes: a secondary analysis of the preterm erythropoietin neuroprotection trial (PENUT).
Condit PE, Guillet R, Kaluarachchi D, Griffin RL, Menon S, Askenazi DJ, Harer MW.BMC Nephrol. 2025 Mar 19;26(1):138. doi: 10.1186/s12882-025-04065-8.PMID: 40108500 Free PMC article. Clinical Trial.
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Reducing NICU ventilator days by preventing fluid overload with the CAN-U-P-LOTS standardized bundle.
Askenazi DJ, Gordon L, Griffin R, Collins M, Black A, Ambalavanan N, Webb T, Mathis M, Short K, Umberger A, Travers C.Pediatr Res. 2025 Jul 11. doi: 10.1038/s41390-025-04078-x. Online ahead of print.PMID: 40646283
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Kidney Health Monitoring in Neonatal Intensive Care Unit Graduates: A Modified Delphi Consensus Statement.
Starr MC, Harer MW, Steflik HJ, Gorga S, Ambalavanan N, Beck TM, Chaudhry PM, Chmielewski JL, Defreitas MJ, Fuhrman DY, Hanna M, Joseph C, Kwiatkowski DM, Krawczeski CD, Liberio BM, Menon S, Mohamed TH, Rumpel JA, Sanderson KR, Schuh MP, Segar JL, Slagle CL, Soranno DE, Vuong KT, Charlton JR, Gist KM, Askenazi DJ, Selewski DT; Neonatal Kidney Health Consensus Workshop.JAMA Netw Open. 2024 Sep 3;7(9):e2435043. doi: 10.1001/jamanetworkopen.2024.35043.PMID: 39269711 Free article.
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In this episode, I had the pleasure of speaking with Dr Tim Van Hasselt, who is now a NIHR Academic Clinical Lecturer and Neonatal Subspeciality Registrar (fellow-equivalent) at the University of Leicester, UK..
Tim describes his training in the UK, his pathway to doing his PhD in investigating the impact of preterm birth on readmissions to the PICU. We talk about how he went about finding his mentor and how the project came about. He used two national databases and investigated his research question, where he ultimately found that the odds of unplanned admissions to PICU were greater in the most preterm and those with significant neonatal morbidity. With this data, he, along with his team were able to create infographics that could help educate parents of NICU graduates.
(https://timms.le.ac.uk/preterm-birth-and-paediatric-intensive-care/)
He also describes his experience interacting with parents who provided valuable feedback for the infographics and for his project. Dr Van Hasselt has successfully published his data in the Archives of Disease in Childhood. Paediatric intensive care admissions of preterm children born | ADC Fetal & Neonatal Edition
He also has several publications related to this topic and has presented his work in several National conferences.
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In this weekâs episode of Beyond the Beeps, Leah and Lina explore the often-overlooked but critical role of communication in neonatal intensive care.
The discussion focuses on how clinicians can bridge the gap between technical expertise and human connection. They reflect on practical strategies for listening actively, explaining medical information clearly, and adjusting communication styles to meet the needs of parents and families in high-stress situations. Drawing on real experiences, they highlight the importance of empathy, collaboration, and presence at the bedside, while also addressing the challenges that arise when communication breaks down.
The episode also examines the impact of communication on team dynamics within the NICU, from how providers share updates to how they align on care goals. Lina and Leah underscore that effective communication is not just a soft skillâitâs a core component of safe and compassionate care.
This conversation offers concrete takeaways for neonatal professionals seeking to strengthen how they connect with both families and colleagues. Whether you are a bedside nurse, physician, or allied health provider, the insights shared here will resonate with your daily practice.
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This week on Journal Club, we review five important studies with direct implications for your work in the NICU. First, we examine the newly released third-generation Fenton growth chartsâhow do they differ from previous versions, and what do they reveal about how we may have underestimated early growth trajectories in preterm infants? Next, we evaluate the association between retinopathy of prematurity and structural brain abnormalities on term-equivalent MRIâcan ROP severity serve as a marker for broader neurologic vulnerability? We also look at a randomized trial assessing the safety and effectiveness of using 100% oxygen during deferred cord clamping in extremely preterm infants. Does this strategy safely reduce early hypoxemia without increasing the risk of hyperoxia? Then, we explore early neurodevelopmental outcomes following autologous cord blood stem cell infusions in preterm infantsâwhat signals are emerging, and how close are we to bedside applications? Finally, we unpack two diaphragm-focused investigations: one challenging the long-held practice of using rib counts on chest radiographs to estimate lung volumes, and another showing how even short-term sedation can induce measurable diaphragmatic dysfunction. These studies raise important questionsâhow should we adapt our practice in light of this data?
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Whole-Body Hypothermia for Neonatal Encephalopathy in Preterm Infants 33 to 35 Weeks' Gestation: A Randomized Clinical Trial.
Faix RG, Laptook AR, Shankaran S, Eggleston B, Chowdhury D, Heyne RJ, Das A, Pedroza C, Tyson JE, Wusthoff C, Bonifacio SL, SĂĄnchez PJ, Yoder BA, Laughon MM, Vasil DM, Van Meurs KP, Crawford MM, Higgins RD, Poindexter BB, Colaizy TT, Hamrick SEG, Chalak LF, Ohls RK, Hartley-McAndrew ME, Dysart K, D'Angio CT, Guillet R, Kicklighter SD, Carlo WA, Sokol GM, DeMauro SB, Hibbs AM, Cotten CM, Merhar SL, Bapat RV, Harmon HM, Sewell E, Winter S, Natarajan G, Mosquera R, Hintz SR, Maitre NL, Benninger KL, Peralta-Carcelen M, Hines AC, Duncan AF, Wilson-Costello DE, Trembath A, Malcolm WF, Walsh MC; Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network.JAMA Pediatr. 2025 Apr 1;179(4):396-406. doi: 10.1001/jamapediatrics.2024.6613.PMID: 39992674 Free PMC article. Clinical Trial.
EBNEO Commentary: Is Therapeutic Hypothermia Beneficial to Infants Born Between 33 and 35 Weeks Gestation?
Spahic H, Zoubovsky SP, Dietz RM.Acta Paediatr. 2025 Jul;114(7):1742-1743. doi: 10.1111/apa.70098. Epub 2025 Apr 18.PMID: 40251839 No abstract available.
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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.
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Impact of Sedation on Ventilator-Induced Diaphragmatic Dysfunction in Extremely Preterm Infants.
Hoshino Y, Arai J, Hirono K, Maruo K, Miura-Fuchino R, Yukitake Y, Kajikawa D, Kamakura T, Hinata A, Okada Y, Sato Y.Pediatr Pulmonol. 2025 May;60(5):e71126. doi: 10.1002/ppul.71126.PMID: 40365938
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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.
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Diaphragm Position on Chest Radiograph to Estimate Lung Volume in Neonates.
Dahm SI, Sett A, Gunn EF, Ramanauskas F, Hall R, Stewart D, Koeppenkastrop S, McKenna K, Gardiner RE, Rao P, Tingay DG.JAMA Pediatr. 2025 Jul 21:e252108. doi: 10.1001/jamapediatrics.2025.2108. Online ahead of print.PMID: 40690243 Free PMC article.
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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.
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Early Neurodevelopment of Extremely Preterm Infants Administered Autologous Cord Blood Cell Therapy: Secondary Analysis of a Nonrandomized Clinical Trial.
Zhou L, Razak A, McDonald CA, Yawno T, McHugh DT, Whiteley G, Connelly K, Sackett V, Miller SL, Jenkin G, Novak I, Hunt RW, Malhotra A.JAMA Netw Open. 2025 Jul 1;8(7):e2521158. doi: 10.1001/jamanetworkopen.2025.21158.PMID: 40608334 Free PMC article. Clinical Trial.
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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.
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Deferred Cord Clamping With High Oxygen in Extremely Preterm Infants: A Randomized Clinical Trial.
Katheria AC, Ines F, Lee HC, Sollinger C, Vali P, Morales A, Sanjay S, Dorner R, Koo J, Gollin Y, Das A, Poeltler D, Steinhorn R, Finer N, Lakshminrusimha S.JAMA Pediatr. 2025 Jul 21:e252128. doi: 10.1001/jamapediatrics.2025.2128. Online ahead of print.PMID: 40690234
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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.
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Retinopathy of Prematurity and Risk of Structural Brain Abnormalities on Magnetic Resonance Imaging at Term Among Infants Born at Less Than or Equal to 32 Weeks of Gestation.
Roy S, Peterson L, Kline-Fath B, Parikh NA; Cincinnati Infant Neurodevelopment Early Prediction Study (CINEPS) Investigators.J Pediatr. 2025 Jun 27;286:114711. doi: 10.1016/j.jpeds.2025.114711. Online ahead of print.PMID: 40582695 Free article.
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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.
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Fenton Third-Generation Growth Charts of Preterm Infants Without Abnormal Fetal Growth: A Systematic Review and Meta-Analysis.
Fenton TR, Elmrayed S, Alshaikh BN.Paediatr Perinat Epidemiol. 2025 Jun 19. doi: 10.1111/ppe.70035. Online ahead of print.PMID: 40534585 Review.
Birth weight and head circumference for 22-29 weeks gestation neonates from an international cohort.
Fenton TR, Alshaikh B, Kusuda S, Helenius K, Modi N, Norman M, Lui K, Lehtonen L, Battin M, Klinger G, Vento M, Lastrucci V, Gagliardi L, Adams M, Marba STM, Isayama T, Hakansson S, Bassler D, Shah PS; International Network for Evaluation of Outcomes (iNeo) of Neonates Investigators.Arch Dis Child Fetal Neonatal Ed. 2025 Jun 19;110(4):401-408. doi: 10.1136/archdischild-2024-327845.PMID: 39762001
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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.
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In this episode, Mbozu interviews Dr. Olufunke Bolaji, consultant pediatrician and neonatologist at the Federal Teaching Hospital Ido-Ekiti, shares her journey into neonatology, driven by mentorship, a love for children, and global learning experiences in Nigeria and the UK. She describes leading a high-performing neonatal unit in a rural Nigerian setting that has achieved Level 3 care, supported by strong hospital administration and collaborations.
Her research focuses on preterm births, neonatal sepsis, respiratory support, and newborn metrics, with emphasis on data-driven quality improvement. As a leader in the African Neonatal Association, she champions collaboration, advocacy, and âdecolonizingâ neonatal research by centering African-led priorities and implementation. She highlights the importance of teamwork, mentorship, data, and partnerships in merging clinical care with impactful research.
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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.
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Picture this: Youâre caring for a 22-week infant, uncertain whether survival is even possibleâand yet you remember that someone like Dr. Ed Bell has been quietly tracking cases just like this for decades.
In this episode of The Incubator Podcast, we welcome Dr. Edward Bell, Professor of Pediatrics and Associate Vice Chair for Faculty Development in Neonatology at the University of Iowa. A leader in the care of extremely preterm infants, Dr. Bell shares the origins of the Tiniest Babies Registry, his views on how viability has shifted over the decades, and why institutional cultureânot just technical capabilityâmakes all the difference in outcomes for the smallest patients.
We talk through the evolution of care for infants born at the edge of viability, what defines success at 21â22 weeks, the growing segmentation of neonatology into subspecialties, and how consistency in care delivery plays a vital role. The episode closes with practical advice for young neonatologists entering the field today.
A grounded, no-nonsense conversation with someone who has shapedâand continues to influenceâthe trajectory of neonatal medicine.
Listen on Apple, Spotify, or wherever you get your podcasts.
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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.
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In this Tech Tuesday episode, Dr. Donna Brezinski, founder and CEO of Little Sparrows Technologies, joins the show to talk about the BiliHut â a portable, high-intensity phototherapy device designed to treat neonatal jaundice with both clinical effectiveness and practical usability in mind.
A neonatologist by training, Dr. Brezinski explains how her clinical experiences led to the development of the BiliHut, which delivers uniform phototherapy across the babyâs body while solving key issues like positioning errors, thermal regulation, and access for breastfeeding. Unlike traditional overhead lights or fiber-optic pads, the BiliHut is engineered for both hospital and home use, with versions adaptable to low-resource settings and unreliable power grids.
The conversation covers the physics behind its design, recent clinical data on treatment time, and deployment strategies from rural U.S. areas to clinics in Mongolia and Burundi. Dr. Brezinski also outlines how clinicians and families in the U.S. can access the device through durable medical equipment providers, visiting nurse agencies, or hospital DME programs.
More information about the BiliHut and its availability can be found at littlesparrowstech.com.
Support the show
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.
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In this episode, we sit down with Dr. Garabet Yeretssian, PhD, Senior Program Manager at the Chan Zuckerberg Initiative (CZI), to discuss how collaborative infrastructure and emerging technologies are reshaping research into necrotizing enterocolitis (NEC). Garabet shares how his background in GI inflammation and rare diseases led him to focus on cross-disciplinary research support, including CZIâs Rare As One Network and its emphasis on patient-led science.
We explore how tools like single-cell transcriptomics, organoid modeling, and AI-driven biomarker discovery are helping scientists better understand NEC pathophysiology â and potentially identify early risk markers. Garabet also talks about the growing effort to bridge the gap between adult GI research and neonatal care, and how aligning researchers, clinicians, and families can accelerate progress in diagnosis, prevention, and treatment.
The episode highlights CZIâs funding approach, which requires genuine collaboration with patient organizations, and outlines strategies for researchers and clinicians to engage with private funders. For those attending the NEXT Symposium, Garabet previews his role in sessions focused on inflammation, translational science, and scalable technologies.
Listeners can learn more and register for the 2025 NEXT Symposium at nextsociety.org using promo code incubator for 10% off.
Support the show
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.
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In this special collaboration with the NEC Society, Dr. Mark Underwood joins the podcast to discuss the evolving science and clinical approach to necrotizing enterocolitis (NEC). A long-time leader in neonatal nutrition and NEC prevention, Dr. Underwood shares his perspective on why prevention remains the most effective lever in tackling this devastating disease â from the irreplaceable role of maternal milk to the complex regulatory barriers around probiotics.
The conversation covers his recent articles unpacking the risks and benefits of formula, donor milk, and the current probiotic landscape in U.S. NICUs. Dr. Underwood also previews highlights from the upcoming NEC Symposium and shares his hopes for the future of NEC care, including earlier biomarker-driven interventions and smarter pasteurization of donor milk.
Whether youâre a clinician, researcher, or parent advocate, this episode offers pragmatic insights into the current NEC landscape and the road ahead.
Listeners can register for the 2025 NEC Symposium at NECSociety.org and use promo code incubator for 10% off.
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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.
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In this episode of Beyond the Beeps, siblings of NICU babies share their personal experiences and insights on navigating life with a sibling in the NICU. They discuss the challenges, emotions, and responsibilities they faced, as well as the lessons learned about patience, awareness, and resilience. The conversation emphasizes the importance of support from parents and healthcare providers, and the need for open communication about the realities of having a sibling in the NICU. The siblings also reflect on their hopes for the future and the unique skills they have developed through their experiences.
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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.
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In this episode of The Incubator Podcast, Daphna is joined by Dr. Pia Wintermark and Dr. Eleanor Molloy for a deep dive into the most impactful neonatal neurology studies of the past year. The discussion begins with a critical look at therapeutic hypothermia for mild hypoxic-ischemic encephalopathy (HIE) and preterm infants, highlighting recent pilot trials that challenge the practice of expanding cooling beyond established guidelines. They dissect key findings from multicenter studies, examining safety, feasibility, and the unintended consequences of âtherapeutic creep.â
The conversation then shifts to the importance of precise terminology and standardized data collection in neonatal encephalopathy research. Pia and Eleanor explain why clearer definitions, genetic testing, placental pathology, and harmonized registries are essential for improving outcomes and guiding future clinical trials.
Finally, the team explores new and emerging interventions, including the feasibility of intranasal human milk as a stem cell therapy and the potential neuroprotective role of caffeine in neonatal hypoxia-ischemia models.
This episode offers a concise but comprehensive look at whatâs shaping neonatal neurocritical careâfrom refining existing therapies to exploring innovative approaches that could change practice in the years ahead.
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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.
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In this episode of Rupaâs Fellows Friday on The Incubator Podcast, host Rupa Srirupa welcomes Dr. Ambika Bhatnagar, a third-year neonatology fellow at Yale. Dr. Bhatnagar shares her journey from medical school in India to fellowship in the U.S. and dives into her research focusing on moderate to late preterm infantsâan often overlooked but significant portion of the preterm population.
She explains why this group, though not as critically ill as extremely preterm infants, still faces unique morbidities and places a substantial burden on families and the healthcare system. Her study investigates long-term healthcare utilization in these infants over their first two years of life, analyzing not just hospital readmissions but also ER visits, subspecialty consultations, and therapy appointments.
Dr. Bhatnagar discusses her findings, including the role of breastfeeding in reducing healthcare utilization and surprising trends in demographic factors. She also shares insights on mentorship during fellowship, building a research project from scratch, and her involvement with NeoQuest, an educational platform for neonatology fellows.
This conversation highlights the importance of curiosity-driven research and its potential to improve outcomes for a vulnerable but under-researched neonatal population.
Support the show
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.
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In this episode, David McCulley and Betsy Crouch interview Dr. Benjamin Fensterheim, a neonatology physician scientist, who shares his journey through medical training, the inspiration behind his immunology research, and the importance of bridging the gap between basic science and clinical neonatology. The conversation delves into the challenges faced by physician scientists, the evolving landscape of neonatal care, and the need for innovative therapies in the NICU. Dr. Fensterheim emphasizes the significance of community and mentorship in supporting early-career researchers and advocates for the value of science in improving healthcare outcomes for infants.
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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.
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In this weekâs Journal Club, Ben and Daphna dive into several impactful neonatal studies shaping todayâs clinical decisions. The discussion opens with the MOCA Trial, exploring whether extending caffeine therapy in moderately preterm infants reduces hospital stays and improves outcomes. Despite reducing apnea episodes, the study highlights that extending caffeine treatment does not reduce time to discharge.
Next, the team reviews a randomized trial on late permissive hypercapnia in mechanically ventilated preterm infants, showing that targeting slightly higher COâ levels can shorten invasive ventilation time without worsening long-term outcomes.
Midway through the episode, we feature an EBNEO commentary with Dr. Kira McNellis on early full enteral nutrition with fortified milk in very preterm infants. She explains why fat-free mass is an important nutritional marker linked to neurodevelopment and why ânegativeâ nutrition studies still matter for clinical practice.
Other key papers include cumulative neonatal morbidities predicting long-term neurodevelopment, the long-term academic
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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.
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Association of a Count of Inpatient Morbidities with 2-Year Outcomes among Infants Born Extremely Preterm.
Dorner RA, Li L, DeMauro SB, Schmidt B, Zangeneh SZ, Vaucher Y, Wyckoff MH, Hintz S, Carlo WA, Gustafson KE, Das A, Katheria A; Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network.J Pediatr. 2025 Mar;278:114428. doi: 10.1016/j.jpeds.2024.114428. Epub 2024 Dec 4.PMID: 39643110
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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.
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Early full enteral nutrition with fortified milk in very preterm infants: a randomized clinical trial.
Salas AA, Gunawan E, Jeffcoat S, Nguyen K.Am J Clin Nutr. 2025 May;121(5):1117-1123. doi: 10.1016/j.ajcnut.2025.02.019. Epub 2025 Feb 21.PMID: 39986385 Clinical Trial.
Support the show
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.
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School outcomes after HIE: a population-based cohort study.
Rees P, Dronavalli M, Carter B, Bajuk B, Burns L, Dickson M, Eastwood J, Hossain S, Lawler K, Lee E, Munasinghe S, Page A, Uebel H, Dicair L, Green C, Gale C, Oei JL.Arch Dis Child Fetal Neonatal Ed. 2025 Jun 8:fetalneonatal-2024-328346. doi: 10.1136/archdischild-2024-328346. Online ahead of print.PMID: 40484626
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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.
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Patient-Specific In Vivo Gene Editing to Treat a Rare Genetic Disease.
Musunuru K, Grandinette SA, Wang X, Hudson TR, Briseno K, Berry AM, Hacker JL, Hsu A, Silverstein RA, Hille LT, Ogul AN, Robinson-Garvin NA, Small JC, McCague S, Burke SM, Wright CM, Bick S, Indurthi V, Sharma S, Jepperson M, Vakulskas CA, Collingwood M, Keogh K, Jacobi A, Sturgeon M, Brommel C, Schmaljohn E, Kurgan G, Osborne T, Zhang H, Kinney K, Rettig G, Barbosa CJ, Semple SC, Tam YK, Lutz C, George LA, Kleinstiver BP, Liu DR, Ng K, Kassim SH, Giannikopoulos P, Alameh MG, Urnov FD, Ahrens-Nicklas RC.N Engl J Med. 2025 Jun 12;392(22):2235-2243. doi: 10.1056/NEJMoa2504747. Epub 2025 May 15.PMID: 40373211
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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.
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Late Permissive Hypercapnia for Mechanically Ventilated Preterm Infants: A Randomized Trial.
Travers CP, Gentle SJ, Shukla VV, Aban I, Yee AJ, Armstead KM, Benz RL, Laney D, Ambalavanan N, Carlo WA.Pediatr Pulmonol. 2025 Jun;60(6):e71165. doi: 10.1002/ppul.71165.PMID: 40525736 Free PMC article. Clinical Trial.
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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.
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Perinatal Urinary Tract Dilation: Recommendations on Pre-/Postnatal Imaging, Prophylactic Antibiotics, and Follow-up: Clinical Report.
Anthony Herndon CD, Otero HJ, Hains D, Sweeney RM, Lockwood GM; Section on Urology; Section on Nephrology; Section on Radiology; Section on Hospital Medicine.Pediatrics. 2025 Jul 1;156(1):e2025071814. doi: 10.1542/peds.2025-071814.PMID: 40518141 Review.
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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.
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Extended Caffeine for Apnea in Moderately Preterm Infants: The MoCHA Randomized Clinical Trial.
Carlo WA, Eichenwald EC, Carper BA, Bell EF, Keszler M, Patel RM, SĂĄnchez PJ, Goldberg RN, D'Angio CT, Van Meurs KP, Hibbs AM, Ambalavanan N, Cosby SS, Newman NS, Vohr BR, Walsh MC, Das A, Ohls RK, Fuller J, Rysavy MA, Ghavam S, Brion LP, Puopolo KM, Moore R, Baack ML, Colaizy TT, Baserga M, Osman AF, Merhar SL, Poindexter BB, DeMauro SB, Kumar V, Cotten CM; Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network.JAMA. 2025 Jun 24;333(24):2154-2163. doi: 10.1001/jama.2025.5791.PMID: 40294395 Clinical Trial.
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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.
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In this episode, Shelly-Ann interviews Professor Karen Walker and Edith Gicheha about the importance of specialized training in neonatal nursing, the challenges faced in low and middle-income contexts, and the role of COIN (Council of International Neonatal Nurses) in advocating for improved neonatal care globally. They discuss the significance of continuous education, the establishment of the Community of Nursing Practice, and the impact of NEST 360 in providing essential solutions and training for neonatal care. The conversation highlights inspiring stories of nurses making a difference in their communities and the importance of collaboration in improving neonatal health outcomes.
Link to episode on youtube: https://youtu.be/qaY7g3tR-h8
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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.
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In this episode of The Incubator Podcast, Ben and Daphna are joined by Fabiana Bacchini, Dr. Tiffany Gladdis, and Bianka Gallina to discuss the development and launch of Neopedia, a free, multilingual online platform designed to support families navigating the NICU and beyond.
The team explains how Neopedia was created by an international group of parent advocates and medical experts to bridge the information gap many families face during and after neonatal hospitalization. They walk through the siteâs structureâincluding tabs on pregnancy, NICU life, going home, and long-term outcomesâand explain how content was written to be accurate, accessible, and supportive without being overwhelming.
The conversation also explores how Neopedia addresses mental health, the importance of family-centered education, and how the platform is intended for both parents and clinicians. The episode highlights why this resource fills a critical need: empowering parents to ask better questions, understand whatâs happening, and advocate for their children across different stages and settings.
Visit neopedia.org to explore the site. Available in English, French, German, Spanish, and Italian.
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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.
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In this episode of The Incubator Podcast, Ben and Daphna sit down with certified birth doula and lactation counselor Latoya Southwell for a wide-ranging conversation about the role doulas play in supporting families before, during, and after birth. LaToya shares her personal and professional path into birth work, and how her experiences shaped a culturally sensitive, trauma-informed approach to supporting laboring peopleâparticularly those from historically marginalized communities.
The conversation covers what doulas do (and donât do), how they differ from midwives, and how they advocate for safe, informed, and emotionally grounded birth experiences. LaToya talks candidly about how she prepares clients for unexpected outcomes, including C-sections and NICU admissions, and how doulas can collaborate with healthcare teams rather than be in conflict with them.
She also introduces the Baby CafĂ© initiativeâan informal peer support network she co-founded to reduce isolation and provide postpartum support for new mothersâand explains why preparing families for postpartum is just as critical as planning for labor.
This episode is a practical introduction to the real work of birth doulasâand an invitation to rethink how care teams can work together to improve outcomes and experiences for parents and babies alike.
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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.
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In this episode of From the Heart, Dr. Nim Goldshtrom and Dr. Adrianne Bischoff walk through a complex neonatal case involving sudden decompensation shortly after birth. With few early clues and no clear diagnosis, the team discusses how to approach circulatory shock, differentiate pulmonary hypertension from congenital heart disease, and manage critically ill neonates before imaging is available.
Using this case as a reverse journal club, the hosts break down relevant literature and decision-making pathways: when to start prostaglandin, when epinephrine makes sense even without low blood pressure, and why relying only on numbers like MAP can be misleading. They also examine the role of therapeutic hypothermia in unstable infants and the potential cardiovascular consequences of cooling.
Later, the conversation focuses on left ventricular dysfunction, balancing systemic and pulmonary circulation via the ductus, and using bedside markers like lactate and perfusion to guide treatment when echo isnât immediately available. The episode closes with thoughts on autoregulation, cerebral protection, and the evolving role of emerging technologies in neonatal hemodynamics.
A real-world deep dive into diagnostic uncertainty, evolving physiology, and decision-making under pressure in the NICU.
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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.
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This week on Tech Tuesday, Ben and Daphna speak with Dr. Zina Yudina, founder and CEO of BabyLat, a Swiss startup building a novel device to help hospitals create fortifier directly from a motherâs own milk!
Zina shares how the idea began as a way to support working mothers with limited maternity leave, but quickly evolved into a system for concentrating and fortifying human milk for preterm and very low birth weight infants. The BabyLat device uses pressure-driven ultrafiltration to preserve the natural components of human milk while boosting its nutritional value, all in a compact unit designed for hospital use.
The conversation covers how hospitals might implement the tool, how much time is currently spent fortifying feeds manually, and how BabyLat fits into the larger movement toward 100% human milk-based nutrition. Zina also discusses the challenges of raising support for neonatal innovations, and how clinical teams can get involved in early research and pilot use.
Itâs a practical look at the future of personalized milk preparationâand what it might take to make it a new standard of care.
Support the show
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.
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In this weekâs Journal Club, Ben and Daphna unpack a series of recent studies exploring outcomes in neonatologyâfrom long-term mortality after severe neonatal morbidity to short-term feeding strategies in preterm infants.
They open with a large population-based Swedish study showing that infants who experience severe neonatal morbidities face elevated mortality risks well into adolescenceâespecially those with neurological complications. The discussion highlights how early-life diagnoses carry weight far beyond the NICU, and how long-term support systems may not be fully equipped to manage that risk.
Next, the hosts examine a small German crossover trial on prone positioning, revealing that even simple changes in posture may cut hypoxemic episodes in half. They follow this with a randomized trial comparing dopamine and norepinephrine for neonatal septic shock, a data-heavy look at the nuanced physiology behind first-line interventions.
The episode rounds out with studies on cold milk for feeding dysphagia, late-onset sepsis risk with hydrocortisone, the impact of tele-neonatology on cooling time in HIE, and a new meta-analysis on kangaroo careâs role in reducing infection.
Itâs a pragmatic, fast-paced overview of recent literature shaping how we care for vulnerable newborns.
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.
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Severe Neonatal Morbidity and All-Cause and Cause-Specific Mortality Through Infancy and Late Adolescence.
Graham H, Johansson K, Persson M, Norman M, Razaz N.JAMA Pediatr. 2025 Jun 10:e251873. doi: 10.1001/jamapediatrics.2025.1873. Online ahead of print.PMID: 40493844
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.
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Prone Positioning Was Associated With Less Hypoxemic Events and Improved Feeding Tolerance in Preterm Infants.
Bohnhorst B, Lutz E, Pirr S, Peter C, Böhne C.Acta Paediatr. 2025 May 26. doi: 10.1111/apa.70153. Online ahead of print.PMID: 40418109
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.
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Prophylactic hydrocortisone and the risk of sepsis in neonates born extremely preterm.
Baud O, Lehert P; PREMILOC study group.Eur J Pediatr. 2025 Jun 14;184(7):419. doi: 10.1007/s00431-025-06248-9.PMID: 40515786 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.
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Impact of teleneonatology on time to goal temperature in outborn neonates with hypoxic-ischemic encephalopathy requiring therapeutic hypothermia.
Kaczor M, Hentz R, Youssef PE, Fine A, Fang J.J Perinatol. 2025 May 29. doi: 10.1038/s41372-025-02324-y. Online ahead of print.PMID: 40442292
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.
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From Warm to Cold: Feeding Cold Milk to Preterm Infants with Uncoordinated Oral Feeding Patterns.
Ferrara-Gonzalez L, Kamity R, Htun Z, Dumpa V, Islam S, Hanna N.Nutrients. 2025 Apr 26;17(9):1457. doi: 10.3390/nu17091457.PMID: 40362766 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.
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Norepinephrine versus Dopamine for Septic Shock in Neonates: A Randomized Controlled Trial.
Mazhari MYA, Priyadarshi M, Singh P, Chaurasia S, Basu S.J Pediatr. 2025 Jul;282:114599. doi: 10.1016/j.jpeds.2025.114599. Epub 2025 Apr 17.PMID: 40252959 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.
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All-cause mortality and infection-related outcomes of hospital-initiated kangaroo care versus conventional neonatal care for low-birthweight infants: a systematic review and meta-analysis.
Minotti C, Jost K, Aghlmandi S, Schlaeppi C, Sieswerda E, van Werkhoven CH, Schulzke SM, Bielicki JA.Lancet Child Adolesc Health. 2025 Jul;9(7):470-483. doi: 10.1016/S2352-4642(25)00130-0. Epub 2025 May 26.PMID: 40441171 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.
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In this episode of Neo News, journalist and New York Times critic-at-large Amanda Hess joins host Dr. Eli Cahan to revisit the story behind her viral essay, âMy Son Has a Rare Syndrome, So I Turned to the Internet.â Amanda shares the disorienting experience of receiving her sonâs diagnosis of Beckwith-Wiedemann syndrome during a routine third-trimester ultrasound and the digital spiral that followed.
As a new parent navigating the NICU and early medical complexities, she reflects on the paradox of modern care: how high-tech diagnostics coexist with emotional disconnectionâand how often the only available companion is the search bar. The conversation explores the reality of caregiving with limited context, the emotional fallout of confronting diagnosis alone, and the unpredictable role of the internet and social media in shaping parental perception.
Drawing from her upcoming book Second Life: Having a Child in the Digital Age, Amanda brings a clear-eyed perspective on the information gaps, algorithmic noise, and the human need for clarity when the stakes are impossibly high.
Listen in for a raw and thoughtful look at what happens between the scan, the screen, and the real child in your arms.
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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.
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In this episode of At the Bench, Drs. Misty Good and Betsy Crouch welcome Dr. AmĂ©lie Collins, an R01-funded neonatologist and associate professor at Cincinnati Childrenâs. A classically trained immunologist turned hematopoietic stem cell biologist, Dr. Collins shares her journey from philosophy major at the University of Chicago to leading a research program focused on fetal myelopoiesis in the context of maternal inflammation.
She discusses her training path through MD/PhD at NYU, her formative time in the labs of Dan Littman and Emmanuelle Passegué, and the critical mentorship moments that shaped her career. Dr. Collins offers an honest look at the challenges and joys of long training, pivoting research directions, and starting an independent lab. She reflects on the intersection of science and clinical care, grant writing as a creative exercise, and the importance of celebrating effort and submission, not just success.
We also dive into her Cell paper on the extrinsic regulation of emergency myelopoiesis in the fetus, the role of maternal IL-10, and how her lab is exploring how hematopoietic stem cells mature and retain memory of early-life exposures.
Dr. Collins leaves listeners with powerful advice: âDo it because you love it. This career demands a lot, including your time, energy, and weekends. But if you love it, itâs worth it.â
Support the show
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.
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In this episode, we speak with neonatal nurse scientists Dr. Marliese Nist and Dr. Kathy Dudding to explore the evolving understanding of neonatal pain and stress in the NICU. Together, we look at how outdated assumptions about infant pain still influence clinical care, and what providers can do to better recognize and respond to the signs of stress in fragile newborns.
Our guests discuss how even routine care can be a source of stress for preterm infants, and why thoughtful, individualized approachesâsuch as comfort touch and parental involvementâcan make a meaningful difference. They also highlight the lack of standardization in pain protocols across NICUs and the limitations of existing assessment tools.
This conversation offers practical takeaways for clinicians at the bedside and makes the case for system-wide change in how we approach pain management and developmental care. The episode is part of our collaboration with the National Association of Neonatal Nurses (NANN), and underscores the vital role of interdisciplinary teamwork in improving neonatal outcomes.
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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.
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In this episode, I had the pleasure of speaking with Dr Erin Von Klien, who is now a third year Neonatology fellow at Monroe Carell Childrenâs Hospital/Vanderbilt University, Nashville. Erin described her research project on exploring association between caregiver employment decisions and having a preterm infant. Erin describes her project which was also recently published in JAMA pediatrics (Preterm Birth and Caregiver Employment Decisions | Reproductive Health | JAMA Pediatrics | JAMA Network) where she investigated the impact of prematurity in parental employment decisions. She describes how she got interested in this impactful topic and how she found her mentor. She is a 2024 recipient of the AAP Marshall Klaus Award in Health Services Research and a participant in the Vanderbilt Patient/ Practice Outcomes Research in Effectiveness and Systems Science (PROgRESS) T32 Program. In this episode she describes her experience in grant writing and winning the AAP Marshall Klaus award. She also provides valuable advice to incoming fellows who are interested in the physician scientist pathway in health services 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.
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In this episode, Leah and Ashley O'Neil discuss the profound experiences of navigating the NICU as both a parent and a medical professional. Ashley shares her journey with her son Colin, who was born prematurely, and the emotional and practical challenges she faced. The conversation explores themes of grief, the balance between professional knowledge and parental instincts, and the importance of communication with medical teams. Ashley also highlights the need for resources to support NICU families, including her upcoming journal designed to help parents navigate their NICU experience.
In this conversation, Ashley O'Neil shares her experiences as a mother navigating the complexities of having a child in the NICU and dealing with the challenges of medical systems. She discusses the importance of advocacy for children's needs, the emotional journey of grief after losing loved ones, and how she finds hope and purpose in her son's resilience. The conversation emphasizes the need for community support and the ongoing battle against systemic failures in healthcare.
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.
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In this special âadvocacy roundupâ episode, Dr. Shetal Shah and Stephanie Glier return to break down the latest developments in federal healthcare policy and their real-world consequences for neonatologists and the families they serve. With sweeping budget legislation threatening to cut Medicaid funding by nearly 10%, they explain how these changes could destabilize the financial foundations of neonatal care, reduce access to critical services, and deepen existing health disparities. From threats to NICU funding and childrenâs hospitals to the ripple effects of limiting postpartum and parental coverage, they connect the dots between Washington decisions and bedside realities.
Listeners also get a pragmatic guide on how cliniciansâwithout needing to be policy expertsâcan engage effectively with lawmakers to protect Medicaidâs role in childrenâs healthcare. If you work in neonatal care or advocate for health equity, this is an essential listen that explains whatâs on the line and what you can do about itânow.
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.
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In this episode, Tasmin Bota shares her journey as a mother of a premature baby and the founder of Preemie Connect. Tasmin shares about her traumatic birth experience, the challenges faced in the NICU, and the lack of emotional support for parents of premature infants. Tasmin also highlights the motivation behind creating Preemie Connect as a way to fill the gap in support and resources for families dealing with prematurity. The conversation also touches on the current initiatives of Preemie Connect and the ongoing fight for better emotional care in neonatal units. The discussion also highlights the importance of community support, the impact of language used by healthcare providers, and the systemic issues that affect preemie care in South Africa. Tasmin also outlines her vision for the future of Preemie Connect and the necessary policy changes to improve outcomes for preemie families.
Link to episode on youtube: https://youtu.be/aFE9vF4NbVo
Resources mentioned in episode: https://preemieconnect.my.canva.site/
Contact:
Preemie Connect Instagram: https://www.instagram.com/preemieconnect/#
Preemie Connect Facebook: https://www.facebook.com/preemieconnect
Preemie Connect Twitter: http://www.twitter.com/preemieconnect
Preemie Connect TikTok: https://www.tiktok.com/@preemieconnect
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.
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In this weekâs Journal Club, Ben and Daphna dive into the latest report from the American Academy of Pediatrics on the management of patent ductus arteriosus (PDA) in preterm infants. They dissect the nuances of prophylactic versus selective treatment, review recent meta-analyses, and explore why early intervention might not yield better outcomes despite effective PDA closure. They also break down new echocardiographic criteria for diagnosing a hemodynamically significant PDA and discuss the role of transcatheter procedures.
The conversation then shifts to MRI timing and classification in neonatal encephalopathy, highlighting recent Canadian consensus recommendations for standardizing imaging protocols post-therapeutic hypothermia. The episode wraps up with a look at the TOHOP trial on permissive hypotension, challenging long-standing blood pressure treatment thresholds in preterm infants.
Listeners will gain a pragmatic view of evolving clinical practices and research gaps in neonatal care, particularly for infants with PDA and hypoxic-ischemic encephalopathy. If youâre looking to stay current on evidence-based recommendations without the fluff, this episode is for you.
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.
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Consensus Approach for Standardization of the Timing of Brain Magnetic Resonance Imaging and Classification of Brain Injury in Neonates With Neonatal Encephalopathy/Hypoxic-Ischemic Encephalopathy: A Canadian Perspective.
Mohammad K, Reddy Gurram Venkata SK, Wintermark P, Farooqui M, Beltempo M, Hicks M, Zein H, Shah PS, Garfinkle J, Sandesh S, Cizmeci MN, Fajardo C, Guillot M, de Vries LS, Pinchefsky E, Shroff M, Scott JN; Newborn Brain Health Working Group of the Canadian Neonatal Network.Pediatr Neurol. 2025 May;166:16-31. doi: 10.1016/j.pediatrneurol.2025.01.021. Epub 2025 Feb 12.PMID: 40048833 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.
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Shifting outlooks after neonatal encephalopathy in the era of therapeutic hypothermia.
Christoffel K, Mulkey SB.Pediatr Res. 2025 Jun 4. doi: 10.1038/s41390-025-04156-0. Online ahead of print.PMID: 40467976 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.
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Patent Ductus Arteriosus in Preterm Infants.
Ambalavanan N, Aucott SW, Salavitabar A, Levy VY; Committee on Fetus and Newborn; Section on Cardiology and Cardiac Surgery.Pediatrics. 2025 May 1;155(5):e2025071425. doi: 10.1542/peds.2025-071425.PMID: 40288780 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.
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Treatment of Hypotension of Prematurity: a randomised trial.
Alderliesten T, Arasteh E, van Alphen A, Groenendaal F, Dudink J, Benders MJ, van Bel F, Lemmers P.Arch Dis Child Fetal Neonatal Ed. 2025 May 24:fetalneonatal-2024-328253. doi: 10.1136/archdischild-2024-328253. Online ahead of print.PMID: 40413017
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.
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Active Treatment vs Expectant Management of Patent Ductus Arteriosus in Preterm Infants: A Meta-Analysis.
Buvaneswarran S, Wong YL, Liang S, Quek SC, Lee J.JAMA Pediatr. 2025 May 27:e251025. doi: 10.1001/jamapediatrics.2025.1025. Online ahead of print.PMID: 40423988 Free PMC
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.
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In this special Tech Tuesday episode of The Incubator Podcast, Ben and Daphna sit down with Dr. Joanna Parga-Belinkieâneonatologist, author, and co-host of the AAPâs Pediatrics on Call podcast. They dive into her new book, The Baby Bonding Book: Connecting with Your Newborn, a resource designed to demystify early parenting through a blend of evidence-based guidance and real-world experience.
Joanna shares how her background in neonatology and her work in both NICU and newborn nursery settings shaped the stories and structure of the book. The conversation highlights the overwhelming amount of information modern parents face, and how the bookâs approachable format aims to reduce stress and empower bonding. The team discusses the science behind early relational health, how clinicians can better support families, and the importance of maintaining humanity in both parenting and medical practice.
Whether youâre a parent, provider, or someone interested in pediatric health communication, this episode offers insights into bridging clinical knowledge with compassionate storytellingâand why itâs critical for both family well-being and professional growth.
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.
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In this weekâs episode, Ben and Daphna sit down with Michelle Kelly, Pediatric Nurse Practitioner and Associate Professor at Villanova University. Michelle is a leading voice in recognizing the lasting impact of preterm birth on long-term health. She shares insights from her co-authored article, Addressing Preterm Birth History with Clinical Practice Recommendations Across the Life Course, which outlines how a history of prematurity should inform lifelong clinical care.
The conversation highlights the gap between neonatal and adult healthcare systems, and why identifying preterm birth history should be a routine part of medical assessments. Michelle also discusses practical strategies to educate families, empower survivors of prematurity, and shift provider assumptions about long-term outcomes. This episode offers a thoughtful and grounded discussion on turning early-life health factors into actionable care across the lifespan.
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.
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In this episode of Beyond the Beeps, Leah discusses the journey of NICU families, focusing on gastroschisis, a condition where a baby's intestines are outside the body at birth. Ruby Bacardi shares her personal experience with her son Oliver, who was born with gastroschisis and spent three months in the NICU. The conversation explores the emotional challenges, medical insights, and the importance of support for families navigating this journey. Dr. Daphna Yasova Barbeau provides medical perspectives, while Ruby emphasizes the significance of cherishing small victories and finding hope amidst uncertainty.
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.
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In this weekâs Journal Club, Ben and Daphna unpack a wide range of recent neonatal studies with pragmatic, practice-centered discussion. First, they explore a study on low-dose dexamethasone for BPD in preterm infants, showing potential benefits in brain development and motor outcomesâdespite ongoing concerns about long-term effects. Next, they discuss a large dataset analysis of oxygen and respiratory support trajectories in extremely preterm infants, offering real-world FiO2 trends and benchmarks that may help frame clinical decisions and counseling.
They also examine the diagnostic limits of consumer-grade pulse oximeters, like the Owlet, comparing their accuracy to hospital-grade monitorsâraising real concerns about missed events. A safe sleep initiative study offers evidence that modeling and education during birth hospitalization can improve post-discharge sleep practices, especially across different demographic groups. Finally, they review parent engagement with NICU-focused online health communities, identifying both the benefits and potential friction these platforms create in team-family communication.
From cerebral oxygenation during kangaroo care to the use of enemas in ELBW infants, this episode covers it allâwith a focus on what clinicians can take back to the bedside.
Listen in and join the conversation.
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.
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The new normal: parental use of online health communities in the NICU.
Adams SY, Tucker R, Lechner BE.Pediatr Res. 2022 Jun;91(7):1827-1833. doi: 10.1038/s41390-021-01684-3. Epub 2021 Aug 17.PMID: 34404928
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.
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Hydrostatic low-volume enemas in infants with birth weight â€1000 g or gestational age â€28 weeks: A controlled interventional study.
Stock T, Kamp AM, Waitz M, Riedl-Seifert T, Jenke AC.J Pediatr Gastroenterol Nutr. 2025 May 8. doi: 10.1002/jpn3.70055. Online ahead of print.PMID: 40344423
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.
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Neonatologists' perceptions of uncertainty: a national survey.
Rholl E, Krick JA, Leuthner SR, Pan AY, Challa SA, Kukora S.J Perinatol. 2025 Apr 19. doi: 10.1038/s41372-025-02292-3. Online ahead of print.PMID: 40253559 No abstract available.
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.
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The effect of maternal position on cerebral oxygenation in premature infants during Kangaroo care: a randomised controlled trial.
Stapleton I, Murphy S, Vaughan S, Walsh BH, Natchimuthu K, Livingstone V, Dempsey E.J Perinatol. 2025 Apr 5. doi: 10.1038/s41372-025-02287-0. Online ahead of print.PMID: 40186001
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.
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A Hospital-Based Initiative for Infant Safe Sleep Practice.
Decker CM, Dunlevey E, Nguyen L, Stence KJ, McCarty E, Jean-Charles TG, Trego T, Ma ZQ.Pediatrics. 2025 Feb 1;155(2):e2024067659. doi: 10.1542/peds.2024-067659.PMID: 39799962
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.
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Diagnostic accuracy of an over-the-counter infant pulse oximeter for cardiorespiratory events.
Travers CP, Nakhmani A, Armstead KM, Benz RL, Foshee KM, Carlo WA.Arch Dis Child Fetal Neonatal Ed. 2025 May 12:fetalneonatal-2025-328540. doi: 10.1136/archdischild-2025-328540. Online ahead of print.PMID: 40355254
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.
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Trajectory of Postnatal Oxygen Requirement in Extremely Preterm Infants.
Groves AM, Bennett MM, Loyd J, Clark RH, Tolia VN.J Pediatr. 2025 Feb;277:114414. doi: 10.1016/j.jpeds.2024.114414. Epub 2024 Nov 20.PMID: 39577761
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.
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Postnatal dexamethasone treatment for preterm infants at high risk for bronchopulmonary dysplasia is associated with improved regional brain volumes: a prospective cohort study.
Chandwani R, Kline J, Altaye M, Parikh N.Arch Dis Child Fetal Neonatal Ed. 2025 May 13:fetalneonatal-2024-328438. doi: 10.1136/archdischild-2024-328438. Online ahead of print.PMID: 40360237
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.
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Today we are joined by Dr Radhika Madali, who is a third year NICU fellow from Children's Hospital at Montefiore, Montefiore Medical Center, Bronx, NY. We talked about the QI efforts that she took during her fellowship in implementing faster enteral feed advancement and early fortification in a level IV neonatal intensive care unit. She shared the multidisciplinary experience that she developed with this project and also appreciates the support and mentorship she received. Radhika also shared insights on other projects that she got involved in- notably investigating the impact of glycemic variability on treatment-requiring ROP. She shared about her experience being a representative to the Fellowship Recruitment Action Team (FRAT) from the AAP Section on Pediatric Training.
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.
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In this episode of At The Bench, Drs. Misty Good and Betsy Crouch speak with Dr. Stephanie Gaw, a maternal-fetal medicine specialist at UCSF, about her path to becoming a physician-scientist and her translational research on placental infections. Dr. Gaw shares how early lab experiences, time in the Peace Corps, and a pivot from infectious disease to OB-GYN shaped her focus on maternal immunity and global health.
The conversation covers Dr. Gawâs work on sepsis in pregnancy, COVID-19 and RSV vaccine responses, and congenital infections like syphilis. She also discusses her approach to building and managing a large placental biorepository, and the importance of thoughtful sample collection for reliable research outcomes. The episode includes practical insights on balancing clinical duties with research, the benefits of peer mentorship, and how clinical observations can drive lab-based investigation.
This discussion offers a clear look into the realities and rewards of bridging bedside observations with bench research in maternal-fetal medicine. Itâs a valuable listen for early-career physician-scientists and anyone interested in the complexities of immunology, placental biology, and perinatal infection.
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.
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In this weekâs episode of NeoNews, the team reflects on a quiet Motherâs Day before diving into a full slate of stories touching the emotional and political corners of neonatal care. First up: parenting in the digital age. The crew unpacks a gripping New York Times essay by Amanda Hess, whose prenatal diagnosis of Beckwith-Wiedemann syndrome led her down the rabbit hole of medical Googling, Facebook support groups, and the complicated power of online communities for medically complex families.
Then, we turn to formula safety and the Biden administrationâs new âOperation Stork Speed.â The team discusses the implications for NICU care, parental anxiety, and advocacy in the wake of increased scrutiny over heavy metals and contaminants in infant formula. From there, we navigate the ripple effects of tariffs on medical supplies, pharmacy deserts, and drug shortagesâall of which directly impact the NICU.
Rounding out the show: U.S. birth rates now favor parents over 40 versus teens, RSV vaccines show impressive real-world results, and new research questions everything we thought we knew about preemie blood pressures.
Packed with insight, outrage, and a few Dumbo references, this episode covers the headlines shaping neonatal care and the families we serve.
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.
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In this conversation, the guests from World Pediatrics discuss their mission to improve pediatric healthcare, particularly focusing on neonatal care. They highlight the significant global issues of infant mortality and the need for advanced healthcare access in underserved communities. The discussion covers the organization's history, the shift towards neonatal care, funding challenges, and the importance of building sustainable partnerships with local governments and communities.
They also explore innovative strategies for capacity building and the adaptability of their programs in different settings. This conversation delves into the challenges and strategies of pediatric care in the Eastern Caribbean, focusing on the OECS. The speakers discuss the importance of regional cooperation, capacity building initiatives, and the need for community-centric approaches to healthcare. They highlight the significance of data sharing, training, and sustainable practices in improving neonatal care across the islands.
The discussion also emphasizes the role of organizations like World Pediatrics in facilitating these efforts and the importance of connecting with healthcare professionals to enhance pediatric health outcomes.
Contact: Contact - World Pediatrics
Link to episode on Youtube: https://www.youtube.com/watch?v=7blwBYGZnUk&list=PL-94lDL-ozLa_mcSnQCwzv7qJ24V2jDtx&index=1
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.
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In this special anniversary edition of the Journal Club, Ben and Daphna celebrate four years of The Incubator Podcast while diving into a compelling lineup of neonatal studies. The episode kicks off with a review of a phase 2 multicenter trial on the safety of furosemide in preterm infants at risk for BPD. Despite widespread Lasix use in NICUs, data on dosing and safety have been lackingâthis study finds no significant increase in serious adverse events but emphasizes the need for larger trials to better define its role. The team then explores a study from India comparing 7- vs. 14-day antibiotic courses in culture-proven neonatal sepsis, showing that shorter courses may be safe and effective in select populations.
Additional discussions include a randomized trial from Australia evaluating âsigh breathsâ during high-frequency oscillatory ventilation and their effects on lung volume and oxygenation, a study examining how kangaroo mother care boosts breast milk intake, and a large Japanese cohort study detailing neurodevelopmental outcomes of infants born at 22â31 weeks. Finally, a meta-analysis on prenatal cannabis exposure underscores risks of low birth weight and preterm birth. With depth, humor, and clarity, Ben and Daphna guide listeners through evidence that shapes neonatal 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.
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Effect of kangaroo mother care in low birth weight infants on human milk intake: a randomized controlled trial.
Sinha B, Mazumder S, Thakur A, Devi S, More D, Ashorn P, Sommerfelt H, Kurpad A, Bhandari N.Am J Clin Nutr. 2025 May;121(5):1109-1116. doi: 10.1016/j.ajcnut.2025.02.006. Epub 2025 Feb 11.PMID: 39947481 Free 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.
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Neurodevelopmental outcomes at age 3 years of preterm infants born at 22-31 weeks' gestation.
Kono Y, Kusuda S, Nishida T, Mori R, Toyoshima K, Sasaki H, Yonemoto N, Uchiyama A, Fujimura M; INTACT Study Group.J Perinatol. 2025 Mar 26. doi: 10.1038/s41372-025-02268-3. Online ahead of print.PMID: 40140596
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.
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Near-infrared spectroscopy during respiratory support at birth: a systematic review.
Monnelly V, Nakwa F, Josephsen JB, Schmölzer GM, SolevÄg AL, Rabi Y, Wyckoff MH, Weiner GM, Liley HG; International Liaison Committee on Resuscitation Neonatal Life Support Task Force.Arch Dis Child Fetal Neonatal Ed. 2025 Apr 29:fetalneonatal-2025-328577. doi: 10.1136/archdischild-2025-328577. Online ahead of print.PMID: 40306761
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.
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Prenatal Cannabis Use and Neonatal Outcomes: A Systematic Review and Meta-Analysis.
Lo JO, Ayers CK, Yeddala S, Shaw B, Robalino S, Ward R, Kansagara D.JAMA Pediatr. 2025 May 5:e250689. doi: 10.1001/jamapediatrics.2025.0689. Online ahead of print.PMID: 40323610
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.
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Interprofessional perspectives on non-invasive respiratory support practices in extremely preterm infants: a Canadian survey.
Martinez TA, Remmer E, Mardakis S, Leone M, Boyer J, Lv S, Beltempo M, Sant'Anna G, Shalish W.J Perinatol. 2025 Apr 12. doi: 10.1038/s41372-025-02291-4. Online ahead of print.PMID: 40221609
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.
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Intermittent sigh breaths during high-frequency oscillatory ventilation in preterm infants: a randomised crossover study.
Hough JL, Jardine L, Hough MJ, Steele M, Greisen G, Heiring C.Arch Dis Child Fetal Neonatal Ed. 2025 Apr 17;110(3):297-302. doi: 10.1136/archdischild-2024-327445.PMID: 39406472 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.
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Seven-day versus 14-day antibiotic course for culture-proven neonatal sepsis: a multicentre randomised non-inferiority trial in a low and middle-income country.
Dutta S, Nangia S, Jajoo M, Sundaram M, Kumar M, Shivanna N, Gathwala G, Nesargi S, Jain S, Kumar P, Saili A, Karthik A, Tripathi S, Bandiya P, Dalal P, Ray P, Randhawa VS, Saigal K, Radhakrishnan D, Venkatesh V, Jagannatha B, Sharma M, Nagaraj S, Malik M, Dogra S, Mittal S, Saini A, Makkar N, Dhir M, Chandramohan A, Pragati RA, Srivastava T, Mukundan L, Benakappa N, Shukla A, Rasaily R.Arch Dis Child Fetal Neonatal Ed. 2025 Apr 25:fetalneonatal-2024-328232. doi: 10.1136/archdischild-2024-328232. Online ahead of print.PMID: 40280737
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.
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Furosemide Safety in Preterm Infants at Risk for Bronchopulmonary Dysplasia: A Randomized Clinical Trial.
Greenberg RG, Lang J, Smith PB, Shekhawat P, Courtney SE, Hudak ML, Moya F, Iyengar A, Eldemerdash A, Bloom B, Go M, Hanna M, Rhein L, Aliaga S, Lewis T, Febre A, Kiefer AS, Bhatt-Mehta V, Khoury JA, Selewski D, Anand R, Martz K, Payne EH, Zimmerman KO, Benjamin DK Jr, Laughon M; Best Pharmaceuticals for Children Act â Pediatric Trials Network Steering Committee.J Pediatr. 2025 Apr 28:114629. doi: 10.1016/j.jpeds.2025.114629. Online ahead of print.PMID: 40306549
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.
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This week on Tech Tuesday, we sit down with Dr. Theodor Uzamere, a graduating neonatology fellow from Texas Childrenâs Hospital, to explore an inspiring project that brings creativity and compassion to the NICU bedside. Theodor introduces us to the Consult Cards â a thoughtful, low-tech innovation designed to support families navigating the overwhelming world of neonatal intensive care.
Rooted in his love for consults and desire to improve communication during high-stress conversations, Theodor created a deck of color-coded, parent-friendly flashcards that cover essential NICU topics: diseases, respiratory support, nutrition, imaging, and vocabulary. Drawing from his own study strategies and guided by feedback from NICU family focus groups, these cards aim to reduce anxiety, improve understanding, and foster meaningful engagement between families and the medical team.
We discuss the process of developing, evaluating, and iterating on the cards, and how Theodor hopes to expand their reach. More than just an educational tool, the Consult Cards empower families to participate actively in their babyâs care. If youâre passionate about patient-centered communication and innovation in neonatology, this conversation will move and motivate you.
For collaboration opportunities, Theodorâs contact details are: theodoruzamere@gmail.com
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.
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In this inspiring and deeply informative episode of The Incubator Podcast, Dr. Audrey Miller, neonatologist at Nationwide Childrenâs Hospital and newly appointed Medical Director of their BPD Service, joins the hosts to unpack the intricacies of chronic lung disease care and her rapid career ascent. Miller outlines the five key principles guiding her teamâs nationally recognized approach to BPD: ventilator strategies tailored to BPD physiology, aggressive infection prevention, proactive pulmonary hypertension screening, prioritization of linear growth, and uncompromising developmental care.
She shares the rationale behind âslow lungâ ventilation, the importance of recharacterizing infants as they evolve from micro-preemies to complex chronic patients, and how individualized, patient-driven care often begins by doing less, not more. Beyond technical insights, Miller reflects on the professional mentorship and collaborative culture that propelled her into leadership just two years post-fellowship.
She offers candid advice on tackling imposter syndrome, embracing delegation, and building confidence in administrationâwhile remaining anchored in purpose. Whether youâre a fellow exploring BPD, a clinician curious about slow lung strategies, or an early-career neonatologist navigating your next move, Millerâs perspective is both practical and empowering. This is a must-listen for anyone thinking seriously about the future of chronic care in neonatology.
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.
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In this episode of the Incubator, David McCulley and Misty Good talk with Dr. Satyan Lakshminrusimha, a leading figure in neonatology and physician-scientist who discusses his journey from clinician to researcher, the significance of large animal studies in neonatal care, and the impact of research on clinical guidelines. They explore the importance of mentorship, the challenges of conducting neonatology physician-scientist research, and the leadership roles in the field of neonatology. Dr. Lakshminrusimha discusses his journey in neonatology, emphasizing the importance of the mentorship he received, the inspiration he finds in mentoring others, interdisciplinary collaboration, and the evolving role of AI in healthcare. He reflects on the significance of nurturing future leaders in medicine and the need for fairness and transparency in departments of pediatrics. The discussion also touches on the intersection of art and science, showcasing how creativity can enhance medical education and communication.
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.
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In this weekâs episode of NeoNews, the team takes a deep dive into global fertility trends and the complex forces shaping the future of parenthood. The conversation starts with a discussion on worldwide declines in fertility rates, highlighting the economic pressures and societal shifts that are making the decision to have children more difficult across the globe. The hosts reflect on how financial instability, the high cost of living, and long-term uncertainty are reshaping family planning choices â even in countries with strong social support systems.
The discussion moves into the emerging markets around fertility treatments, shedding light on the ethical complexities of the global egg donation industry. Later, the team explores the rising challenges in pediatric and neonatology workforce training, offering insights into the evolving demands of the medical field. Finally, the group reviews new research on the microbiome, developmental care in the NICU, and how income mobility impacts child health outcomes.
Throughout the episode, the hosts share honest, thoughtful reflections on the heavy pressures families and healthcare providers face today. Itâs a conversation about hope, hardship, and the small ways we can support the next generation, even amid a changing world.
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.
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In this episode, I had the pleasure of speaking with Dr Kelsey Kirkman who is now a third year Neonatology fellow at Texas Childrenâs Hospital. Kelsey shared with us her primary fellow project on creating a debrief tool for residents following critical events in the NICU. She describes in depth about how she came up with this idea and how she found her mentor to help support and navigate her medical education interest. We talked about medical education theories and how to perform a thematic analysis. We talk about her challenges in implementing her project and how she tackled them. We also discussed how she took her medical education research to the next level by pursuing a Masters in Medical education through UT Houston. She shared insights on how she balanced fellowship training with her masters. Kelsey also shared her lessons learnt from her experience and provided some of the resources that helped her understand medical education better. Kelsey hopes to have a medical career in a leadership role, leading a training program, and applying her knowledge in medical education in improving neonatology subspeciality training.
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.
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Leah and Shakeema Smiley discuss the challenges and triumphs of navigating life with a child in the NICU, particularly focusing on the experience of having a tracheostomy. Shakeema shares her personal journey with her daughter Lori, who was born prematurely and required extensive medical care. The conversation highlights the emotional and practical aspects of caring for a child with special needs, the importance of advocacy, and the power of hope and community support.
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.
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In this Journal Club episode, Ben and Daphna review several impactful studies shaping neonatal care. They begin with a secondary analysis of the ETTNO trial, which examined whether liberal transfusion thresholds reduce intermittent hypoxemia or improve neurodevelopmental outcomes in extremely low birth weight infants. Despite prior concerns, the study found no benefit to liberal thresholds, supporting current restrictive practices. A JAMA Network Open study follows, revealing that late preterm infants are least likely to receive motherâs own milk at 12 weeks, underscoring an overlooked group in breastfeeding support efforts. Dr. David Rube joins the show to discuss a two-year follow-up of the IN-RECSURE trial, which investigated whether lung recruitment before surfactant administration leads to improved long-term outcomesâultimately showing no difference in death or disability. The hosts also explore a meta-analysis on umbilical cord blood therapy for children with cerebral palsy, highlighting benefits in motor function for younger children with milder CP when treated at higher doses. Additional topics include the association between funisitis and cerebral palsy in extremely preterm infants and the AZTEC trialâs conclusion that azithromycin does not reduce BPD. The episode concludes with a review of best practices for discussing autopsy with families in the NICU setting.
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.
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Advancing neonatal autopsy by strengthening physician belief and fostering effective family communication.
Kratimenos P, Simonti G, Kinney HC.Pediatr Res. 2025 Mar 31. doi: 10.1038/s41390-025-04031-y. Online ahead of print.PMID: 40164873
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.
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Effects of liberal versus restrictive transfusion strategies on intermittent hypoxaemia in extremely low birthweight infants: secondary analyses of the ETTNO randomised controlled trial.
Franz AR, Engel C, Bassler D, RĂŒdiger M, Thome UH, Maier RF, KrĂ€geloh-Mann I, Essers J, BĂŒhrer C, Bittrich HJ, Roll C, Höhn T, Ehrhardt H, Boettger R, Körner HT, Stein A, Neuberger P, Henriksen TB, Greisen G, Poets CF; ETTNO Investigators.Arch Dis Child Fetal Neonatal Ed. 2025 Mar 26:fetalneonatal-2024-327643. doi: 10.1136/archdischild-2024-327643. Online ahead of print.PMID: 40139741
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.
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Mother's Own Milk Provision During the First 12 Weeks of Life by Gestational Age.
Patel AL, Wilson J, Holmes M, Johnson TJ.JAMA Netw Open. 2025 Mar 3;8(3):e250024. doi: 10.1001/jamanetworkopen.2025.0024.PMID: 40042846 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.
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Lung Recruitment Before Surfactant Administration in Extremely Preterm Neonates: 2-Year Follow-Up of a Randomized Clinical Trial.
Gallini F, De Rose DU, Iuliano R, Romeo DM, Tana M, Paladini A, Fusco FP, Nobile S, Cota F, Tirone C, Aurilia C, Lio A, Esposito A, Costa S, D'Andrea V, Ventura ML, Carnielli V, Dani C, Mosca F, Fumagalli M, Scarpelli G, Giordano L, Fasolato V, Petrillo F, Betta P, Solinas A, Gitto E, Gargano G, Mescoli G, Martinelli S, Di Fabio S, Bernardo I, Tina LG, Staffler A, Stasi I, Mondello I, Scapillati E, Vedovato S, Maffei G, Bove A, Vitaliti M, Terrin G, Lago P, Gizzi C, Strozzi C, Villani PE, Berardi A, Cacace C, Bracaglia G, Pascucci E, Cools F, Pillow JJ, Polglase G, Pastorino R, van Kaam AH, Mercuri E, Orfeo L, Vento G; IN-REC-SUR-E Study Group; Malguzzi S, Rigotti C, Cecchi A, Nigro G, Costabile CD, Roma E, Sindico P, Venafra R, Mattia C, Conversano M, Ballardini E, Manganaro A, Balestri E, Gallo C, Catenazzi P, Astori MG, Maranella E, Grassia C, Maiolo K, Castellano D, Massenzi L, Chiodin E, Gallina MR, Consigli C, Sorrentino E, Bonato S, Mancini M, Perniola R, Giannuzzo S, Tranchina E, Cardilli V, Dito L, Regoli D, Tormena F, Battajon N, Arena R, Allais B, Guidotti I, Roversi F, Meli V, Tulino V, Casati A.JAMA Netw Open. 2024 Sep 3;7(9):e2435347. doi: 10.1001/jamanetworkopen.2024.35347.PMID: 39320892 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.
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Cord Blood Treatment for Children With Cerebral Palsy: Individual Participant Data Meta-Analysis.
Finch-Edmondson M, Paton MCB, Webb A, Reza Ashrafi M, Blatch-Williams RK, Cox CS Jr, Crompton K, Griffin AR, Kim M, Kosmach S, Kurtzberg J, Nouri M, Ri Suh M, Sun J, Zarrabi M, Novak I.Pediatrics. 2025 Apr 11:e2024068999. doi: 10.1542/peds.2024-068999. Online ahead of print.PMID: 40210215
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.
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Funisitis increases the risk of death or cerebral palsy in extremely preterm infants.
Jain VG, Parikh NA, Rysavy MA, Shukla VV, Saha S, Hintz S, Jobe A, Carlo WA, Ambalavanan N; Eunice Kennedy Shriver NICHD Neonatal Research Network.Am J Obstet Gynecol. 2025
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.
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Azithromycin therapy for prevention of chronic lung disease of prematurity (AZTEC): a multicentre, double-blind, randomised, placebo-controlled trial.
Lowe J, Gillespie D, Aboklaish A, Lau TMM, Consoli C, Babu M, Goddard M, Hood K, Klein N, Thomas-Jones E, Turner M, Hubbard M, Marchesi J, Berrington J, Kotecha S.Lancet Respir Med. 2024 Aug;12(8):608-618. doi: 10.1016/S2213-2600(24)00079-1. Epub 2024 Apr 25.PMID: 38679042 Free 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.
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In this episode, Dr. Marlon Timothy shares his journey as a neonatologist, discussing his experiences in Trinidad and Tobago and the evolution of neonatal care. He highlights the challenges faced upon returning from training in Toronto, the establishment of neonatal units, and the implementation of therapeutic hypothermia. Dr. Timothy emphasizes the importance of training and collaboration in improving neonatal outcomes and shares insights into the ongoing efforts to enhance maternal and neonatal health in Trinidad and Tobago. In this conversation, Dr. Marlon Timothy discusses various innovative interventions in neonatal care, the importance of funding and government support, the training and development of neonatologists, the role of research and data in improving care, and the challenges of maintaining work-life balance in a demanding field. He emphasizes the need for global collaboration to enhance neonatal outcomes and shares insights from his experiences in Trinidad and Tobago.
Link to episode on Youtube: https://youtu.be/jUyLLaYLFHY
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.
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In this episode of The Incubator, Ben and Daphna speak with Dr. Scott Duncan, Division Chief at the University of Louisville, about the critical importance of medical billing and coding in neonatology. The discussion explores how accurate documentation and thoughtful use of codes can impact everything from individual reimbursement to hospital funding and staffing. Dr. Duncan explains the key differences between critical care and intensive care coding, highlighting how misunderstanding these definitions can lead to missed opportunities for appropriate billing. The conversation also delves into the complexities of CPT and ICD-10 codes, bundled versus unbundled services, and how Diagnosis-Related Group (DRG) systems influence hospital revenue. They discuss how proper coding affects downstream resources, including staffing, and why the financial viability of neonatal units depends in part on getting this right. Dr. Duncan reflects on the need for better education in this area, particularly for trainees, and shares practical resources and upcoming initiatives aimed at helping clinicians build this essential skill set. This episode offers an eye-opening look at a topic often overlooked in medical training, but vital to the sustainability of neonatal 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.
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In this Tech Tuesday episode, Ben and Daphna welcome Xina Quan, co-founder and CEO of PyrAmes, to introduce a groundbreaking neonatal device: the Boppli. Developed from Stanford research, the Boppli is a non-invasive, wearable blood pressure monitor that provides continuous, real-time readingsâwithout the need for cuffs or arterial catheters.
FDA-cleared for babies under five kilograms, the Boppli uses a soft, adhesive-free band that wraps gently around an extremity. Backed by 3,400 hours of clinical validation, the Boppli has shown accuracy approaching that of invasive arterial lines according to the team at Pyrames.
Ben and Daphna explore how this innovation could reshape blood pressure monitoring for hypotensive and unstable neonates. Quan shares her vision of the Boppli becoming as commonplace as pulse oximetry in NICUsâempowering care teams with precise, painless data they can finally trust.
As she puts it, âHalf the battle is having good dataâthis is a way to finally get it.â
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.
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In this weekâs Journal Club, Ben and Daphna dissect six critical studies reshaping our understanding of neonatal care. Kicking off with the Canadian Neonatal Networkâs multicenter cohort on inhaled nitric oxide (iNO), they explore how early pulmonary hypertension responsiveness to iNO may predict survival in preterm infants. They then examine a poignant study on maternal decision regret following extremely preterm births, revealing elevated regret across all pathwaysâcomfort, active care, or otherwiseâunderscoring the emotional complexity of shared decision-making. The duo dives into data from the NICHD Neonatal Research Network on how even a single dose of antenatal steroids improves outcomes incrementally by the hour, strengthening the case for early administration. Ben highlights an AI-driven TPN algorithm that may outperform clinicians in individualized nutrition planning, while Daphna introduces an unexpected interventionâxylitol chewing gumâto reduce preterm birth in low-resource settings. Rounding out the discussion is a provocative look at intermittent hypoxemia as a predictor of systemic hypertension and the landmark NICHD trial on therapeutic hypothermia for infants 33â35 weeks GA. With a striking 87% probability of harm, this trial challenges the current drift toward âcooling creep.â Essential listening for any neonatologist seeking evidence-based clarity in an ever-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.
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Evaluating decision regret after extremely preterm birth.
Belden L, Kaempf J, Mackley A, Kernan-Schloss F, Chen C, Sturtz W, Tomlinson MW, Guillen U.Arch Dis Child Fetal Neonatal Ed. 2025 Feb 21;110(2):191-199. doi: 10.1136/archdischild-2024-327287.PMID: 39164062
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.
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Short Duration of Antenatal Corticosteroid Exposure and Outcomes in Extremely Preterm Infants.
Chawla S, Wyckoff MH, Lakshminrusimha S, Rysavy MA, Patel RM, Chowdhury D, Das A, Greenberg RG, Natarajan G, Shankaran S, Bell EF, Ambalavanan N, Younge NE, Laptook AR, Pavlek LR, Backes CH, Van Meurs KP, Werner EF, Carlo WA; National Institute of Child Health and Human Development (NICHD) Neonatal Research Network (NRN).JAMA Netw Open. 2025 Feb 3;8(2):e2461312. doi: 10.1001/jamanetworkopen.2024.61312.PMID: 39982720 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.
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Neonatal intermittent hypoxemia events are associated with later systemic hypertension.
Martinez S, Chen Z, Di Fiore JM, Nguyen C, Minich NM, Hibbs AM.Pediatr Res. 2025 Jan 31. doi: 10.1038/s41390-025-03881-w. Online ahead of print.PMID: 39885241
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.
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Whole-Body Hypothermia for Neonatal Encephalopathy in Preterm Infants 33 to 35 Weeks' Gestation: A Randomized Clinical Trial.
Faix RG, Laptook AR, Shankaran S, Eggleston B, Chowdhury D, Heyne RJ, Das A, Pedroza C, Tyson JE, Wusthoff C, Bonifacio SL, SĂĄnchez PJ, Yoder BA, Laughon MM, Vasil DM, Van Meurs KP, Crawford MM, Higgins RD, Poindexter BB, Colaizy TT, Hamrick SEG, Chalak LF, Ohls RK, Hartley-McAndrew ME, Dysart K, D'Angio CT, Guillet R, Kicklighter SD, Carlo WA, Sokol GM, DeMauro SB, Hibbs AM, Cotten CM, Merhar SL, Bapat RV, Harmon HM, Sewell E, Winter S, Natarajan G, Mosquera R, Hintz SR, Maitre NL, Benninger KL, Peralta-Carcelen M, Hines AC, Duncan AF, Wilson-Costello DE, Trembath A, Malcolm WF, Walsh MC; Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network.JAMA Pediatr. 2025 Feb 24:e246613. doi: 10.1001/jamapediatrics.2024.6613. Online ahead of print.PMID: 39992674
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.
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Response to Inhaled Nitric Oxide and Mortality Among Very Preterm Neonates With Pulmonary Hypertension.
Baczynski M, Weisz D, Thomas L, Fevrier S, Castaldo M, Soraisham A, Hyderi A, Agarushi R, Bhattacharya S, Lalitha R, Sidhu A, Abdul Wahab MG, Altit G, HĂ©bert A, Louis D, Elsayed Y, Mitra S, Deshpande P, Kharrat A, Zhu F, Ting J, Yoon E, Shah PS, Jain A; Canadian Neonatal Network Investigators.JAMA Netw Open. 2025 Feb 3;8(2):e2458843. doi: 10.1001/jamanetworkopen.2024.58843.PMID: 39928335 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.
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Delirium in the NICU is an under-recognized and under-assessed challenge. In this episode of The Incubator Podcast, Ben and Daphna sit down with Dr. Karishma Rao and clinical pharmacist Alex Oschman from Childrenâs Mercy Hospital to explore the complexities of neonatal delirium. Drawing on their collaborative work and recent publication in Frontiers in Pharmacology, they unpack the nuances of distinguishing delirium from pain, agitation, withdrawal, and sedationâparticularly in medically complex, long-stay infants.
The conversation highlights the limitations of current assessment tools, such as the CAPD (Cornell Assessment of Pediatric Delirium), and the barriers to implementation in the NICU setting. The team shares practical strategies, including modifying pain and withdrawal protocols, minimizing deliriogenic medications like benzodiazepines and opioids, and emphasizing non-pharmacological interventions like early mobility, sleep hygiene, and environmental optimization.
They also discuss pharmacologic options when needed, such as the selective use of atypical antipsychotics like quetiapine or risperidone, and raise critical questions about how developmental care might reduce the need for sedation altogether. This episode is a call to action for NICU teams to better understand, assess, and address delirium in our most vulnerable patients through collaborative, multidisciplinary 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.
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In this packed episode of Neo News, Eli, Ben, and Daphna dive into the headlines impacting neonatology and public health. The trio starts with the controversial confirmation of Robert F. Kennedy Jr. as head of HHS, analyzing his actions around the CDC, NIH, vaccine policy, and the implications of promoting âinformed consentâ messaging in place of public health advocacy. Drawing from reporting by The New York Times, STAT News, and Science Magazine, the team unpacks how these shifts could affect vaccine uptake in the NICU.
Next, they examine the threat to birthright citizenship in the U.S., based on analysis from The New York Times, and how immigration policy may directly impact NICU familiesâ access to care and trust in healthcare systems.
They also discuss a Wall Street Journal article detailing the erosion of trust in physicians post-pandemic and the fallout from a recent JAMA Pediatrics study on therapeutic hypothermia in late preterms, which raised questions about research transparency.
Other highlights include studies from Scientific Reports, JAMA Network Open, and The New York Times on air pollution, paternity leave, language-concordant care, and breastfeeding. The show ends with a call to action from Dr. Shadel Shahâs op-ed advocating for the continuation of the PREEMIE Act.
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.
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In this episode, I had the pleasure of speaking with Dr Ilana Levene, who is now a Neonatology subspeciality trainee at Oxford, England. Ilana has done some fantastic work on exploring the important topic of human milk expression. She described her randomized control trial in using relaxing techniques to facilitate human milk expression in the NICU. She shared the challenges that she had in conducting her RCT. We also talked about RCTs with negative results and how negative results are also important in conducting research. Ilana has now created a website with printables for parents and staff in the NICU on human milk expression. This can be assessed for free here : http://www.hifn.org/printable . Ilana also shared her interest in perinatal equity and shared details on her project Spectrum which involves gathering photos of the lactating breast conditions/chest from people with a wide spectrum of skin
colours. These will be provided as a free educational image library. Currently she is chairing a priority setting partnership for LGBTQIA+ perinatal 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.
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In this episode of Beyond the Beeps, Leah discusses the importance of understanding a baby's senses in the NICU with occupational therapists Emily Hills and Lindsay Hardy. They explore the concept of co-occupation and co-regulation, emphasizing the vital role parents play in their baby's development. The conversation delves into the eight senses, the impact of early birth on sensory development, and practical tips for parents to enhance their baby's NICU experience. The episode highlights the significance of parental presence and the right way to interact with babies in a sensitive environment. In this conversation, Lindsay and Emily discuss the vital role of parents in the NICU, emphasizing the importance of breathing, connection, and communication. They explore the concept of touch times, the significance of sensory needs in the NICU environment, and how parents can manage their baby's pain during procedures. The discussion highlights the need for a supportive environment for both parents and healthcare providers, focusing on the shared sensory experiences that can enhance care. Ultimately, they convey a message of hope for families navigating the challenges of 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.
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In this weekâs episode, Daphna hosts a powerful roundtable featuring Drs. Kerri Machut, Milenka Cuevas-Guaman, Emily Miller, Christine Bishop, and Christiane Dammannâleaders of a national effort to improve neonatology staffing. Together, they share insights from their recently developed recommendations, created through a Delphi consensus process and supported by a strategic grant from the AAP Section on Neonatal-Perinatal Medicine. These evidence-informed guidelines aim to promote safer, more sustainable, and more transparent staffing models in NICUs across the country. The team discusses key themes including defining clinical FTEs in hours per year, ensuring flexible scheduling, protecting time for scholarly and administrative work, and how to advocate for systemic change. Notably, these landmark recommendations have been accepted for publication in the journal Pediatrics and will be available online in May 2025. Listeners will also learn about an upcoming toolkit designed to help individuals and institutions apply these recommendations in practice. Whether youâre a practicing neonatologist, a trainee, or in a leadership role, this conversation offers timely solutions to address burnout, support workforce well-being, and ultimately improve care for the smallest and sickest patients.
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.
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In this episode of the Incubator, Dr. Paul Rozance discusses his research on fetal metabolism and growth regulation, emphasizing the role of insulin, glucagon, and placental function in development. He shares insights on how metabolic signals influence fetal growth and how complications like placental insufficiency impact long-term health. The conversation also highlights the challenges of translating research from animal models to clinical applications and the importance of collaboration in advancing neonatal science. Get your popcorn! There are some suspenseful stories #getyourpopcorn. #barker hypothesis #neuroendocrinology
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.
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In this episode of From The Heart, hosts Dr. Nim Goldshtrom and Dr. Adrianne Bischoff explore the latest research in neonatal cardiac care, focusing on congenital heart disease (CHD) and its impact on premature infants. They discuss a study analyzing survival trends in preterm infants with CHD, highlighting the âdouble jeopardyâ these babies face due to both prematurity and congenital cardiac anomalies. Another study compares neurodevelopmental outcomes between preterm infants and those with CHD, revealing that term infants with CHD exhibit similar motor and cognitive challenges as preterm infants, yet receive less developmental support. The conversation then shifts to emerging research showing a decline in postoperative brain injuries in CHD patients, possibly due to improved surgical and perioperative care. Finally, they discuss a survey on neonatal cardiac care models, emphasizing the evolving role of neonatologists in managing CHD patients and the need for better integration between NICUs and CICUs. Nim and Adrianne reflect on the importance of specialized care teams, advocating for neonatologists to play a greater role in optimizing outcomes for this vulnerable population. Tune in for a compelling discussion on bridging the gaps in neonatal cardiac 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.
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Double Jeopardy: A Distinct Mortality Pattern Among Preterm Infants with Congenital Heart Disease.
Higgins BV, Levy PT, Ball MK, Kim M, Peyvandi S, Steurer MA.Pediatr Cardiol. 2025 Apr;46(4):939-946. doi: 10.1007/s00246-024-03519-4. Epub 2024 Jun 12.PMID: 38864860 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.
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Similarities and Differences in the Neurodevelopmental Outcome of Children with Congenital Heart Disease and Children Born Very Preterm at School Entry.
Wehrle FM, Bartal T, Adams M, Bassler D, Hagmann CF, Kretschmar O, Natalucci G, Latal B.J Pediatr. 2022 Nov;250:29-37.e1. doi: 10.1016/j.jpeds.2022.05.047. Epub 2022 Jun 2.PMID: 35660491 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.
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Declining Incidence of Postoperative Neonatal Brain Injury in Congenital Heart Disease.
Peyvandi S, Xu D, Barkovich AJ, Gano D, Chau V, Reddy VM, Selvanathan T, Guo T, Gaynor JW, Seed M, Miller SP, McQuillen P.J Am Coll Cardiol. 2023 Jan 24;81(3):253-266. doi: 10.1016/j.jacc.2022.10.029.PMID: 36653093 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.
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Integrated cardiac care models of neonates with congenital heart disease: the evolving role of the neonatologist.
Hamrick SEG, Ball MK, Rajgarhia A, Johnson BA, DiGeronimo R, Levy PT; Childrenâs Hospital Neonatal Consortium (CHNC) Cardiac Focus Group.J Perinatol. 2021 Jul;41(7):1774-1776. doi: 10.1038/s41372-021-01117-3. Epub 2021 Jun 17.PMID: 34140645 No abstract available.
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.
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In this episode, Dr. Rajesh Mehta shares his extensive journey in pediatrics, detailing the evolution of newborn care in India, the challenges faced in providing quality healthcare, and the importance of continuous improvement in neonatal care practices. The conversation highlights the significant strides made in reducing neonatal mortality rates while addressing the ongoing challenges in healthcare infrastructure and quality of care. In this conversation, Dr. Mehta also discusses the importance of establishing frameworks for quality care in maternal and newborn health. He emphasizes the need for a national structure to support quality standards and the role of global initiatives in enhancing healthcare systems. The discussion also highlights Point of Care Quality Improvement (POCQI) strategies that empower healthcare teams to improve care delivery without requiring additional resources. Dr. Mehta also addresses the significance of integrating quality improvement into training programs, the necessity of addressing upstream determinants of newborn mortality and the importance of collaboration and teamwork in healthcare settings.
Watch this episode on YouTube : https://www.youtube.com/watch?v=Azfg773hpD4&t=34s
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.
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In this special episode of The Incubator Podcast, Ben and Daphna welcome Dr. Malathi Balasundaram and Morgan Kowalski, key members of the Family-Centered Care (FCC) Task Force, to discuss the growing movement towards integrating families as active partners in neonatal care.
Dr. Balasundaram, a neonatologist and chair of the FCC Task Force, explains that family-centered care goes beyond simple parental involvementâit requires caregivers to be equal members of the NICU team, engaged in every stage from antenatal care to discharge and beyond. Despite decades of evidence proving its benefits, family-centered care is still inconsistently implemented in many NICUs. The FCC Task Force was created to bridge this gap, providing hospitals with the resources, mentorship, and support needed to build or strengthen their programs.
Morgan Kowalski, a former NICU parent turned program manager, shares her powerful personal experiences that shaped her advocacy. She describes how her active participation in her sonâs care directly impacted his outcomes, underscoring the life-saving role of informed and engaged parents. She also highlights the Task Forceâs rapid global growth, now spanning over 1,400 members across 46 countries, and the impact of its webinars, mentorship programs, and policy initiatives.
This episode sheds light on the urgent need for cultural and systemic change in neonatal care. As more hospitals recognize that parents are not visitors, but essential caregivers, the FCC Task Force continues to push for widespread adoption of family-centered policies that improve both infant and family outcomes.
Tune in to learn how this movement is revolutionizing NICU care and how you can be part of the change!
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.
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In this special Tech Tuesday episode of The Incubator Podcast, Ben and Daphna sit down with Anthony Wu, CEO of Capnia, Inc., to explore how end-tidal carbon monoxide (ETCO) monitoring is impacting neonatal jaundice management. Anthony explains how this technology, based on decades of research, provides a real-time, non-invasive biomarker for hemolysis and thus indirectly, bilirubin production, allowing clinicians to better assess and predict neonatal jaundice severity. Unlike traditional serum bilirubin tests, which only measure bilirubin levels at a given time, ETCO screening gives insight into hemolysis rates, helping identify newborns at risk for severe jaundice before complications arise.
Anthony shares his personal motivation behind this innovation, discussing how his own children experienced neonatal jaundice and how many families suffer the emotional and financial burden of this pathology. He envisions a future where universal ETCO screening becomes standard practice, allowing for earlier interventions and reducing the risk of preventable neurological damage.
Tune in for an eye-opening discussion on how this innovation could change the way we approach neonatal jaundice forever!
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.
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In this episode of The Incubatorâs Journal Club, hosts Ben and Daphna open with exciting announcements, including details on the upcoming Delphi Neonatal Innovation Conference and new video content for their âBeyond the Beepsâ series on YouTube. They also share updates on the Board Review Podcast, geared toward both board preparation and ongoing learning in neonatology.
The teamâs first paper discussion highlights the ECLA trial from The Lancet, which examines higher versus lower CPAP levels for extubating extremely preterm infants. Ben and Daphna explore how higher CPAP may decrease extubation failure and the implications for clinical practice. Next, they review a large population-based study on intraventricular hemorrhage (IVH), underscoring the persistently high rates of IVH in very preterm infants and emphasizing its impact on neurodevelopmental outcomes.
They then welcome guest speaker Dr. Tim Barr from the University of Utah, who introduces the concept of end-tidal carbon monoxide monitoring as a noninvasive tool for detecting hemolysis and guiding bilirubin management. Dr. Barr explains how this method may help clinicians identify and treat high-risk neonates earlier. The discussion closes with a look at recent data on early hydrocortisone use in neonatal shock and a paper examining discrepancies between parental and medical classifications of neurodevelopmental impairment. Through in-depth research reviews and expert commentary, this episode showcases The Incubatorâs commitment to advancing neonatal 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.
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Improvement Initiative: End-Tidal Carbon Monoxide Measurement in Newborns Receiving Phototherapy.
Bahr TM, Shakib JH, Stipelman CH, Kawamoto K, Lauer S, Christensen RD.J Pediatr. 2021 Nov;238:168-173.e2. doi: 10.1016/j.jpeds.2021.07.008. Epub 2021 Jul 11.PMID: 34260896
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.
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Early hydrocortisone verses placebo in neonatal shock- a double blind Randomized controlled trial.
Dudeja S, Saini SS, Sundaram V, Dutta S, Sachdeva N, Kumar P.J Perinatol. 2025 Feb 13. doi: 10.1038/s41372-025-02222-3. Online ahead of print.PMID: 39948354
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.
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Intraventricular Hemorrhage and Survival, Multimorbidity, and Neurodevelopment.
Rees P, Gale C, Battersby C, Williams C, Carter B, Sutcliffe A.JAMA Netw Open. 2025 Jan 2;8(1):e2452883. doi: 10.1001/jamanetworkopen.2024.52883.PMID: 39761048
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.
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Higher versus lower nasal continuous positive airway pressure for extubation of extremely preterm infants in Australia (ĂCLAT): a multicentre, randomised, superiority trial.
Kidman AM, Manley BJ, Boland RA, Malhotra A, Donath SM, Beker F, Davis PG, Bhatia R.Lancet Child Adolesc Health. 2023 Dec;7(12):844-851. doi: 10.1016/S2352-4642(23)00235-3. Epub 2023 Oct 27.PMID: 38240784 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.
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Parental and Medical Classification of Neurodevelopment in Children Born Preterm.
Richter LL, Janvier A, Pearce R, Bourque CJ, Church PT, Luu TM, Synnes A.Pediatrics. 2025 Feb 1;155(2):e2024066148. doi: 10.1542/peds.2024-066148.PMID: 39786567
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.
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Being a NICU parent comes with many challenges, but communicating with your babyâs healthcare team and loved ones doesnât have to be one of them. In this video, NICU parent Valerie shares her personal journey and offers valuable tips for effective communication with doctors and medical providers. Learn how the right tools and conversations can improve your NICU experience, while also highlighting the importance of self-care, hope, and trust during this difficult time. Whether youâre navigating the NICU or supporting a loved one, this episode provides crucial insights for every NICU family.
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.
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In part two of our conversation with Dr. Phyllis Dennery, Ben and Daphna dive into the themes of leadership and gratitude. Dr. Dennery shares her journey from growing up in a hospital environment to becoming a leader in neonatology, reflecting on how mentorship, self-awareness, and courage shaped her path. She discusses the importance of saying ânoâ when necessary, embracing leadership roles, and advocating for diversity and equity in medicine.
Dr. Dennery offers insights into the power of observation, collaboration, and fostering a culture of kindness and gratitude within healthcare teams. She also addresses the unique challenges faced by women in medicine, the impact of representation on patient outcomes, and how personal and professional growth evolve over time.
Beyond her medical career, she speaks about her passion for advocacy, research, and even creative writing, hinting at exciting projects ahead. This inspiring discussion is filled with wisdom for early-career neonatologists and leaders alike, encouraging them to find joy in their work, uplift others, and make a lasting impact in the field.
Tune in for an insightful and heartfelt conversation with one of neonatologyâs most influential voices!
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.
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In this episode, I had the pleasure of speaking with Dr Shayla Percy, who is now a third year Neonatology fellow UPMC Childrenâs Hospital of Pittsburgh. Shayla described her QI project and the steps she took with her team to improve detection and management of metabolic disease of prematurity. She talked about the team work and the support from her mentors that set her up for a successful project. We also talked about some of the challenges that she experienced and how she tackled it. Shayla completed QI courses during the fellowship and also won the AAP young investigator award for her project. Shayla shared her experience presenting her work at AAP and provided insights to future incoming fellows who might be interested in a similar research pathway.
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.
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Welcome to part one of a special two-part conversation featuring distinguished neonatologist and physician-scientist, Dr. Phyllis A. Dennery. In this âAt the Benchâ episode, hosts Drs. David McCulley and Misty Good, along with guest co-host Ben Courchia, delve into Dr. Denneryâs remarkable journeyâspanning from her early fascination with molecular biology to her influential roles as Chair of Pediatrics at Brown University and Pediatrician-in-Chief at Rhode Island Hospital. Throughout the discussion, she reflects on the challenges of investigating bilirubin as a possible antioxidant, pioneering new insights into newborn lung injury, and unraveling the complexities of oxidative stress.
Dr. Dennery also opens up about building vibrant research programs at leading institutions, underscoring the value of mentorship, collaboration, and taking bold risks in pursuit of groundbreaking discoveries. She offers candid perspectives on balancing clinical demands with scientific innovation, and how she has navigated multiple leadership positions to foster deeper community engagement in pediatric health. This episode highlights not only her scientific achievements, but her passion for cultivating new talent and forging interdisciplinary partnerships. Donât miss this engaging opening segment of our two-part series. Be sure to tune into The Incubatorâs Sunday Interview for part two, where Dr. Denneryâs inspiring story continues!
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.
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In this latest episode of Neo News, Eli, Ben, and Daphna bring you the mainstream media stories shaping conversations about neonatology. These are the headlines your patients and their families are readingâso weâre here to break them down with insight and clinical perspective.
This month, the team takes a deep dive into Dr. Rachel Fleishmanâs provocative New England Journal of Medicine piece, What is the Relative Value of a Baby?, tackling the financial and ethical disparities in neonatal care reimbursement. Dr. Fleishman joins the discussion to offer firsthand insights.
The hosts also explore a fascinating New York Times piece comparing medical training to professional sports and performance coaching, highlighting the power of pre-procedure practice. Plus, they examine a study on breastfeeding trends before and after the formula shortage, an Atlantic feature on a potential new emergency contraceptive, and even a Science article uncovering ancient Roman breastfeeding habits!
With expert analysis and lively debate, Neo News helps clinicians stay informed on the neonatal stories influencing public discourse. Have an article we should cover? Send it our way! Tune in and stay ahead of the conversation.
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.
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In this episode of the Global Neonatal Podcast, Dr. Om Krishna Pathak shares his journey into neonatology, his experiences at Bharatpur Hospital in Nepal, and the various initiatives he has implemented to improve neonatal care. He discusses the challenges faced in developing a NICU, the importance of empowering nursing staff, and the significance of quality improvement projects. Dr. Pathak also highlights the role of mentorship in his career, the implementation of POCUS in neonatal care, and the ongoing efforts to train more healthcare providers in Nepal.
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.
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In this episode of Journal Club, Ben and Daphna are back in the studio for a lively discussion on the latest neonatal research. They start by highlighting upcoming conferences, including the BPD Collaborative meeting, before diving into a mix of clinical and policy-driven studies shaping neonatal care.
They explore a JAMA Pediatrics study on the risk of apnea following two-month vaccinations in preterm infants, discussing how these findings impact vaccine counseling in the NICU. Next, they examine research on the link between pregnancy-induced hypertension and neonatal thrombocytopenia, offering insights into how maternal conditions affect early lab values and bleeding risks.
The episode also features an EBNEO segment with Dr. Srishti Jayakumar and Dr. Sarah DeMauro, covering a Brazilian randomized trial on parent-guided developmental interventions for very low birth weight infants. The findings reveal significant improvements in motor and language outcomes, reinforcing the power of early parental involvement.
Finally, they tackle the debate on NICU volume and outcomes, analyzing data that suggests higher-volume centers may improve mortality and morbidity ratesâbut with important caveats.
Packed with critical analysis, debate, and practical insights, this Journal Club episode is one you wonât want to miss!
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.
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Outcomes of extremely preterm infants who participated in a randomised trial of dopamine for treatment of hypotension (the HIP trial) at 2 years corrected age.
Marlow N, Barrington KJ, ODonnell CPF, Miletin J, Naulaers G, Cheung PY, Corcoran JD, Khuffash E, Boylan GB, Livingstone V, Pons G, StraĆĂĄk Z, Van Laere D, Macko J, Wiedermannova H, Dempsey EM; HIP consortium.Arch Dis Child Fetal Neonatal Ed. 2025 Jan 19:fetalneonatal-2024-327894. doi: 10.1136/archdischild-2024-327894. Online ahead of print.PMID: 39832819
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.
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Unbound bilirubin and risk of severe neurodevelopmental impairment in extremely low birthweight newborns.
Arnold CC, Maric I, Wong RJ, Tyson JE, Stevenson DK.Pediatr Res. 2025 Jan 23. doi: 10.1038/s41390-025-03872-x. Online ahead of print.PMID: 39849115
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.
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The Impact of Hospital Delivery Volumes of Newborns Born Very Preterm on Mortality and Morbidity.
Phibbs CS, Passarella M, Schmitt SK, Martin A, Lorch SA.J Pediatr. 2025 Jan;276:114323. doi: 10.1016/j.jpeds.2024.114323. Epub 2024 Sep 18.PMID: 39304118
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.
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EBNEO Commentary: Parent-Guided Developmental Intervention for Infants With Very Low Birth Weight.
Jayakumar S, Burris H, Duncan A, DeMauro SB.Acta Paediatr. 2025 Jan 30. doi: 10.1111/apa.17608. Online ahead of print.PMID: 39887768 No abstract available.
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.
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Effects of pregnancy-induced hypertension on early-onset neonatal thrombocytopenia.
Ye M, Zhou C, Li L, Wang L, Zhang M.BMC Pregnancy Childbirth. 2025 Jan 24;25(1):67. doi: 10.1186/s12884-025-07193-z.PMID: 39856602 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.
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Apnea After 2-Month Vaccinations in Hospitalized Preterm Infants: A Randomized Clinical Trial.
Greenberg RG, Rountree W, Staat MA, Schlaudecker EP, Poindexter B, Trembath A, Laughon M, Poniewierski MS, Spreng RL, Broder KR, Wodi AP, Museru O, Anyalechi EG, Marquez PL, Randolph EA, Aleem S, Kilpatrick R, Walter EB.JAMA Pediatr. 2025 Jan 6. doi: 10.1001/jamapediatrics.2024.5311. Online ahead of print.PMID: 39761016
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.
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In this special Tech Tuesday episode of The Incubator Podcast, Ben and Daphna sit down with Amanda Williams, a clinical nurse specialist and the creator of Amandaâs NICU Ed, an educational platform designed to support NICU nurses through social media and online courses. Amanda shares her journey from bedside nursing to becoming a key educator in the NICU space, highlighting how Instagram and other platforms have revolutionized the way neonatal professionals learn and connect.
Amanda discusses her approach to distilling complex neonatal topics into engaging, easy-to-understand content, including her certification review course and mini-courses aimed at improving nursing education. She emphasizes the critical role that well-informed NICU nurses play in patient care, from early identification of clinical concerns to helping families navigate the NICU journey.
The conversation also touches on the growing challenge of diminishing hospital-based educator roles and the need for independent educational resources. Amanda shares insights into her creative process, the time investment required to produce high-quality content, and her passion for building a collaborative learning community.
Tune in to learn more about Amandaâs work, her educational philosophy, and how to access her valuable resources for NICU professionals.
Listen now and explore more at amandasnicued.com
Use code âIncubator20â for 20% off Amanda Williamsâ Certification Course!
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.
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In this special episode of The Incubator Podcast, done in collaboration with the California Association of Neonatologists for the upcoming Cool Topics in Neonatology conference, Ben and Daphna welcome Dr. Robin Steinhorn, a leader in neonatal medicine, alongside Dr. Denise Suttner. Dr. Steinhorn, the keynote speaker for Cool Topics 2025, shares insights from her storied career, reflecting on the highs, lows, and lessons that have shaped her journey. From groundbreaking research in nitric oxide therapy to leadership in neonatology, she offers a candid discussion on navigating challenges, fostering collaboration, and embracing opportunities beyond predefined career paths.
The conversation also delves into pressing issues in pediatrics, including workforce shortages in subspecialties, gender disparities in medicine, and innovative workplace policies supporting women and families in healthcare. Dr. Steinhornâs wisdom extends to mentorship, career adaptability, and the future of neonatal care.
Additionally, Dr. Suttner provides an exciting preview of Cool Topics 2025, highlighting discussions on neonatal legal challenges, probiotic use, and emerging fentanyl-related neonatal conditions.
Listeners can register for Cool Topics (March 5-7, 2025, in San Diego) using code INCUBATOR for a $50 discount. Tune in for an inspiring episode packed with leadership, innovation, and the future of neonatology!
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.
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Welcome to the debut episode of Rupaâs Fellows Friday, a new series on The Incubator podcast, hosted by Dr. Srirupa Gopal. This series celebrates the incredible research and passion of neonatology fellows from around the globe. Our first guest, Dr. Amee Amin, a third-year neonatology fellow at Texas Childrenâs Hospital (TCH), shares her inspiring journey and groundbreaking work in global health.
Dr. Amin discusses her diverse backgroundâborn in Kenya, raised in Tanzania, and trained in India, the UK, and the USâand how it shaped her dedication to improving neonatal care in low-resource settings. She highlights her recent project: developing and implementing a low-cost continuous respiratory rate monitor designed for use in neonatal intensive care units in low- and middle-income countries. This innovative device, created in collaboration with Rice University, uses sensors to measure respiratory rates accurately and affordably, empowering healthcare providers with vital tools in resource-constrained settings.
The conversation also delves into the challenges of conducting global health research during fellowship, the importance of mentorship, and Dr. Aminâs transformative experiences working in Malawi and presenting at the Tiny Feet Big Steps conference in Tanzania. This inspiring episode highlights the power of passion, collaboration, and innovation in neonatology.
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.
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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.
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In this episode of The Incubator Podcast, hosts Ben and Daphna welcome Dr. Cami Martin, a renowned expert in neonatal nutrition. Dr. Martin shares her insights on the evolving landscape of neonatal nutritional care, highlighting the critical role of early nutrition in shaping long-term outcomes for preterm infants. With a wealth of experience in clinical research and bedside practice, Dr. Martin delves into the latest evidence-based strategies to optimize growth and development in the NICU, addressing key challenges faced by neonatal care teams.
Throughout the conversation, Dr. Martin discusses practical approaches to individualized nutrition plans, the importance of fortification strategies, and the potential of emerging innovations in the field. She also provides valuable guidance on how clinicians can implement best practices to support the unique nutritional needs of vulnerable newborns.
Whether youâre a seasoned neonatal professional or new to the field, this episode offers invaluable perspectives on advancing neonatal care through tailored nutritional interventions. Tune in to gain practical takeaways and explore the future of neonatal nutrition with one of the leading voices 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.
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In this weekâs Journal Club, Ben and Daphna discuss six impactful studies shaping neonatal care. The conversation opens with a retrospective study exploring the timeline and factors influencing liberation from respiratory support in infants with severe bronchopulmonary dysplasia (BPD), offering valuable insights for parental counseling and care planning. A survey on enteral nutrition practices in U.S. NICUs highlights variability in feeding protocols and fortification strategies, with an encouraging trend toward donor milk use.
The hosts then delve into a study on anti-seizure medication protocols, showing how structured pathways can significantly reduce the number of infants discharged on these medications. A European survey on anemia of prematurity reveals wide variations in iron supplementation and erythropoietin use, emphasizing the need for standardized practices. They also review a commentary on the evolving design of NICUs, which warns against sensory deprivation and advocates for balancing protective and nurturing environments.
Finally, the discussion turns to a Spanish study on bemiparin, a low molecular weight heparin for neonatal thrombosis. While safe, the treatment faces challenges in achieving full thrombus resolution, highlighting the complexities of managing neonatal clotting disorders. Packed with insights and updates, this episode is a must-listen for neonatal professionals.
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.
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Liberation from Respiratory Support in Bronchopulmonary Dysplasia.
Kielt MJ, Zaniletti I, Lagatta JM, Padula MA, Grover TR, Porta NFM, Wymore EM, Jensen EA, Leeman KT, Levin JC, Evans JR, Yallapragada S, Nelin LD, Vyas-Read S, Murthy K; Childrenâs Hospitals Neonatal Consortium Severe BPD Focus Group.J Pediatr. 2024 Nov 7:114390. doi: 10.1016/j.jpeds.2024.114390. Online ahead of print.PMID: 39521174
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.
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Enteral nutritional practices in extremely preterm infants: a survey of U.S. NICUs.
Romero-Lopez M, Naik M, Holzapfel LF, Tyson JE, Pedroza C, Ahmad KA, Rysavy MA, Carlo WA, Zhang Y, Tibe C, Salas AA.J Perinatol. 2024 Dec 9. doi: 10.1038/s41372-024-02198-6. Online ahead of print.PMID: 39653781 No abstract available.
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.
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EBNEO commentary: Reducing the percentage of surviving infants with acute symptomatic seizures discharged on anti-seizure medication.
Barber D, Chang J.Acta Paediatr. 2025 Feb;114(2):456-457. doi: 10.1111/apa.17529. Epub 2024 Dec 4.PMID: 39630589 No abstract available.
Reducing the percentage of surviving infants with acute symptomatic seizures discharged on anti-seizure medication.
Nangle AM, He Z, Bhalla S, Bullock J, Carlson A, Dutt M, Hamrick S, Jones P, Piazza A, Vale A, Sewell EK.J Perinatol. 2024 Jul 23. doi: 10.1038/s41372-024-02044-9. Online ahead of print.PMID: 39043995
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.
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Supplemental Iron and Recombinant Erythropoietin for Anemia in Infants Born Very Preterm: A Survey of Clinical Practice in Europe.
Reibel-Georgi NJ, Scrivens A, Heeger LE, Lopriore E, New HV, Deschmann E, Stanworth SJ, Carrascosa MA, BrĂŠkke K, Cardona F, Cools F, Farrugia R, Ghirardello S, Krivec JL, Matasova K, Muehlbacher T, Sankilampi U, Soares H, SzabĂł M, Szczapa T, Zaharie G, Roehr CC, Fustolo-Gunnink S, Dame C; Neonatal Transfusion Network.J Pediatr. 2025 Jan;276:114302. doi: 10.1016/j.jpeds.2024.114302. Epub 2024 Sep 13.PMID: 39277077 Free article.
Enteral nutritional practices in extremely preterm infants: a survey of U.S. NICUs.
Romero-Lopez M, Naik M, Holzapfel LF, Tyson JE, Pedroza C, Ahmad KA, Rysavy MA, Carlo WA, Zhang Y, Tibe C, Salas AA.J Perinatol. 2024 Dec 9. doi: 10.1038/s41372-024-02198-6. Online ahead of print.PMID: 39653781 No abstract available.
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.
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The road to sensory deprivation in the NICU is paved with good intentions: defining an optimal environment of care.
White RD, Browne JV, Inder T.J Perinatol. 2025 Jan;45(1):1-2. doi: 10.1038/s41372-024-02204-x. Epub 2024 Dec 19.PMID: 39702828 No abstract available.
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.
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Bemiparin in neonatal thrombosis: therapeutic dosing and safety.
Sanchez-Holgado M, Sampedro M, Zozaya C, Permuy Romero C, Alvarez-Garcia P, La Banda-Montalvo L, Nieto C, Pellicer A.J Perinatol. 2024 Dec 16. doi: 10.1038/s41372-024-02200-1. Online ahead of print.PMID: 39681735
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.
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In this episode of the Incubator, Betsy Crouch and David McCulley interview Dr. Wendy Chung, a leader in clinical genetics and child health research. They discuss her journey into genomics, the challenges faced in her career as a physician scientist, the importance of early mentorship, and her research interests, particularly in congenital diaphragmatic hernia (CDH). Dr. Chung shares insights on the complexities of genetic disorders and the need for innovative approaches in treatment and diagnosis. She discusses her experiences with newborn screening and the evolution of genetic screening for rare diseases, emphasizing the importance of advocacy for children's health research. The conversation highlights the impact of patient stories in research and concludes with personal insights into family activities and the importance of maintaining a balance between work and personal 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.
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In this episode of The Incubator Podcast, renowned neonatologist and researcher Dr. Keith Barrington discusses his career, his influential blog (Neonatal Research), and his contributions to evidence-based neonatology. Dr. Barrington explains how his blog originated from sharing recent research insights with trainees and grew into a platform that educates professionals and promotes consistent, evidence-based practices in neonatology. He emphasizes the importance of critically evaluating new studies and their potential impact on clinical care.
The conversation also explores his personal journey as the father of a 24-week premature baby, Violette. This experience shaped his understanding of parental perspectives and the challenges families face in the NICU. He highlights the need for healthcare providers to align clinical decisions with what parents deem acceptable outcomes, emphasizing compassion and humility in predicting long-term results.
Dr. Barrington reflects on the future of neonatology, stressing the importance of reducing variations in care across centers and leveraging multi-center networks to optimize outcomes. He advocates for innovative research approaches, such as registry-based trials, to address challenges in studying rare neonatal conditions. Throughout the episode, his passion for improving neonatal care through science and empathy shines through.
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.
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In this episode of the Global Neonatal Podcast, Dr. Msandeni Chiume-Kayuni shares her inspiring journey into pediatrics and neonatal health in Malawi. As the chief pediatrician for Malawi's Ministry of Health, she discusses the significant strides made in neonatal survival, the importance of data collection, and the role of partnerships in improving healthcare outcomes. Dr. Msandeni emphasizes the need for infrastructure and human resources in neonatal care and shares valuable insights on how clinicians can be the change they wish to see in their communities.
Contact: msandeni@gmail.com
Episode Webpage Link: https://www.the-incubator.org/post/270-championing-neonatal-health-in-malawi-a-pediatrician-s-inspiring-journey-ft-dr-msandeni
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.
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In this engaging Journal Club episode, Ben and Daphna return to explore the latest research in neonatology. They begin with a pivotal clinical report from Pediatrics on updated algorithms for newborn screening of critical congenital heart disease (CCHD), highlighting simplified protocols and their significant impact on infant mortality. The discussion delves into screening challenges in the NICU, high-altitude settings, and for out-of-hospital births.
Next, they discuss the CordSafe study from Australia, a phase 1 trial on the safety of autologous cord blood-derived cell administration for extremely preterm infants, aimed at reducing brain injuries like IVH. Daphna explains the rigorous methodology and promising early findings.
Ben then reviews the STAT trial, which evaluates whether primary anastomosis offers better outcomes than stoma formation in NEC surgery. The results show significant reductions in TPN duration and intestinal complications with primary anastomosis.
The hosts also discuss trends in PDA management and their surprising association with increased rates of BPD over the past decade, along with insights into evolving diagnostic and therapeutic practices.
Finally, they analyze a Spanish study on elective extubation during skin-to-skin care, finding it to be a feasible and safe practice, potentially enhancing neonatal and parental outcomes.
Donât miss next weekâs exciting interview with Dr. Keith Barrington!
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.
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Occurrence and Time of Onset of Intraventricular Hemorrhage in Preterm Neonates: A Systematic Review and Meta-Analysis of Individual Patient Data.
Nagy Z, Obeidat M, Måté V, et al. JAMA Pediatr. 2024 Dec.
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Elective extubation during skin-to-skin care in preterm newborns is safe and well-tolerated.
Morey-OlivĂ© M, RomanĂ-Franquesa N, EcheverrĂa-Gallart M, CĂ©spedes-Dominguez MC, Camba-Longueira F, Montaner-Ramon A.Acta Paediatr. 2024 Nov 12. doi: 10.1111/apa.17496. Online ahead of print.PMID: 39530316
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.
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Newborn Screening for Critical Congenital Heart Disease: A New Algorithm and Other Updated Recommendations: Clinical Report.
Oster ME, Pinto NM, Pramanik AK, Markowsky A, Schwartz BN, Kemper AR, Hom LA, Martin GR; and the SECTION ON CARDIOLOGY AND CARDIAC SURGERY; SECTION ON HOSPITAL MEDICINE; COMMITTEE ON FETUS AND NEWBORN.Pediatrics. 2025 Jan 1;155(1):e2024069667. doi: 10.1542/peds.2024-069667.PMID: 39679594
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.
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Feasibility and safety of autologous cord blood derived cell administration in extremely preterm infants: a single-centre, open-label, single-arm, phase I trial (CORD-SaFe study).
Zhou L, McDonald CA, Yawno T, Razak A, Connelly K, Novak I, Miller SL, Jenkin G, Malhotra A.EBioMedicine. 2024 Dec 13;111:105492. doi: 10.1016/j.ebiom.2024.105492. Online ahead of print.PMID: 39674685 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.
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STAT trial: stoma or intestinal anastomosis for necrotizing enterocolitis: a multicentre randomized controlled trial.
Eaton S, Ganji N, Thyoka M, Shahroor M, Zani A, Pleasants-Terashita H, Ghazzaoui AE, Sivaraj J, Loukogeorgakis S, De Coppi P, Montedonico S, Sindjic-Antunovic S, Lukac M, Hamill J, Choo CSC, Nah SA, Hulscher J, Emil S, Petersen A, Wijnen R, Sloots C, Sigalet D, Kiely E, Svensson JF, Wester T, Pierro A.Pediatr Surg Int. 2024 Oct 29;40(1):279. doi: 10.1007/s00383-024-05853-3.PMID: 39470842 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.
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Changes in Patent Ductus Arteriosus Management and Outcomes in Infants Born at 26 to 28 Weeks' Gestation.
Kaluarachchi DC, Rysavy MA, Do B, Chock VY, Laughon MM, Backes CH, Colaizy TT, Bell EF, McNamara PJ.J Pediatr. 2024 Dec 26:114456. doi: 10.1016/j.jpeds.2024.114456. Online ahead of print.PMID: 39732160
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Join Ben and Daphna on this weekâs Tech Tuesday as they spotlight NICU2Home, an innovative app designed to support NICU families from admission through discharge. Guests Dr. Craig Garfield and Nicole Nyberg discuss the appâs evidence-based features, including tailored education, daily updates, and a dynamic roadmap for discharge milestones. NICU2Home enhances parental confidence, improves discharge preparedness, and strengthens social support, particularly in diverse populations. The team also highlights seamless integration with Angel Eye systems and how the app benefits NICU staff. Tune in to explore how NICU2Home is transforming care for families and providers alike.
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.
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In this conversation, Leah and Morgan discuss the complexities of being a parent in the NICU, emphasizing the importance of finding one's voice and advocating for their child. Morgan shares her personal journey, highlighting the challenges and triumphs she faced while navigating the NICU environment. The discussion covers themes of power dynamics, the stigma of being labeled a 'difficult parent', the significance of family-centered care, and the necessity of self-care for parents. Ultimately, the conversation aims to empower NICU parents to embrace their role and advocate for their child's well-being.
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In this special episode of the Global Neonatal Podcast, hosts Mbozu and Shelly-Ann take a reflective journey through the year, revisiting key insights from conversations with four inspiring change makers in newborn health: Dr. Kunda Kapembwa (Zambia), Dr. Clyde Cave and Dr. Gillian Birchwood (Barbados), Dr. Guilherme SantâAnna (Brazil), and Dr. Pradeep Suryawanshi (India).
Contact: nicupodcast@gmail.com
Episode Webpage Link (includes links to previous Global Neonatal Podcast Episodes) : https://www.the-incubator.org/post/266-celebrating-connections-a-year-in-review-with-mbozu-and-shelly-ann
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In this episode of the Incubator, hosts Betsy Crouch and David McCulley welcome Dr. Judy Aschner, a prominent neonatologist and physician scientist. Dr. Aschner shares her journey building a research career and emphasizes the importance of mentorship, determination, and collaboration across disciplines. She discusses her personal experiences that shaped her research focus, particularly in pulmonary hypertension and environmental health in neonatology.
The conversation highlights the challenges and triumphs of a career in medical research, underscoring the significance of intellectual curiosity and the impact of personal experiences on professional paths.
Dr. Judy Aschner discusses her groundbreaking research on manganese levels in parenteral nutrition and its uptake into the brain of infants with prolonged exposure to TPN. She highlights the importance of understanding metal environmental exposures in the NICU and the collaborative efforts that led to successful grant writing for research projects. Dr. Aschner emphasizes the need for inclusivity in research, particularly for children with disabilities, and the significance of longitudinal studies in assessing long-term health outcomes. Additionally, she shares her passion for rock climbing as a means of maintaining mental and physical health amidst her demanding career.
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.
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In this episode of The Incubator Podcastâs âGiants of Neonatologyâ series, hosts Ben Courchia and Daphna Barbeau welcome the renowned Professor Lex Doyle. With a career spanning over 40 years, Professor Doyle shares his journey through the transformative eras of neonatal care. He reflects on the evolution of neonatal practices, his pioneering role in the Victorian Infant Collaborative Study, and the critical importance of long-term follow-up research for preterm infants.
Professor Doyle discusses his early experiences in neonatal care during a time of limited technology and evolving approaches. He highlights the significance of collaboration, mentorship, and multidisciplinary teamwork in advancing the field. The conversation delves into the challenges and successes of his groundbreaking studies, including research on family-centered care and long-term developmental outcomes.
Listeners will gain valuable insights from Professor Doyleâs reflections on the balance between clinical work and research, his dedication to improving neonatal outcomes, and his advice for young neonatologists navigating their careers. This episode offers an inspiring look at the profound impact of one of neonatologyâs most influential figures.
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.
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In this episode, Ben and Daphna wrap up Hot Topics in Neonatology 2024 with Dr. Jay Greenspan, a leader in the conferenceâs organizing committee. Dr. Greenspan reflects on key takeaways, including reevaluations of antenatal corticosteroids and furosemide use, the enduring importance of kangaroo care, and the value of international collaboration. He highlights the conferenceâs legacy of fostering connections and driving neonatal science forward. This discussion celebrates the progress made and looks ahead to the future of Hot Topics and neonatology.
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.
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In this episode, Ben and Daphna sit down with Dr. Jochen Profit, neonatologist at Lucile Packard Childrenâs Hospital and professor at Stanford University, to discuss key takeaways from Hot Topics in Neonatology 2024. Dr. Profit shares insights from sessions on optimizing PEEP, innovative monitoring technologies like electrical impedance tomography, and the global approaches to extreme prematurity care. He also highlights the role of quality improvement in addressing health disparities, emphasizing the importance of equity-focused strategies in neonatal care. This conversation offers a comprehensive look at advancements shaping neonatology.
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.
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In this episode, Ben and Daphna welcome Dr. Roger Soll, editor-in-chief of the Cochrane Neonatal Review Group, to discuss the legacy of Dr. Jerry Lucey and the evolution of Hot Topics in Neonatology. Dr. Soll reflects on the groundbreaking research and collaborations that emerged from the conference, including advancements in IVH, ROP, and surfactant therapy. He shares insights from the latest sessions, emphasizing the importance of developmental issues like feeding and follow-up care in preterm infants. This inspiring conversation highlights the value of collaboration and curiosity in neonatal 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.
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In this episode, Ben and Daphna are joined by Dr. Nicolas Bamat, neonatologist at the Childrenâs Hospital of Philadelphia and assistant professor at the University of Pennsylvania, to discuss his work on furosemide for established BPD. Dr. Bamat shares insights into the complexities of polypharmacy in neonates, emphasizing the need for developmental pharmacology and medication stewardship. He also highlights CHOPâs evolving approach to furosemide use, focusing on intent and outcomes. Additionally, Dr. Bamat introduces the EBNEO Impact Article of the Year campaign, celebrating impactful neonatal 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.
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In this episode, Ben and Daphna are joined by Dr. Eduardo Bancalari, a pioneer in neonatology, to reflect on his Gerald Lucy keynote address at Hot Topics in Neonatology titled BPD After 50 Years: Have We Made Progress? Dr. Bancalari explores the challenges in defining and managing bronchopulmonary dysplasia (BPD) amidst evolving neonatal care practices. He shares insights from his research on continuous respiratory monitoring and highlights the impact of advancements like high-flow nasal cannulas and the potential of artificial wombs. This conversation delves into the complexities of neonatal respiratory care and the future of viability in neonatology.
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.
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In this episode, Ben and Daphna are joined by Dr. Rinawati Rohsiswatmo from Universitas Indonesia in Jakarta to discuss the MixSafe project, a battery-powered T-piece resuscitator designed to address neonatal mortality in low-resource settings. Dr. Rohsiswatmo highlights the innovative solution to blending medical air and oxygen affordably, making it accessible for use in remote regions. She shares the challenges of implementation, training, and the transformative impact of MixSafe on neonatal transport and care in Indonesia. This conversation showcases the potential of cost-effective innovations for improving outcomes in low- and middle-income countries.
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.
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In this episode, Ben and Daphna are joined by Dr. Thomas Abrahamsson, senior consultant in neonatology at Crown Princess Victoria Childrenâs Hospital in Sweden, to discuss his research on human milk-based fortifiers. Dr. Abrahamsson shares insights from a randomized controlled trial examining whether these fortifiers reduce necrotizing enterocolitis (NEC), sepsis, or mortality in extremely preterm infants. While the results showed no significant reduction, he emphasizes the critical role of human milk in preterm nutrition. This conversation explores the nuances of neonatal nutrition, the importance of rigorous trials, and thoughtful collaboration with industry partners.
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.
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In this episode, Ben and Daphna are joined by Dr. Amit Mukerji, MD, MSc, neonatologist and associate professor at McMaster University, to discuss his groundbreaking research on the use of high CPAP pressures in preterm neonates. Dr. Mukerji presents insights from his pilot trial comparing CPAP to NIPPV at equivalent mean airway pressures, challenging conventional approaches to non-invasive respiratory support. He addresses concerns about failure rates, cultural biases in clinical practice, and the importance of proper pressure application. This conversation highlights the potential of high CPAP pressures to simplify care while maintaining efficacy for most preterm infants.
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.
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In this episode, Ben and Daphna are joined by Dr. Risha Bhatia, director of neonatal services at the Royal Womenâs Hospital in Melbourne, Australia, to discuss the ECLAT trial. This groundbreaking study explores extubation success in extremely preterm infants by comparing CPAP levels of 7 versus 10 cm HâO. Dr. Bhatia shares insights into the challenges of extubation, the importance of individualized care, and the implications of trial findings for clinical practice. This conversation sheds light on the intricacies of neonatal respiratory management and future research opportunities.
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.
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In this episode, Ben and Daphna welcome Dr. Nathalie MaĂźtre, director of early development and cerebral palsy research at Childrenâs Healthcare of Atlanta. Dr. MaĂźtre discusses the importance of early detection of cerebral palsy (CP) and how advancements in diagnostic tools like the HINE and general movements assessment are revolutionizing care. She emphasizes the value of multidisciplinary teamwork and shared decision-making with families, offering hope through early interventions. This conversation highlights how neonatologists can better support families and improve outcomes for children with CP.
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.
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In this episode, Ben and Daphna sit down with Dr. Barbara Schmidt, a renowned figure in neonatology, to discuss her perspective on follow-up research and the evolving methodologies in clinical trials. Dr. Schmidt emphasizes the necessity of long-term follow-up in neonatal research and the challenges posed by adaptive trial designs. She also previews her upcoming talk on the expanding role of neonatal caffeine therapy, including its potential benefits beyond apnea of prematurity. This thought-provoking conversation highlights the importance of evidence-based practice and the future of neonatal 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.
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In this episode, Ben and Daphna sit down with Dr. Dieter Wolke, professor of developmental psychology at the University of Warwick, to discuss life course outcomes for very preterm, very low birth weight infants. Dr. Wolke explores the concept of life tasks, emphasizing milestones like independence, social integration, and relationships. He highlights the long-term impacts of neonatal experiences, the role of overprotective parenting, and the need for individualized support across the life span. This insightful conversation challenges traditional labels and advocates for a nuanced approach to fostering well-being and resilience in preterm children.
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.
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In this episode, Ben and Daphna welcome back Dr. Ola Didrik Saugstad, professor at the University of Oslo and a leading expert on oxygen therapy in neonatology. Dr. Saugstad discusses the complexities of determining the optimal initial FIO2 for preterm infants in the delivery room. He highlights findings from recent studies, including his work on the Net Motion study, and shares evidence-informed recommendations while emphasizing the importance of oxygen titration. The conversation underscores the critical first minutes of life and their impact on neonatal 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.
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In this episode, Ben and Daphna are joined by Dr. Vishal Kapadia, neonatologist at the University of Texas Southwestern Medical Center, to discuss oxygen use in the delivery room and the âGoldilocks principleâ of finding the right balanceânot too much, not too little. Dr. Kapadia shares insights from his research on oxygen targets, the challenges of defining evidence-based practices, and the role of personalized care for preterm and term infants. With emerging studies and ongoing trials, this conversation sheds light on how precision in oxygen delivery can impact neonatal 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.
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In this episode, Ben and Daphna sit down with Dr. Cindy McEvoy, professor of pediatrics and director of neonatal research at Oregon Health & Science University, to discuss optimizing lung development in preterm infants. Dr. McEvoy shares insights from her research on the benefits of prolonged CPAP use in preterm infants, showing how it supports lung growth, improves alveolar volume, and enhances pulmonary function. She emphasizes the importance of education and proper CPAP application to maximize benefits while debunking myths about weaning protocols. This conversation highlights the potential of targeted respiratory strategies to improve long-term 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.
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In this episode, Ben and Daphna chat with Dr. Brynne Sullivan, neonatologist and associate professor at the University of Virginia, about her groundbreaking work in predictive analytics and AI-powered early warning systems for neonatal sepsis. Dr. Sullivan discusses the potential of AI to enhance neonatal care by identifying patterns in physiologic data, enabling timely interventions. She shares insights on integrating AI into clinical practice, building collaborative teams, and navigating institutional support for innovative approaches. This engaging conversation highlights the transformative impact of AI on quality improvement and neonatal 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.
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In this episode, Ben and Daphna sit down with Dr. Reese H. Clark, research consultant and associate professor at Duke University, to discuss leveraging electronic medical records (EMRs) and big data to improve neonatal care. Dr. Clark highlights the transformative potential of EMR data for quality improvement, sharing insights from his pioneering work on neonatal conditions such as fungal sepsis and chronic lung disease. He emphasizes the importance of understanding data variability, consistency in practices, and the moral obligation to use data to enhance patient outcomes. This conversation underscores the power of data-driven care in neonatology.
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.
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In this episode, Ben and Daphna speak with Dr. Stephen Pearlman, Clinical Effectiveness Officer at ChristianaCare and Professor of Pediatrics at Thomas Jefferson University, and Dr. Munish Gupta, Director of Quality Improvement in Neonatology at Beth Israel Deaconess Medical Center and Assistant Professor at Harvard. Together, they reflect on leading the Quality Improvement (QI) Day at Hot Topics in Neonatology. They discuss integrating data, AI, and family-centered care into QI, practical strategies for engaging teams, and the importance of collaboration and international perspectives in neonatal QI. This conversation highlights actionable insights to improve neonatal 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.
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In this episode, Ben and Daphna welcome Dr. Sheri Nemerofsky, MD, FAAP, Medical Director of Newborn Services at Childrenâs Hospital at Montefiore, to discuss quality improvement (QI) initiatives for full-term newborns. Dr. Nemerofsky highlights the often-overlooked opportunities in newborn nurseries, sharing insights from her projects on improving hepatitis B vaccination timing, RSV immunization, and safe sleep education. She also explores universal G6PD screening as an equity-focused initiative and emphasizes the importance of interdisciplinary teamwork in QI efforts. This engaging conversation underscores the potential to optimize care for full-term newborns through innovative QI strategies.
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.
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In this episode, Ben and Daphna reconnect with Betsy Pilon, Executive Director of Hope for HIE, to explore the unique challenges and opportunities for families with full-term infants in the NICU. Betsy highlights unmet needs, including better communication, inclusive language, and actionable quality improvement initiatives like guidelines for holding and feeding during cooling therapy. She emphasizes the importance of inclusive family engagement and awareness of diagnosis-specific resources. This discussion sheds light on the full-term NICU experience, empowering clinicians to improve support and care for these often-overlooked families.
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.
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In this episode, Ben and Daphna are joined by Dr. Lehana Thabane, professor of biostatistics at McMaster University, to discuss principles of success for young researchers. Dr. Thabane shares five guiding principles: fostering collaboration, navigating challenges with a positive mindset, practicing kindness, honing power skills like communication and time management, and seeking mentorship. The conversation also touches on the benefits of Bayesian analysis in research, its practicality, and its ability to provide direct answers to clinical questions. This inspiring episode offers invaluable insights for aspiring researchers and clinicians alike.
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.
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In this episode, Ben and Daphna speak with Dr. Martin Stocker, head of neonatology and pediatric intensive care at the Childrenâs Hospital of Central Switzerland. Dr. Stocker discusses the challenges of identifying sepsis in neonates and the overuse of antibiotics in this vulnerable population. He emphasizes the importance of balancing the risks of sepsis with the long-term consequences of antibiotic overuse. The conversation explores the role of clinical signs, risk factors, and biomarkers like IL-6, as well as the need for algorithms to guide decision-making. This insightful discussion highlights the complexities of neonatal sepsis management.
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.
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In this episode, Ben and Daphna sit down with Dr. Lindsey Knake from the University of Iowa to discuss the integration of quality improvement (QI), clinical decision support, and artificial intelligence (AI) in neonatal care. Dr. Knake shares insights on optimizing electronic health record (EHR) interventions, emphasizing their role in enhancing QI projects. She also highlights innovative AI applications, such as using large language models for efficiency and respiratory belt technology for neonatal lung monitoring. With enthusiasm for cutting-edge tools and collaboration, this conversation showcases Dr. Knakeâs vision for the future of neonatology.
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.
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In this episode, Ben and Daphna welcome Dr. Klaus F. Rabe, a distinguished pulmonologist from Germany, to discuss the lifelong implications of bronchopulmonary dysplasia (BPD). Dr. Rabe shares his perspective on how premature birth and early lung development issues impact lung function into adulthood. He highlights the importance of understanding genetic predispositions and environmental factors, like smoking, that exacerbate chronic lung conditions. By emphasizing the need for early intervention and anticipatory guidance for families leaving the NICU, Dr. Rabe advocates for a proactive approach to safeguarding lung health. This insightful discussion bridges neonatology and adult pulmonology, providing valuable lessons for clinicians.
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.
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In this inaugural episode of From the Heart, Drs. Nim Goldshtrom and Adrianne Bischoff explore critical neonatal hemodynamics and cardiovascular care developments. Aimed at neonatologists, the series focuses on research, journal clubs, and expert discussions to deepen understanding of neonatal cardiac intensive care. This episode reviews four groundbreaking studies, including advancements in PDA closure techniques, the role of lung MRIs in understanding pulmonary hypertension, and the outcomes of targeted neonatal echocardiography (TNE) programs.
Dr. Goldshtrom presents an analysis of transcatheter versus surgical PDA closures, highlighting the evolving utility of these techniques. Dr. Bischoff dives into lung MRI studies, emphasizing their potential to refine the diagnosis and management of BPD and pulmonary hypertension. Together, they discuss the impact of TNE consultations, showcasing its role in reducing mortality and guiding treatment strategies for critically ill neonates.
The hosts advocate for a balanced approach to hemodynamic assessment, debating centralized expertise versus broad training in point-of-care ultrasound. They emphasize the value of physiology-driven care and the continuous evolution of neonatal cardiovascular medicine. With engaging discussions and actionable insights, From the Heart establishes itself as a vital resource for neonatal professionals.
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.
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Impact of targeted neonatal echocardiography consultations for critically sick preterm neonates.
Joye S, Kharrat A, Zhu F, Deshpande P, Baczynski M, Jasani B, Lee S, Mertens LL, McNamara PJ, Shah PS, Weisz DE, Jain A.
Arch Dis Child Fetal Neonatal Ed. 2024 Sep 3:fetalneonatal-2024-327347. doi: 10.1136/archdischild-2024-327347. Online ahead of print.
PMID: 39227145
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.
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Transcatheter and Surgical Ductus Arteriosus Closure in Very Low Birth Weight Infants: 2018-2022.
Leahy BF, Edwards EM, Ehret DEY, Soll RF, Yeager SB, Flyer JN.
Pediatrics. 2024 Aug 1;154(2):e2024065905. doi: 10.1542/peds.2024-065905.
PMID: 39005106
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.
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Hemodynamic assessment by neonatologist using echocardiography: Primary provider versus consultation model.
Noori S, Ramanathan R, Lakshminrusimha S, Singh Y.
Pediatr Res. 2024 May 22. doi: 10.1038/s41390-024-03248-7. Online ahead of print.
PMID: 38778230
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.
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Patent Ductus Arteriosus and Lung Magnetic Resonance Imaging Phenotype in Moderate and Severe Bronchopulmonary Dysplasia-Pulmonary Hypertension.
Bjorkman KR, Miles KG, Bellew LE, Schneider KA, Magness SM, Higano NS, Ollberding NJ, Hoyos Cordon X, Hirsch RM, Hysinger E, Woods JC, Critser PJ.
Am J Respir Crit Care Med. 2024 Aug 1;210(3):318-328. doi: 10.1164/rccm.202310-1733OC.
PMID: 38568735
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.
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In this episode of Tech Tuesday on The Incubator Podcast, Dr. Daphna Yasova Barbeau sits down with Ben Moore, founder of VCreate, a multi-award-winning clinical video management platform. VCreate bridges the gap between families and neonatal care teams by enabling the creation and sharing of secure video updates, fostering family engagement during NICU stays. The conversation delves into the origins of VCreate, inspired by a fatherâs request to stay connected with his baby through video, and its rapid adoption by over 150 hospitals globally.
Ben highlights VCreateâs innovative features, including personalized video diaries, milestone recordings, and its HIPAA-compliant, secure platform. Families receive positive updates like their babyâs first bath or coming off a ventilator, easing anxiety and strengthening bonds with clinical teams. The episode also explores VCreateâs multi-language translation capabilities and digital tools, like parent passports and therapy follow-ups, which further enhance communication and care.
Dr. Yasova Barbeau emphasizes the transformative impact of VCreate in addressing the emotional and practical needs of families during stressful NICU journeys. To learn more or schedule a demo, listeners are encouraged to visit vcreate.tv. This episode sheds light on how technology is revolutionizing family-centered neonatal 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.
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In this episode of Journal Club, Ben and Daphna review several recent studies that hold meaningful implications for neonatal care.
They begin by discussing a comprehensive meta-analysis on postnatal corticosteroids, exploring their impact on bronchopulmonary dysplasia (BPD) and cerebral palsy outcomes. The conversation highlights the nuanced findings, including the benefits for high-risk infants and the risks for those at lower risk, and considers how these insights could guide clinical decisions.
Next, they analyze a large observational study investigating thrombocytopenia and its relationship to major bleeds in preterm infants. The discussion focuses on whether low platelet counts directly contribute to bleeding or are merely a marker of other conditions, with potential implications for transfusion thresholds.
The episode also features an EBNeo segment with guest experts, who provide an in-depth discussion of a pivotal trial comparing video and direct laryngoscopy for neonatal intubation. They evaluate the studyâs design, its impact on procedural success, and its role in enhancing trainee education.
This episode of Journal Club offers evidence-based insights and actionable takeaways for neonatal clinicians, with a focus on advancing care and improving outcomes for vulnerable newborns.
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.
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Chorioamnionitis and Two-Year Outcomes in Infants with Hypoxic-Ischemic Encephalopathy.
Cornet MC, Gonzalez FF, Glass HC, Wu TW, Wisnowski JL, Li Y, Heagerty P, Juul SE, Wu YW.J Pediatr. 2024 Nov 20:114415. doi: 10.1016/j.jpeds.2024.114415. Online ahead of print.PMID: 39577760 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.
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Systemic Postnatal Corticosteroids, Bronchopulmonary Dysplasia, and Survival Free of Cerebral Palsy. Doyle LW, Mainzer R, Cheong JLY.JAMA Pediatr. 2024 Nov 18:e244575. doi: 10.1001/jamapediatrics.2024.4575. Online ahead of print.PMID: 39556404
Systemic Corticosteroids to Prevent Bronchopulmonary Dysplasia: Balancing Risk and Reward. Jensen EA.JAMA Pediatr. 2024 Nov 18. doi: 10.1001/jamapediatrics.2024.4572. Online ahead of print.PMID: 39556388 No abstract available.
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.
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Video versus Direct Laryngoscopy for Urgent Intubation of Newborn Infants.
Geraghty LE, Dunne EA, NĂ Chathasaigh CM, Vellinga A, Adams NC, O'Currain EM, McCarthy LK, O'Donnell CPF.N Engl J Med. 2024 May 30;390(20):1885-1894. doi: 10.1056/NEJMoa2402785. Epub 2024 May 5.PMID: 38709215 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.
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Intratracheal Budesonide Mixed With Surfactant for Extremely Preterm Infants: The PLUSS Randomized Clinical Trial.
Manley BJ, Kamlin COF, Donath SM, Francis KL, Cheong JLY, Dargaville PA, Dawson JA, Jacobs SE, Birch P, Resnick SM, Schmölzer GM, Law B, Bhatia R, Bach KP, de Waal K, Travadi JN, Koorts PJ, Berry MJ, Lui K, Rajadurai VS, Chandran S, Kluckow M, Cloete E, Broom MM, Stark MJ, Gordon A, Kodur V, Doyle LW, Davis PG, McKinlay CJD; PLUSS Trial Investigators.JAMA. 2024 Nov 11:e2417380. doi: 10.1001/jama.2024.17380. Online ahead of print.PMID: 39527075
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.
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Most major bleeds in preterm infants occur in the absence of severe thrombocytopenia: an observational cohort study. van der Staaij H, Hooiveld NMA, Caram-Deelder C, Fustolo-Gunnink SF, Fijnvandraat K, Steggerda SJ, de Vries LS, van der Bom JG, Lopriore E.Arch Dis Child Fetal Neonatal Ed. 2024 Jul 15:fetalneonatal-2024-326959. doi: 10.1136/archdischild-2024-326959. Online ahead of print.PMID: 39009429
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.
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Somatic growth outcomes in response to an individualized neonatal sodium supplementation protocol. Stalter EJ, Verhofste SL, Dagle JM, Steinbach EJ, Ten Eyck P, Wendt L, Segar JL, Harshman LA.J Perinatol. 2024 Oct 17. doi: 10.1038/s41372-024-02141-9. Online ahead of print.PMID: 39420073
A pinch of salt to enhance preemie growth? Steflik HJ, Pearlman SA, Gallagher PG, Lakshminrusimha S.J Perinatol. 2024 Nov 20. doi: 10.1038/s41372-024-02174-0. Online ahead of print.PMID: 39567649 No abstract available.
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.
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In this conversation, Leah and Parijat Deshpande explore the profound impact of high-risk pregnancies and NICU experiences on parents. Parijat shares her personal journey through a traumatic pregnancy and the lessons learned about intentional living, relationships, and the importance of grieving. They discuss the role of healthcare professionals in supporting NICU families and the need for radical acceptance and mindful presence during such challenging times. The conversation emphasizes the normalization of trauma and the ongoing nature of grief as parents navigate their new realities. In this conversation, Parijat shares her experiences and insights on navigating the emotional landscape of being a parent in the NICU. She emphasizes the importance of understanding and accepting feelings of anxiety and fear as normal reactions to abnormal situations. The discussion highlights the need for empowerment through knowledge, the significance of addressing basic needs during trauma recovery, and the healing potential of trauma informed somatic therapy. Ultimately, the conversation underscores the importance of finding hope amidst uncertainty and the shared journey of NICU families.
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.
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In this episode of The Incubator Podcast, Ben and Daphna host Fabiana Bacchini, Executive Director of the Canadian Premature Babies Foundation (CPBF) and author of From Surviving to Thriving: A Mother's Journey Through Infertility, Loss, and Miracles. Fabiana shares her deeply personal journey of becoming an advocate for premature babies and their families after spending five months in the NICU with her son, Gabriel. Her transformative experience with family-integrated care inspired her mission to ensure parents are empowered to play an active role in their babyâs care.
Fabiana highlights the vital importance of parent involvement in the NICU, discussing how the CPBF provides education, support, and advocacy for families. She shares the foundation's initiatives, including their global educational platform, "Preemie Chats," and the recent launch of a research engagement platform to connect parents and researchers.
The conversation delves into the cultural and systemic challenges of engaging parents, from NICU policies labeling parents as visitors to addressing barriers like parental leave. Fabiana passionately advocates for recognizing parents as partners in care, emphasizing that empowering families not only benefits babiesâ outcomes but also strengthens long-term parental confidence.
This episode is a must-listen for anyone committed to improving neonatal care, as Fabianaâs insights and advocacy provide an inspiring call to action.
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.
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In this engaging conversation, Dr. Emin Maltepe shares his journey as a neonatologist and physician scientist, discussing the serendipitous events that shaped his research interests, particularly in hypoxia and drug development for neonatology. He reflects on the importance of mentorship, the challenges of drug development in pediatrics, and the MD-PhD pathway, providing insights into the complexities of balancing clinical practice with research. In this conversation, Emin Maltepe discusses his journey through the MD-PhD program and how it shaped his career in pediatric drug development. He highlights the significant challenges faced in developing therapeutics for pediatric populations, particularly preterm infants, and the lack of attention and funding in this area. Emin shares insights into his innovative approaches to drug and device development, including collaborations with global organizations and the importance of using appropriate animal models. He emphasizes the need for policy advocacy and business knowledge in the field of pediatric therapeutics, while also reflecting on the personal challenges and rewards of balancing family life with a demanding career.
Resources mentioned in episode:
https://www.ahajournals.org/doi/10.1161/STROKEAHA.124.048264
https://journals.lww.com/shockjournal/fulltext/2024/07000/omx__a_novel_oxygen_delivery_biotherapeutic.14.aspx
https://www.nature.com/articles/s41598-023-36653-9
https://www.nature.com/articles/s41587-021-00866-y
https://journals.plos.org/plosbiology/article?id=10.1371/journal.pbio.2005924
Episode Webpage Link:
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.
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In this inaugural episode of our brand-new series, NeoNews, hosts Ben Courchia, Daphna Yasova Barbeau, and new team member Dr. Eli Cahan dive into articles from major news outlets like Rolling Stone, The Wall Street Journal, and The New York Times to unpack their relevance to neonatology, newborn care, and perinatology.
Dr. Cahan, a pediatrician and aspiring neonatologist with a background in journalism, leads discussions on critical topics, including prenatal cannabis use and its impact on families, disparities in treatment for 22-week preemies, the neuroscience of "mom brain," rising rates of sudden infant death syndrome (SIDS) post-COVID, and the concerning state of maternity care deserts in the U.S.
The episode concludes with quick updates on viral health concerns and a significant FDA meeting on probiotics for NEC prevention. Join us as we bring the latest news to the neonatal community in this exciting new format!
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.
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This episode of the Global Neonatal Podcast features reflections from the Tiny Feet Big Steps Conference, highlighting the growth and impact of neonatal care initiatives in Africa. Dr. Steven Swanson and Dr. Margaret Nakaketo share insights on the importance of networking, quality improvement, and the future of neonatology in the region. The conversation emphasizes collaboration, the need for real-time translation in training, and the significance of engaging with healthcare systems and government for better newborn care.
Resources mentioned in episode:
Link to playlist from Tiny Feet Big Steps conference https://youtube.com/playlist?list=PL-94lDL-ozLatIqf_yQVHjubePerN7NGg&si=fgFOBLpWVP2w5Yy4
Institute of Child Health Africa (ICHA) https://www.tanzanianchildren.com
Tiny Feet Big Steps Conference https://tinyfeetbigsteps.com
Episode Webpage Link: https://www.the-incubator.org/post/255-reflections-from-the-tiny-feet-big-steps-conference-in-arusha-tanzania-ft-dr-stephen-swa
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.
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In this latest episode of The Incubator Podcast Journal Club, Ben and Daphna explore studies that may shift clinical practices in neonatal care. They begin with a study from India examining oral calcium phosphate as an adjunct to phototherapy in treating neonatal jaundice. This double-blind, randomized, placebo-controlled trial investigates how calcium phosphate may help reduce bilirubin levels by binding to unconjugated bilirubin in the gut, potentially minimizing the need for prolonged phototherapy. The findings suggest that calcium phosphate could lower phototherapy duration and decrease cases of rebound hyperbilirubinemia, offering a possible new approach for jaundiced newborns.
The episode also covers an intriguing study on alternative treatments for persistent pulmonary hypertension of the newborn (PPHN). By comparing oral sildenafil to bosentan, this research sheds light on the potential of sildenafil to reduce PASP more efficiently, especially in resource-limited settings. The team discusses these insights and examines how they may influence care for PPHN cases worldwide.
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.
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Evaluation of efficacy of oral calcium phosphate as an adjunct to standard-of-care regular phototherapy in cases of neonatal jaundice: a hospital-based double-blind, randomised, placebo-controlled trial.
Ghorui A, Chowdhry BK, Manjhi PK, Kumar P, Kumar CM.BMJ Paediatr Open. 2024 Oct 11;8(1):e002902. doi: 10.1136/bmjpo-2024-002902.PMID: 39395818 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.
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The who, when, and why of pacifier use.
Mitev K, Frewin KL, Augustinova M, Niedenthal PM, Rychlowska M, Vanderwert RE.Pediatr Res. 2024 Oct 15. doi: 10.1038/s41390-024-03540-6. Online ahead of print.PMID: 39406952
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.
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National Trends in Infant Mortality in the US After Dobbs.
Singh P, Gallo MF.JAMA Pediatr. 2024 Oct 21. doi: 10.1001/jamapediatrics.2024.4276. Online ahead of print.PMID: 39432283
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.
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Cooling and physiology during parent cuddling infants with neonatal encephalopathy in usual care: CoolCuddle-2 study.
Chakkarapani E, Ingram J, Stocks S, Beasant L, Odd D; CoolCuddleâ2 study research team.Acta Paediatr. 2024 Oct 25. doi: 10.1111/apa.17466. Online ahead of print.PMID: 39451123
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.
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Inpatient Skin-to-skin Care Predicts 12-Month Neurodevelopmental Outcomes in Very Preterm Infants.
Lazarus MF, Marchman VA, Brignoni-PĂ©rez E, Dubner S, Feldman HM, Scala M, Travis KE.J Pediatr. 2024 Nov;274:114190. doi: 10.1016/j.jpeds.2024.114190. Epub 2024 Jul 14.PMID: 39004169
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.
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Expanded Newborn Screening Using Genome Sequencing for Early Actionable Conditions.
Ziegler A, Koval-Burt C, Kay DM, Suchy SF, Begtrup A, Langley KG, Hernan R, Amendola LM, Boyd BM, Bradley J, Brandt T, Cohen LL, Coffey AJ, Devaney JM, Dygulska B, Friedman B, Fuleihan RL, Gyimah A, Hahn S, Hofherr S, Hruska KS, Hu Z, Jeanne M, Jin G, Johnson DA, Kavus H, Leibel RL, Lobritto SJ, McGee S, Milner JD, McWalter K, Monaghan KG, Orange JS, Pimentel Soler N, Quevedo Y, Ratner S, Retterer K, Shah A, Shapiro N, Sicko RJ, Silver ES, Strom S, Torene RI, Williams O, Ustach VD, Wynn J, Taft RJ, Kruszka P, Caggana M, Chung WK.JAMA. 2024 Oct 24:e2419662. doi: 10.1001/jama.2024.19662. Online ahead of print.PMID: 39446378
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Genetic disorders and their association with morbidity and mortality in early preterm small for gestational age infants.
Bomback M, Everett S, Lyford A, Sahni R, Kim F, Baptiste C, Motelow JE, Tolia V, Clark R, Dugoff L, Hays T.Am J Obstet Gynecol. 2024 Sep 23:S0002-9378(24)01013-5. doi: 10.1016/j.ajog.2024.09.101. Online ahead of print.PMID: 39322018
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Oral sildenafil versus bosentan for treatment of persistent pulmonary hypertension of the newborn: a randomized controlled trial.
Kallimath A, Deshpande S, Singh P, Garegrat R, Lakshminrusimha S, Maheshwari R, Suryawanshi P.BMC Pediatr. 2024 Nov 1;24(1):698. doi: 10.1186/s12887-024-05107-0.PMID: 39487423 Free PMC article. Clinical Trial.
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In this special episode of The Incubator Podcast, Ben sits down with Dr. Jay Greenspan, Dr. Kevin Dysart, and Yari Payne, key organizers of the upcoming Hot Topics in Neonatology Conference. This celebrated conference, renowned for over 40 years, will take place from December 9â11 at the Gaylord National in National Harbor, Maryland. Attendees can look forward to exploring groundbreaking research and innovations in neonatology, with sessions covering topics like artificial intelligence, bronchopulmonary dysplasia, oxygen management, and much more.
Listeners will gain insight into the conference's "Green and Rotten Apples" sessions, where emerging therapies are critically examined, and a glimpse into the collaborative process that brings international expertise to the event. The conference offers invaluable opportunities for networking, fostering connections between early-career professionals and seasoned leaders in the field. For Incubator listeners, thereâs an exclusive 10% discount on registration with the code IncubatorPod at checkout. Donât miss this chance to join a global community of neonatal experts and dive into the latest research and discussions shaping neonatal care.
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In this episode of the Incubator "At the Bench," we speak with Dr. Eric Benner, a neonatologist and physician-scientist at Duke University. Dr. Benner shares his path from an MD-PhD student with a background in Parkinsonâs research to a passionate neonatologist driven by personal experiences in the NICU after his twin sons were born prematurely. He describes how these experiences inspired him to dedicate his career to studying neurologic outcomes in preterm infants, focusing on neural stem cells and ways to improve outcomes for children like his son who has faced neurologic challenges. Dr. Benner discusses his pioneering research on oxysterols in breast milk, which activate neural pathways, particularly the sonic hedgehog pathway, to promote brain development in preterm infants. His journey includes navigating the patent process, founding a biotech company, and persisting despite initial skepticism from the pharmaceutical industry. He emphasizes the importance of mentorship and collaboration, sharing practical advice for budding physician-scientists. Dr. Benner also highlights the need for palliative care in neonatology, inspired by his wife's work in palliative medicine, as an integral component of compassionate care in the NICU.
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.
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Ben and Daphna close out their CHNC Symposium coverage with Dr. Kris Reber and Dr. Anthony Piazza. They reflect on the symposium's success, including its unique working-meeting style, collaborative focus groups, and increased involvement from trainees and multidisciplinary teams. Kris and Anthony share their excitement for the eventâs growth and plans to include even more specialties in future years. Tune in for insights into how CHNC is fostering year-round connections, continuous learning, and impactful collaborations in neonatal 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.
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Ben and Daphna sit down with Dr. Rakesh Rao and Dr. Mary Revenis from the CHNC Endocrinology Focus Group to discuss their recent survey on managing hyperglycemia in extremely low birth weight (ELBW) infants. They explore the wide variation in practices, from defining hyperglycemia to insulin use and glucose reduction strategies. With perspectives from both neonatologists and endocrinologists, they highlight the challenges and next steps, including real-time glucose monitoring and upcoming projects on steroid use. Tune in for insights into this complex aspect of neonatal care.
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Ben and Daphna speak with Dr. Rebecca Martinez-Hannon and Dr. Vedanta Dariya from the CHNC Neonatal Transport Focus Group, exploring the variability in transport team structures and practices. They discuss team compositions, unique challenges in neonatal transport, and critical procedures performed en route. The conversation also highlights future goals, including consensus statements and collaborations with other focus groups. Tune in to learn how this focus group is working to improve neonatal transport standards across diverse healthcare settings.
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Ben and Daphna are joined by Dr. Karna Murthy from Lurie Childrenâs Hospital to discuss CHNCâs innovative approach to risk adjustment for neonatal outcomes. Dr. Murthy shares insights into developing new tools for comparing NICU performance across hospitals, allowing centers to benchmark outcomes in rare conditions like diaphragmatic hernia and severe BPD. He also offers a look into the future of the CHNC Symposium, including expanded workshops and collaborative sessions. Tune in to learn how these efforts aim to drive continuous improvement in neonatal 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.
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Ben and Daphna sit down with Dr. Maria Dizon, Dr. Girija Natarajan, and Dr. Rakesh Rao from the CHNC HIE Focus Group to discuss their research on hypoxic-ischemic encephalopathy (HIE). They share insights from their study on post-arrest HIE in newborns, including the outcomes of hypothermia treatment and key findings about patient characteristics. The team highlights ongoing initiatives, such as examining HIE in preterm infants and tracking neurodevelopmental outcomes. Listen in to learn how their work is shaping the future of neonatal neuroprotection.
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.
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Ben and Daphna sit down with Dr. John Chuo and Dr. Abeer Azzuqa to discuss the CHNC Digital Health Focus Group and its impact on neonatal care. They share insights into using telemedicine across the NICU journeyâfrom prenatal care to post-discharge monitoringâand explore the future of digital health. With advances in remote monitoring and clinical decision tools, Dr. Chuo and Dr. Azzuqa explain how digital health can support care continuity, reduce hospital stays, and improve access to specialized neonatal expertise.
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Ben and Daphna reconnect with Dr. Ryan McAdams to discuss the potential of artificial intelligence in neonatal care. Dr. McAdams highlights key points from his CHNC talk, "Guiding the AI Revolution: A Safer Future for Newborns," covering AI's transformative role in handling complex neonatal data and advancing patient outcomes. From improving analytics to managing big data sets, he explains how AI can identify signals that might otherwise be missed. Tune in to learn why embracing AI could be essential for the future of neonatal 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.
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Ben and Daphna speak with Dr. Michael Padula from CHOP about his research on central line-associated bloodstream infections (CLABSI) in the NICU. Dr. Padula presents findings from his talk, âWhy Not a CLABSI?â where he examines the complex definitions and variations in CLABSI reporting across institutions. By investigating secondary bloodstream infections and potential alternative metrics, Dr. Padula sheds light on the challenges of accurately categorizing and preventing infections in critical care. Donât miss this thought-provoking conversation on improving quality measures in neonatal 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.
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Ben and Daphna engage with Dr. Namrita Odackal and Dr. Sharada Gowda to explore the CHNC Fetal Therapy Focus Groupâs initiatives. They discuss ongoing projects, including data collection on fetal interventions and the creation of âjust-in-timeâ modules for NICU teams encountering rare fetal cases. Dr. Odackal and Dr. Gowda share insights on bridging knowledge gaps for practitioners and trainees, enhancing readiness, and expanding access to specialized care information. Tune in for a closer look at how these efforts are advancing neonatal and fetal care.
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Ben and Daphna sit down with Dr. Whitney Thompson and Dr. Theresa Grover to discuss the CHNC Mentored Fellow Research Award, a unique program supporting neonatal fellows in mastering large data registries. Dr. Grover explains the comprehensive supportâfrom data analysis to mentorshipâthat equips fellows for impactful research. Dr. Thompson shares her experience studying neonatal onset urea cycle disorders, a rare and challenging diagnosis in the NICU. Learn about the importance of high suspicion for these disorders and how this program is advancing research in rare neonatal diseases.
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Ben and Daphna are joined by members of the CHNC DEI Focus GroupâDr. Helen Williams, Dr. Nikki McLaughlin, Dr. Emily Fisherman, and Dr. Ann Downeyâwho discuss their commitment to creating an inclusive NICU environment. They explore the challenges and essential steps for integrating family-centered, culturally competent care in neonatal units. Listen as they share insights on improving equity in access to care, supporting diverse healthcare teams, and small but impactful changes, like using family and baby names on rounds, to foster a respectful NICU culture.
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.
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Ben and Daphna speak with Dr. Mehul Raval, Professor of Surgery and Pediatrics at Lurie Childrenâs Hospital, about his work on enhancing neonatal surgical recovery. Dr. Raval shares insights from his presentation on implementing enhanced recovery protocols, emphasizing a holistic approach to surgeryâcovering preoperative, intraoperative, and postoperative phases. From minimizing opioid use to involving parents in care, he outlines evidence-based practices aimed at reducing complications and improving outcomes. Join this conversation for a closer look at optimizing surgical recovery for neonatal patients.
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.
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Ben and Daphna sit down with Dr. Namrita Odackal and Dr. Lamia Soghier to discuss the transformative work of the CHNC Educational Advisory Committee. This team helps NICU professionals turn complex projects into impactful educational resources, covering topics from game-based learning to neonatal disaster preparedness. Dr. Odackal shares her unique contributions as a medical illustrator, and together, they explore how innovative educational practices support better outcomes for NICU patients, parents, and staff. Tune in to learn how this dynamic committee is advancing neonatal education.
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.
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Ben and Daphna speak with Dr. Liz Wetzel, Dr. Summer Elshenawy, and Dr. Hannah Hightower from the CHNC Resuscitation Focus Group. They discuss the importance of clinical event debriefing in the NICU, sharing insights on using standardized debriefing forms to enhance resuscitation outcomes and address psychological safety. This team emphasizes a systems-based approach to improvement, fostering a culture of learning rather than blame. Tune in to learn about their impactful workshop and the tools available to support effective, compassionate debriefing practices.
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Ben and Daphna sit down with Monica Jones, Senior Family Consultant at the Children's Hospital of Philadelphia and NICU parent, to discuss the critical role of family voices in neonatal care. Monica shares insights from her work with CHNC, including a universal tool to address health disparities and support NICU families. She emphasizes the importance of personalized resources, Medicaid advocacy, and the unique challenges NICU families face. Tune in to hear Monicaâs impactful journey from NICU parent to advocate, working to improve care and financial support for all families.
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Ben and Daphna welcome back Dr. Srirupa Gopal, who returns to The Incubator podcast with exciting updates. Now an Assistant Professor of Neonatology at SSM Health Cardinal Glennon Childrenâs Hospital, Dr. Gopal shares insights from her CHNC workshop on hemodynamic-based strategies in neonatal care and her perspective on evolving medication approaches. Additionally, Dr. Gopal introduces her new role within The Incubator team, leading a special series featuring neonatal fellows discussing their research projects. Tune in to learn how this initiative aims to foster international collaboration and bring neonatal research to a global audience.
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.
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Ben and Daphna speak with Dr. Heather Tubbs Cooley about her research on nurse workload and its impact on neonatal care in the NICU. Dr. Tubbs Cooley highlights how nurse staffing ratios and subjective workload affect critical care tasks, from endotracheal tube surveillance to parent engagement and discharge teaching. This conversation sheds light on the nuanced realities of nurse workload and the challenges of maintaining comprehensive care amidst increasing demands. Tune in for an eye-opening discussion on supporting nurses and enhancing patient outcomes in the NICU.
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.
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Ben and Daphna are joined by Dr. Sarah Swenson, Lisa Boyars, and Elizabeth Fisher, who share insights on addressing perinatal mood and anxiety disorders (PMADs) in the NICU. They discuss their CHNC workshop, "Nuts and Bolts of Screening and Brief Intervention for PMADs," which guides NICUs in implementing effective screening and intervention programs. Learn about the essential role of mental health support for NICU families, how screening can be adapted to any NICU setting, and the resources available to assist parents navigating PMADs.
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.
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Ben and Daphna speak with Dr. Rachel Rochelle Gomes and Dr. Alyssa Blumenfeld, who share their work in neurodevelopmental outcomes for NICU graduates. Dr. Rochelle Gomes discusses her passion for supporting families with special needs children, while Dr. Blumenfeld outlines her QI project to lower the age of autism diagnosis in NICU follow-up clinics. Together, they emphasize the importance of early detection, family-centered support, and empowering NICU parents with the knowledge to navigate long-term challenges. Join this insightful discussion on enhancing neurodevelopmental care from the NICU and beyond.
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.
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Ben and Daphna speak with Dr. Melissa House, Chavis Patterson, and Kathleen Stanton about creating a âpsychologically-mindedâ NICU, where mental health support is essential for families, staff, and patients alike. They discuss the upcoming CHNC workshop, "Combating Distress, Dissatisfaction, and Discord," which introduces trauma-informed care, caregiver support, and the impact of chronic stress on NICU staff and families. Listen in as they share insights on fostering empathy, self-awareness, and a supportive NICU culture, helping caregivers bring their best selves to the bedside.
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.
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Ben and Daphna talk with Dr. Suzanne Withbourne and her son, Cameron Jobson, about their innovative project, NICUrounds.com, designed to streamline NICU guideline management. Together, theyâve created a customizable website that helps NICU teams track patient-specific interventions based on gestational age and other factors. They share insights on reducing guideline lapses, the process of building this resource, and its impact on multidisciplinary care. Tune in to learn how this mother-son duo is making a difference in neonatal care with technology.
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Ben and Daphna welcome back Dr. LeeAnn Pavlek, joined by Dr. Ulana Pogribna, to discuss the impactful work of the Small Baby Focus Group. From establishing dedicated small baby units to creating guidelines for extremely preterm infants, they share insights into developing a cohesive care team for these fragile patients. They explore essential components like family-centered care, interdisciplinary collaboration, and the importance of a living, adaptable guideline process. Tune in for a deep dive into the strategies improving outcomes for the tiniest patients in the NICU.
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.
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Ben and Daphna speak with Dr. Aaron Hamvas from Lurie Childrenâs Hospital about his research on bronchopulmonary dysplasia (BPD) and its potential genetic factors. Dr. Hamvas discusses the complexities of BPD, including the role genetics might play in predisposing infants to the condition. He introduces the âLeopard Project,â a new NIH-funded study using AI and novel genomics techniques to explore long-term respiratory outcomes in preterm infants. Join the conversation for insights into how genetics and advanced data analysis could redefine our understanding of BPD and its lifelong impacts.
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.
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Ben and Daphna dive into neonatal point-of-care ultrasound (POCUS) with Dr. Sharada Gowda and Dr. Karena Lawrence, leaders of the CHNC POCUS Focus Group. They discuss the rapid expansion of POCUS in neonatology, highlighting the collaborative efforts to build standards for data collection, quality assurance, and program development. From hemodynamic assessment to creating a foundation for cross-center data sharing, Dr. Gowda and Dr. Lawrence share the challenges and exciting potential of POCUS in neonatal care. Tune in for a closer look at this transformative 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.
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Ben and Daphna chat with Dr. Monti Sharma from Childrenâs Nebraska, who shares his expertise on neonatal interventional bronchoscopy and the evolving role of pulmonology in the NICU. Dr. Sharma explains how advances in portable, flexible bronchoscopy equipment are allowing safer, bedside airway evaluations, potentially reducing the need for tracheostomies in certain infants with BPD. Highlighting the dynamic assessments this technology provides, he offers a glimpse into the future of neonatal airway management. Tune in to explore the groundbreaking ways neonatology and pulmonology are converging to enhance respiratory 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.
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Ben and Daphna welcome Dr. Briana Bertoni to discuss the CIQI Fellowship, a unique program for advancing quality improvement in neonatal care. Dr. Bertoni explains how the fellowship equips participants with hands-on experience in project development and implementation across diverse NICUs. From defining project metrics to learning the intricacies of nationwide QI initiatives, Dr. Bertoni shares insights into the mentorship and collaboration that make this fellowship a standout experience. Listen to learn more about the critical role of CIQI in neonatal quality improvement and how fellows contribute to transformative 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.
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In this episode, Ben and Daphna welcome the CHNC teamâAnthony Piazza, Eugenia Pallotto, and Beverly Brozanskiâto discuss quality improvement (QI) priorities in neonatal care. They delve into how QI initiatives at CHNC set project priorities and leverage data to support patient outcomes across diverse NICUs. From the challenges of Project Home, aimed at increasing breastfeeding at discharge, to exploring social determinants of health, this episode highlights the power of collaborative QI in addressing real-life challenges for NICU families and standardizing care practices nationwide.
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.
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Ben and Daphna sit down with Sofia Perazzo and Jenny Rumpel to explore the advancements in kidney care at the CHNC. Sofia and Jenny highlight their work on renal replacement therapy (RRT) and NIRS, discussing new FDA-approved technologies and the push to standardize kidney monitoring in neonates. This conversation emphasizes the essential collaboration between neonatologists and nephrologists to address kidney injury and congenital renal disease more effectively. Tune in to hear how these advancements are shaping the future of neonatal kidney care and creating opportunities 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.
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In part two of their conversation, Ben and Daphna delve deeper with Sofia Perazzo and Jenny Rumpel on the findings from the âAdvanceâ study on neonatal kidney care. They discuss disparities in acute kidney injury (AKI) across ethnic groups, the need for standardized diagnostics, and the importance of early AKI recognition in the NICU. Sofia and Jenny emphasize how data integration from CHND and EHR is setting a foundation to address kidney injury proactively. Listen in to learn how this research is shaping a future of better awareness and intervention in neonatal renal 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.
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In this special episode, Ben and Daphna speak with Christine Stoops and Kara Short, who share insights from their CHNC pre-symposium workshop on renal care in the NICU. Christine and Kara discuss the evolving field of kidney support therapy, highlighting the importance of a shared language between neonatologists and nephrologists. From real-life case scenarios to advancements in renal replacement technology, they explore the strides made in neonatal kidney support. Tune in for a dynamic conversation on bridging communication gaps and fostering collaborative care to improve outcomes for our most vulnerable patients.
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.
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Join Ben and Daphna as they kick off 48 hours of live coverage from the Children's Hospital Neonatal Consortium (CHNC) symposium in Denver! With a focus on collaboration and innovation, CHNC brings together neonatal professionals to brainstorm, exchange high-quality data, and spark impactful projects. From updates on the Childrenâs Hospital Neonatal Database (CHND) to conversations with leaders in the field, this episode sets the stage for insightful interviews and the vibrant energy of the CHNC. Donât miss out as The Incubator team connects with attendees and dives deep into neonatal care developments. Available on our YouTube and podcast channels!
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.
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In this episode of The Incubator, hosts Ben and Daphna are joined by Dr. Shetal Shah and Stephanie Glier, Director of Federal Advocacy for the American Academy of Pediatrics, to discuss the critical issue of continuous Medicaid coverage for children. The conversation dives deep into how Medicaid and CHIP (Children's Health Insurance Program) support approximately 50% of all U.S. children, with particular emphasis on how these programs benefit children with complex medical needs, such as those in the NICU. Dr. Shah highlights the importance of reducing coverage "churn," where children lose and regain coverage repeatedly, which can severely impact their care. Stephanie explains the changes in federal and state policies, including the new requirement for states to provide a minimum of 12 months of continuous coverage for children under Medicaid and CHIP. The discussion also touches on the significant advocacy efforts required to protect and expand these programs, with practical advice on how healthcare providers can get involved in their states. This episode emphasizes the critical role Medicaid plays in ensuring continuous, uninterrupted care for the most vulnerable children and encourages neonatologists to advocate for better healthcare coverage on both local and national levels.
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.
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In this episode of Beyond The Beeps, host Leah Jayanetti speaks with Adriane Rodriguez, a mother whose daughter, Viviana, was born with Congenital Pulmonary Airway Malformation (CPAM), a rare lung condition. Adriane shares the emotional journey of discovering Viviana's condition during pregnancy, navigating complex medical decisions, and spending months in and out of hospitals, including time at the Childrenâs Hospital of Philadelphia. Adriane recounts the difficult decisions they faced, including the possibility of fetal surgery and the uncertainty about Viviana's ability to survive outside the womb. Viviana's eventual birth was a moment of triumph as she defied expectations, breathing on her own and cryingâa miracle after months of anxiety. Adriane discusses the challenges of NICU life, from not being able to hold her daughter to managing Viviana's recovery after surgery. She also reflects on the importance of hope, resilience, and self-care for parents in the NICU, urging them to lean on their support systems. Viviana is now a thriving nine-year-old, embodying the strength and determination she displayed from the moment she was born. This heartfelt episode provides hope and comfort to parents facing similar journeys.
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.
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In the latest episode of the Journal Club on The Incubator Podcast, Ben and Daphna dive into a fascinating lineup of articles that are sure to spark your interest. Kicking things off, they explore the concept of teleneonatology and its potential to enhance neonatal resuscitation in resource-limited settings. Ben discusses a randomized simulation trial led by Sam Gentle, which compares the outcomes of teleneonatal resuscitation versus routine resuscitation for preterm infants. The conversation digs into the pros, cons, and implications for clinical practice, especially regarding the effectiveness of remote guidance during high-risk deliveries.
Daphna follows up with a review of a pilot study on virtual reality-based simulations for neonatal resuscitation training, offering an exciting glimpse into the future of education and training for NICU teams. The episode also tackles the neurodevelopmental risks for babies exposed to maternal motor vehicle accidents, providing a sobering discussion on the long-term impacts. Whether you're intrigued by innovative solutions like VR training or curious about new clinical research, this episode delivers thought-provoking insights across a range of neonatal topics.
Don't miss out on this engaging episode packed with knowledge and forward-looking discussions! Tune in now.
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.
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Teleneonatal or routine resuscitation in extremely preterm infants: a randomized simulation trial.
Gentle SJ, Trulove SG, Rockwell N, Rutledge C, Gaither S, Norwood C, Wallace E, Carlo WA, Tofil NM.Pediatr Res. 2024 Sep 28. doi: 10.1038/s41390-024-03545-1. Online ahead of print.PMID: 39341942
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.
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Fetal haemoglobin and oxygen requirement in preterm infants: an observational study.
Ulinder T, Hellström W, GadsbÞll C, Nilsson L, Gebka M, Robertz G, Bruschettini M, Hellstrom A, Ley D.Arch Dis Child Fetal Neonatal Ed. 2024 Sep 25:fetalneonatal-2024-327411. doi: 10.1136/archdischild-2024-327411. Online ahead of print.PMID: 39322316
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.
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Neurodevelopmental disorders in children born to mothers involved in maternal motor vehicle crashes.
Chang YH, Chien YW, Chang CH, Chen PL, Lu TH, Yen CF, Chiou HY, Tsai KS, Li CY.Pediatr Res. 2024 Sep 30. doi: 10.1038/s41390-024-03608-3. Online ahead of print.PMID: 39349820
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.
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A pilot study of a virtual reality-based simulation platform for Neonatal Resuscitation Program training.
Trinh G, McAdams RM.J Perinatol. 2024 Oct 14. doi: 10.1038/s41372-024-02145-5. Online ahead of print.PMID: 39402131
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.
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Outcomes after intranasal human milk therapy in preterm infants with intraventricular hemorrhage.
Gallipoli A, Unger S, El Shahed A, Fan CS, Signorile M, Wilson D, Hoban R.J Perinatol. 2024 Oct 9. doi: 10.1038/s41372-024-02147-3. Online ahead of print.PMID: 39384614
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.
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Clonidine as Monotherapy for Neonatal Opioid Withdrawal Syndrome: A Randomized Trial.
Bada HS, Westgate PM, Sithisarn T, Yolton K, Charnigo R, Pourcyrous M, Tang F, Gibson J, Shearer-Miller J, Giannone P, Leggas M.Pediatrics. 2024 Oct 15:e2023065610. doi: 10.1542/peds.2023-065610. Online ahead of print.PMID: 39403061
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.
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In this latest episode of The Incubator Podcast, hosts Ben and Daphna delve into the world of extremely preterm infants with a special focus on the Tiny Baby Collaborative. They are joined by an expert panel featuring Dr. Leeann Pavlek, a neonatologist from Nationwide Children's Hospital, Matt Rysavy, director of Learning Healthcare at UT Health Houston, and Courtney Vier, a mother with firsthand experience raising extremely preterm infants.
The discussion explores the challenges and advancements in caring for babies born at 22 to 23 weeks gestation, often referred to as "tiny babies." Dr. Pavlek shares insights from her research on developing and sustaining a small baby program, while Rashavi highlights the collaborativeâs mission to optimize care through research and shared protocols. Courtney offers a deeply personal perspective, recounting her experience as a mother navigating the complexities of extreme prematurity.
The episode emphasizes the importance of collaborative efforts, evidence-based practices, and family-centered care in improving outcomes for these vulnerable infants. Through thoughtful dialogue, the guests provide a comprehensive look at the ongoing efforts to support both clinicians and families caring for tiny babies.
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.
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In this episode, Dr. Guilherme SantâAnna, a professor of pediatrics at McGill University, shares his journey in neonatology and his work in Brazil and Canada. He discusses the challenges and rewards of working in neonatal care and the differences between the healthcare systems in Brazil and Canada. Dr. SantâAnna also talks about the impact of the Neonatologia Brasil Facebook group, which he created to facilitate knowledge exchange among healthcare professionals in Brazil. He highlights the development of an educational website and the adoption of the 10 basic steps for neonatal care and perinatal asphyxia by the Brazilian government. Dr. Guilherme Sant'Anna emphasizes the importance of visiting units and seeing the reality on the ground to identify areas for improvement. He also discusses the concept of a Smart NICU, which aims to simplify monitoring and improve the interaction between babies, families, and healthcare professionals. In closing, Dr. SantâAnna offers advice for those wanting to make a difference, emphasizing the importance of sharing knowledge and approaching change with optimism and respect.
Resources mentioned in episode:
Neonatologia Brazil facebook group https://www.facebook.com/groups/neonatologiabrasil/?locale=pt_BR&_rdr
Contact: guilherme.santanna@mcgill.ca
Episode Webpage Link: https://www.the-incubator.org/post/246-from-brazil-to-canada-how-community-and-collaboration-can-lead-to-change-ft-dr-guilher
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.
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In this episode of The Incubator Podcast Journal Club, Ben and Daphna explore a range of insightful articles that challenge current neonatal care practices. They begin by introducing an exciting new series called "From the Heart," focusing on cardiac journal reviews. Special guests from the EBNEO team join the discussion to dive into a recent trial on oxygen use in delivery room resuscitations for preterm infants. The hosts also examine a trial that investigates the impact of lung recruitment maneuvers before surfactant administration in extremely preterm neonates, exploring whether these techniques could reduce the need for mechanical ventilation.
This episode provides in-depth analysis and a balanced discussion about the implications of these findings for everyday neonatal care. With guest appearances from Dr. Abdul Razak and Dr. Kiran Srivastava, the team also debates the latest meta-analysis on initial oxygen concentrations during neonatal resuscitation, offering fresh perspectives on potential changes in clinical practice. Whether you're interested in innovative resuscitation techniques or curious about how recent studies may shape the future of neonatal care, this episode offers thought-provoking insights that every NICU professional should hear.
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.
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Initial Oxygen Concentration for the Resuscitation of Infants Born at Less Than 32 Weeks' Gestation: A Systematic Review and Individual Participant Data Network Meta-Analysis.
Sotiropoulos JX, Oei JL, Schmölzer GM, Libesman S, Hunter KE, Williams JG, Webster AC, Vento M, Kapadia V, Rabi Y, Dekker J, Vermeulen MJ, Sundaram V, Kumar P, Kaban RK, Rohsiswatmo R, Saugstad OD, Seidler AL.JAMA Pediatr. 2024 Aug 1;178(8):774-783. doi: 10.1001/jamapediatrics.2024.1848.PMID: 38913382
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.
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Lung recruitment before surfactant administration in extremely preterm neonates with respiratory distress syndrome (IN-REC-SUR-E): a randomised, unblinded, controlled trial.
Vento G, Ventura ML, Pastorino R, van Kaam AH, Carnielli V, Cools F, Dani C, Mosca F, Polglase G, Tagliabue P, Boni L, Cota F, Tana M, Tirone C, Aurilia C, Lio A, Costa S, D'Andrea V, Lucente M, Nigro G, Giordano L, Roma V, Villani PE, Fusco FP, Fasolato V, Colnaghi MR, Matassa PG, Vendettuoli V, Poggi C, Del Vecchio A, Petrillo F, Betta P, Mattia C, Garani G, Solinas A, Gitto E, Salvo V, Gargano G, Balestri E, Sandri F, Mescoli G, Martinelli S, Ilardi L, Ciarmoli E, Di Fabio S, Maranella E, Grassia C, Ausanio G, Rossi V, Motta A, Tina LG, Maiolo K, Nobile S, Messner H, Staffler A, Ferrero F, Stasi I, Pieragostini L, Mondello I, Haass C, Consigli C, Vedovato S, Grison A, Maffei G, Presta G, Perniola R, Vitaliti M, Re MP, De Curtis M, Cardilli V, Lago P, Tormena F, Orfeo L, Gizzi C, Massenzi L, Gazzolo D, Strozzi MCM, Bottino R, Pontiggia F, Berardi A, Guidotti I, Cacace C, Meli V, Quartulli L, Scorrano A, Casati A, Grappone L, Pillow JJ.Lancet Respir Med. 2021 Feb;9(2):159-166. doi: 10.1016/S2213-2600(20)30179-X. Epub 2020 Jul 17.PMID: 32687801 Clinical Trial.
Lung Recruitment Before Surfactant Administration in Extremely Preterm Neonates: 2-Year Follow-Up of a Randomized Clinical Trial.
Gallini F, De Rose DU, Iuliano R, Romeo DM, Tana M, Paladini A, Fusco FP, Nobile S, Cota F, Tirone C, Aurilia C, Lio A, Esposito A, Costa S, D'Andrea V, Ventura ML, Carnielli V, Dani C, Mosca F, Fumagalli M, Scarpelli G, Giordano L, Fasolato V, Petrillo F, Betta P, Solinas A, Gitto E, Gargano G, Mescoli G, Martinelli S, Di Fabio S, Bernardo I, Tina LG, Staffler A, Stasi I, Mondello I, Scapillati E, Vedovato S, Maffei G, Bove A, Vitaliti M, Terrin G, Lago P, Gizzi C, Strozzi C, Villani PE, Berardi A, Cacace C, Bracaglia G, Pascucci E, Cools F, Pillow JJ, Polglase G, Pastorino R, van Kaam AH, Mercuri E, Orfeo L, Vento G; IN-REC-SUR-E Study Group; Malguzzi S, Rigotti C, Cecchi A, Nigro G, Costabile CD, Roma E, Sindico P, Venafra R, Mattia C, Conversano M, Ballardini E, Manganaro A, Balestri E, Gallo C, Catenazzi P, Astori MG, Maranella E, Grassia C, Maiolo K, Castellano D, Massenzi L, Chiodin E, Gallina MR, Consigli C, Sorrentino E, Bonato S, Mancini M, Perniola R, Giannuzzo S, Tranchina E, Cardilli V, Dito L, Regoli D, Tormena F, Battajon N, Arena R, Allais B, Guidotti I, Roversi F, Meli V, Tulino V, Casati A.JAMA Netw Open. 2024 Sep 3;7(9):e2435347. doi: 10.1001/jamanetworkopen.2024.35347.PMID: 39320892 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.
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Antenatal magnesium sulphate reduces cerebral palsy after preterm birth, implementation into clinical practice needs to be accelerated globally to benefit preterm babies.
Luyt K.Cochrane Database Syst Rev. 2024 Sep 24;9:ED000168. doi: 10.1002/14651858.ED000168.PMID: 39315530 No abstract available.
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.
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Blood volume collected for cultures in infants with suspected neonatal sepsis.
Rueda MS, Soghier L, Campos J, Bahar B, Bost JE, Gai J, Hamdy RF.J Perinatol. 2024 Sep 28. doi: 10.1038/s41372-024-02120-0. Online ahead of print.PMID: 39341980
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.
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Validation of a machine learning algorithm for identifying infants at risk of hypoxic ischaemic encephalopathy in a large unseen data set.
Murray AL, O'Boyle DS, Walsh BH, Murray DM.Arch Dis Child Fetal Neonatal Ed. 2024 Sep 24:fetalneonatal-2024-327366. doi: 10.1136/archdischild-2024-327366. Online ahead of print.PMID: 39251344
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.
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In this episode of Tech Tuesday on The Incubator Podcast, hosted by Daphna, Mark O'Sullivan, PhD, CEO, and co-founder of NeuroBell, discusses their cutting-edge medical device aimed at improving neonatal seizure detection. NeuroBell, a spinoff from the Infant Research Center at University College Cork, has developed a pocket-sized, wireless EEG monitor equipped with AI-based seizure detection for newborns. This device is designed to be user-friendly for bedside staff and eliminates the need for extensive EEG training, making it accessible in hospitals with limited EEG resources.
Mark shares the story behind the development of the device, highlighting the challenges of acquiring EEG data due to its small signal and the importance of minimizing seizure burden in newborns. He explains how the device addresses gaps in care by providing real-time seizure detection in settings where traditional EEG monitoring might not be readily available.
Currently in clinical trials in Ireland and the U.S., NeuroBell aims to provide a streamlined solution that could be particularly useful in community hospitals and smaller settings. The episode wraps up with Mark's vision for the future of NeuroBell, which includes FDA submission and market release in 2025.
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.
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In this special episode of The Incubator podcast, Ben and Daphna wrap up the 2024 Delphi Neonatal Innovation Conference, sharing their favorite moments and highlights. This episode features the exclusive audio from four captivating Delphi talks. Dr. Suresh Gautham, Chair of Pediatrics at Nemours Children's Hospital, opens with an intriguing talk on "What Neonatologists Can Learn from Sherlock Holmes," drawing parallels between neonatal practice and detective work. Dr. Terrie Inder from CHOC delivers insights in "The Science and Art of Improving Neurological Outcomes in NICU Graduates," blending research with practical care strategies. Pediatric nephrologist Chryso Pefkaros Katsoufis from the University of Miami explores "The Road Less Traveled? Neonatal Biomarkers of Chronic Kidney Disease," shedding light on innovative approaches to CKD in newborns. Finally, Dr. Lauren Ruoss, from Winnie Palmer Hospital, enchants the audience with "Abracadabra! Making POCUS Appear in the NICU," detailing the role of point-of-care ultrasound in neonatal care. Ben and Daphna conclude the episode by previewing exciting upcoming developments for The Incubator network. Donât miss this unique opportunity to hear from some of the leading voices in neonatal 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.
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In this special episode of The Incubator podcast, Ben and Daphna wrap up the 2024 Delphi Neonatal Innovation Conference, sharing their favorite moments and highlights. This episode features the exclusive audio from four captivating Delphi talks. Dr. Suresh Gautham, Chair of Pediatrics at Nemours Children's Hospital, opens with an intriguing talk on "What Neonatologists Can Learn from Sherlock Holmes," drawing parallels between neonatal practice and detective work. Dr. Terrie Inder from CHOC delivers insights in "The Science and Art of Improving Neurological Outcomes in NICU Graduates," blending research with practical care strategies. Pediatric nephrologist Chryso Pefkaros Katsoufis from the University of Miami explores "The Road Less Traveled? Neonatal Biomarkers of Chronic Kidney Disease," shedding light on innovative approaches to CKD in newborns. Finally, Dr. Lauren Ruoss, from Winnie Palmer Hospital, enchants the audience with "Abracadabra! Making POCUS Appear in the NICU," detailing the role of point-of-care ultrasound in neonatal care. Ben and Daphna conclude the episode by previewing exciting upcoming developments for The Incubator network. Donât miss this unique opportunity to hear from some of the leading voices in neonatal 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.
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In this special episode of The Incubator podcast, Ben and Daphna wrap up the 2024 Delphi Neonatal Innovation Conference, sharing their favorite moments and highlights. This episode features the exclusive audio from four captivating Delphi talks. Dr. Suresh Gautham, Chair of Pediatrics at Nemours Children's Hospital, opens with an intriguing talk on "What Neonatologists Can Learn from Sherlock Holmes," drawing parallels between neonatal practice and detective work. Dr. Terrie Inder from CHOC delivers insights in "The Science and Art of Improving Neurological Outcomes in NICU Graduates," blending research with practical care strategies. Pediatric nephrologist Chryso Pefkaros Katsoufis from the University of Miami explores "The Road Less Traveled? Neonatal Biomarkers of Chronic Kidney Disease," shedding light on innovative approaches to CKD in newborns. Finally, Dr. Lauren Ruoss, from Winnie Palmer Hospital, enchants the audience with "Abracadabra! Making POCUS Appear in the NICU," detailing the role of point-of-care ultrasound in neonatal care. Ben and Daphna conclude the episode by previewing exciting upcoming developments for The Incubator network. Donât miss this unique opportunity to hear from some of the leading voices in neonatal 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.
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In this special episode of The Incubator podcast, Ben and Daphna wrap up the 2024 Delphi Neonatal Innovation Conference, sharing their favorite moments and highlights. This episode features the exclusive audio from four captivating Delphi talks. Dr. Suresh Gautham, Chair of Pediatrics at Nemours Children's Hospital, opens with an intriguing talk on "What Neonatologists Can Learn from Sherlock Holmes," drawing parallels between neonatal practice and detective work. Dr. Terrie Inder from CHOC delivers insights in "The Science and Art of Improving Neurological Outcomes in NICU Graduates," blending research with practical care strategies. Pediatric nephrologist Chryso Pefkaros Katsoufis from the University of Miami explores "The Road Less Traveled? Neonatal Biomarkers of Chronic Kidney Disease," shedding light on innovative approaches to CKD in newborns. Finally, Dr. Lauren Ruoss, from Winnie Palmer Hospital, enchants the audience with "Abracadabra! Making POCUS Appear in the NICU," detailing the role of point-of-care ultrasound in neonatal care. Ben and Daphna conclude the episode by previewing exciting upcoming developments for The Incubator network. Donât miss this unique opportunity to hear from some of the leading voices in neonatal 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.
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In this special episode of The Incubator podcast, Ben and Daphna wrap up the 2024 Delphi Neonatal Innovation Conference, sharing their favorite moments and highlights. This episode features the exclusive audio from four captivating Delphi talks. Dr. Suresh Gautham, Chair of Pediatrics at Nemours Children's Hospital, opens with an intriguing talk on "What Neonatologists Can Learn from Sherlock Holmes," drawing parallels between neonatal practice and detective work. Dr. Terrie Inder from CHOC delivers insights in "The Science and Art of Improving Neurological Outcomes in NICU Graduates," blending research with practical care strategies. Pediatric nephrologist Chryso Pefkaros Katsoufis from the University of Miami explores "The Road Less Traveled? Neonatal Biomarkers of Chronic Kidney Disease," shedding light on innovative approaches to CKD in newborns. Finally, Dr. Lauren Ruoss, from Winnie Palmer Hospital, enchants the audience with "Abracadabra! Making POCUS Appear in the NICU," detailing the role of point-of-care ultrasound in neonatal care. Ben and Daphna conclude the episode by previewing exciting upcoming developments for The Incubator network. Donât miss this unique opportunity to hear from some of the leading voices in neonatal 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.
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Annick Duvivier shares her experience in the NICU with her preemie daughter, Thalia, and her journey with pumping and breastfeeding. She discusses the challenges she faced, including the emotional toll of being separated from her baby, the difficulty of pumping and producing milk, and the loneliness she felt. Annick also talks about the importance of kangaroo care and the positive impact it had on both her and her daughter. Despite the hardships, Annick's resilience and determination shine through as she navigates the NICU journey. Annick shares her experience of being in the NICU and the challenges she faced as a parent. She talks about the strict schedule of kangaroo care and feeding, and the difficulties of coordinating pumping and breastfeeding. Annick also discusses the emotional toll of not being able to hold her baby for long periods of time and the isolation she felt without any visitors. She found solace in art and used painting as a form of self-care during her time in the NICU. Annick's painting, which depicts her pumping milk with stickers from the NICU in the background, is a powerful representation of her journey. Despite the initial concerns and risks, Annick's daughter, Thalia, is now a thriving three-year-old with no health issues. Annick encourages other NICU parents to be patient, prioritize breast milk, and seek support from available resources.
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.
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In this episode of the Incubator: At the bench, we talk with, Dr. Augusto Zani, a pediatric surgeon scientist who discusses his work on fetal lung regeneration and the use of stem cell derivatives and extracellular vesicles for diagnostics and therapy. He shares his journey from surgical training to becoming a surgeon scientist and the challenges he faced along the way. Dr. Zani also explains his transition from studying necrotizing enterocolitis to congenital diaphragmatic hernia (CDH) and the unanswered questions in lung hypoplasia related to CDH. He highlights the importance of understanding the mechanisms behind these conditions and the potential of extracellular vesicles in promoting lung growth and regeneration. Dr. Augusto Zani discusses his research on congenital diaphragmatic hernia (CDH) and the potential use of extracellular vesicles (EVs) as a therapy. He also discusses the role of inflammation in CDH and how EVs have both regenerative and anti-inflammatory properties. Dr. Zani also mentions the potential use of EVs in other pediatric surgical conditions, such as gastroschisis and spina bifida. He concludes by sharing his excitement about moving his lab to St. Louis Children's Hospital in the U.S.
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.
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In this episode, hosts Ben and Daphna cover a range of neonatal topics, starting with a review of recent research on mpox in pregnancy and neonates. They discuss a case report of neonatal mpox infection and review current understanding of risks, transmission, and treatment options.
The hosts then examine a study on vaccine administration in preterm infants, finding that giving multiple vaccines on a single day did not increase adverse events compared to spreading them out. They also explore research on iron deficiency in extremely preterm infants, which revealed surprisingly high rates despite supplementation, especially in formula-fed babies.
Other topics covered include PICU admissions of former NICU patients in the first two years of life, and innovative approaches to reducing non-actionable alarms in intensive care units.
The episode concludes with insights from Dr. Rivara's 24 years as a medical journal editor-in-chief, touching on key aspects of research publication.
Throughout, Ben and Daphna provide expert commentary on the clinical implications of these studies, making complex research accessible to listeners while emphasizing areas needing further investigation in neonatal 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.
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Prevalence of iron deficiency in extreme preterm infants at 4 or 6 months corrected age despite receiving prophylactic iron supplements.
Barr H, Morrison L, Kulkarni K, Ghotra S.J Perinatol. 2024 Aug 29. doi: 10.1038/s41372-024-02103-1. Online ahead of print.PMID: 39210023 No abstract available.
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.
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Mpox in Pregnancy - Risks, Vertical Transmission, Prevention, and Treatment.
Nachega JB, Mohr EL, Dashraath P, Mbala-Kingebeni P, Anderson JR, Myer L, Gandhi M, Baud D, Mofenson LM, Muyembe-Tamfum JJ; Mpox Research Consortium (MpoxReC).N Engl J Med. 2024 Aug 28. doi: 10.1056/NEJMp2410045. Online ahead of print.PMID: 39197097 No abstract available.
Neonatal Monkeypox Virus Infection.
Ramnarayan P, Mitting R, Whittaker E, Marcolin M, O'Regan C, Sinha R, Bennett A, Moustafa M, Tickner N, Gilchrist M, Kershaw A, Rampling T; NHS England High Consequence Infectious Diseases (Airborne) Network.N Engl J Med. 2022 Oct 27;387(17):1618-1620. doi: 10.1056/NEJMc2210828. Epub 2022 Oct 12.PMID: 36223535 No abstract available.
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.
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Don't wait, vaccinate: evaluation of routine vaccination administration and reactogenicity in preterm infants.
Abdelmessih E, Desai PV, Tracy J, Papadopoulos J, Bashqoy F.J Perinatol. 2024 Sep 10. doi: 10.1038/s41372-024-02111-1. Online ahead of print.PMID: 39256613
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.
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EBNEO Commentary: The impact of timing of inguinal hernia repair on outcomes in preterm infants.
Sharma P, King B.Acta Paediatr. 2024 Jul 29. doi: 10.1111/apa.17361. Online ahead of print.PMID: 39073191 No abstract available.
Effect of Early vs Late Inguinal Hernia Repair on Serious Adverse Event Rates in Preterm Infants: A Randomized Clinical Trial.
HIP Trial Investigators; Blakely ML, Krzyzaniak A, Dassinger MS, Pedroza C, Weitkamp JH, Gosain A, Cotten M, Hintz SR, Rice H, Courtney SE, Lally KP, Ambalavanan N, Bendel CM, Bui KCT, Calkins C, Chandler NM, Dasgupta R, Davis JM, Deans K, DeUgarte DA, Gander J, Jackson CA, Keszler M, Kling K, Fenton SJ, Fisher KA, Hartman T, Huang EY, Islam S, Koch F, Lainwala S, Lesher A, Lopez M, Misra M, Overbey J, Poindexter B, Russell R, Stylianos S, Tamura DY, Yoder BA, Lucas D, Shaul D, Ham PB 3rd, Fitzpatrick C, Calkins K, Garrison A, de la Cruz D, Abdessalam S, Kvasnovsky C, Segura BJ, Shilyansky J, Smith LM, Tyson JE.JAMA. 2024 Mar 26;331(12):1035-1044. doi: 10.1001/jama.2024.2302.PMID: 38530261 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.
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Paediatric intensive care admissions of preterm children born <32 weeks gestation: a national retrospective cohort study using data linkage.
van Hasselt TJ, Gale C, Battersby C, Davis PJ, Draper E, Seaton SE; United Kingdom Neonatal Collaborative and the Paediatric Critical Care Society Study Group (PCCS-SG).Arch Dis Child Fetal Neonatal Ed. 2024 Apr 18;109(3):265-271. doi: 10.1136/archdischild-2023-325970.PMID: 37923384 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.
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Mitigating Alarm Fatigue and Improving the Bedside Experience by Reducing Non-actionable Alarms.
Yang JK, Su F, Graber-Naidich A, Hedlin H, Madsen N, DeSousa C, Feehan S, Graves A, Palmquist A, Cable R, Kipps AK.J Pediatr. 2024 Aug 29:114278. doi: 10.1016/j.jpeds.2024.114278. Online ahead of print.PMID: 39216620
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.
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What I Have Learned in the Last 24 Years Being Editor-in-Chief.
Rivara FP.JAMA Pediatr. 2024 Sep 3. doi: 10.1001/jamapediatrics.2024.3288. Online ahead of print.PMID: 39226042
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.
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In this episode of the Global Neonatal Podcast, hosts Mbozu and Shelly- Ann interview Dr. Gae Mundundu and Dr. Ritah Nazziwa, neonatal fellows in the African Paediatric Fellowship Program (APFP) at the University of Cape Town. During the conversation Dr. Mundundu and Dr Nazziwa discuss neonatal services in their home countries of Zambia and Uganda, as well as their experiences as neonatal fellows. They highlight the challenges and opportunities in neonatal care in their respective countries, including the need for improved infrastructure and the importance of basic interventions. They also discuss the APFP which aims to empower African paediatricians and improve child health outcomes by providing specialized training and mentorship. Dr. Mundundu and Dr. Nazziwa also share about their day-to-day experiences as fellows, emphasizing the continuous learning process, the practical application of knowledge and the diverse roles and responsibilities of a neonatology fellow.
Resources mentioned in episode:
The African Paediatric Fellowship Program: https://health.uct.ac.za/apfp/our-model-0
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.
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In this episode of The Incubator Podcast, hosts Ben Courchia and Daphna Barbeau interview Dr. Lily Lou, a neonatologist making history as the first from her specialty to run for president of the American Academy of Pediatrics (AAP). Dr. Lou discusses the significance of her candidacy, emphasizing the importance of subspecialist representation within the AAP. She shares insights from her unique perspective, drawing from experiences in both subspecialty and general pediatrics leadership roles. The conversation covers the responsibilities of the AAP president and the critical need for neonatologist participation in AAP elections and advocacy efforts. Dr. Lou highlights recent AAP initiatives relevant to neonatology, including the Access to Donor Milk Act and advocacy for paid family medical leave. She also outlines opportunities for neonatologists to engage in advocacy at local and national levels, encouraging listeners to get involved. The episode concludes with information about the upcoming AAP election, scheduled for September 11-25, 2024, urging listeners to participate and make their voices heard in this pivotal decision for the future of pediatrics and neonatology. Throughout the interview, Dr. Lou's passion for inclusive representation and advocacy in pediatric healthcare shines through, offering listeners a compelling glimpse into the potential future of AAP leadership.
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.
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In this episode of Journal Club, Ben and Daphna discuss several recent neonatal studies. They begin with a paper from Pediatrics examining variability in care practices for extremely early deliveries (22-24 weeks gestation), highlighting changes over time and persistent differences between centers. They also review a commentary on important questions raised by these variations in care.
The hosts then analyze a study on the use of inhaled nitric oxide in preterm infants, discussing its effectiveness, costs, and potential overuse. They cover a paper on monocyte count trends as a potential diagnostic tool for necrotizing enterocolitis.
A special segment features Dr. Jane Stremming discussing a New England Journal of Medicine study on nutritional support for moderate to late preterm infants. The hosts also touch on new treatments for hemolytic disease of the fetus and newborn, and surfactant use in infants who develop bronchopulmonary dysplasia.
The episode concludes with an ethical case study about a father's unexpected request to withdraw care for his preterm infant, emphasizing the importance of understanding families' perspectives in complex medical decisions.
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.
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Effects of a live versus heat-inactivated probiotic Bifidobacterium spp in preterm infants: a randomised clinical trial.
Athalye-Jape G, Esvaran M, Patole S, Nathan EA, Doherty DA, Sim E, Chandrasekaran L, Kok C, Schuster S, Conway P.Arch Dis Child Fetal Neonatal Ed. 2024 Aug 17:fetalneonatal-2023-326667. doi: 10.1136/archdischild-2023-326667.
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.
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The Value of Parental Judgment in the Ethical Gray Zone of Periviability: Words Matter.
Drago MJ, Mercurio MR.Pediatrics. 2024 Aug 7:e2024065986. doi: 10.1542/peds.2024-065986. Online ahead of print.PMID: 39108223 No abstract available.
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.
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Four Important Questions About Between-Hospital Differences in Care at <25 Weeks' Gestation.
Rysavy MA, Battarbee AN, Gibson KS.Pediatrics. 2024 Aug 12:e2024066182. doi: 10.1542/peds.2024-066182. Online ahead of print.PMID: 39129508 No abstract available.
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.
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Surfactant treatment at birth in a contemporary cohort of preterm infants with bronchopulmonary dysplasia.
Mueller C, Shepherd EG, Kielt MJ, Conroy S, Jensen EA, Bamat NA, Panitch H, Levin J, Guaman Cuevas M, Truog W, Abman SH, Nelin LD; BPD Collaborative.J Perinatol. 2024 Jul 17. doi: 10.1038/s41372-024-02061-8. Online ahead of print.PMID: 39020028
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.
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Beyond the Question: Reexamining a Parent's Unusual Request.
Callahan KP, Narva A, Stoller JZ, Fiester A.Pediatrics. 2024 Aug 1;154(2):e2023064954. doi: 10.1542/peds.2023-064954.PMID: 39040023
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.
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Variability of Care Practices for Extremely Early Deliveries.
LoRe D, Groden CM, Schuh AR, Holmes C, Ostilla L, Vogel MM, Murray PD, Yamasato K, Tonismae T, Anani UE, Henner N, Famuyide M, Leuthner SR, Laventhal N, Andrews BL, Tucker Edmonds BM, Brennan KG, Feltman DM; INVESTIGATING NEONATAL DECISIONS FOR EXTREMELY EARLY DELIVERIES (INDEED) STUDY GROUP.Pediatrics. 2024 Aug 12:e2023065521. doi: 10.1542/peds.2023-065521.
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.
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Retrospective study of preterm infants exposed to inhaled nitric oxide in Kaiser Permanente Southern California: morbidity, mortality and follow-up.
Bhatt DR, Braun D, Dizon RA, Shi JM, Weerasinghe S, Sabio A, Reddy S, Lee HC, Ramanathan R, Lakshminrusimha S.J Perinatol. 2024 Jul 18. doi: 10.1038/s41372-024-02051-w. Online ahead of print.PMID: 39025953
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.
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Dr. Steve McElroy, a neonatologist and physician scientist, discusses his research on injury and repair mechanisms in the immature intestine, specifically focusing on necrotizing enterocolitis (NEC) and spontaneous intestinal perforation in premature infants. He shares his journey from initially not wanting to pursue science to becoming a physician scientist, and how mentorship played a crucial role in his career. Dr. McElroy also talks about his pioneering work on Paneth cells and the Paneth cell ablation NEC model. He highlights the importance of listening, asking questions, and being open to new research directions. Finally, he discusses the impact of his leadership role as a division chief on his research and mentorship activities. He emphasizes the importance of mentorship, celebrating small victories, and persisting through challenges. Dr. McElroy also shares insights into his current research on chorioamnionitis and its impact on neonatal health. He highlights the need for creative think time and the value of understanding mechanisms in basic science. The conversation concludes with a discussion on building a supportive and fun lab environment.
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.
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Gear up for a groundbreaking event in neonatal care! The Delphi Neonatal Innovation Conference is set to take Fort Lauderdale by storm from September 23-25. Hosted by Ben Courchia and Daphna Yasova Barbeau from the Incubator podcast, this conference promises a unique blend of cutting-edge content and networking opportunities.
Highlights include three free workshops: Point-of-Care Ultrasound with state-of-the-art equipment, Artificial Intelligence in Neonatology, and Narrative Medicine. The event features exciting pitch presentations showcasing innovative neonatal technologies, from synchronized high-flow nasal cannula to wearable phototherapy devices.
Don't miss the fellowship trivia competition, offering a chance to win an educational grant. The conference also includes a special TEDx event with prestigious speakers discussing topics ranging from environmental impacts on perinatal outcomes to creativity within limitations.
An evening of powerful storytelling by NICU professionals promises to be a moving experience. For those unable to attend in person, high-quality live streaming is available.
With its focus on practical innovation and networking, the Delphi Neonatal Innovation Conference is set to be an unmissable event for anyone passionate about advancing neonatal care. Register now to be part of this transformative 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.
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In this episode of The Incubator podcast, hosts Ben Courchia and Daphna Barbeau welcome Dr. David Askenazi and Dr. Tara Beck to discuss neonatal nephrology. The conversation explores the challenges of defining and diagnosing acute kidney injury (AKI) in newborns, highlighting the variability in nephron numbers at birth and the complexities of interpreting creatinine levels in the first days of life.
The guests discuss the long-term effects of neonatal AKI, the importance of follow-up care, and strategies for supporting kidney health in the NICU and beyond. They emphasize the need for a partnership between neonatology and nephrology to improve outcomes.
Dr. Askenazi introduces the Neonatal Kidney Collaborative (NKC), explaining its mission to advance research, education, and advocacy in neonatal nephrology. Dr. Beck shares her experience as a trainee involved with the NKC, highlighting the mentorship opportunities available.
The episode concludes with a look towards the future of neonatal nephrology research, including potential therapies and the evolving approach to renal replacement therapy in newborns. This informative discussion provides valuable insights for both neonatologists and nephrologists caring for vulnerable newborns.
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.
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In this episode of The Incubator podcast, hosts Ben Courchia and Daphna Barbeau welcome Dr. David Askenazi and Dr. Tara Beck to discuss neonatal nephrology. The conversation explores the challenges of defining and diagnosing acute kidney injury (AKI) in newborns, highlighting the variability in nephron numbers at birth and the complexities of interpreting creatinine levels in the first days of life.
The guests discuss the long-term effects of neonatal AKI, the importance of follow-up care, and strategies for supporting kidney health in the NICU and beyond. They emphasize the need for a partnership between neonatology and nephrology to improve outcomes.
Dr. Askenazi introduces the Neonatal Kidney Collaborative (NKC), explaining its mission to advance research, education, and advocacy in neonatal nephrology. Dr. Beck shares her experience as a trainee involved with the NKC, highlighting the mentorship opportunities available.
The episode concludes with a look towards the future of neonatal nephrology research, including potential therapies and the evolving approach to renal replacement therapy in newborns. This informative discussion provides valuable insights for both neonatologists and nephrologists caring for vulnerable newborns.
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.
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In this episode of Journal Club, hosts Ben and Daphna dive into several impactful studies in neonatology. They begin with a series of papers on patent ductus arteriosus (PDA) management, discussing pharmacological treatments, transcatheter closure techniques, and new clinical practice guidelines. The conversation highlights the evolving landscape of PDA treatment and the need for more robust research.
The hosts also explore a study on diazoxide for neonatal hypoglycemia, examining its effects on glycemic stability and feeding outcomes. They discuss recent findings on infant mortality rates in Texas following abortion restrictions, emphasizing the impact of policy changes on neonatal health outcomes.
Additionally, the episode covers a systematic review of quality improvement interventions to prevent intraventricular hemorrhage in preterm infants, highlighting the complexity of implementing effective "neurobundles".
The hosts conclude with a study on vasopressin as an adjunctive therapy for pulmonary hypertension in term newborns, noting its potential benefits in improving oxygenation and hemodynamic status.
Throughout the episode, Ben and Daphna provide insightful commentary on the clinical implications of these studies, making complex research accessible to listeners while emphasizing the need for continued investigation in key areas of neonatal 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.
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Transcatheter and Surgical Ductus Arteriosus Closure in Very Low Birth Weight Infants: 2018-2022.
Leahy BF, Edwards EM, Ehret DEY, Soll RF, Yeager SB, Flyer JN.Pediatrics. 2024 Jul 15:e2024065905. doi: 10.1542/peds.2024-065905. Online ahead of print.PMID: 39005106
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.
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Diazoxide 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.
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.
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Vasopressin 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: 38965377
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.
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Procedural 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.
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.
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Where 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: 38958947
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.
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Quality 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
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Infant Deaths After Texas' 2021 Ban on Abortion in Early Pregnancy.
Gemmill A, Margerison CE, Stuart EA, Bell SO.JAMA Pediatr. 2024 Jun 24:e240885. doi: 10.1001/jamapediatrics.2024.0885. Online ahead of print.PMID: 38913344
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Long term follow-up of patients with patent ductus arteriosus after transcatheter closure.
Peng Y, Cheng Z, Zhang Y, Yi Q.Pediatr Res. 2024 Jun 14. doi: 10.1038/s41390-024-03317-x. Online ahead of print.PMID: 38877281
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Acetaminophen for Patent Ductus Arteriosus and Risk of Mortality and Pulmonary Morbidity.
Jensen EA, DeMauro SB, Rysavy MA, Patel RM, Laughon MM, Eichenwald EC, Do BT, Das A, Wright CJ; Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network.Pediatrics. 2024 Jul 16:e2023065056. doi: 10.1542/peds.2023-065056. Online ahead of print.PMID: 39011550
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In 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.
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In 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 Kenya
https://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=ke
enjuguna@path.org
Episode Webpage Link: https://www.the-incubator.org/post/213-closing-the-gap-improving-access-to-human-milk-in-lmics
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In 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 outcomes
- PDA management strategies across different gestational ages
- The use of inhaled nitric oxide in preterm infants
- Establishing normal values for cardiac function in premature babies
- Hemodynamic changes during therapeutic hypothermia
Dr. 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.
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In 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.
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In 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.
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In 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.
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In 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.
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In 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.
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In 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.
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In 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.
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In 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.
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In this episode of "The Incubator" at NeoHeart 2024, hosts Ben and Daphna are joined by Dr. Gabriel Altit from Montreal and Dr. Carolina Michel from Mexico, who co-host the French and Spanish editions of the podcast respectively.
Dr. Michel expresses her excitement about meeting renowned experts in neonatal care at the conference. She highlights her interest in sessions on PDA controversy and BPD with pulmonary hypertension.
Dr. Altit discusses his involvement in POCUS and targeted neonatal echo workshops. He previews his upcoming talk on acute pulmonary hypertension in premature infants, emphasizing the importance of a physiological, individualized approach to patient care rather than a one-size-fits-all strategy.
The conversation touches on the challenges of clinical trials in neonatology and the trend towards precision medicine. Both guests praise the conference's year-in-review sessions for their comprehensive coverage of recent research.
Dr. Altit promotes his Neo Cardio Lab website and app, which offer resources on neonatal hemodynamics and POCUS. The hosts also plug their non-English language podcasts and the upcoming Delphi conference, which will feature POCUS workshops.
The episode highlights the collaborative nature of NeoHeart and the importance of interdisciplinary approaches in advancing neonatal cardiac care.
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In this episode of "The Incubator" at NeoHeart 2024, hosts Ben and Daphna interview Dr. Lauren Ruoss from Winnie Palmer Hospital and Dr. Catalina Bazacliu from the University of Florida.
Dr. Ruoss discusses her role in bridging cardiac-focused care and targeted neonatal echo. She highlights her upcoming session on when cardiac POCUS (Point-of-Care Ultrasound) may aid in neonatal care, emphasizing the nuances and training required for cardiac POCUS compared to other applications like lung ultrasound. Dr. Ruoss also shares successes from her program, including improved physiological discussions and management of acute pulmonary hypertension in term infants.
Dr. Bazacliu shares her motivation for attending NeoHeart, citing her goal to stay current with literature and eventually start a hemodynamic program at the University of Florida. The conversation emphasizes the welcoming nature of the conference for professionals at various stages in their hemodynamics journey.
The hosts and guests discuss the collaborative nature of the neonatal hemodynamics community, highlighting resources like Gabriel Altit's curriculum and monthly case reviews. They stress the importance of ongoing learning and the need for more training programs in this field.
The episode underscores the evolving nature of neonatal hemodynamics and the value of conferences like NeoHeart in fostering knowledge exchange and professional growth.
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In 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
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In this episode of "The Incubator" at NeoHeart 2024, hosts Ben and Daphna interview Dr. Anna Penn, Division Chief of Neonatology at Columbia Presbyterian Hospital.
Dr. Penn discusses the morning's expert panel on heart-brain interactions, emphasizing the importance of interdisciplinary collaboration in neonatal care. She highlights how research from various fields can inform the understanding and treatment of congenital cardiac disease.
The conversation touches on Dr. Penn's work in "neuroplacentology," exploring the connection between placental hormones and neurological outcomes. She stresses the immediate practical applications of current knowledge, particularly in empowering families and providing early interventions.
Dr. Penn praises Columbia's model of an infant cardiac unit run by neonatology, noting its positive impact on outcomes for preterm babies with congenital heart disease. She emphasizes the importance of a "baby-first, heart-second" approach in care.
The episode underscores the significance of multidisciplinary collaboration in neonatal cardiac care, as exemplified by the NeoHeart conference. Dr. Penn expresses her enthusiasm for upcoming sessions, particularly on prematurity and congenital cardiac disease.
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In this episode of "The Incubator" at NeoHeart 2024, hosts Ben and Daphna interview Eric Stuemke, a NICU nurse from Bend, Oregon, attending his first NeoHeart conference.
Eric discusses his reasons for attending NeoHeart, including the desire to expand his knowledge about cardiac issues, despite working in a Level 3 NICU that doesn't perform cardiac surgeries. He emphasizes the importance of early detection of cardiac problems in their unit.
The conversation highlights the value of nursing presence at specialized conferences like NeoHeart. Eric mentions his particular interest in sessions on nasal CPAP, heart disease and airway, and the heart-gut connection.
Eric shares insights on the importance of nursing involvement in conferences and how it contributes to implementing new evidence-based practices. He discusses his role in quality improvement initiatives at his hospital, such as the "golden hour" committee.
The episode underscores the significance of institutional support for nursing education, including funding for conference attendance. Eric's experience serves as a model for encouraging nursing staff participation in educational conferences to enhance overall team knowledge and 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.
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In this episode of "The Incubator" at NeoHeart 2024, hosts Ben and Daphna welcome back Dr. Lonnie Miner, a previous guest known for his popular podcast series on respiratory distress.
Dr. Miner discusses his reasons for attending NeoHeart, emphasizing the value of the conference's interdisciplinary approach, bringing together pediatric cardiologists, neonatologists, and other specialists to discuss neonatal heart issues.
He highlights his particular interest in the interaction between cardiac and respiratory physiology, especially in relation to pulmonary hypertension. Dr. Miner shares his enthusiasm about a recent session on right ventricular function and ventricular-pulmonary synchrony.
The conversation touches on the conference's format, particularly the question-and-answer panels that provide comprehensive perspectives on various topics. Dr. Miner expresses his anticipation for upcoming sessions, noting their relevance to his imminent rotation in a cardiac unit.
The hosts and guest reflect on the opportunity to learn from leading experts in the field and the practical applications of the knowledge gained at the conference.
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.
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In this episode of "The Incubator" at NeoHeart 2024, hosts Ben Courchia and Daphna interview Dr. Felipe Hernandez, a neonatologist from Saltillo, Mexico, attending his fifth NeoHeart conference.
Dr. Hernandez discusses his work in a small town near Monterrey, where he deals with everyday neonatal issues in a setting with limited resources. He highlights the challenges of providing care to extremely preterm babies and following up with patients in economically disadvantaged areas.
The conversation touches on the universal challenges in neonatology, regardless of location, particularly in caring for complex cases and ensuring long-term follow-up. Dr. Hernandez emphasizes the importance of attending conferences like NeoHeart to gain perspective on long-term patient outcomes and to learn about advancements in the field.
He shares how these conferences not only provide educational opportunities but also allow him to visit new places and interact with colleagues. Dr. Hernandez discusses how he applies insights from these conferences to improve his practice in Mexico, including interdisciplinary care and family involvement in patient care.
The episode underscores the value of international collaboration and knowledge sharing in neonatology.
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.
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In 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.
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In 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.
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In 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.
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This 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.
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This 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.
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This 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 infants
- Updated guidelines for targeted neonatal echocardiography
- The relationship between patent ductus arteriosus and bronchopulmonary dysplasia-associated pulmonary hypertension
- Use of vasopressin in newborns with refractory acute pulmonary hypertension
- Response to inhaled nitric oxide in extremely premature infants
- Placental pathology's contribution to brain development in neonates with congenital heart disease
- Perioperative brain injury and early neurodevelopment in children with severe congenital heart disease
The 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.
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Impact 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: 36882362
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.
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Vasopressin in newborns with refractory acute pulmonary hypertension.
Ouellet S, Drolet C, Morissette G, Pellerin A, HĂ©bert A.Pediatr Res. 2024 May;95(6):1572-1577. doi: 10.1038/s41390-023-02995-3. Epub 2024 Jan 11.PMID: 38212386
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.
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Perioperative 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.
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Placental 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 âĄ.
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.
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Response 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.
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Patent Ductus Arteriosus and Bronchopulmonary Dysplasia-Associated Pulmonary Hypertension: A Bayesian Meta-Analysis.
Villamor E, van Westering-Kroon E, Gonzalez-Luis GE, BartoĆĄ F, Abman SH, Huizing MJ.
JAMA Netw Open. 2023 Nov 1;6(11):e2345299. doi: 10.1001/jamanetworkopen.2023.45299.
PMID: 38015504 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.
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Cardiopulmonary physiological effects of diuretic therapy in preterm infants with chronic pulmonary hypertension.
Zhu F, Ibarra Rios D, Joye S, Baczynski M, Rios D, Giesinger RE, McNamara PJ, Jain A.
J Perinatol. 2023 Oct;43(10):1288-1294. doi: 10.1038/s41372-023-01742-0. Epub 2023 Aug 7.
PMID: 37550529
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.
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In this episode of the Incubator: At the Bench, we talk with Dr. Erin Plosa who is a neonatologist and physician scientist at Vanderbilt University Medical Center. We learn what inspired Dr. Plosa to pursue neonatology and learn about her background and career as a lung biologist. Dr. Plosa talks about the importance of collaboration in scientific research and highlights her work studying the role of integrins and the extracellular matrix during lung development. She discusses the role of the extracellular matrix in alveologenesis, fusion of the alveolar capillary barrier, and in directing communication between epithelial and endothelial cells. We also discuss Erin's experience with mentorship and career development, including her transition into becoming a mentor and winning mentoring awards. Erin shares her approach to mentoring and the importance of fostering intellectual curiosity. Join us as we learn more about what it takes to build a career as a neonatology physician-scientist and how the extracellular matrix directs lung development and response to injury.
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.
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In this engaging episode of The Incubator podcast, Dr. Terrie Inder, a pioneer in neonatal neurology, shares her journey and insights into newborn brain development. Dr. Inder discusses the complexities of neonatal brain injury, emphasizing that it's not just about visible hemorrhages, but also about the brain's overall maturation process. She highlights the importance of understanding "brain dysmanturation" and how the NICU environment significantly impacts neurodevelopment.
Dr. Inder challenges the neonatal community to rethink their approach to brain care, advocating for more family involvement, enriched environments, and tailored interventions for babies with brain injuries. She stresses the need for better hemodynamic management and a sociocultural shift in NICU care delivery.
The conversation also touches on the controversial topic of routine MRI scans, with Dr. Inder arguing for their value in risk profiling and guiding care. She encourages neonatologists to embrace learning about brain imaging and improve their communication skills with families.
Throughout the episode, Dr. Inder's passion for improving outcomes for NICU babies shines through, offering listeners valuable insights and a call to action for enhancing neonatal brain 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.
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In this episode, Dr. Stephen Swanson shares his journey of establishing a neonatal intensive care unit (NICU) in Arusha, Tanzania. He emphasizes the importance of addressing medical culture and involving nurses, doctors, and families in the care of critically ill and premature babies. Dr. Swanson highlights the success of a low-tech approach, including the use of blended, warmed, and humidified CPAP, and the importance of attention to detail, thermal regulation, respiratory support, nutrition, and infection prevention. He also discusses the challenges of relying on donated equipment and the need for innovative biomedical engineering solutions.
Dr. Swanson also highlights the need for appropriate training and skill development for healthcare providers, as well as the importance of collaboration and sharing of best practices. He shares his experience in organizing the Tiny Feet Big Steps African Neonatology Conference, which aims to provide practical skills and knowledge to healthcare professionals in Africa. Dr. Swanson also discusses his vision for the Institute for Child Healthcare Africa, which aims to promote quality pediatric care and build a mother and child hospital in Tanzania.
Resources mentioned in episode:
Tiny Feet Big Steps conference: https://tinyfeetbigsteps.com/
Institute for Child Healthcare (ICHA): https://www.tanzanianchildren.com/
Every Breath Counts: Lessons Learned in developing a training NICU in Northern Tanzania: https://www.frontiersin.org/articles/10.3389/fped.2022.958628/full
Contact: swan0027@umn.edu
Episode Webpage Link: https://www.the-incubator.org/post/225-low-tech-high-impact-caring-for-neonates-in-arusha-tanzania-ft-dr-stephen-swanson
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.
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In this packed episode of Journal Club, Ben and Daphna review eleven recent papers covering a range of neonatology topics. They discuss a study on CRP use in early-onset sepsis evaluations, finding that high CRP use was associated with increased antibiotic administration. Another paper examined iron supplementation in healthy breastfed infants, showing no significant developmental benefits at 12-36 months.
They review a JAMA Network Open study on the long term outcomes of infants enrolled in the umbilical cord milking study MINVI. They also cover a paper on cannabis use in pregnancy, noting a significantly increased risk of fetal death associated with maternal cannabis use.
Other topics include antibiotic exposure and BPD risk in very preterm infants, comparisons of different BPD definitions, and the effects of phototherapy on plasma metabolites in preterm infants with hyperbilirubinemia.
The episode features a special segment with Dr. James Sotiropoulos discussing his recent paper on initial oxygen concentrations for resuscitating extremely preterm infants. The study found a potential mortality benefit with higher initial FiO2, though more research is needed.
Ben and Daphna also review papers on improving NICU communication and antenatal consultation practices. They close by welcoming new trainees starting in July and reminding listeners about The Incubator's board review resources for neonatology fellows.
Overall, this comprehensive episode provides an excellent overview of recent impactful research across multiple areas of neonatology and perinatal medicine.
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.
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Initial Oxygen Concentration for the Resuscitation of Infants Born at Less Than 32 Weeks' Gestation: A Systematic Review and Individual Participant Data Network Meta-Analysis.
Sotiropoulos JX, Oei JL, Schmölzer GM, Libesman S, Hunter KE, Williams JG, Webster AC, Vento M, Kapadia V, Rabi Y, Dekker J, Vermeulen MJ, Sundaram V, Kumar P, Kaban RK, Rohsiswatmo R, Saugstad OD, Seidler AL.JAMA Pediatr. 2024 Jun 24:e241848. doi: 10.1001/jamapediatrics.2024.1848. Online ahead of print.PMID: 38913382
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.
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Early 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.
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Trends 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: 38901777
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.
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Should 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.
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Effect of Low-Dose Iron Supplementation on Early Development in Breastfed Infants: A Randomized Clinical Trial.
Svensson L, Chmielewski G, Czyzewska E, Domellöf M, Konarska Z, Piescik-Lech M, SpÀth C, Szajewska H, Chmielewska A.JAMA Pediatr. 2024 Jul 1;178(7):649-656. doi: 10.1001/jamapediatrics.2024.1095.PMID: 38739382 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.
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Two-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.
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The 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: 38890400
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.
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Phototherapy 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: 38945444
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.
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Antenatal Consultation Research and Practices Through the Lens of Decision Science. Haward MF, Lorenz JM, Fischhoff B.J Pediatr. 2024 Jun 26:114173. doi: 10.1016/j.jpeds.2024.114173. Online ahead of print.PMID: 38942356 No abstract available.
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.
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In 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.
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In 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.
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In 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.
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In 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.
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Nine 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: 38880381
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.
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Clinical 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.
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Early 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: 38803030
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.
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In this episode of the Incubator "At the Bench," we talk with Dr. Jill Maron, a neonatologist and physician-scientist at Women and Infants Hospital of Rhode Island and Brown University. Join us as we hear Dr. Maron share her journey from medical school to becoming a leading researcher in neonatology. She discusses how her early drive to provide the best patient care evolved into a commitment to advancing bedside care through research. Inspired by Dr. Diana Bianchi, Dr. Maron pursued a career in salivary diagnostics, focusing on non-invasive prenatal testing and feeding tolerance in premature infants. She highlights the challenges and successes in her research journey, emphasizing the importance of finding the right mentorship and building a research career that addresses significant clinical questions that provide answers to patient care conundrums in the neonatal intensive care unit. Dr. Maron also talks about her experiences with giving a TED talk and the impact it had on her career. We are also fortunate to learn about how Dr. Maron decided to take on her current leadership role, when to say âyes,â and step out of your comfort zone in your personal and professional life. We are excited to have you join us for an insightful look into the life and career journey of an inspiring neonatologist-scientist!
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.
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In 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.
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In 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.com
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.
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In 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.
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In 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.
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In 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.
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Autism 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.
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Infant Feeding for Persons Living With and at Risk for HIV in the United States: Clinical Report. Abuogi L, Noble L, Smith C; COMMITTEE ON PEDIATRIC AND ADOLESCENT HIV; SECTION ON BREASTFEEDING.Pediatrics. 2024 May 20:e2024066843. doi: 10.1542/peds.2024-066843. Online ahead of print.PMID: 38766700
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.
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Video versus Direct Laryngoscopy for Urgent Intubation of Newborn Infants. Geraghty LE, Dunne EA, NĂ Chathasaigh CM, Vellinga A, Adams NC, O'Currain EM, McCarthy LK, O'Donnell CPF.N Engl J Med. 2024 May 30;390(20):1885-1894. doi: 10.1056/NEJMoa2402785. Epub 2024 May 5.PMID: 38709215 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.
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Elizabeth Simonton shares her experience of unexpected NICU admission for her full-term baby, Ben. The journey includes pregnancy complications, NICU stay, and the emotional challenges faced by NICU parents. Elizabeth's story highlights the importance of hope, self-care, and community support in the NICU experience.
Takeaways:
- Full-term babies can also require NICU admission due to unexpected complications.
- Hope and self-care are essential for NICU parents to navigate the emotional challenges of the experience.
- Community support and understanding play a crucial role in providing comfort and strength to NICU families.
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.
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In this special episode of the Incubator Podcast, hosts Ben and Daphna are joined by Dr. Alex Stevenson, a neonatologist from Zimbabwe who serves as the president of the African Neonatal Association (ANA) and principal investigator for the African Neonatal Network. Dr. Stevenson shares his journey into neonatology and highlights the stark differences in neonatal care and outcomes between well-resourced private hospitals and less well-resourced public hospitals in Africa.
The discussion focuses on the objectives and accomplishments of the ANA, which aims to improve neonatal mortality, morbidity, quality of care, education, collaboration, and advocacy across the continent. Dr. Stevenson emphasizes the importance of unifying African neonatologists, nurses, and parents to advocate for better resources and care for newborns. He also touches on the ethical considerations of conducting research in low and middle-income countries, stressing the need for research to directly benefit the communities involved.
Throughout the episode, Dr. Stevenson expresses hope for the future of neonatal care in Africa, citing advancements like the African Neonatal Network and the potential for African-led innovations in care. The conversation concludes with a call for greater collaboration and support between high-income and low-income countries to address the global burden of neonatal mortality and morbidity.
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.
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In this episode of the Incubator, At the bench, we talk with Dr. Krithika Lingappan who is a neonatologist and physician-scientist at the Childrenâs Hospital of Philadelphia and the University of Pennsylvania. Join us as we hear what inspired Dr. Lingappan to build her cutting-edge research program investigating sex-specific differences in preterm lung disease. She explains that every cell in the lung shows sex bias, including epithelial cells, endothelial cells, and immune cells. She explores the role of the X and Y chromosomes in determining susceptibility to lung diseases and the ongoing research to understand the dosage of the X chromosome and genes on the Y chromosome. Dr. Lingappan also discusses the use of multi-omics approaches, such as single-cell RNA sequencing and spatial transcriptomics, to study lung development and disease. We are fortunate to learn from her experiences including finding mentorship, building a research career that addresses a common clinical question, and establishing and then moving a research group. Dr. Lingappan also discusses her work promoting neonatology physician-scientist career development. We are thrilled to bring you this inside look into what it takes to become a neonatology physician-scientist!
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.
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In this episode, hosts Ben and Daphna discuss several recent neonatology studies. First, they examine an algorithm developed by Shah et al. for the timely detection of hypothyroidism in preterm infants based on gestational age and TSH levels. Next, Daphna reviews a study by Halling et al. comparing initial endotracheal versus intravenous epinephrine administration during neonatal resuscitation. While endotracheal epinephrine was given faster, IV epinephrine achieved return of spontaneous circulation more quickly.
They also discuss studies on the feasibility of using intranasal human milk as stem cell therapy for intraventricular hemorrhage, the association between relaxation interventions and human milk outcomes, and the timing of red blood cell transfusions in relation to necrotizing enterocolitis risk. Finally, Daphna highlights a one-year follow-up of the WISER intervention, showing sustained reductions in burnout and depression among NICU healthcare workers.
Throughout the discussion, Ben and Daphna provide thoughtful analysis and identify areas needing further research. They conclude by reminding listeners about a survey with prize giveaways in honor of The Incubator's 3-year anniversary. This informative and engaging episode provides a helpful overview of some of the latest neonatology 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.
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Timing of Red Blood Cell Transfusions and Occurrence of Necrotizing Enterocolitis: A Secondary Analysis of a Randomized Clinical Trial. Salas AA, Gunn E, Carlo WA, Bell EF, Das A, Josephson CD, Patel RM, Tan S, Kirpalani H; Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Neonatal Research Network. JAMA Netw Open. 2024 May 1;7(5):e249643. doi: 10.1001/jamanetworkopen.2024.9643.
PMID: 38700862
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.
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Use of Initial Endotracheal Versus Intravenous Epinephrine During Neonatal Cardiopulmonary Resuscitation in the Delivery Room: Review of a National Database.
Halling C, Conroy S, Raymond T, Foglia EE, Haggerty M, Brown LL, Wyckoff MH; American Heart Associationâs Get With The GuidelinesâResuscitation Investigators.
J Pediatr. 2024 Apr 16;271:114058. doi: 10.1016/j.jpeds.2024.114058. Online ahead of print.
PMID: 38631614
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.
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A practical gestational age-based algorithm for timely detection of hypothyroidism in premature infants.
Shah AN, Li W, Zheng D, Lalani S, Kaluarachchi DC, Findley TO. J Perinatol. 2024 May 11. doi: 10.1038/s41372-024-01985-5. Online ahead of print. PMID: 38734804
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.
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In this inspiring episode of Tech Tuesday on The Incubator Podcast, hosts Ben and Daphna welcome special guest Nicholas Hall, founder and president of Graham's Foundation. Nicholas shares his personal journey of losing his premature son Graham after just 45 days, while his daughter Reese survived after a 119-day NICU stay. This life-changing experience sparked his desire to create Graham's Foundation in 2009 to support other families navigating the challenges of prematurity.
Nicholas discusses the foundation's mission to ensure that no parent goes through the prematurity experience alone by providing a variety of support resources. These include care packages, a mentorship program connecting NICU parents, an engaging MyPreemie app for tracking milestones and accessing information, and more. The foundation has grown to include 40 trained mentors with diverse experiences to help families facing different challenges.
Throughout the conversation, Nicholas emphasizes the importance of encouraging parental engagement and empowering NICU parents to feel confident in their journey. He also shares his perspective on the emotional aspects of running a foundation and the personal growth and healing it has brought him.
With Graham's Foundation, Nicholas has created a legacy honoring his son while making a meaningful difference in countless families' lives. This episode is a must-listen for anyone seeking support or looking to get involved in helping NICU families.
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.
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In this exciting episode of The Incubator podcast, hosts Ben and Daphna Barbeau dive into the promising world of artificial intelligence (AI) in neonatology. They are joined by special guests Dr. James Barry, medical director of the University of Colorado Hospital NICU, and Dr. Ryan McAdams, professor and chief of the Division of Neonatology and Newborn Nursery at the University of Wisconsin. Both guests are co-chairs of the Steering Committee for NeoMind AI, a collaborative focused on advancing neonatal machine learning innovations, development, and artificial intelligence.
The conversation explores the potential of AI to revolutionize neonatal care by leveraging the vast amounts of data generated in NICUs to improve outcomes, optimize care delivery, and enhance medical education. Dr. Barry and Dr. McAdams provide insights into the current state of AI in neonatology, the importance of collaboration in AI research, and the ethical considerations surrounding this technology.
NeoMind AI is introduced as an inclusive learning collaborative that aims to break down silos between organizations, educate neonatologists about AI, and foster collaboration on common data platforms. The guests emphasize the importance of clinician involvement in AI development and application to ensure safe, effective, and unbiased implementation.
This episode offers a fascinating look at the future of neonatology and the role AI will play in transforming the field. It serves as an invitation for listeners to join the NeoMind AI community and contribute to this exciting new frontier in neonatal 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.
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In this episode, Mbozu and Shelly-Ann are joined by Dr. Clyde Cave and Dr. Gillian Birchwood. The conversation explores the neonatal care in Barbados, focusing on the challenges faced and the incremental changes made to improve the care provided. Dr. Cave and Dr. Birchwood provide an overview of the NICU in Barbados, the early years of the NICU, human resource development, financial challenges and fundraising, dealing with pushbacks, and internal pushback with changing practices. The conversation highlights the importance of advocating for neonatal care and the need for continuous improvement in the face of limited resources.
Episode Webpage Link: https://www.the-incubator.org/post/207-caring-for-neonates-in-barbados-how-small-changes-over-time-create-big-results-ft-dr-cl
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.
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In this episode of The Incubator Journal Club, Ben and Daphna discuss several recent neonatology papers. They review a NEJM trial on nutritional support strategies for moderate to late preterm infants, finding no effects on time to full feeds or body composition at 4 months. Next, they discuss a study on umbilical cord blood cultures for early onset sepsis, noting good concordance with neonatal blood cultures. A Japanese retrospective study found erythropoietin use was associated with increased ROP risk but decreased NEC and mortality. However, the hosts caution about limitations in EPO dosage data and variation between centers. They then discuss a trial showing breast milk enemas reduce time to meconium evacuation and full feeds compared to saline enemas in preterm infants. A paper from Nationwide Children's reports good outcomes managing BPD without routine blood gases, potentially saving costs. Lastly, a study suggests transcutaneous bilirubinometry may safely monitor rebound hyperbilirubinemia after phototherapy. Throughout the discussion, Ben and Daphna provide insightful analysis of each study's strengths, limitations, and implications for practice. They also highlight their upcoming 3-year podcast anniversary, announcing a special giveaway and listener survey.
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.
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Nutritional Support for Moderate-to-Late-Preterm Infants - A Randomized Trial. Alexander T, Asadi S, Meyer M, Harding JE, Jiang Y, Alsweiler JM, Muelbert M, Bloomfield FH; DIAMOND Trial Group.N Engl J Med. 2024 Apr 25;390(16):1493-1504. doi: 10.1056/NEJMoa2313942.PMID: 38657245 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.
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Breast Milk Enema and Meconium Evacuation Among Preterm Infants: A Randomized Clinical Trial. Zheng L, Gai L, Wu Y, Kong C, Sun F, Gao J, Yuan W, Liu M, Jiang H, Tuo N, Yang F.JAMA Netw Open. 2024 Apr 1;7(4):e247145. doi: 10.1001/jamanetworkopen.2024.7145.PMID: 38648060 Free 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.
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EBNEO commentary: Patent ductus arteriosus (PDA)-To treat early or not with ibuprofen? Javed R, Gowda H.Acta Paediatr. 2024 Apr 30. doi: 10.1111/apa.17259. Online ahead of print.PMID: 38687140 No abstract available.
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.
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In this intimate chat with Leah, Isabella shares her experience of her baby Lily being born prematurely at 27 weeks and being admitted to the NICU. She talks about the initial shock and the unexpected journey of having a baby in the NICU. Isabella shares her daughter Lily's journey in the NICU, from surgery to feeding challenges and extended hospital stays. She emphasizes the importance of trusting your instincts as a parent. Isabella expresses gratitude for the medical staff and the lessons she learned about patience and acceptance. She shares her hope for other NICU families and offers words of wisdom for those currently in the NICU.
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.
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In this episode of âAt the Benchâ in the Incubator podcast family, Dr. Donna Ferrero discusses her work on therapeutic hypothermia and neonatal brain injuries. She explains the development and implementation of therapeutic hypothermia as a treatment for brain injuries in newborns. Dr. Ferrero also explores the signaling pathways and early markers that can help identify patients who will respond well to hypothermia. She discusses the use of erythropoietin (EPO) and the results of the HEAL trial. Additionally, Dr. Ferrero highlights the importance of genetic variants and sex-specific differences in understanding and treating brain injuries. She also emphasizes the need for a multi-omics approach to better comprehend the complexity of brain injuries and develop personalized interventions. We also delve into the future of care for hypoxia ischemia and the importance of collaboration and career development for physician scientists. The value of collaboration with international researchers and the benefits of visiting other institutions and labs are highlighted. Tips for effective collaboration and overcoming challenges in career development are provided, along with insights into the role of leadership in advancing 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.
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In this episode of The Incubator podcast, hosts Ben Courchia and Daphna Yasova Barbeau interview Professor Ola Didrik Saugstad, a pioneer in neonatology research from Norway. Professor Saugstad shares his journey of discovering hypoxanthine as a biochemical marker of asphyxia in newborns and his groundbreaking work on resuscitating babies with room air instead of 100% oxygen. He explains how his research challenged the long-standing dogma of using pure oxygen for resuscitation, despite initial skepticism from the medical community. Through his perseverance and collaboration with international researchers, Professor Saugstad's findings eventually led to a paradigm shift in neonatal resuscitation guidelines worldwide. He emphasizes the importance of being open to new ideas, conducting rigorous studies, and fostering teamwork in research. The conversation also touches on the challenges of conducting clinical trials in an era of increasing complexity and the need for ongoing international collaboration to address unanswered questions in neonatology, particularly regarding optimal oxygen use in preterm infants. Professor Saugstad's inspiring story highlights the impact that dedicated researchers can have on improving care for the most vulnerable patients.
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.
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In this episode, Dr. Nkuranga and Dr. Hadfield discuss their journey into neonatology and their current roles in Rwanda's healthcare system. They also discuss the development of the Neonatal-Perinatal Fellowship Program in Rwanda and the collaborations and stakeholder involvement that were required to establish the program. They also share their experiences of living and working in Rwanda, as well as the challenges of balancing work and family. The conversations concludes with advice for individuals in leadership positions and an invitation for collaboration
Episode address: https://www.the-incubator.org/post/202-Global-Neo-Pod-Starting-a-Neonatal-Perinatal-Medicine-Fellowship-in-Rwanda
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.
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In this packed episode of The Incubator, Daphna and I dive into a diverse range topics. We start by discussing a compelling article on bilirubin encephalopathy, exploring the relationship between unbound bilirubin levels and the severity of acute bilirubin encephalopathy in late preterm and term infants. Next, we review a study on the long-term neurodevelopmental and respiratory outcomes of infants with varying grades of bronchopulmonary dysplasia (BPD), emphasizing the importance of considering BPD severity in follow-up studies. We then shift gears to discuss the impact of early milk expression on milk quantity in mothers of very preterm infants, highlighting the significance of pumping within the first six hours after birth. We also touch on a recent study investigating the potential link between acetaminophen use during pregnancy and the risk of autism, ADHD, and intellectual disability in children. Additionally, we explore the safety and potential neuroprotective effects of caffeine in infants with hypoxic-ischemic encephalopathy (HIE) undergoing therapeutic hypothermia. We also briefly mention studies on the association between time to regain birth weight and neurodevelopmental outcomes in extremely preterm infants, as well as the use of vibratory stimulation to mitigate pain responses during skin-breaking procedures in neonates. Join us for this informative and wide-ranging discussion on the latest research in neonatal 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.
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In this episode of the Tech Tuesday podcast, Dr. Yamile C. Jackson, CEO of Nurtured by Design, shares her journey from an engineer to an innovator in the neonatal care space, inspired by her son Zach's premature birth and the challenges she faced in the NICU. Focused on improving the NICU experience for both infants and their families, Yamile developed the Zaky Hug and Zaki Zak, tools designed to provide comfort, support, and safety to hospitalized infants. The conversation dives deep into the concept of kangaroo care, its benefits for premature babies, and how Yamileâs products facilitate this essential practice. By blending personal narrative with practical innovation, the episode illuminates the power of parental touch and involvement in neonatal care, underscoring the need for hospitals to adopt more family-centered approaches. This inspiring story not only showcases Yamile's commitment to enhancing neonatal care but also encourages healthcare professionals to recognize the profound impact of integrating human elements into medical 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.
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In this episode of the Incubator Podcast, Daphna Barbeau and Ben Courchia are joined by Dr. Rachel Fleishman, a neonatologist, writer, and advocate for narrative medicine in neonatal care. Dr. Fleishman shares her journey in discovering the power of storytelling and its potential to humanize and transform the NICU experience for providers, patients, and families alike. She discusses the importance of listening beyond the numbers and medical jargon to truly understand and empathize with the stories of those involved in neonatal care. Dr. Fleishman also explores the role of writing as a tool for personal reflection, healing, and advocacy, emphasizing the value of embracing creativity in medicine. The conversation delves into the challenges and rewards of bridging the gap between the analytical world of medicine and the humanistic approach of narrative, ultimately highlighting the transformative potential of storytelling in the NICU. The episode concludes with an exciting announcement of a collaborative project between Dr. Fleishman and the Incubator Podcast, aimed at fostering a community of neonatal storytellers and showcasing their powerful narratives at the upcoming Delphi Neonatal Innovation Conference.
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.
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In this episode of The Incubator podcast, we reflect on our recent visit to Nationwide Children's Hospital in Columbus, Ohio. They discuss the welcoming atmosphere and the impressive cohesion among the hospital staff, from the division chief to the fellows and coordinators. We also review a recent JAMA paper on the timing of inguinal hernia repair in preterm infants, highlighting the study's findings and implications for practice.
The main focus of the episode is the upcoming Delphi Conference in Fort Lauderdale, Florida, on September 23-25, 2024. We discuss the conference's unique features, including the NSU Art Museum venue, workshops on point-of-care ultrasound, leveraging AI tools, unit design, and writing and reflection in the NICU. They also introduce the Neonatal Brainiacs trivia competition for fellowship programs and the pitch presentation session for sharing innovative ideas.
Additionally, We announce a special storytelling night during the conference's welcome event, featuring author and neonatologist Dr. Rachel Fleishman. They emphasize the conference's intimate and approachable atmosphere, encouraging attendees to reach out with any questions or concerns. The episode concludes with a reminder about the recently released episodes of the Neonatology Review Podcast and the successful launch of the Beyond the Beeps podcast.
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.
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One NICU motherâs story of resilience in the face of her babyâs multiple medical procedures.
In this conversation, Leah interviews Katia Herminio, a mother of a former 24-week preemie who spent almost four months in the NICU. They discuss Katia's unexpected preterm birth experience, the procedures and surgeries her son underwent, the challenges of breastfeeding, and the setbacks they faced. Katia shares her first time holding her baby, the power of hope, and the strength and resilience she found during their NICU journey. She emphasizes the importance of relying on nurses and doctors to help understand the NICU and having faith in the process.
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.
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In this episode, Ben and Daphna review the latest research on neonatal hyperbilirubinemia, optimistic vs. pessimistic prognostic communication, endotracheal tube sizing, intimate partner violence screening, and congenital CMV outcomes. They also welcome back James Roberts, the founder of the MOM Incubator, to discuss the progress and impact of his innovative mobile incubator system.
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.
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In this episode of âAt the Benchâ, we are interviewing one of our showâs co-hosts, Dr. David McCulley. David is a neonatologist and developmental biologist at the University of California, San Diego and in this show he talks about what motivated him to build a research program investigating the genetic and developmental mechanisms responsible for congenital diaphragmatic hernia (CDH). David directs an NIH-supported study to determine the genetic mechanisms responsible for abnormal lung and pulmonary vascular development in patients with CDH. He describes the mentorship and collaborative research experiences that have shaped his career path. David also talks about the work that he is doing along with the Society for Pediatric Research and the co-hosts of this program, Dr. Misty Good and Dr. Betsy Crouch, to encourage and promote pediatric physician-scientist career development.
Some highlighted papers:
Stokes, G., Li, Z., Talaba, N., Genthe, W., Brix, M.B., Pham, B., Wienhold, M.D., Sandok, G., Hernan, R., Wynn, J., Tang, H., Tabima, D.M., Rodgers, A., Hacker, T.A., Chesler, N.C., Zhang, P., Murad, R., Yuan, J.X., Shen, Y., Chung, W.K., McCulley, D.J. Rescuing lung development through embryonic inhibition of histone acetylation. Science Translational Medicine. 2024 Jan 31;16(732). Epub 2024 Jan 31. https://pubmed.ncbi.nlm.nih.gov/38295182/
Qiao, L., Wynn, J., Yu, L., Hernan, R., Zhou, X., Duron, V., Aspelund, G., Farkouh-Karoleski, C., Zygumunt, A., Krishnan, U.S., Nees, S., Khlevner, J., Lim, F.Y., Crombleholme, T., Cusick, R., Azarow, K., Danko, M.E., Chung, D., Warner, B.W., Mychaliska, G.B., Potoka, D., Wagner, A.J., Soffer, S., Schindel, D., McCulley, D.J., Shen, Y., Chung, W.K. Likely damaging de novo variants in congenital diaphragmatic hernia patients are associated with worse clinical outcomes. Genetics in Medicine. 2020 Dec;22(12):2020-2028. https://pubmed.ncbi.nlm.nih.gov/32719394/
McCulley, D.J., Wienhold, M.D., Hines, E.A., Hacker, T.A., Rogers, A., Pewowaruk, R.J., Zewdu, R. Chesler, N.C., Selleri, L., Sun, X. PBX transcription factors drive pulmonary vascular adaptation to birth.Journal of Clinical Investigation. 2018 Feb 1;128(2):655-667. https://pubmed.ncbi.nlm.nih.gov/29251627/
Kardon, G., Ackerman, K., McCulley, D.J., Shen, Y., Wynn, J., Shang, L., Bogenschutz, E.L., Sun, X., Chung, W.K. Congenital diaphragmatic hernias: from genes to mechanisms to therapies. Disease Models & Mechanisms. 2017 Aug 1;10(8):955-970. https://pubmed.ncbi.nlm.nih.gov/28768736/
McCulley, D., Wienhold, M.D., Sun, X. âThe pulmonary mesenchyme directs lung development.â Current Opinion in Genetics & Development. 2015 Jun;32:98-105. https://pubmed.ncbi.nlm.nih.gov/25796078/
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.
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This episode of the Incubator Podcast, hosted by Ben and Daphna, delves into the significant impact of Point of Care Ultrasound (POCUS) in neonatal care. Featuring experts from the National Neonatal POCUS Collaborative, including Dr. Yogen Singh, Dr. Maria Fraga, Dr. Shazia Bhombal, and Dr. Sai Mukthapuram, the discussion focuses on the advancements in neonatal diagnostics and care through POCUS, the collaborative's goals for standardization and education, and the future of POCUS in enhancing outcomes for neonates.
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.
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Dr. Jennifer Harling, a pediatrician and medical missionary in Burundi, shares her experiences and challenges in providing healthcare in a low-resource setting. She discusses the decision to do medical mission work, the background of Burundi and the hospital where she works, the language and cultural challenges she faced, and the improvements she has made in neonatal care. Dr. Harling also talks about staying inspired and connected, her role in medical education, and the importance of finding a balance between work and personal life.
Links mentioned in the episode
https://mccropders.blogspot.com
Dr. Harlingâs contact: jenniferb.harling@gmail.com
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.
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In this episode, Dr. David Kaufman discusses his interest in pediatrics and infectious disease, particularly in the prevention and treatment of neonatal infections. He highlights the challenges of antibiotic use in the NICU and the interplay between probiotics, prebiotics, antibiotics, and infections. Dr. Kaufman emphasizes the need for better quality control and standardization of probiotics, as well as the importance of consent and shared decision-making in their use. He also discusses the potential benefits of lactoferrin in reducing necrotizing enterocolitis (NEC) and the future directions in infection management. The episode concludes with a discussion of the Neonatal Antibiotic Stewardship web app.
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.
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In this episode, Dr. Jonathan Blau discusses the FDA warning on probiotics and its implications for the future of probiotic use in the NICU. He expresses mixed feelings about the FDA's involvement and highlights the need for regulation while also expressing concerns about the way the warning was issued. The debate between single-strain and multi-strain probiotics is also discussed, with Dr. Blau emphasizing the importance of using the triple strain recommended by ESPAGAN and AAP. He shares his experiences with rolling out probiotics in his NICU, including the decision-making process and the involvement of different disciplines. The administration and preparation of probiotics, as well as the consent and assent process, are also explored. Dr. Blau concludes by discussing the outcomes of probiotic use in his NICU and the ethical considerations surrounding the use of probiotics.
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.
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In this episode, Dr. Jonathan Blau discusses the evidence for probiotics in the prevention of necrotizing enterocolitis (NEC) in the neonatal intensive care unit (NICU). He explains that the history of probiotics in neonatology spans almost 20 years, with meta-analyses showing a significant reduction in NEC rates. The pathophysiology of NEC is related to dysbiosis in premature infants, and probiotics aim to restore a healthy microbiome. The use of probiotics varies internationally, with Europe and Canada having higher rates of use compared to the United States. Dr. Blau also discusses the optimal study design for probiotics and the potential benefits beyond NEC prevention.
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.
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In this episode, Dr. Jonathan Swanson discusses the evolution of neonatal nutrition and the major tenants of neonatal nutrition that have been learned over the years. He emphasizes the importance of breast milk and the role it plays in neurodevelopment and short-term outcomes. Dr. Swanson also explores the impact of necrotizing enterocolitis (NEC) on neonatal nutrition and the efforts to prevent NEC through good nutrition and optimizing homeostasis. The conversation then delves into the role of the maternal-fetal dyad in preparing the infant microbiome and the potential for probiotics to re-regulate the microbiome. The discussion concludes with a focus on the challenges and opportunities surrounding the use of probiotics in the NICU, including the role of families in decision-making and the impact of FDA regulations.
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.
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In this episode of the Incubator Podcast, Ben and Daphna discuss maternal mental health with Maureen Fiora, CEO of Mammha, a femtech startup aimed at revolutionizing maternal mental health care. Mammha focuses on addressing postpartum and perinatal depression by improving identification, diagnosis, referral, and treatment processes. Maureen shared her personal journey, highlighting the significant gaps in current healthcare systems regarding maternal mental health, emphasizing that less than 20% of physicians screen for these conditions. She detailed how Mammha streamlines screening with technology and ensures that women who screen positive receive comprehensive follow-up care, overcoming the usual fragmentation in care pathways.
The conversation also touched on the importance of screening in NICUs due to the heightened vulnerability of parents there, with Mammha capturing significant data on both mothers and fathers experiencing mental health issues. Maureen explained how Mammha operates, starting with provider-initiated screening using QR codes and validated tools, to engaging care coordinators for immediate follow-up. The company's success stories include partnerships and awards for their innovative approach to closing care gaps, especially among underserved populations.
Mammha's model has significantly increased engagement and follow-up care for screened parents, showcasing a promising pathway to better maternal mental health outcomes. Maureen's background in policy and advocacy, combined with personal experience, positions her uniquely to lead this initiative, aiming to make a tangible difference in the lives of parents navigating the challenges of mental health during the perinatal period.
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.
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In this weekâs episode of The Incubator Podcast, hosts Ben Courchia, MD, and Daphna Yasova Barbeau, MD, dive into the complex world of neonatal care for infants with congenital heart disease.
Our guest, Dr. Nim Goldshtrom, shares insights from his extensive experience in neonatology and pediatric cardiac intensive care, focusing on the multidisciplinary approach to caring for the sickest infants at Columbia University Irving Medical Center and Morgan Stanley Childrenâs Hospital. Dr. Goldshtrom discusses the evolution of his career, the importance of specialized training for dealing with congenital heart disease in neonates, and how modern technology like near-infrared spectroscopy (NIRS) is being used to improve patient outcomes. The conversation also touches on the challenges and opportunities presented by genetic screening and the future directions of neonatal and congenital heart disease care. Join us for an enlightening discussion that sheds light on the nuanced care required for these vulnerable patients 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.
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Hello Friends,
We have a new episode of journal club for you this week. On this episode Ben & Daphna review the latest research in neonatology, and welcome the EBNEO team for a new commentary. The articles reviewed this week include:
Esophageal versus Rectal Temperature Monitoring during Whole-body Therapeutic Hypothermia for Hypoxic-ischemic Encephalopathy: Association with Short and Long-term Outcomes. Wu TW, Schmicker R, Wood TR, Mietzsch U, Comstock B, Heagerty PJ, Rao R, Gonzalez F, Juul S, Wu YW.J Pediatr. 2024 Feb 1:113933. doi: 10.1016/j.jpeds.2024.113933. Online ahead of print.PMID: 38309524 Free article.
Neonatal Outcomes After COVID-19 Vaccination in Pregnancy. Norman M, Magnus MC, Söderling J, Juliusson PB, NavĂ©r L, Ărtqvist AK, HĂ„berg S, Stephansson O.JAMA. 2024 Feb 6;331(5):396-407. doi: 10.1001/jama.2023.26945.PMID: 38319332
Maternal syphilis rates tripled in the US between 2016 and 2022, data show. Tanne JH.BMJ. 2024 Feb 15;384:q416. doi: 10.1136/bmj.q416.PMID: 38359912 No abstract available.
Therapeutic hypothermia for preterm infants 34-35 weeks gestational age with neonatal encephalopathy. Kim SH, El-Shibiny H, Inder T, El-Dib M.J Perinatol. 2024 Jan 16. doi: 10.1038/s41372-024-01874-x. Online ahead of print.PMID: 38228763
Randomised study of a new inline respiratory function monitor (Juno) to improve mask seal and delivered ventilation with neonatal manikins. Tracy MB, Hinder M, Morakeas S, Lowe K, Priyadarshi A, Crott M, Boustred M, Culcer M.Arch Dis Child Fetal Neonatal Ed. 2024 Feb 9:fetalneonatal-2023-326256. doi: 10.1136/archdischild-2023-326256. Online ahead of print.PMID: 38336472
Dextrose gel prophylaxis for neonatal hypoglycaemia and neurocognitive function at early school age: a randomised dosage trial. Wei X, Franke N, Alsweiler JM, Brown GTL, Gamble GD, McNeill A, Rogers J, Thompson B, Turuwhenua J, Wouldes TA, Harding JE, McKinlay CJD; pre-hPOD Early School-age Outcomes Study Group.Arch Dis Child Fetal Neonatal Ed. 2024 Feb 12:fetalneonatal-2023-326452. doi: 10.1136/archdischild-2023-326452. Online ahead of print.PMID: 38307710
Effect of human milk-based fortiïŹcation in extremely preterm infants fed exclusively with breast milk: a randomised controlled trial. Jensen, G. B., Domellöf, M., Ahlsson, F., Elfvin, A., NavĂ©r, L., & Abrahamsson, T. eClinicalMedicine (2023).
Neurodevelopmental Outcomes of Extremely Preterm Infants Fed Donor Milk or Preterm Infant Formula: A Randomized Clinical Trial. Colaizy TT, Poindexter BB, McDonald SA, et al. JAMA. 2024;331(7):582â591. doi:10.1001/jama.2023.27693
EBNEO Commentary: De-MIST-ifying the 2-year outcomes of non-invasive surfactant therapy. Loft L, Ferguson KN, Tingay DG. Acta Paediatr. 2024 Jan 25. doi: 10.1111/apa.17116. O
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.
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EBNEO Commentary: De-MIST-ifying the 2-year outcomes of non-invasive surfactant therapy. Loft L, Ferguson KN, Tingay DG.Acta Paediatr. 2024 Jan 25. doi: 10.1111/apa.17116. Online ahead of print.
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!
Esophageal versus Rectal Temperature Monitoring during Whole-body Therapeutic Hypothermia for Hypoxic-ischemic Encephalopathy: Association with Short and Long-term Outcomes. Wu TW, Schmicker R, Wood TR, Mietzsch U, Comstock B, Heagerty PJ, Rao R, Gonzalez F, Juul S, Wu YW.J Pediatr. 2024 Feb 1:113933. doi: 10.1016/j.jpeds.2024.113933. Online ahead of print.PMID: 38309524 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!
Effect of human milk-based fortiïŹcation in extremely preterm infants fed exclusively with breast milk: a randomised controlled trial. Jensen, G. B., Domellöf, M., Ahlsson, F., Elfvin, A., NavĂ©r, L., & Abrahamsson, T. eClinicalMedicine (2023).
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.
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SummaryDr. Eliza Myers, an academic neonatologist, shares her journey in neonatology and her passion for combining art and medicine. She discusses the importance of pursuing personal passions and making time for hobbies. Dr. Myers also highlights the role of visual arts in medicine and the impact it has on creativity and problem-solving. She then delves into her dedication to breastfeeding and lactation, including the development of the Track My Milk app. She explains the process of building the app and its integration into the electronic medical record system. Dr. Myers emphasizes the importance of parent compliance and engagement in using the app and the positive impact it has on the bedside experience. She also discusses the collaboration between physicians and lactation specialists and the support needed for trainees with unique ideas. Finally, Dr. Myers shares her thoughts on expanding the app to other electronic medical record systems and the challenges and rewards of the development process. In this conversation, Eliza Myers discusses her work on Track My Milk, a mobile app for tracking breast milk production. The conversation covers challenges of collaboration, the impact of technology on research in medicine, the importance of parent engagement and data collection, the potential of artificial intelligence in healthcare, and the exploration of brain microstructure in neonatology. The conversation concludes with a discussion on the future of Track My Milk and its potential dissemination.
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.
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In this episode of âAt the Benchâ, we have the privilege of interviewing one of our hosts, Dr. Misty Good. Dr. Good discusses her amazing career journey from learning to pipette water at the beginning of her neonatology fellowship to becoming a multiple R01-funded investigator. She shares how she is inspired every day to improve the care of preterm infants with necrotizing enterocolitis through her research and how she decided to pursue a career as a physician-scientist due to the desire to improve the lives of all babies. Dr. Goodâs story serves as an inspiration to early career faculty and those navigating the challenging but incredibly rewarding career path of a neonatologist-scientist.
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.
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In this week's episode of The Incubator Podcast's Journal Club, Ben and Daphna delve into recent pivotal studies impacting neonatal intensive care. Their expert discussion navigates through the latest research findings, offering deep insights for professionals in the field. Highlights include:
- Hydrocortisone in Preterm Neonates for BPD Prevention: A detailed analysis of hydrocortisone's role in preventing bronchopulmonary dysplasia, based on a systematic review and meta-analysis.
- Factors Influencing CRP Status in Neonates: An exploration of the determinants affecting C-reactive protein levels, with a focus on gestational age, birth weight, and specific maternal and neonatal conditions.
- Transition to Adulthood for Extremely Preterm Survivors: Insights from a longitudinal study on the long-term outcomes of extremely preterm/low birth weight survivors in education, employment, and health.
- Sustained Inflation and Chest Compression in Neonatal CPR: A comparison of CPR methods for asphyxiated newborns, evaluating sustained inflation versus traditional compression to ventilation ratios.
- Early vs. Late Tracheostomy in Infants with Severe BPD: An examination of the neurodevelopmental outcomes associated with the timing of tracheostomy in infants with severe BPD and the impact of postnatal steroid exposure.
Join us for a deep dive into these topics, designed to inform and challenge the current understanding and practices in neonatal 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.
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https://www.kare11.com/article/news/local/islamic-legal-solves-donated-breast-milk-quandary-for-muslim-parents/89-5fb4a3f3-3646-4601-89c0-a2de6c9ef684
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.
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Hydrocortisone in very preterm neonates for BPD prevention: meta-analysis and effect size modifiers.
De Luca D, Ferraioli S, Watterberg KL, Baud O, Gualano MR.Arch Dis Child Fetal Neonatal Ed. 2024 Jan 17:fetalneonatal-2023-326254. doi: 10.1136/archdischild-2023-326254. Online ahead of print.PMID: 38237961
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.
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Factors influencing C-reactive protein status on admission in neonates after birth.
Cao C, Wang S, Liu Y, Yue S, Wang M, Yu X, Ding Y, Lv M, Fang K, Chu M, Liao Z.BMC Pediatr. 2024 Feb 1;24(1):89. doi: 10.1186/s12887-024-04583-8.PMID: 38302903 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.
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Transition to Adulthood for Extremely Preterm Survivors.
Pigdon L, Mainzer RM, Burnett AC, Anderson PJ, Roberts G, Patton GC, Cheung M, Wark JD, Garland SM, Albesher RA, Doyle LW, Cheong JLY; Victorian Infant Collaborative Study Group.Pediatrics. 2024 Jan 1;153(1):e2022060119. doi: 10.1542/peds.2022-060119.PMID: 38124530
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.
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Sustained inflation and chest compression versus 3:1 chest compression to ventilation ratio during cardiopulmonary resuscitation of asphyxiated newborns (SURV1VE): A cluster randomised controlled trial.
Schmölzer GM, Pichler G, SolevÄg AL, Law BHY, Mitra S, Wagner M, Pfurtscheller D, Yaskina M, Cheung PY; SURV1VE- Trial Investigators.Arch Dis Child Fetal Neonatal Ed. 2024 Jan 11:fetalneonatal-2023-326383. doi: 10.1136/archdischild-2023-326383. Online ahead of print.PMID: 38212104
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.
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The impact of early tracheostomy on neurodevelopmental outcomes of infants with severe bronchopulmonary dysplasia exposed to postnatal corticosteroids.
Taha A, Akangire G, Noel-Macdonnell J, Gladdis T, Manimtim W.J Perinatol. 2023 Dec 29. doi: 10.1038/s41372-023-01864-5. Online ahead of print.PMID: 38158399
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.
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Daily skin-to-skin contact alters microbiota development in healthy full-term infants.
Eckermann HA, Meijer J, Cooijmans K, Lahti L, de Weerth C.Gut Microbes. 2024 Jan-Dec;16(1):2295403. doi: 10.1080/19490976.2023.2295403. Epub 2024 Jan 10.PMID: 38197254 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.
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Non-pharmacological interventions for the prevention of pain during endotracheal suctioning in ventilated neonates.
Pirlotte S, Beeckman K, Ooms I, Cools F.Cochrane Database Syst Rev. 2024 Jan 18;1(1):CD013353. doi: 10.1002/14651858.CD013353.pub2.PMID: 38235838
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.
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In this episode, Shelly-Ann, Ben, and Gabriel discuss the Newborn Toolkit with Dr. Joy Lawn, Dr. Mbozu Sipalo, and Lauren Allison from the Newborn Toolkit Team. They highlight the importance of newborn care, the challenges faced in providing adequate care globally, and the development of the Newborn Toolkit to address these challenges.
Newborn Toolkit link - https://newborntoolkit.org/toolkit
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.
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In this episode of The Incubator, hosts Ben and Daphna discuss Bronchopulmonary Dysplasia (BPD) with Dr. Steve Abman, Dr. Milenka Cuevas Guaman, and Dr. Laurie C. Eldredge from the BPD Collaborative. They cover the progression of BPD understanding, emphasizing the collaborative efforts in neonatology, the critical role of interdisciplinary care, and current approaches to improve 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.
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In this episode of The Incubator Podcast, hosts Ben and Daphna sit down with Tracy Warren, co-founder and CEO of Astarte Medical, to discuss the NICUtrition tool. They delve into how NICUtrition is tailored to improve nutritional outcomes in premature infants, its development journey, and real-world application insights.
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.
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In the latest episode of the Incubator Podcast's Journal Club, the hosts, Ben and Daphna, delve into a detailed discussion of recent neonatology research.
- The Oscar Trial: Examined the efficacy of early ibuprofen treatment for large patent ductus arteriosus (PDA) in extremely preterm infants to improve outcomes like survival and severe bronchopulmonary dysplasia (BPD). The study, a randomized double-blind placebo-controlled trial across 32 UK units, found no significant benefit of early ibuprofen treatment.
- Breastfeeding as a Protective Factor Against BPD: A retrospective study from the British Journal of Nutrition by José Uberos, focusing on the intake of mother's own milk, donor human milk, or preterm formula within the first two weeks of life in very low birth weight infants. It highlighted the benefits of mother's milk in reducing the odds of BPD and noted the importance of enteral nutrition in the development of BPD.
- Clinical Chorioamnionitis and Neurodevelopment: Drawn from the Epipage to cohort, the study found no significant association between clinical chorioamnionitis and neurodevelopmental disorders at five years of age for infants born between 24 and 34 weeks of gestation.
- Polyethylene Bags Before Cord Clamping: This randomized control trial published in the Archives of Disease in Childhood investigated whether placing very preterm infants in a polyethylene bag before cord clamping could ensure normothermia upon NICU admission. The trial concluded that there was no significant difference in the normothermia rates between those bagged before and after cord clamping.
- Marijuana Use and Breastfeeding: Survey results from a Pediatrics journal article showing variability in hospital practices regarding breastfeeding for mothers who use marijuana. It calls for more standardized, evidence-based practices to ensure healthcare equity.
- Platelet Transfusion and Neurodevelopmental Impairment: A JAMA Network Open study using data from the PEANUT trial, examining the association between platelet transfusion exposure and death or severe neurodevelopmental impairment at two years of age in extremely preterm children.
- Azithromycin During Routine Well Infant Visits: A study from Burkina Faso published in the New England Journal of Medicine tested the effectiveness of Azithromycin given during routine health care visits in preventing infant mortality. The results did not support the prophylactic use of Azithromycin for this purpose.
- Challenges in Managing Refractory Pain and Sedation in Infants: A review article from Frontiers in Pharmacology compiling guidelines and providing insights into the management of pain, sedation, and withdrawal in infants, including the issue of delirium in the NICU setting.
- EBNEO Commentary with Dr. Eugene How and Dr. Cami Martin on the study by Ariel Salas et al published in Pediatrics: Early human milk fortification in infants born extremely preterm: A randomised 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.
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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.
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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.
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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.
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Welcome to âAt the Benchâ a new podcast in the Incubator network focusing on physician-scientists in neonatology, their research, and career journeys.
This week, we start by interviewing Dr. Elizabeth âBetsyâ Crouch, a neonatologist, neuroscientist, and vascular biologist at the University of California, San Francisco. Dr. Crouchâs lab takes a âVascular-centricâ perspective to neurodevelopment and studies how the blood vessels in the developing brain and spinal cord impact the growing neural cells, and vice versa. In part, this approach is inspired by germinal matrix hemorrhage, a devastating condition unfortunately common in the NICU that can cause cerebral palsy, hydrocephalus, and death. Early in Dr. Crouchâs training, a family she cared for in the NICU questioned the status quo in germinal matrix hemorrhage management. They asked why, in this era of modern medicine, their baby had no treatment options for this devastating and common condition. This anecdote highlights what has become a theme in her research: basic and translational science inspired by parents and patients. Her lab now focuses on defining the stages of vascular stem cells in the developing brain and understanding the mechanisms that regulate their functions, applying this knowledge to produce novel technologies and therapeutic strategies for different brain hemorrhages in neonatal and pediatric patients. This episode discusses the challenges and victories in Dr. Crouchâs journey, her mentors and their wisdom, and how we might create a future without germinal matrix hemorrhage for our premies and their families.
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.
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In this episode of the incubator, Dr. Nora Colman, a pediatric critical care physician, and Sarah Walter, a registered architect and senior medical planner, delve into the intricacies of designing Neonatal Intensive Care Units (NICUs). They explore the impact of the built environment on neonatal care, emphasizing evidence-based design and the need for healthcare architecture to support patient outcomes. Discussions revolve around how elements like lighting, noise, and spatial design influence both the health of newborns and the efficiency of care. The episode underscores the importance of collaboration between healthcare professionals and architects in creating optimal NICU environments, with real-world examples and innovative approaches highlighted.
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.
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Dr. Kunda Mutesu-Kapembwa is a Paediatrician and Neonatologist working in Zambia. She holds a Bachelor of Medicine and Surgery, a Master in Paediatrics and Child Health, a Certificate and Master of Philosophy in Neonatology. Her career is dedicated to nursing and doctorsâ education and to the health of neonates and their families. She Co-founded Newborn Support Zambia, a not for profit Non-Governmental Organization to help improve the care of neonates in Zambia.
https://www.the-incubator.org/post/176-global-neonatal-pod-pioneering-neonatology-in-zambia-with-dr-kunda-mutesu-kapwemb
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.
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This week, journal club covers a wide variety of topics including:
- A trial on using sildenafil for brain injury in neonates with hypoxic-ischemic encephalopathy (HIE). The safety and feasibility of sildenafil as a restorative treatment are explored.
- The effectiveness of NIR-CIVIMAB for RSV prevention in infants. The focus is on reducing hospitalizations due to RSV-associated lower respiratory tract infections.
- The impact of antenatal corticosteroid treatment during late preterm periods on neonatal outcomes, especially in twin pregnancies.
- A study on energy drink intake before and during pregnancy and its association with adverse pregnancy outcomes.
- Jennifer Canvasser's meeting with the FDA regarding probiotic use in NICUs and the implications of recent FDA warnings.
- Research on early and exclusive enteral nutrition in preterm infants, the time taken to reach target cooling temperature in infants with HIE, and the potential role of blood transfusions in bronchopulmonary dysplasia.
These topics are critically analyzed and discussed, providing insights into current neonatal care practices and research developments.
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.
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Positioning for lumbar puncture in newborn infants. Pessano S, Bruschettini M, Prescott MG, Romantsik O.Cochrane Database Syst Rev. 2023 Dec 14;12(12):CD015592. doi: 10.1002/14651858.CD015592.pub3.PMID: 38096386 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.
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Learn more about the work done by the NEC Society here: https://necsociety.org/2024/01/03/nec-society-fda-meeting-on-probiotics/
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.
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Feasibility and safety of sildenafil to repair brain injury secondary to birth asphyxia (SANE-01): A randomized, double-blind, placebo-controlled phase Ib clinical trial. Wintermark P, Lapointe A, Steinhorn R, Rampakakis E, Burhenne J, Meid AD, Bajraktari-Sylejmani G, Khairy M, Altit G, Adamo MT, Poccia A, Gilbert G, Saint-Martin C, Toffoli D, Vachon J, Hailu E, Colin P, Haefeli WE.J Pediatr. 2023 Dec 21:113879. doi: 10.1016/j.jpeds.2023.113879. Online ahead of print.PMID: 38142044 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.
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Early and exclusive enteral nutrition in infants born very preterm.Razzaghy J, Shukla VV, Gunawan E, Reeves A, Nguyen K, Salas AA.Arch Dis Child Fetal Neonatal Ed. 2023 Dec 22:fetalneonatal-2023-325969. doi: 10.1136/archdischild-2023-325969. Online ahead of print.PMID: 38135494
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.
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Happy 2024! We kick off the new year with an exceptional episode. This week, we delve deep with Dr. Terri Major-Kincade, a neonatologist whose career is a testament to the power of empathy in medicine. Dr. Major-Kincade shares intricate details of her path, shaped by her sister's premature birth, leading to her life's mission in neonatology. She explores the complexities of providing hope in the NICU, the ethical dimensions of palliative care, and how personal experiences can enrich professional practice. The conversation also navigates the intricate balance of work and life in the demanding world of neonatal care. For specialists seeking to deepen their practice with empathy and evidence-based insight, this episode is a reservoir of wisdom and encouragement.
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.
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This week, on Journal Club we wrap up 2023 with several interesting articles. From the POPART trial's insights into noninvasive surfactant delivery to the controversial use of saline boluses in preterm infants, this episode promises to give you things to think about during the holiday season.
As we bid farewell to 2023, join us for a journey through the latest advancements that have challenged and enlightened us. We scrutinize the outcomes of administering oropharyngeal surfactant and examine the physiological effects of normal saline boluses on the tiniest patients. Each segment unveils critical takeaways, urging a reevaluation of established practices and spotlighting the synergy of interdisciplinary collaboration for enhancing neonatal health care.
Looking ahead, we're excited to share a glimpse of the upcoming podcast series that will further our mission of education and support for both practitioners and families. From "At the Bench" with its focus on the nitty-gritty of basic science research to the NICU Family Podcast aimed at deciphering medical jargon for parents, we're expanding our network to bring diverse perspectives under one roof. Stay tuned as we recharge during our brief hiatus, and prepare to return with more episodes that promise to inspire, challenge, and evolve the world of neonatology.
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.
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In this insightful episode of our special podcast series on managing respiratory distress, we welcome Andy Niccol, General Manager for Respiratory Humidification at Fisher & Paykel Healthcare. Andy brings his 18 years of product design experience in the medical device industry to the table, discussing the challenges and breakthroughs in designing respiratory care devices for neonatal, pediatric, and adult patients.
Andy delves into the complex process of product development, emphasizing the need for deep understanding of clinical problems and patient needs. He shares how his team embeds itself in clinical environments to develop empathy with caregivers and patients, thereby creating innovative and valuable solutions. Andy gives concrete examples from his work, such as the development of the Optiflow Junior nasal high flow cannula and FlexiTrunk interface, demonstrating the intricate balance between patient safety, comfort, and effective therapy delivery.
The conversation also touches on the critical aspect of user feedback in product design, especially when dealing with delicate patients like neonates. Andy candidly shares a story of a design failure that led to significant improvements in their approach to prototyping and testing.
Lastly, the episode explores Fisher & Paykel's philosophy of 'care by design' â prioritizing patient outcomes in every design decision. Andy's passion for improving neonatal care shines through as he discusses future trends and the increasing shift towards non-invasive respiratory support. This episode is a must-listen for anyone interested in the intersection of engineering, product design, and neonatal 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.
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Welcome back to another episode of the Incubator Podcast, where we continue exploring the management of respiratory distress in neonates. In this episode, we have the pleasure of welcoming back Dr. Lonnie Miner, who brings his wealth of knowledge in neonatal respiratory care to our ongoing discussion.
Dr. Miner dives into the critical topic of weaning neonates from invasive ventilation, he discusses the need for standardized extubation guidelines, sharing insights into the criteria for successfully transitioning from high-frequency ventilation to conventional methods, and ultimately, to non-invasive supports. The conversation also covers the nuanced differences in managing various neonatal pathologies, highlighting the importance of individualized care. An interesting aspect of this episode is the exploration of different non-invasive ventilation modalities post-extubation, such as CPAP, nasal IMV, and NAVA. Dr. Miner provides a detailed analysis of each method, discussing their advantages, limitations, and appropriateness for specific clinical scenarios. He stresses the importance of understanding and being consistent with the chosen method, ensuring it meets the baby's physiological needs.
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.
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Join us in the third episode of our "Managing Respiratory Distress" series on The Incubator Podcast, featuring Dr. Lonnie Miner and Dr. Amy Miner. Our guests today unravel the intricacies of high-flow nasal cannula and CPAP in the treatment of respiratory distress syndrome (RDS) in neonates. Dr. Lonnie Miner, Assistant Professor in the Division of Neonatology at the University of Utah, School of Medicine, and Dr. Amy Miner, a Neonatology Fellow at Rutgers University, engage in a thorough discussion about the practical differences and physiological impacts of high-flow nasal cannula and CPAP. They emphasize the significance of understanding how much pressure is actually delivered to the neonates, exploring the challenges in measuring this accurately.
The conversation covers a range of topics, including the evolution of high-flow nasal cannula, its application in different clinical settings, and the importance of humidification in respiratory support. Our speakers also delve into the nuances of airway resistance and lung compliance, highlighting how these factors influence the effectiveness of respiratory support modalities.
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.
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Welcome back to the second installment of our mini-series on "Managing Respiratory Distress." Today our guests include Dr. Richard Polin and Dr. Amy Miner. This episode continues the exploration of neonatal respiratory distress, with a specific focus on the effective use of CPAP (Continuous Positive Airway Pressure) in treating newborns.
Dr. Polin, a distinguished expert in neonatology, and Dr. Miner, a Neonatology fellow at Rutgers University, discuss the critical role of CPAP in establishing Functional Residual Capacity (FRC) in neonates. They delve into the advantages of CPAP over invasive respiratory support, highlighting its ability to reduce or avoid the need for mechanical ventilation. The conversation also covers the importance of noise created by bubble CPAP in improving ventilation and oxygenation, as well as its potential role in promoting lung growth.
This episode offers a comprehensive look at the practical aspects of CPAP application. Today's guests discuss the selection of appropriate CPAP levels, the variability in practice across institutions, and the impact of different interfaces on pressure delivery. They also address potential complications of CPAP therapy, such as pneumothorax and nasal damage, providing insights into prevention and management.
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.
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Welcome to the first episode of our special series, "Managing Respiratory Distress," on "The Incubator Podcast." In this episode, we are honored to host Dr. Richard Polin, a luminary in the field of neonatology. Dr. Polin, the William T. Speck Professor of Pediatrics at Columbia University and a celebrated figure with numerous accolades including the Apgar Award, shares his profound insights on neonatal respiratory care.
This episode primarily focuses on the critical aspects of managing respiratory distress in neonates, a prevalent and challenging condition in neonatal intensive care units. We delve deep into the nuances of respiratory support, discussing the crucial differences and impacts of flow versus pressure. Dr. Polin's expertise illuminates the conversation, offering a blend of theoretical knowledge and practical experience.
Listeners will gain an understanding of the latest approaches in neonatal respiratory care, guided by Dr. Polin's extensive research and clinical practice. The episode covers various topics, including innovative treatment methodologies, patient care strategies, and the evolution of neonatal care over the years.
This series promises to be an invaluable resource for healthcare professionals, offering insights into the latest evidence and practices in the care of critically ill newborns. Dr. Polin's contribution to this episode not only educates but also inspires, reflecting his significant impact on the field of neonatology.
Join us in this enlightening discussion with Dr. Richard Polin as we explore the frontiers of neonatal care, offering hope and advanced care strategies for our most vulnerable patients
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.
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In this episode, Ben and Daphna review the latest papers in neonatology trying to make sure you don't miss important papers published in 2023! They review a study comparing umbilical cord milking and delayed cord clamping in preterm infants. They also discuss two meta-analyses on cord clamping strategies and their effects on mortality and morbidity. Additionally, they review a study on late surfactant administration in preterm neonates and a study on the risk of hematological malignancies from CT radiation exposure in young individuals. In this episode, the hosts discuss various topics related to neonatal resuscitation and the role of medical education podcasts in pediatrics. They highlight the importance of evidence-based practices in neonatal care and provide key takeaways from recent updates on neonatal resuscitation. The hosts also explore the growing popularity of podcasts as a valuable educational resource and discuss the potential impact of podcasts on medical education. In this episode we also have the please of bringing to you Dr. Karen Puopolo and Dr. Dustin Flanery, from the EBNEO team, who share their commentary on a recently published paper on GBS vaccination. Ben and Daphna conclude the episode with an announcement of new content coming in 2024.
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.
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In this insightful episode of the Incubator Podcast, join Daphna and Ben as they delve into the world of NICU follow-up care. Featuring guests Melissa Woythaler, Mollie Warren, and Kristen Sullivan, the discussion explores the comprehensive approach to post-NICU care, including the innovative Transition to Home program established at Mass General Brigham and the challenges of establishing a medical home for former NICU patients. Discover the intricacies of managing various NICU follow-up programs, the vital role of neonatologists, and the significant impact these programs have on families. This episode is a deep dive into the importance of continuous care from NICU to home, underscoring the dedication and collaboration needed to support vulnerable infants and their families.
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.
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Join us this week as we welcome back to the show the EBNEO team to discuss the many candidates for the Article of the Year Campaign. In this episode, in anticipation of the voting that will take place online, we break down each study and share our thoughts on which study had the most impact.
This is a fun episode that you do not want to miss. Please follow us online to find out about our special giveaway and how to participate.
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.
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In this engaging episode of the Incubator Podcast's Journal Club series, hosts Ben and Daphna take listeners through a journey of groundbreaking research in neonatal care. The episode kicks off with an in-depth analysis of a study on Gastroesophageal Reflux Disease (GERD) in infants, delving into the challenges of diagnosing reflux through symptoms like arching and irritability. This sets the stage for a nuanced discussion on the complexities of identifying acid and bolus reflux in newborns.
The conversation then shifts to a compelling study from India, which compares 90 versus 60 minutes of early skin-to-skin contact and its impact on exclusive breastfeeding rates in newborns. This segment not only underscores the benefits of extended maternal-infant contact but also offers a cultural contrast in breastfeeding practices.
Diving into the realm of pediatric cardiology, the hosts discuss a study from the Children's Hospital of Philadelphia on the efficacy of exome sequencing in diagnosing various subtypes of cardiomyopathy. This part of the episode highlights the significant advancements in genetic diagnostics in pediatric care.
In a poignant and sensitive part of the episode, the focus turns to neonatal autopsies and organ donation. The hosts discuss a study centered on parents' experiences and decision-making processes, emphasizing the vital importance of compassionate communication and offering informed choices to grieving families.
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.
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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.
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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.
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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.
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Steve Falk from GE Healthcare reviews with us how premature babies gain and lose heat through conduction, convection, radiation, and evaporation, and discover the challenges these tiny fighters face in maintaining their temperature balance. We also discuss the evolution of thermal regulation and share unique methods used to keep babies warm, including hugging incubators and the power of skin-to-skin contact.
In the second segment, we dive into the engineering marvels behind incubators. We discuss the nitty gritty things, portholes, air boost features, and the significance of the double-walled doors and side panels. You'll also hear about the vital role of clinical feedback in the development of new products, and how this has shaped the design of GE Healthcare's innovative Giraffe OmniBed. The concept of the 'golden hour' is also discussed, revealing how this crucial period can be managed to ensure optimal thermal regulation.
This mini series is kindly sponsored by GE Healthcare.
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.
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Join us for a discussion with neonatal trainee, Dr. Emma Dunne, from the esteemed Royal College of Physicians in Ireland. Her experience and research findings pave the way for an enlightening conversation where Dr. Dunne unveils her surprising findings on delayed cord clamping and its link to hypothermia in preterm neonates. Find out more about the Apollo PB trial and its implications, and delve into the importance of thermal care in neonatology. Dr. Dunne's experiences navigating the complexities of collaboration between obstetrics and neonatology give us a glimpse into the multi-layered nature of this field.
In the latter part of our conversation, we delve into the potential risks and rewards of continuous temperature monitoring in neonatal care. Dr. Dunne's research raises some thought-provoking questions about the thermometers we often use and their impact on thermal regulation in neonates. From exploring interventions that could potentially enhance temperature control in neonates, our discussion is packed with insightful knowledge.
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.
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Meet Jessica Jones, a nurse practitioner who's story is one of championing improvement, constant growth, and a relentless pursuit of understanding the "why" behind things in neonatology. With a passion for quality and research Jessica's journey gives a new meaning to the role of nurses in healthcare.
Our conversation with Jessica centers around the critical role of thermal regulation in neonatal care. She reflects on how nurses can assert their autonomy, contribute to patient outcomes, and impact their teams positively. Unraveling the complex task of improving thermal regulation, we discuss the balancing act between perfection and progress. Jessica provides a unique perspective on the importance of a systemized approach to maintain a baby's temperature effectively.
The episode concludes by underlining the role of education and empowerment in nursing practices. Jessica enlightens us about how hospital management support can help nurses pursue further education, improve team communication, and enhance their confidence. We end with a deep dive into the importance of familiarizing with equipment for effective thermal regulation in neonatal care. Get ready to be inspired and enlightened by Jessica's insights on the ever-evolving realm of neonatology!
This mini series is kindly sponsored by GE Healthcare
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.
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Join us as we dive into the vital world of neonatal thermal regulation with our esteemed guest, Dr Daniel Trevisanuto. We unpack the critical role thermal regulation plays in newborn survival and address potential comorbidities that can arise from mismanagement. Highlighting important results from a recent multi-center randomized control trial, we reveal an urgent need for improved thermal regulation practices.
As the conversation unfolds, we grapple with the complexities of keeping newborns at the optimal temperature, emphasizing the importance of team education. Our discourse takes you through the journey of how a vigilant team can spot the critical moment of a newborn's temperature drop. We also dissect a study on servo-controlled temperature and its implications, shedding light on why technology alone cannot be relied upon for maintaining ideal temperatures in newborns.
In the final segment, we delve into the world of low birth weight infants and the significance of normothermia. Dr Trevisanuto, with his extensive experience in low-resource settings, brings to the fore the harsh reality of hypothermia and its impact on newborn mortality rates. We discuss the comparative effectiveness of different bag materials, asserting the need for strategic approaches for gold standard thermal regulation. Throughout this enlightening dialogue, we drive home the importance of team education and a comprehensive understanding of technology's role in neonatal thermal regulation. Prepare for a deep understanding of the importance of thermoregulation in newborns and the essential strategies for success in this field.
This mini series is kindly sponsored by GE Healthcare
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.
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In this opening episode of our mini series on Thermoregulation we welcome to the show Dr. John Ibrahim, neonatologist and assistant professor of pediatrics in the newborn medicine division at UPMC.
Dr. Ibrahim takes us on an enlightening journey, starting from the rudimentary practices of using shoeboxes and ovens to the modern pre-warmed incubators in keeping babies warm. We also explore the significant disparity between low and middle-income countries and the highest resource settings regarding thermal regulation during skin-to-skin care for newborns. The conversation highlights how this seemingly simple practice can have profound impacts and the critical role physicians and providers play in this process.
Moving further, we dive into the intricacies of maintaining a baby's temperature during resuscitation, the responsibilities during this critical Golden Hour, and the harsh realities of hypothermia. Simultaneously, we acknowledge the power of education and technology in revolutionizing neonatal care. From setting up a resuscitation table to the impact of cold IV fluids on a baby's temperature, Dr. Ibrahim shares invaluable insights. As we conclude, we tackle the challenges of keeping babies warm during transport and the importance of effective communication among the NICU team. Don't miss out on this captivating conversation - it's a deep insight into the crucial, but often overlooked, aspect of newborn care.
This mini-series is kindly sponsored by GE Healthcare.
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.
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Ever wonder what it's like to transport a neonate across the globe in the high-stakes environment of military medicine? Three military neonatologists, Drs. Laura Borruso, Mike Guindon, and Liz Okonek, here to offer a rare glimpse into this challenging and vital aspect of their work. Transporting such fragile patients is far from easy, fraught with challenges around temperature regulation, resource allocation, and the use of equipment not approved for aircrafts. Listen in to learn how they overcome these hurdles while ensuring the safety and wellbeing of their young charges.
The distance between military and civilian transports is further than one might expect, not just geographically, but also in terms of the costs involved, the planning required, and the specialized expertise needed. Our expert guests share how they navigate these unique challenges, from the paradox of opportunity costs to the absolute necessity of bringing extra supplies. They also delve into the critical strategies for maintaining a baby's vitals during these intense journeys.
Lastly, join our neonatologists as they explore the daunting challenges of high-altitude medical transport, dealing with potential complications such as hypoxia and the crucial importance of communication and collaboration within their teams. Hear about the camaraderie they build during these missions and gain an appreciation for the extraordinary lengths the US military goes to ensure the safe transport of patients. This is a side of neonatology and military service that you won't want to miss.
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.
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Journal Club is back! Daphna and I reviewed some of the latest papers published in the neonatal literature. This week, we talk about feeding protocols, treatment of pneumonia, transcatheter PDA closure, and much more.
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.
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Have you ever pondered over the fact that academic neonatologists are battling a tsunami of challenges? From soaring workloads and acuity to anemic compensation and fleeting clinical time, the hardship they face is as real as it gets. Join us as we peel back the layers on the reasons behind the dwindling interest in this vital field. Added to that, we'll explore the effects of ever-mounting demands of research, education, documentation, and the high cost of living in some areas on these healthcare professionals.
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.
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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.
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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.
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Experience the raw, emotional rollercoaster with our special guest, Jessi Barnes, a clinical nurse educator who carries an unparalleled passion for neonatal care. Jessi brings a unique perspective to the table - not only is she an expert in her field with a background in high risk perinatal care, neonatal intensive care, and nursing informatics, but she's also a mother who has faced the challenges of the NICU firsthand.
This episode offers a rare narrative blend of professional expertise and personal experience, as Jessi unfolds her journey of delivering her daughter prematurely at 27 weeks. Her intense commitment to trauma-informed family integrated care is a testament to her personal experiences and her dedication to improving neonatal care. Engage with us as we navigate through Jessi's captivating story. This episode promises to be illuminating, emotional, and inspiring.
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.
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What if we told you there's a revolutionary approach in healthcare that's improving patient outcomes in Children's Hospitals? This episode of our podcast features an enlightening conversation with healthcare champions, Dr. Rebecca Rose and Joan Smith. They're spearheading a groundbreaking project that enhances collaboration between nursing and physicians. Listen in as they unveil the importance of trust and respect within this dynamic tandem, the value of shared vision and the critical role this partnership plays in tackling rare diseases and implementing best 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.
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Ever wondered about the complexity behind neonatology staffing models? Grasp the chance to learn from our esteemed guests - Kerri Machut, Steve Olsen, Milenka Cuevas-Guaman, and Christine Bishop - as they unveil the secrets learned from their intensive workshop on this critical subject. Our conversation takes a deep dive into the pressing matter of fostering transparency and formulating sustainable neonatologist staffing models. Together, we reveal the calculation conundrum of clinical FTEs, the puzzling discrepancy between neonatology and other aligned fields, and the stark variation in how pediatric work hours are assessed. Additionally, we grapple with the methodological challenges of accounting for non-clinical duties in determining FTEs.
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.
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CHNC 2021 mentored fellows, Pavika Varma and Yo Nishihara, share their breakthrough findings from recent research. Pavika tackles the challenging issue of racial disparities in enteral tube feeding for preterm infants, unearthing the hidden elements of language barriers and complex family dynamics. At the same time, Yo walks us through his study of neonatal infections over a 10-year period, shedding light on significant shifts in isolated organisms and potential regional differences and whether altitude plays a role.
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.
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Our guest Dr. Barry takes us through the evolution of Electronic Health Records (EHRs), once mere paper charts, now a crucial player in lab tests, radiology, and medication safety. As we navigate through the maze of healthcare tech, we touch upon an often overlooked aspect - the essence of individual uniqueness in medicine. Closing the episode, Dr. B leaves our young innovators with some priceless tips to test fresh ideas. So tune in, and let's explore how AI is reshaping healthcare and the profound implications it holds for our future.
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.
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Ready to get a glimpse behind the curtain of the 2023 CHNC symposium? We're going to take you on a journey, recapping the magic that took place at this year's CHNC conference with Anthony Piazza and Kris Reber. Join us as we unpack the successes and challenges, reflecting on the energetic attendees, diverse disciplines, and the invaluable results of integrating trainees early in focus groups. We'll delve into the exponential growth of CHNC, illuminating how the symposium has been instrumental in building a network where everyone's contributions and insights are valued. Finally we take a quick look at what is to come for 2024!
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.
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Meet Whitney Thompson, a 2023 Mentored Fellow from Mayo Clinic who is charting a unique path through a combined fellowship in neonatology and medical genetics. Whitney opens up about her groundbreaking study on neonatal onset urea cycle disorders.
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.
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Join us as we welcome Robert DiGeronimo and Sarah Keane, who share their enriching experiences as co-chairs of the CDH focus group and members of the ECMO focus group within the Children's Hospital Neonatal Consortium (CHNC). Gain insights into how the CHNC has blossomed into a network of knowledge sharing and cooperation across the country, leading to the expansion of focus groups that provide hope for those with rare diagnoses often overlooked in individual research studies.
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.
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Join us on an enlightening exploration through the intricate world of neonatology research with our esteemed fellows, Kylie Bushroe and Erica McArthur. Kylie gives an in-depth account of her ground-breaking research on tracheostomy placement for babies with severe BPD, a study that covered almost 900 cases over a span of five to six years. She also shines a light on the social determinants that significantly impact the timing of this essential procedure. Simultaneously, Erica delves into the complex issue of pulmonary vein stenosis in preterm infants, based on a database of over 100 infants. Hear them share their experiences, the invaluable mentorship, and the lifelong connections they've made across the country as part of their fellowship.
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.
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Christine Stoops, a neonatologist from Children's of Alabama unpacks her work with the kidney focus group. Hear her discuss their efforts to establish data points in the CHNC data directory, and the challenges they face. That's not all, Christine offers insights into 'Advanced', a study geared towards building a massive database in conjunction with CHNC to examine kidney disease and common morbidities. Finally, Christine shares her passion for quality improvement programs, her work with Baby Ninja - a collaborative aimed at reducing nephrotoxic AKI, and even gives a shout-out to her colleague, Mary Silverberg.
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.
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Get ready to venture into the dynamic world of neonatology with our esteemed guests, Dr Kris Reber and Milenka Cuevas-Guaman. They take us behind the scenes of their groundbreaking work with the BPD Collaborative and the CHNC Exec Committee,and their efforts to help shape the future of neonatology by including trainees in their work. They unpack the trials and triumphs of folding trainees into their teams, offering invaluable tips and insights into the realities of neonatology. One of the standout topics of our conversation is the integration of social determinants of health into patient care. From inclusive workshops to engaging with multiple disciplines of healthcare practitioners, this episode examines the multifaceted approaches to improving patient care. Tune in and join us in this enlightening and inspiring 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.
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Special guests, Melissa House and Megan Legoski, will share their unique insights and experiences to shed light on this complex yet essential topic. We're taking a deep look at Perinatal Mood and Anxiety Disorders (PMAD) focus group and the concerted efforts to improve mental health care for parents in our NICUs. We'll be discussing their ambitious project to survey Level 4 referral centers to assess their mental health support and how validated screens are deployed to detect mood disorders and depression among parents.
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.
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We are chatting with Leeann Pavlik and Meg Barcroft from Nationwide Children's Hospital today. They'll take us behind the scenes of their recent QI project aimed at improving the quality of x-rays, with a special focus on the intricate aspects of accurate positioning and collimation. Leeann will also share her experiences with the Small Baby Focus Group within the CHNC, providing us an insight into their important efforts to enhance care for infants born on the edge of viability. We'll also discuss how collaboration can lead to the creation of more effective resources and educational modules. Meg gives us a window into her passion for equity-focused quality improvement and how breaking down outcomes by race and other demographics can ensure that improvements benefit all. Join us for this enlightening, innovation-packed episode to understand the crucial work being done for pre-term infants better.
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.
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We're joined by Erin Hamilton Spence, a neonatologist based in Fort Worth, Texas who offers a unique insight into the importance of human milk nutrition and how different focus groups are collaborating to create innovative care solutions.
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.
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Can you imagine resetting the clinical pathway for a neonate, by simply diagnosing a genetic condition early on? That's the provocative question we explore with esteemed neonatologists, Dr Sabrina Malone Jenkins and Dr Kristen Suhrie, as we unpack the transformative power of whole genome sequencing. This cutting-edge technology is paving the way for early diagnosis of genetic conditions and crafting tailored care plans that can drastically improve patient outcomes.
Get ready to challenge the conventional approach to neonatal care as we explore the integration of genomic medicine. We delve deep into the potential of rapid whole genome sequencing and how it can be equitably rolled out in neonatal intensive care units. You'll also learn how crucial precision medicine is, where the clinical presentation of a patient is used to gain new insights and revisit old results. Sabrina and Kristen shed light on how this technology can be fairly implemented and become an integral part of our everyday practice. Let's embark on this enlightening journey together, to better the lives of our smallest patients.
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.
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Ever wondered how the revolutionary field of genomics is reshaping neonatal healthcare? Get ready to explore the fascinating world of genomics with our guest, Dr Bimal Choudhury. An investigator and attending in genetics and neonatology at Nationwide Children's Hospital, he shares his insights and experiences on the frontlines of genetic research and medicine, as one of the founding leaders for the genomics focus group at CHNC.
This episode takes you on an enlightening journey into the promising yet complex world of neonatal genomics. Dr Chaudhari outlines the benefits of early genome sequencing and touches on the challenges they face in genetic testing for newborns. We also delve into his focus group's recent publication on the provision and availability of genomic medicine services within Level 4 Neonatal Intensive Care Units. Prepare to be captivated as we navigate discussions on current barriers to effective genetic testing, and the exciting future of genomics in the NICU. Not to be missed, this conversation is bound to leave you with a greater understanding of the transformative impact of genomics on neonatal 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.
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Join us in a riveting conversation with Nicole Kemble and Michele Barrila-Yetman, who are clinical data coordinators at the Children's Hospital of Philadelphia. Discover how they maintain data integrity with meticulous quality control and documentation tactics, including facilitating a data advisory committee, and how they've created a supportive environment for new institutions through a training and mentoring subcommittee.
But there's more to their roles than just data input. Nicole and Michele offer an exciting peek into the world of healthcare data analysis, sharing the techniques they employ to spot trends and make critical decisions. They also share their innovation in tracking the rise of telemedicine, ensuring that no valuable data slips through the cracks. So, if you've ever been curious about the world of healthcare data and its real-world impact â this episode is a treasure trove of insights.
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.
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Amy Hair and Daniel Robinson, join us to share with us the essentiality of a standardized feeding program for infants, the what are the consequences when infants "fall off" protocol, and the ways of measuring the effectiveness of these feeding programs. Our guests express their aspirations for unified feeding guidelines and share invaluable lessons learned from their participation in this year's CHNC Symposium.
In the episode's second half, we pivot the conversation towards the significance of patience in an infant's recovery journey from cholestasis. We explore the role of bilirubin levels and the life-saving importance of a mother's milk in an infant's survival rate. The episode also delves into the application of oral immune therapy for babies receiving milk drops, and the urgent need for research on its efficacy for babies with intestinal failures. Amy and Daniel highlight the necessity of fortifying feeds for infants and the potential influence of family nutrition on an infant's health.
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.
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Ready to unravel the complex world of intestinal failure in babies? This episode promises to be an insightful journey as we join Dr. Katie Huff and Dr. Pritha Nayak who walk us through the unique challenges faced by babies born with abnormal intestines, those on prolonged parental nutrition, or those who've undergone surgery and are difficult to feed. Together, we discuss the critical need for more evidence-based practices and a potential shift in mindset among neonatologists to provide personalized treatments. What's more, we touch upon the profound impact of extended hospital stays on these babies' development.
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.
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Are you ready to revolutionize your approach to Quality Improvement (QI) initiatives? Let us guide you on this transformative journey with the esteemed Dr. Anthony Piazza, Dr. Eugenia Pallotto, and Dr. Beverly Brozanski, who will walk us through the comprehensive QI projects of the Children's Hospital Neonatal Consortium (CHNC). Since its inception, this Consortium has been a beacon of progress, providing critical guidance to various institutions and teams who are committed to advancing their QI efforts. Your understanding of the QI science will deepen as we navigate through its complex facets, revealing its indispensable value to both leaders and patients.
Get ready to navigate the successful waters of Quality Improvement projects with us as we dive into the outcomes of two initiatives that led to a groundbreaking 48% reduction in post-operative hyporthermia. Garner inspiration from our expert guests as they share invaluable tips for teams embarking on their QI projects. Collaboration, stakeholder involvement, and alignment with leadership are all critical ingredients in this recipe for success.
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.
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Expect an engaging exchange packed with wisdom when we sit down with Dr Leif Nelin and Dr Karna Murthy to delve into the world of Bronchopulmonary Dysplasia (BPD). We're taking you behind the scenes of the CHNC symposium in Denver, Colorado, where we touch on the BPD Colloquium and take a deep look at the challenges and rewards of communicating with parents. We'll also be shedding light on the process of making tough decisions and the innovative approaches to caring for children with BPD being adopted by participating institutions in the collaborative and CHNC.
We underscore why it's essential to broaden our knowledge on the long-term effects and why the medical community needs to probe further. This episode is brimming with invaluable insights designed to give you a comprehensive understanding of BPD and the latest developments in healthcare.
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.
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Curious about how quality improvement projects come to life within a healthcare setting? Join us and our distinguished guests from CHNC, Dr. Brianna Bertoni and Aaron Rose. They pull back the curtain on the rigorous project selection process, sharing the meticulous steps from calls for projects to evaluation and scoring. Dr. Rose also gives a personal account of his journey to becoming a CIQI fellow, offering invaluable insights into the support he received from his institution.
In part two, we navigate the fascinating world of Project Home, an initiative aimed at upping the rates of maternal and parental breastfeeding at discharge. With the University of Pittsburgh High playing a critical role in supporting the project, Dr. Bartoni and Aaron Rose discuss how metrics are designed and implemented, highlighting the importance of staff education. They underscore the need to focus on improvement over perfection and the crucial understanding of the different levels at which sites join the collaborative. Plus, they give us an exclusive peek into their bi-monthly huddle calls, a space for open discussions and sharing local struggles. This episode is loaded with takeaways for anyone interested in quality improvement initiatives.
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.
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Are you ready for a paradigm shift in your outlook on Bronchopulmonary Dysplasia (BPD) treatment and care? Join us in a captivating discussion with two remarkable attendees of the CHNC conference from Boston Children's Hospital - Jonathan Levin, a dual-trained neonatologist and pediatric pulmonologist, and Kristen Leeman, the Director of the fellowship program at Harvard. They give us an authentic glimpse into their roles and talk about the complexities surrounding BPD, including the critical need for early intervention, engaging parents in decision-making, and redefining the perception of tracheostomy as a step towards achieving the best cognitive and developmental outcome.
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.
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We are happy to chat with Mihai who tells us about the discussion he has had at the CHNC symposium about genetics and genetics testing in the NICU. Beyond genetics, Mihai's interests span pharmaco epidemiology and neurodevelopment, passions he cultivated during his fellowship at Duke. He shares his plans to wield agency group data to study the impact of medications on the outcomes of CDH or ECMO babies. As we navigate this podcast episode, you'll hear Mihai's perspective on how aligning the CHNC's objectives with these interests can yield significant benefits. So sit back, and join us in this riveting conversation that not only promises to be an informative journey but also opens up the floor for further exploration of hot topics 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.
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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.
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Dr. Paige Church, a neonatologist and developmental pediatrician, whose personal journey of living with a disability that has had a significant effect on her professional life. From overcoming obstacles in her professional life to finding support in a diverse workplace, Dr. Church's experiences shed light on the unique contributions of different individuals in neonatology and pediatrics, and the potential for more inclusive, diversified practices.
In this moving and insightful conversation, we dissect the medical industry's hurdles for individuals with disabilities, and how these challenges can transform into opportunities. Dr. Church shares her unique perspective as a neonatologist and her unique understanding of her patients' needs, shaped by her own personal experiences. Making a compelling case for the inclusion of parent expertise in medical practice, we dive into the delicate balance of fast-paced medical action and mindful care, and its impact on families.
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.
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Join us for a riveting discussion with Dr. Ravi Patel and Dr. Rune Toms, exploring the FDA's recent warning about using probiotics in preterm infants in the NICU. đŒđš
Unpack the science, implications, and expert insights to navigate this critical neonatal 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.
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Our special guest, Dr. Paul Krushka, Chief Medical Officer for Gene DX, guides us through this fascinating journey, explaining how Gene DX is revolutionizing the medical world with advanced genetic testing. Hear about the impressive strides made in detecting rare genetic diseases using whole-exome and whole-genome sequencing.
He enlightens us about the importance of understanding variants in genetic testing and how to easily order tests through GeneDx. Hear insights into the potentially game-changing Guardian Study. This collaborative effort amongst Columbia University, Illumina, and the New York State Department of Health could significantly shorten the diagnostic journey for many patients, bringing a new dawn in genetic testing. This episode is a must for anyone longing to understand the future of genomic testing.
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.
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Can you imagine the world of neonatal medicine from the lens of cutting-edge research and innovative practices? This week, we unpack the complexities of neonatal care, shining a light on the vital role of antibiotic prophylaxis in preventing secondary kidney damage for infants with severe VUR. We review a landmark study published in the New England Journal of Medicine, focusing on the use of continuous antibiotic prophylaxis for infants with severe vesicoureteral reflux. Not stopping there, we dissect the methodology, delve into the results, and ponder on the implications of this ground-breaking research.
We also enter the intriguing realm of neonatal sepsis and enteral feeding in very low birth weight infants. Using guidelines from pediatricians and nephrologists, we scrutinize perinatal risk factors and the captivating findings of a meta-analysis published in the Journal of Maternal, Fetal and Neonatal Medicine. We explore the discrepancy between ordered vs administered enteral feeds, and the crucial need to include the entire NICU team to achieve better outcomes.
In the final chapters, we tackle the tough topic of neurodevelopmental outcomes following preterm birth and the associated challenges in prognosis delivery. You'll hear from recent paper discussing insightful views on delivering prognoses and balancing clinical and epidemiologic reasoning with clear communication. Join us as we weave through the intricate tapestry of neonatal care, illuminating the long-term consequences of extreme premature birth and exploring the perspectives of those with firsthand experience of prematurity. Tune in to this enlightening and educational journey into neonatal care on The Incubator.
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.
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What if we told you that scores from a toddler could predict their IQ years later? Join us as we decode this intriguing hypothesis as we navigate the correlation between Bailey III composite scores at 18 to 22 months and the full scale IQ at six to seven years, particularly in children born extremely preterm. We examine how these early scores could be instrumental in predicting neurodevelopmental outcomes and their relevance for individual children.
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.
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Ben and Daphna are dissecting the American Society for Parenteral and Enteral Nutrition's latest paper that digs into significant clinical questions regarding TPN use in the NICU for preterm infants. Join us as we put under the microscope topics like the initiation of parental nutrition, the optimum dosage of amino acids, and the impact of altering intralipid composition on growth outcomes. We're not just delivering information; we're assessing the robustness of these recommendations and the quality of evidence backing them up.
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.
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What if antibiotics aren't as necessary as we think for infants with high-grade Vesico-urideral Reflex (VUR)? That's the question we dissect in this thought-provoking episode. We dive into a recent study from the New England Journal of Medicine, which took a close look at the use of continuous antibiotic prophylaxis to prevent the first symptomatic UTI in infants with high-grade VUR. We'll unpack the methods used in this Phase 3 multi-centered prospective randomized open-label trial, walk you through the criteria for the trial, and explore how the primary and secondary outcomes were determined.
Did you know that about 70% of infants with high-grade VUR will never experience a UTI in their first two years? With this startling statistic in mind, we tackle the ongoing debate on whether to administer prophylaxis to infants with grade 3, 4, or 5 reflux. Hear us explore the evolving guidelines put forth by pediatricians and nephrologists and what this shifting perspective means for a system-wide approach to prophylaxis. This episode is a must-listen for healthcare professionals and parents alike who want to understand the risks and benefits of antibiotic prophylaxis in infants with high-grade VUR more comprehensively.
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.
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Ready to unlock the secrets of improving neonatal care in children's hospitals? Join us for this riveting episode where we sit down with Dr Jacqueline Evans, Dr Karna Murthy, and Dr Theresa Grover, esteemed members of the Children's Hospital Neonatal Consortium (CHNC). We traverse the inspiring journey of CHNC from its birth in 2006, its tireless efforts to better the care for newborns, and the many bridges it has built in the world of research and collaboration.
Our discussion covers CHNC focus groups, their explosive growth and the invaluable insights they offer on a wide spectrum of diagnoses. Understand the challenge of setting consortium priorities and how the Quality Improvement (QI) program developed by CHNC is transforming neonatal care. We also shed light on the CHNC's endeavor to cultivate a versatile database, a key tool for their members, and a treasure trove of neonatal data.
If the future of neonatology intrigues you, keep your headphones on as we delve into CHNC's collaborations, data visualization initiatives, and how they are inspiring the next generation of NICU fellows. We discuss the upcoming CHNC Symposium, a vibrant platform inviting a diverse audience to share data and thoughts on surgical neonates. Finally, we gaze into CHNC's future, discussing the potential of computer learning, AI capabilities, and the thrilling projects on their horizon. Join us on this enlightening journey with Dr Jacqueline Evans, Dr Karna Murthy, and Dr Theresa Grover, and discover the remarkable work of the CHNC.
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.
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What is the potential impact of delayed cord clamping on severe IVH and neurodevelopmental outcomes? We explore this and more in our latest episode. We kick things off with a deep dive into a riveting paper from the Archives of Disease in Childhood that scrutinizes the approaches to umbilical cord management and their effects on death and neurodevelopmental impairment.
We also discuss the heterogeneity of treatment effects of hydrocortisone by risk of bronchopulmonary dysplasia or death among extremely preterm infants in the National Institute of Child Health and Human Development Neonatal Research Network Trial with our EBNEO colleague Nic Bamat from CHOP.
Join us as we welcome Dr. Rene Shellhass, co-author of the recent paper on neonatal seizures, to discuss the six PICO questions from the paper and their implications for the neonatal community. We take a hard look at the use of EEGs in diagnosing and managing neonatal seizures and the challenges involved. To wrap things up, we highlight the long term outcomes of the OPTMIST-A trial âa must-listen for anyone involved in neonatal care. We guarantee you'll walk away from this episode with a lot of valuable insights, thank you all for listening.
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.
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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.
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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.
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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.
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This week, we're rolling up our sleeves and discussing the power of personal narratives in shaping healthcare policies. This episode starts off with a riveting exploration of a pivotal HRSA meeting on tribal grounds that triggered a sea-change in the federal perspective. We dissect the report titled, "Making Amends Recommended Strategies and Actions to Improve the Health and Safety of American, Indian and Alaska Native Mothers and Infants", which identifies key areas of action.
The journey doesn't stop there. The unique legal status of these communities as sovereign entities, and the resultant challenges they face in the healthcare system, is a pivotal topic in our discussion. We're not just talking about the need to hold healthcare systems accountable for their impact on these communities but also shedding light on the role of individuals within the healthcare ecosystem. From professionals to trainees, we discuss how each one can contribute to bridging healthcare disparities.
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.
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What happens when a passion for education meets the digital world of YouTube? Our guest, Dr. Tala, gives us the inside scoop on how she successfully transitioned from a novice YouTuber to the creator of Tala Talks, a leading online resource for neonatal care. Her journey is a powerful testament to the potential of YouTube as a tool for learning and engagement in the medical field.
Navigating the waters of YouTube isn't always smooth. Crafting educational videos that are both engaging and informative poses unique challenges. Dr. Tala shares how she strategically front-loads essential information and adapts her content to be accessible for experienced neonatologists and medical students alike. This chapter gives us an intriguing peek into their rigorous content creation process, which includes extensive research, scripting, filming, and editing - all done with the aim to release a new video every two weeks.
So, whether youâre an experienced neonatologist or a curious medical student, prepare to be inspired by Dr. Talaâs commitment to fostering education in the field of neonatology.
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.
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Join us for a conversation with Jenn Canvasser and Jae Kim, as we share our profound experiences from the recent NEC symposium. Capturing moments of sheer collaboration and transformative conversations, we shed light on how patient-led organizations shape the narrative at these significant gatherings.
In our chat, we also turn the spotlight on the NEC Society's commitment to equality and collaboration that set a high bar at the symposium. Their vision of a world without NEC resonates deeply with us, highlighting the need for a paradigm shift in the NICU with a more family-centered approach to care. Through the lens of our resilient team, we discuss the challenges we faced during the global pandemic and the crucial role of collective maturity in these testing times.Â
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.
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Ever wondered why Necrotizing Enterocolitis (NEC), a disease often surrounded by mystery, is so complex? This episode is sure to pique your curiosity as we sit down with Steve McElroy, a leading expert in the field, to unravel the hidden intricacies of NEC. Steve takes us on a journey of how our comprehension of NEC has transformed over the years, highlighting the role of the gut's microbiome and the challenges of conducting research on human samples. He paints a unique picture of NEC as a developmental predicament, rather than a standalone disease, and shares his ground-breaking work on the connection between maternal inflammation and NEC.
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.
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What happens when you're thrust into the daunting world of Neonatal Intensive Care Units (NICUs), with a newborn fighting complex health battles? This is the stark reality Cristal Grogan faced when her son Seth was born in Spain. In our conversation with Cristal, she shares Seth's journey and how they consistently outgrew their services and resources at every stage. Cristal illuminates the pressing need for mental health resources for families in similar situations and emphasizes the significance of having someone who listens to parents' fears and anxieties.
Do clinicians really understand the power of their words and non-verbal communication in a NICU setting? Cristal offers her unique perspective on this matter as a NICU parent. She highlights the importance of clear communication between healthcare professionals and parents. We also delve into the role of handouts, body language, and follow-ups in this context. Cristal's story is more than just a recollection of events; it's an urgent call to action for more platforms where families can connect with clinicians and share their experiences.
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.
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Discover the power of human milk in our latest engaging conversation with podcast veteran, Amy Hair. We delve into the science behind human milk and its impact on NEC reduction, underscoring the importance of the collective effort to enhance a mother's milk supply and the absolute necessity of arming parents with this knowledge.
As Amy and I continue to relive the moments from the conference, we shed light on the importance of gratitude for presence and visiting. Amy also shares her association with the NEC society and her deep-seated passion to curb NEC. Through her story, you'll understand the power of unity in battling a common cause.Â
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.
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What happens when a grandmother steps into the world of the NICU, not just as a concerned relative but as an integral part of the care team? Leslie Napolitano opens up about her unique journey in this episode. Walking side by side with her daughter, Jen Canvasser, she navigated the labyrinth of this unfamiliar terrain when her grandchild Micah was admitted to the NICU. Leslie shares the raw emotions of her experiences and advocates for the inclusion of extended family in the care team. She stresses the importance of parental consent and the need for clear communication from the onset.
In a moving conversation, Leslie peels back layers of the profound topic of grief, underlining the significance of presence and kindness in the face of despair. She discusses the power of transforming a heart-wrenching experience into a catalyst for change, seen through Jen's initiative - the NEC Society. Leslie's unwavering support for her daughterâs cause illuminates the healing that can come from channeling heartbreak into purposeful action. She also shares the inspiring inception of the Book and Blood Drive initiatives, started in Mica's honor, which continue to touch lives. This enlightening discussion promises to tug at your heartstrings while demonstrating the resilience of the human spirit.
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.
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Dr. Karl Sylvester, a renowned pediatric surgeon, professor at Stanford University, and an expert in the field of necrotizing enterocolitis. This episode brims with insights on his groundbreaking research over the last two decades, focusing on the essential role of microbes in the baby's gut, the toxins they produce, and how these might be linked to the development of necrotizing enterocolitis.Â
You'll also get a glimpse into Dr. Sylvester's exciting presentation at the NEC Symposium. This episode teases apart fascinating theories, such as the role of formic acid - a harmful substance produced by certain bacteria - in the onset of necrotizing enterocolitis. From the concept of biomarkers to potential preventative measures and the power of interdisciplinary collaboration, this episode is a treasure trove of information. Join us as we shine a light on the pioneering research being done to enhance the lives of our youngest patients.
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.
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What if you had the power to change the course of a baby's life? In this heartfelt conversation with Steffi and Jocelyn from Emory University, we pull back the curtain on the emotionally charged world of neonatal health, specifically focusing on necrotizing enterocolitis (NEC). We journey together through their personal narratives, as they recount the profound impact of losing their first patients to NEC, a pivotal moment that shaped their career paths and ignited an unquenchable passion for their field. NEC, with its multifaceted and complex nature, poses a formidable challenge, but it's their stories that remind us why pushing the boundaries of research and effort is paramount.
Hear from Jocelyn about the transformative power of patient families' unique narratives and their unmet needs, a compelling reminder of the importance of active listening and empathy. Steffi, on the other hand, reveals her enthusiasm for connecting with both peers and leading researchers in the field, underlining the significance of networking and collaborative endeavors in the battle against NEC.
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.
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Prepare your ears for a captivating conversation with  Lily Lou as we traverse the world of advocacy through storytelling. Get a firsthand account of Lily's initial foray into the NEC Symposium â a unique melting pot of human narratives, expert insights, and healthcare providers treating patients with unparalleled compassion. Her experience, she says, was a thing of beauty, a place where the raw power of human stories converged with scientific proficiency and heartfelt care.
Beyond sharing her perspective on the symposium, Lily delves into the concept of storytelling for advocacy. She believes that everyone has the potential to become a compelling storyteller, with the capacity to spark significant policy changes. She brings to light the Section on Neonatal Perinatal Medicine's commendable work in neonatal advocacy, including their upcoming virtual Neonatology Advocacy Day. This day aims to transform experts into persuasive storytellers who can effectively engage policymakers.Â
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.
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Get ready to unravel the enigmatic world of necrotizing enterocolitis with leading pediatrician and director of clinical and translational research on neonatal perinatal medicine, Dr Hala Chaaban. We delve into the intricacies of this condition and discuss why fully understanding it is a continuing challenge. The conversation takes a fascinating turn as we examine the role of donor milk and the ways to maximize its use to prevent this condition, presenting a potential new avenue in neonatal care.
Switching gears, our journey with Dr Shaban takes us from Lebanon to Oklahoma, painting a vivid picture of her journey in medical research. Open and honest communication lies at the heart of medical care, and we delve into its vital role in patient interactions. Lastly, we touch upon Dr Chaaban's commitment to scientific research through the NEC Society's Scientific Advisory Council.Â
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.
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Geoanna Bautista is an assistant professor and neonatologist at UC Davis. Â Geoanna's conversation is a testament to the power of collaboration in tackling neonatal diseases. As she highlights, the need to work with peers, stakeholders, and merge the basic scientists and clinical researchers' work is vital. Geoanna's insights on the gut's role in various diseases and the potential of big data and artificial intelligence in this field are thought-provoking. Brace yourself for a deep dive into the world of neonatology as she touches on the revolutionary ideas being translated into practice and her anticipation for the future 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.
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What if a diagnosis deemed to be a death sentence was not? That's precisely what Darren from the University of Pittsburgh Mental Center is here to discuss with us. He shares his fascinating research, redefining the narrative around nec totalis - a condition widely believed to be incompatible with life. Darren's data, spanning from 2010 to 2022, illustrates a different reality. Among 494 diagnosed cases, there were survivors, challenging the gloom-and-doom prognosis often associated with this diagnosis.
The conversation takes a deeper turn as we explore the ethical implications of providing life-sustaining therapy for necrotizing enterocolitis totalis. Darren emphasizes the need for center-specific treatment plans and open dialogue with families about potential therapeutic options, despite the survival rate being low. We also delve into the improvements in nec totalis care and discuss the significance of intestinal transplants. Don't miss this enlightening discussion where we redefine the boundaries of what was once thought impossible. Darren's insights will surely make you question conventional medical wisdom and show you the true power of relentless research and innovation.
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.
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We have the privilege of engaging with renowned Dr. Martin Blakely from Vanderbilt University Medical Center. Dr. Blakely, a passionate advocate for improving the outcomes of Necrotizing Enterocolitis (NEC), sheds light on how patient weight and illness severity factor into treatment decisions. He also presents valuable learnings from randomized trials that have evaluated the initial choice of laparotomy or drainage for NEC diagnosis. As an active board member of the NEC Society, Dr. Blakely shares his relentless pursuit for improved NEC outcomes through ground-breaking research.
We unmask the importance of collaborative work in the realm of medical research. We unravel the significance of protocol development and the critical role it plays in advancing neonatology and pediatric surgery. The discussion highlights the essence of a multi-disciplinary approach involving various healthcare professionals like radiologists. Â So, tune in for a riveting journey into the world of pediatric surgery and 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!
Get ready to be enlightened as we sit down with the insightful Ravi Patel, a key figure in the Neck Society, to untangle the complexities of Necrotizing Enterocolitis (NEC) management. Tune in to hear Patel's take on the pressing need for standardized care amidst the uncertainties of NEC treatment; he shares thought-provoking insights into the duration of antibiotic treatment and the timing of feeding resumption. As we journey back in time, Patel offers a fascinating perspective on the historical context of antibiotic choices and the hurdles of decision-making in a landscape devoid of recent trials.
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!
What if we told you that the family's voice could change the face of necrotizing enterocolitis (NEC) advocacy and treatment? Well, that's exactly what we're diving into with our special guest, Dr. Susan Hintz. As we dig into the inspiring sessions from the NEC symposium, we reflect on the immense power of a strong partnership between parents and medical professionals. Dr. Hintz shares insights on risk factors and the ways we can enhance our support for families navigating this condition. Additionally, we spotlight the incredible advocative work of Kim Novod and Jen Canvasser, who've transformed the world of NEC care through their relentless efforts.
As we move to the latter part of our discussion, we pose a critical question - are we truly understanding the long-term outcomes of NEC? We challenge the conventional two-year outcomes and advocate for a more comprehensive understanding of the implications on families in the long run. Dr. Hintz, during her enlightening session at the NEC Symposium, emphasizes the importance of meaningful questions and outcomes that resonate with families and survivors. We circle back to episode 106 of the Incubator podcast, highlighting the crucial aspect of neurological outcomes and long-term impacts into adulthood. As we wrap up, we take a moment to salute the mentors who've molded our understanding of NEC and motivated us to continually strive for better outcomes for families.
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!
Would you believe it if we told you that advocacy is as integral to Pediatrics as medical science and clinical care? That's what Mark Del Monte, the dynamic CEO and Executive VP of the American Academy of Pediatrics, brings to the table in this enlightening conversation. The power of individual stories, the quest for small wins, and the importance of creating moments for change are just some of the riveting insights Mark shares, underlining that advocacy isn't just a side aspect, but a crucial part of the mix that propels the field of Pediatrics forward.
We find out why Mark is a firm believer in the transformative power of storytelling in the realm of child health advocacy. Drawing from history, Mark elucidates how stories have been instrumental in stirring change and why itâs pivotal for organizations like the AAP to assert their presence at venues like the NEC symposium. In the end, he leaves us with a powerful notion: advocacy is a series of moments that, together, create a brighter future for children and families. You don't want to miss this one; join us as we explore the multidimensional world of Pediatrics with Mark Del Monte.
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!
Have you ever felt the power of a story? That's exactly what unfolded in our heartfelt conversation with Jen and Aaron as they shared their profound personal journey with necrotizing enterocolitis (NEC). Their world was turned upside down when baby Sarah, born prematurely and diagnosed with NEC, tragically passed away within 12 hours. This devastating loss sparked a mission in Jen and Aaron, leading them to co-found the NEC Society. Their dedication to raising awareness about this life-threatening disease is a testament to their strength and resilience.
As we delved into the experiences of Jen and Aaron, we discovered the pivotal role storytelling plays in our understanding of NEC. They shed light on how the unique perspective of patient families can inspire new research initiatives and innovations in care. We discussed the need for a paradigm shift in our approach to care in the NICU, emphasizing the importance of empowering parents as integral members of the care team. This discussion underscored the value of fostering an environment where parents feel comfortable voicing their insights and concerns.
To conclude our conversation, we tackled a topic often overlooked - the need for robust support for bereaved parents and families. Our guests illuminated how essential it is to continue care for the family unit after the loss of a baby. We also examined the profound impact of small acts of kindness from healthcare providers. Aaronâs heartfelt appreciation for the caregivers in the NICU was palpable, reminding us of the precious lives we are fighting for and reinforcing the importance of sharing stories like Sarah's. So join us, as we navigate the challenging terrain of NEC, and explore how each of us can contribute to this vital cause.
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!
Ever pondered how societal factors, not just medical ones, could significantly influence breastfeeding patterns? Dr. Aloka Patel joins us for an eye-opening dialogue pinpointing racial disparities in breastfeeding, especially in NICU scenarios. With her profound knowledge and passion, she makes us comprehend how educating staff, consistent communication about the sundry benefits of breastmilk, and ensuring resource availability could remarkably enhance the breastfeeding culture.
This episode will take you through an emotional voyage as we uncover the struggles faced by mothers striving to produce sufficient milk for their infants. The spotlight is thrown on the disparities between Black and White mothers. Listen to Dr. Patel's riveting narratives about the innovative interventions on the anvil to alleviate the burden of providing breast milk. From offering breast pumps, milk couriers to compensating mothers for their time and milk, these strategies promise to revolutionize the experience of breastfeeding. The anecdotes from Dr. Patel's life underscore her dedication to reducing obstacles to breastfeeding.
In a key segment of our discussion, we touch upon our societal tardiness in initiating dialogues about breastfeeding. Hear about an innovative pilot project in Chicago schools aimed at demystifying breastfeeding. The project engaging boys and girls in the fifth grade has received an overwhelmingly positive response. Our conversation isn't complete without emphasizing the significant role of advocacy work and neonatologists in community outreach. So, lend us your ears and join us in the journey to normalize breastfeeding.
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!
Step right into the buzzing hub of the NEC Symposium in San Diego as we take our show on the road for the first time! Amidst the infectious energy of a live conference, we share enlightening conversations filled with fascinating updates on neck research, care, and advocacy efforts from non-profit organizations with a vision of a world without NEC. Be privy to exclusive interviews with keynote speaker Dr. Gail Bestner, chief of pediatric surgery at Nationwide, as she provides intriguing insights on a probiotic that combats infection.Â
We've pitched our recording setup just outside the Exhibitor Hall, soaking in the conference's electric atmosphere and connecting with passionate attendees. You'll hear daily updates, personal stories from families at the heart of our mission, and much more. Plus, if you're in the vicinity, don't hesitate to drop by for a chat - we'd love to hear from you! Even if you can't join us physically, we promise to keep the heartbeat of this vibrant event alive for you.
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!
Ever imagined a world without the devastating disease, Necrotizing Enterocolitis? Dr. Gail Bestner, a chief of pediatric surgery at Nationwide Children's Hospital, passionately shares her innovative therapeutic strategies that could make this a reality. Join us for an enlightening conversation as we explore the use of probiotics in neonatology, the challenges of implementing probiotic therapy in a neonatal intensive care unit, and how the right approaches could steer us towards a world free from Necrotizing Enterocolitis.
We throw the spotlight on a groundbreaking strategy for administering probiotics in their biofilm state, a significant detour from current practices. The exciting discussion takes us through the benefits of lactobacillus ruteri, the ingenious technique of loading microspheres with prebiotic substances, and the inspiring inception story of this research project. We move beyond the realm of Necrotizing Enterocolitis to delve into Dr. Bestner's notable work on autism treatment, discussing the importance of the gut-brain axis and the use of a pig model in her pioneering research.
As we traverse the multifaceted world of clinical research, we touch upon the entrepreneurial side of drug development and the crucial role of NIH grants. We also discuss the importance of a multidisciplinary approach in caring for babies affected by Necrotizing Enterocolitis, emphasizing early detection and the potential of biomarkers. Dr. Bestner's compelling advice for aspiring clinicians and researchers, along with her passionate advocacy for Necrotizing Enterocolitis, wraps up this captivating episode that is a perfect blend of science, passion, and hope for a healthier future. Tune in and get inspired!
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!
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!
_____________________________________________________________________________________
Show notes and articles can be found on our website:Â
http://www.the-incubator.org/144/
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!
_____________________________________________________________________________________
Show notes and articles can be found on our website:Â
http://www.the-incubator.org/144/
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!
_____________________________________________________________________________________
Show notes and articles can be found on our website:Â
http://www.the-incubator.org/144/
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!
_____________________________________________________________________________________
Show notes and articles can be found on our website:Â
http://www.the-incubator.org/144/
Find out more about Anup at: www.the-incubator.org/143/
____________________________________________________________________
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. enjoy!
This podcast is proudly sponsored by Chiesi.
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!
_____________________________________________________________________________________
Show notes and articles can be found on our website:Â
http://www.the-incubator.org/142/
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!
_____________________________________________________________________________________
Show notes and articles can be found on our website:Â
http://www.the-incubator.org/142/
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!
_____________________________________________________________________________________
Show notes and articles can be found on our website:Â
http://www.the-incubator.org/142/
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!
_____________________________________________________________________________________
Show notes and articles can be found on our website:Â
http://www.the-incubator.org/142/
Find out more about Anne at: www.the-incubator.org/141/
____________________________________________________________________
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. enjoy!
This podcast is proudly sponsored by Chiesi.
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!
_____________________________________________________________________________________
Show notes and articles can be found on our website:Â
http://www.the-incubator.org/140/
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!
_____________________________________________________________________________________
Show notes and articles can be found on our website:Â
http://www.the-incubator.org/140/
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!
_____________________________________________________________________________________
Show notes and articles can be found on our website:Â
http://www.the-incubator.org/140/
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!
_____________________________________________________________________________________
Show notes and articles can be found on our website:Â
http://www.the-incubator.org/140/
Find out more about Afif at: www.the-incubator.org/139/
____________________________________________________________________
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. enjoy!
This podcast is proudly sponsored by Chiesi.
Find out more about Blake and Rootines at: www.the-incubator.org/138/
____________________________________________________________________
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. enjoy!
This podcast is proudly sponsored by Chiesi.
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!
_____________________________________________________________________________________
Show notes and articles can be found on our website:Â
http://www.the-incubator.org/137/
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!
_____________________________________________________________________________________
Show notes and articles can be found on our website:Â
http://www.the-incubator.org/137/
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!
_____________________________________________________________________________________
Show notes and articles can be found on our website:Â
http://www.the-incubator.org/137/
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!
_____________________________________________________________________________________
Show notes and articles can be found on our website:Â
http://www.the-incubator.org/137/
Find out more about Barbara at: www.the-incubator.org/136/
____________________________________________________________________
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. enjoy!
This podcast is proudly sponsored by Chiesi.
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!
_____________________________________________________________________________________
Show notes and articles can be found on our website:Â
http://www.the-incubator.org/135/
Find out more about Misty and Amy at: www.the-incubator.org/134/
____________________________________________________________________
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. enjoy!
This podcast is proudly sponsored by Chiesi.
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!
_____________________________________________________________________________________
Show notes and articles can be found on our website:Â
http://www.the-incubator.org/133/
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!
_____________________________________________________________________________________
Show notes and articles can be found on our website:Â
http://www.the-incubator.org/133/
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!
_____________________________________________________________________________________
Show notes and articles can be found on our website:Â
http://www.the-incubator.org/133/
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!
_____________________________________________________________________________________
Show notes and articles can be found on our website:Â
http://www.the-incubator.org/133/
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!
_____________________________________________________________________________________
Show notes and articles can be found on our website:Â
http://www.the-incubator.org/133/
Find out more about Thorsten at: www.the-incubator.org/132/
____________________________________________________________________
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. enjoy!
This podcast is proudly sponsored by Chiesi.
Find out more about Satyan at: www.the-incubator.org/131/
____________________________________________________________________
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. enjoy!
This podcast is proudly sponsored by Chiesi.
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
http://www.the-incubator.org/130/
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
http://www.the-incubator.org/130/
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
http://www.the-incubator.org/130/
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
http://www.the-incubator.org/130/
Find out more about Katie at: www.the-incubator.org/129/
____________________________________________________________________
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. enjoy!
This podcast is proudly sponsored by Chiesi.
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
http://www.the-incubator.org/128/
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
http://www.the-incubator.org/128/
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
http://www.the-incubator.org/128/
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
http://www.the-incubator.org/128/
Find out more about Jenn at: www.the-incubator.org/127/
____________________________________________________________________
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. enjoy!
This podcast is proudly sponsored by Chiesi.
Find out more about Anne at: www.the-incubator.org/126/
____________________________________________________________________
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. enjoy!
This podcast is proudly sponsored by Chiesi.
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
http://www.the-incubator.org/125/
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
http://www.the-incubator.org/125/
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
http://www.the-incubator.org/125/
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
http://www.the-incubator.org/125/
Find out more about Tricia at: www.the-incubator.org/121/
____________________________________________________________________
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. enjoy!
This podcast is proudly sponsored by Chiesi.
Find out more about Emily and Allison at: www.the-incubator.org/121/
____________________________________________________________________
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. enjoy!
This podcast is proudly sponsored by Chiesi.
Find out more about Rebecka our guests at: www.the-incubator.org/121/
____________________________________________________________________
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. enjoy!
This podcast is proudly sponsored by Chiesi.
Find out more about Beth and our guests at: www.the-incubator.org/121/
____________________________________________________________________
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. enjoy!
This podcast is proudly sponsored by Chiesi.
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
http://www.the-incubator.org/120/
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
http://www.the-incubator.org/120/
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
http://www.the-incubator.org/120/
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
http://www.the-incubator.org/120/
Find out more about Dr. Stalhman and our guests at: www.the-incubator.org/119/
____________________________________________________________________
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. enjoy!
This podcast is proudly sponsored by Chiesi.
Dr. Brodsky and Dr. Martin are the authors of the renowned books titled Neonatology Review. This series, well known to every neonatal trainee, is currently in its third edition. They have also published other books including Neonatology Review Images and Neonatology Review: Questions & Answers.
Dr. Dara Brodsky is an Associate Professor at Harvard Medical School. She is the Director of Education for the department of Neonatology at Beth Israel Deaconess Medial Center. She is also the Editor-in-Chief of NeoReviews.Dr. Camilia R. Martin is an Associate Professor of Pediatrics at Harvard Medical School, and the Associate Director of the Neonatal Intensive Care Unit and Director for Cross-Disciplinary Research Partnerships in the Division of Translational Research at Beth Israel Deaconess Medical Center Boston, MA.
You can in touch with them by email at:
Dr. Brodsky: dbrodsky@bidmc.harvard.edu
Dr. Martin: cmartin1@bidmc.harvard.edu
Their books can be purchased at the following website:
https://www.lulu.com/spotlight/neonatologyreview/
______________________________________________________________________________________________________
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. Papers discussed in today's episode are listed and timestamped below.
enjoy!
Find out more about Dr. Stalhman and our guests at: www.the-incubator.org/118/
____________________________________________________________________
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. enjoy!
This podcast is proudly sponsored by Chiesi.
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
http://www.the-incubator.org/117/
Find out more about Patrick, Nicolle and ONTPD and this episode at: www.the-incubator.org/116/
____________________________________________________________________
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. enjoy!
This podcast is proudly sponsored by Chiesi.
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
http://www.the-incubator.org/115/
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
http://www.the-incubator.org/115/
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
http://www.the-incubator.org/115/
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
http://www.the-incubator.org/115/
Find out more about Shetal and this episode at: www.the-incubator.org/114/
____________________________________________________________________
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. enjoy!
This podcast is proudly sponsored by Chiesi.
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
http://www.the-incubator.org/113/
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
http://www.the-incubator.org/113/
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
http://www.the-incubator.org/113/
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
http://www.the-incubator.org/113/
Find out more about Karen and this episode at: www.the-incubator.org/112/
____________________________________________________________________
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. enjoy!
This podcast is proudly sponsored by Chiesi.
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
http://www.the-incubator.org/111/
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
http://www.the-incubator.org/111/
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
http://www.the-incubator.org/111/
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
http://www.the-incubator.org/111/
Find out more about Stefan and this episode at: www.the-incubator.org/110/
____________________________________________________________________
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. enjoy!
This podcast is proudly sponsored by Chiesi.
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
http://www.the-incubator.org/109/
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
http://www.the-incubator.org/109/
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
http://www.the-incubator.org/109/
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
http://www.the-incubator.org/109/
Find out more about our guests and this episode at: www.the-incubator.org/win/
____________________________________________________________________
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. enjoy!
This podcast is proudly sponsored by Chiesi.
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
http://www.the-incubator.org/107/
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
http://www.the-incubator.org/107/
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
http://www.the-incubator.org/107/
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
http://www.the-incubator.org/107/
Find out more about Susan and this episode at: www.the-incubator.org/hintz/
____________________________________________________________________
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. enjoy!
This podcast is proudly sponsored by Chiesi.
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
www.the-incubator.org/EOY
Find out more about Rick and this episode at: www.the-incubator.org/rick/
____________________________________________________________________
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. enjoy!
This podcast is proudly sponsored by Chiesi.
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
www.the-incubator.org/jc103/
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
www.the-incubator.org/jc103/
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
www.the-incubator.org/jc103/
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
www.the-incubator.org/jc103/
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
www.the-incubator.org/jc103/
Find out more about Nicole and this episode at: www.the-incubator.org/dobson/
____________________________________________________________________
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. enjoy!
This podcast is proudly sponsored by Chiesi.
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!
_____________________________________________________________________________________
Find out more about the DELPHI conference at www.delphiconference.orgÂ
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
www.the-incubator.org/100-journal-club/
Find out more about Jim and this episode at: www.the-incubator.org/99-lemons/
____________________________________________________________________
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. enjoy!
This podcast is proudly sponsored by Chiesi.
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
www.the-incubator.org/98
Find out more about Nic and this episode at: www.the-incubator.org/nic/
____________________________________________________________________
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. enjoy!
This podcast is proudly sponsored by Chiesi.
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
www.the-incubator.org/096-journal-club/
Find out more about Nathan and this episode at: www.the-incubator.org/095-dr-nathan/
____________________________________________________________________
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. enjoy!
This podcast is proudly sponsored by Chiesi.
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
http://www.the-incubator.org/094/
Find out more about Eduardo and this episode at: www.the-incubator.org/093/
____________________________________________________________________
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. enjoy!
This podcast is proudly sponsored by Chiesi.
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!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
http://www.the-incubator.org/jc37/
Find out more about James and mOm Incubators at: www.the-incubator.org/091-tech-tuesday-mom-incubatorsÂ
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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. enjoy!
This podcast is proudly sponsored by Chiesi.
Dr. Abdul Razak is an attending neonatologist at King Abdullah bin Abdulaziz University Hospital and an Associate Clinical Professor at Princess Norah bint Abdulrahman University in Saudi Arabia. He has earned his MD degree from Rajiv Gandhi University of Medical Sciences, India, and a fellowship in Neonatal-Perinatal Medicine from McMaster University, Canada. He is passionate about neonatal research, and his research interest focuses on improving respiratory and neurological outcomes of preterm infants. He has published several peer-reviewed articles and book chapters (60 peer-reviewed journal articles and 9 book chapters). In addition, he enjoys learning and teaching neonatal evidence-based medicine.
----Find out more about Abdul and this episode at:Â
www.the-incubator.org/090-dr-abdul-razaak-md/
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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. enjoy!
This podcast is proudly sponsored by Chiesi.
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. Papers discussed in today's episode are listed and timestamped below.
enjoy!
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Show notes, articles, and CME form can be found on our website:Â
http://www.the-incubator.org/089-jc/
Dr. Jae Kim is the director of the division of Neonatology at Cincinnati Children's Hospital. He is joined today on the podcast by his mentee Dr. Sai Mukthapuram MD.
Find out more about Jae and Sai and this episode at:Â
www.the-incubator.org/088-dr-jae-kim/
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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. enjoy!
This podcast is proudly sponsored by Chiesi.
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. Papers discussed in today's episode are listed and timestamped below.
enjoy!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
http://www.the-incubator.org/087-journal-club/
Dr. Ravi Mangal Patel is an Associate Professor of Pediatrics and Director of Neonatal Clinical Research at Emory University and Children's Healthcare of Atlanta. He is passionate about evidence-based medicine. His research interests include necrotizing enterocolitis, neonatal transfusion, caffeine therapy and perinatal epidemiology.
He is an executive committee member of the American Academy of Pediatrics, Section on Neonatal-Perinatal Medicine. He is also a principal investigator in the NICHD Neonatal Research Network, chair of the International Society for Evidence-Based Neonatology (EBNEO) and president of the Southern Society for Pediatric Research.
Dr. Patel received his MD from the Medical College of Georgia and an MSc from Emory University.Find out more about Ravi and this episode at: www.the-incubator.org/086-dr-ravi-m-patel-md/
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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. enjoy!
This podcast is proudly sponsored by Chiesi.
Find out more about Ross and First Day Healthcare at: www.the-incubator.org
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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. enjoy!
This podcast is proudly sponsored by Chiesi.
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. Papers discussed in today's episode are listed and timestamped below.
enjoy!
_____________________________________________________________________________________
Show notes, articles, and CME form can be found on our website:Â
http://www.the-incubator.org/084-journal-club
This episode is sponsored by Chieisi
Sarah DiGregorio is a freelance journalist who has written on health care and other topics for the New York Times, The Washington Post, the Wall Street Journal, Slate, the Village Voice, Food & Wine, and BuzzFeed. She is at work on a forthcoming cultural history of nursing. She lives in Brooklyn, New York, with her daughter and husband.
Find out more about Sarah and this episode at: www.the-incubator.org
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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. enjoy!
This podcast is proudly sponsored by Chiesi.
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. Papers discussed in today's episode are listed and timestamped below.
enjoy!
_____________________________________________________________________________________
Show notes and articles can be found on our website:Â
www.the-incubator.org/082/
This episode is sponsored by Chieisi
Dr. Wernovsky is a senior consultant in pediatric Cardiology and Cardiac Critical Care at Children National Hospital, having joined the faculty in 2018. He attended Brandeis University, receiving a BS degree in 1978 in anthropology and music. He attended Pennsylvania State University College of Medicine, receiving his M.D. in 1982. He completed a pediatric residency at New York Hospital (now known as Weill Cornell Medical Center) in 1985, and his pediatric cardiology fellowship at Boston Childrenâs Hospital in 1988, with a focus on cardiac intensive care. He was appointed the Associate Director of the Cardiac ICU through 1995.
At Childrenâs National Hospital, he is also a member of the NeuroCardiac Critical Care Team, and is a Professor of Pediatrics at the George Washington University School of Medicine and Health Sciences.
Regarding research, he was a study physician in the landmark Boston Circulatory Arrest Study from 1987-1992, and was the Principal Investigator of the international PRIMACORP study from 2002-2003, at the time the largest multicenter trial in pediatric cardiac intensive care. He has edited six textbooks and 13 periodicals, and has published nearly 300 peer-reviewed manuscripts, book chapters and reviews. He has an H-index of 91 and his work has been cited over 25,000 times.
He is a founding member of:
- Pediatric Cardiac Intensive Care Society (1996)
- International Society of Pediatric Mechanical Circulatory Support(2009)
- World Society for Pediatric and Congenital Cardiac Surgery (2010)
- Cardiac Neurodevelopmental Outcome Collaborative (2016)
- Congenital Heart Academy (2020) â which presented over 100 webinars free of charge in 2020-2021 during the Coronavirus Pandemic, to over 26,000 attendees in over 115 countries.
He was awarded the prestigious Newburger-Bellinger Award in 2015, for his lifetime contributions to the field of Neurodevelopment in children with heart disease. In 2021, Dr. Wernovsky was awarded the 2021 Maria Serratto Master Educator Award by the Section on Pediatric Cardiology and Cardiac Surgery of the American Academy of Pediatrics.
Find out more about Gil and this episode at: www.the-incubator.org
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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. enjoy!
This podcast is proudly sponsored by Chiesi.
Jennifer Sucre, MD, is an Assistant Professor of Pediatrics and Cell and Developmental Biology at Vanderbilt University School of Medicine. She graduated from Harvard Medical School, trained in pediatrics at Washington University in St. Louis, and completed fellowship in Neonatal-Perinatal Medicine at UCLA. Since joining the Vanderbilt faculty in 2016, she has established a research program focused on understanding the molecular mechanisms of lung development and lung disease across the lifespan with a particular focus on developing novel 4D imaging approaches to study alveologenesis and on understanding molecular drivers of bronchopulmonary dysplasia, the leading complication in survivors of preterm birth. Her clinical experience treating premature infants provides a unique perspective for studying lung development, and she has cultivated new ex vivo, in vitro, and in vivo models of lung injury. Dr. Sucre has combined these models with single-cell biology and spatial transcriptomics to gain insights into cellular specialization and dynamics in the developing lung, elucidated age-regulated host susceptibility factors to SARS-CoV-2 infection, and defined previously unrecognized cell types in chronic respiratory diseases.
Find out more about Jennifer and this episode at: www.the-incubator.org
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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. enjoy!
This podcast is proudly sponsored by Chiesi.
Christopher Smyser, M.D., M.S.C.I., is the director of the Neonatal Neurology Clinical Program and head of the Pediatric Neurocritical Care Section in the Division of Pediatric and Developmental Neurology at Washington University/St. Louis Childrenâs Hospital, where he is a Professor of Neurology, Pediatrics and Radiology. He also co-directs the Baker Family Fellowship in Neonatal Neurology and Cardiac Neurodevelopmental Follow-Up Program. He is a pediatric neurologist with additional training in neonatal neurology. With a background in biomedical engineering, Dr. Smyserâs research focuses on the use of advanced neuroimaging techniques to provide greater understanding of early brain development and the pathway to neurodevelopmental disabilities. He is co-director of the Washington University Neonatal Developmental Research (WUNDER) Laboratory. Dr. Smyserâs recent research efforts have centered upon the use of resting state-functional connectivity MRI and diffusion MRI to investigate functional and structural brain development in high-risk pediatric populations from infancy through adolescence. He is currently the principal investigator for multiple NIH-funded longitudinal studies focused upon defining the deleterious effects of prematurity, brain injury and environmental exposures on neurodevelopmental and psychiatric outcomes through development and application of state-of-the-art neuroimaging approaches.
Find out more about Chris and this episode at: www.the-incubator.org
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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. enjoy!
This podcast is proudly sponsored by Chiesi.
Dr Maher attended medical school at the University of Maryland and stayed there for a pediatric residency and chief residency. He then attended the University of Michigan for a fellowship in pediatric cardiology. Following fellowship, he joined the faculty at Thomas Jefferson University/Nemours Children's Hospital in Wilmington DE. He received additional critical care training there with Dr Russel Raphaely and Dr William Norwood. He joined the program at Emory University/Children's Healthcare of Atlanta in 2004 where he serves as executive director of the cardiac intensive care unit and is a professor of pediatrics at Emory University. His research involves the application of new technology to pediatric cardiac care, medical device development, and innovation in pediatrics.
Dr. Hamrick completed her medical school and pediatric residency at UNC- Chapel Hill. She pursued her neonatology fellowship at UCSF, and then stayed on faculty there for a few years before joining Emory/Childrenâs Healthcare of Atlanta in 2006. Her research interest focuses on brain injury/neuroimaging in congenital heart disease, which is what originally led her to spend significant time in the CICU. She attends in the surgical NICU at Egleston Childrenâs Hospital in Atlanta, where she serves as Medical Director.
Find out more about Shannon and Kevin and this episode at: www.the-incubator.org
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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. enjoy!
This podcast is proudly sponsored by Chiesi.
Dr. Goss grew up in Texas, and completed her undergraduate degree at Baylor University followed by medical school at Baylor College of Medicine. She did her residency training in Internal Medicine and Pediatrics, followed by fellowship training in Pulmonary and Critical Care, at Indiana University in Indianapolis, IN. After training, Dr. Goss joined the faculty at the University of Wisconsin in Madison, WI to participate in unique studies on the effect of prematurity on heart and lung function in adolescents and adults. She joined the faculty at UT Southwestern in 2020, and continues to lead multidisciplinary teams to study late cardiopulmonary outcomes after preterm birth.
Find out more about Kara and this episode at: www.the-incubator.org
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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. enjoy!
This podcast is proudly sponsored by Chiesi.
Shawn Sen, MD, is an Assistant Professor in Pediatrics in both the Division of Neonatal-Perinatal Medicine and Pediatric Cardiology at Northwestern University in Chicago, IL. After graduating from medical school at the University of Oklahoma, Dr. Sen completed his residency in Pediatrics at Columbia University at the Morgan Stanley Childrenâs Hospital of New York. He then went on to complete two fellowships, one in Neonatology at the University of Texas Southwestern Medical Center and his second in Pediatric Cardiology at Stanford University, Lucile Packard Childrenâs Hospital. Dr. Sen is now an attending neonatologist and CICU attending in both the level IV neonatal and cardiac intensive care units at Anne & Robert H. Lurie Childrenâs Hospital of Chicago and Northwestern Medicine Prentice Womenâs Hospital. His clinical research interests include neonatal pulmonary hypertension, cardiovascular and congenital heart disease, and hemodynamic assessment of critically ill neonates using echocardiography.
Find out more about Shawn and this episode at: www.the-incubator.org
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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. enjoy!
This podcast is proudly sponsored by Chiesi.
Dr Gabriel Altit completed his medical school at McGill University, followed by his Pediatric and Neonatology residencies at UniversitĂ© de MontrĂ©al. He pursued his training at McGill (Montreal Childrenâs Hospital [MUHC]) in echocardiography scanning. Following that, he did a post-doctoral research training in the pediatric ECHO laboratory at Stanford University. He completed a MSc in Epidemiology at McGill (2017-2020). He joined back McGill University and the Montreal Children's Hospital as a Neonatologist in October 2017. Since his appointment as clinician- scientist at the MUHC-RI, he has created the NeoCardioLab (www.neocardiolab.com). In 2020, he launched the Neonatal Hemodynamics Clinical Research Fellowship at McGill, for which he is the program director, with ECHO techniques applied to research questions. Further, the NeoCardioLab application is now available on IPhone, Ipad and Android. It offers numerous educational resources.
Find out more about Gabriel and this episode at: www.the-incubator.org
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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. enjoy!
This podcast is proudly sponsored by Chiesi.
Dr. Philip Levy is an Assistant Professor of Pediatrics at Harvard Medical School and a physician in the Division of Newborn Medicine here at Boston Childrenâs Hospital. His patient-oriented and translational research initiatives focus on cardiac mechanics in congenital and acquired cardiopulmoanry diseases in the neonatal and pediatric population. His professional activities span the realm of clinical service, research and teaching. Dr. Levyâs research is part of a larger international collaborative that was established to examine emerging measures of cardiac function and pulmonary hemodynamics in large preterm birth cohorts to define physiological and pathological patterns of postnatal cardiac adaptation. Phil and his collaborators have introduced novel approaches for non-invasive quantitative cardiac focused imaging that yield sensitive and specific methods of assessment and management of neonatal cardiopulmonary diseases. At NeoHeart Dr. levy will be talking about the respiratory phenotype that presents immediately following definitive closure of the PDA. In addition, he will ask be sharing insight about Postnatal cardiac adaptation following selective laser therapy for twin to twin transfusion.
Find out more about Philip and this episode at: www.the-incubator.org
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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. enjoy!
This podcast is proudly sponsored by Chiesi.
Dr. Erica Sood is a pediatric psychologist at Nemours Childrenâs Health and an Associate Professor of Pediatrics at Sidney Kimmel Medical College of Thomas Jefferson University. She directs the Nemours Cardiac Learning and Early Development (LEAD) Program and trains psychology fellows in the specialty area of cardiac neurodevelopment. Her research focuses on partnering with stakeholders to develop and test family-based psychosocial interventions to promote family wellbeing and child developmental outcomes.
Find out more about Erica and this episode at: www.the-incubator.org
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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. enjoy!
This podcast is proudly sponsored by Chiesi.
Short bio: Patrick McNamara graduated from Queens University Belfast in 1987, received his MRCPCH in Pediatrics in 1997 and Certificate of Completion of Specialist Training in Neonatal Medicine in 2002. He is currently a Staff Neonatologist, Director of the Division of Neonatology and Vice Chair for Inpatient Acute Care at the University of Iowa Stead Family Childrenâs Hospital, and Professor of Pediatrics and Internal Medicine, University of Iowa. He is the current chair of the PanAmerican Hemodynamic Collaborative and Paediatric Academic Society Neonatal Hemodynamics Advisory. His clinical and research interests include myocardial performance in the settings of a hemodynamically significant ductus arteriosus, pulmonary hypertension and targeted neonatal echocardiography.Â
Find out more about Patrick and this episode at: Â www.the-incubator.org
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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. enjoy!
This podcast is proudly sponsored by Chiesi.
Avroy A. Fanaroff, MD was the Gertrude Lee Chandler Tucker Professor and Chair of the Department of Pediatrics and Reproductive Biology at Case Western Reserve University School of Medicine. He also served as the Director of Neonatology and physician in chief at Rainbow Babies and Childrenâs Hospital in Cleveland. He is currently Emeritus Professor Case Western Reserve University, and Eliza Henry barnes Chair of Neonatology. He is globally acknowledged as an international authority in the field of neonatology, and has contributed greatly to literature in the area of neonatal medicine, with particular focus on pulmonology, nutrition, and sepsis. He is co-editor of Fanaroff and Martinâs Neonatal-Perinatal Medicine and Klaus and Fanaroffâs Care of the High-Risk Neonate. Dr. Fanaroff has been recognized for his contributions to the field with numerous honors and awards, including the Apgar Award, the Professional Education Award and the National Neonataology Education Award from the American Academy of Pediatrics, and has been honored with an honorary fellowship from the Royal College of Pediatrics and Child Health in London and honorary doctorates from the University of the Witwatersrand (his alma mater) and the University of Turku, Finland.
Find out more about Avroy and this episode at: www.nicupodcast.com
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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. enjoy!
This podcast is proudly sponsored by Chiesi.
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. Papers discussed in today's episode are listed and timestamped below.
enjoy!
_______________________________________________________________________________________
Show notes and articles can be found on our website:Â
www.the-incubator.org/070-journal-club/
This episode is sponsored by Chieisi
Link to the preeme+you website: https://angeleyehealth.com
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. Papers discussed in today's episode are listed and timestamped below.
enjoy!
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More information about Preemie+You can be found on our website:Â
www.the-incubator.org/069-tech-tuesday-angeleye-health
Bio: Alvaro is a pediatric resident at Tulane University and an incoming neonatology fellow at Children's Hospital of Philadelphia. He is from Lima, Peru where he learned medicine in a resource-limited setting. He created two bots that keep the #neoTwitter community connected and informed. These bots are @neo_papers and @neo_twiter. The former pulls published papers from PubMed and tweets them, and the latter retweets posts related to the #neoTwitter community.
Find out more about Alvaro and this episode at:Â
www.the-incubator.org/068-dr-alvaro-proano-md
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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
enjoy!
This podcast is proudly sponsored by Chiesi.
Find out more about NeoHeart 2022 at: https://web.cvent.com/event/f5efadb3-8886-4c5b-9944-c41980940049
Find out more about NeoHeart and Amir Ashrafi and this episode at:Â
www.the-incubator.org/067-neoheart-2022-conference
______________________________________________________________________________________
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. enjoy!
This podcast is proudly sponsored by Chiesi.
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. Papers discussed in today's episode are listed and timestamped below.
enjoy!
_______________________________________________________________________________________
Show notes and articles can be found on our website:Â
www.the-incubator.org/066-journal-club/
We are thankful to our sponsor who is helping make this episode possible
Dr. Fanaroff is a Professor of Pediatrics at Case Western Reserve University (CWRU) School of Medicine in Cleveland. He is a neonatologist as well as Director of the Rainbow Center for Pediatric Ethics at Rainbow Babies & Childrenâs Hospital. Dr. Fanaroff earned his law degree from the University of Virginia School of Law and his medical degree from the CWRU School of Medicine, where he was elected to the AOA Medical Honor Society. During his second year of neonatology training at Rainbow, he commuted to Chicago and completed an ethics fellowship at the University of Chicago. Dr. Fanaroffâs research interests center on ethical and legal issues in neonatology and pediatrics. He is the immediate past Chair of the American Academy of Pediatrics Committee on Medical Liability and Risk Management. He lives in Cleveland with his wife Kristy, a neonatal nurse practitioner, and children Mason, Cole, and Brooke.
Find out more about Jonathan Fanaroff and this episode at:Â
www.the-incubator.org/065-dr-jonathan-fanaroff-md-jd
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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. enjoy!
This podcast is proudly sponsored by Chiesi.
Dr Jayasree Nair is a Clinical Associate Professor of Pediatrics and Program director of the Neonatal Perinatal Fellowship program at the University of Buffalo, and attending neonatologist at John R Oishei Hospital, Buffalo.
After medical training and Pediatric residency in India, she completed her second pediatric residency and neonatology fellowship at the University at Buffalo. She then joined the Department of Pediatrics as a âBuswellâ research faculty studying the effect of transfusions on mesenteric blood flow and reactivity. She is a physician scholar and educator combining her passion for improving clinical care, education and mentoring pediatric and neonatal trainees while continuing her research interests- in neonatal resuscitation and necrotizing enterocolitis. For her translational research on neonatal resuscitation, she has received grants from the American Academy of Pediatrics and the NIH-NICHD. She is involved in regional and national pediatric organizations, currently including the roles of Chair, Planning Committee for the Eastern Society of Pediatric Research and Chair- Student, Resident and House Officer Awards Selection Committee at the Society for Pediatric Research annual conference.
Find out more about Jayasree and this episode at:
www.the-incubator.org/064-jayasree-nair-md/
Start with why by Simon Sinek (affiliate link):
https://amzn.to/3ygZd3Y
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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. enjoy!
This podcast is proudly sponsored by Chiesi.
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. Papers discussed in today's episode are listed and timestamped below.
enjoy!
________________________________________________________________________________________
Show notes and articles can be found on our website:Â
www.the-incubator.org/062-journal-club/
This podcast is proudly sponsored by Chiesi
Elizabeth Simonton is the Co-Founder and CEO of ICU baby, the largest volunteer based organization in Florida to support families with a baby in the NICU. Elizabeth is an attorney and former small business owner who started ICU baby in 2014 after having a NICU experience of her own. ICU baby has helped hundreds of NICU families each year since being founded and has won awards from the United Way of Miami-Dade and the Greater Miami Chamber of Commerce for innovative programming to meet community needs.
Elizabeth received her B.S. from Furman University with a double major in psychology and political science and graduated Cum Laude from the University of Richmond Law School in 2005. Elizabeth and the PAIRED Parent Advisory Committee won the 2021 Director's Award from the Florida Perinatal Quality Collaborative, was named a 2019 Miami Leader by the Miami Foundation and is a graduate of Radical Partnersâ Social Entrepreneurship Bootcampâs Cohort 6.
Find out more about Elizabeth and this episode at: www.the-incubator.org/062-elizabeth-simonton/
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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. enjoy!
This podcast is proudly sponsored by Chiesi and Prolacta.
Link to the preemie+you website: https://preemeandyou.comÂ
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. Papers discussed in today's episode are listed and timestamped below.
enjoy!
________________________________________________________________________________________
More information about Preemie+You can be found on our website:Â
www.the-incubator.org/061-tech-tuesday-preemie-you
s 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. Papers discussed in today's episode are listed and timestamped below.
enjoy!
________________________________________________________________________________________
Show notes and articles can be found on our website:Â
www.the-incubator.org/060-journal-club-29/
This podcast is proudly sponsored by Chiesi and by Reckitt/Mead-Johnson
Holly Neville, MD, FAAP, FACS is the Division Chief of Pediatric Surgery at Joe Di Maggio Childrenâs Hospital and Associate Program Director for the Memorial Healthcare System Department of General Surgery. Holly attended Emory University (92) where she received a BS in Biology and served as Co-Captain of the varsity swim team, followed by the University of Florida College of Medicine (96). She completed her surgical residency at the University of Texas at Houston and Pediatric Surgery at the University of Texas Southwestern. She became a certified coach in wellness and well-being in 2021. Holly serves nationally on various committees, including the Educational Committee and wellness committee for APSA, and is Lead Coach and co-director of the APSA coaching program. Holly currently serves on the Board for the University of Florida College of Medicine and the Foundation for Joe Di Maggio Childrenâs Hospital. Outside of work, Holly is the mom to 3 children: Zack (20), Camille (17) and Chloe (13). She is an avid sport enthusiast, enjoying paddle boarding, yoga, jogging, swimming, and Otillo racing. She also is a home chef, and due to Celiac disease, specializes in gluten free and vegetarian cooking.
Find out more about Holly and this episode at: www.nicupodcast.com
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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. enjoy!
This podcast is proudly sponsored by Chiesi.
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. Papers discussed in today's episode are listed and timestamped below.
enjoy!
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Show notes and articles can be found on our website: www.nicupodcast.com/058-journal-club/
This podcast is proudly sponsored by Chiesi and by Reckitt/Mead-Johnson
Dr Annie Janvier is a Professor of pediatrics and clinical ethics at University of Montreal. She is neonatologist and clinical ethicist at the Sainte-Justine University health center. She holds a PhD in Bioethics and co-directs the Masters and PhD programs in clinical ethics at University of Montreal. She works first hand with patients and families confronted with difficult decisions such as end-of-life issues, and decision-making in the face of uncertainty. She is also the parent of three children who had or have healthcare needs, one of which was born at 24 weeks.
Her main research interests in bioethics are decision-making for fragile patients and family integrated care in Pediatrics. She investigates parental perspectives regarding intensive care decisions, death and disability and parent/patient/family important outcomes after an NICU stay.
She has demonstrated many contrasts between provider and parental perspectives and examines how to improve our communication with families. She is author of many narratives, publications and books in clinical ethics and medicine. Patients and parents are collaborators in the majority of her clinical, research and teaching projects.
Find out more about Annie and this episode at: www.nicupodcast.com
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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. enjoy!
This podcast is proudly sponsored by Chiesi.
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. Papers discussed in today's episode are listed and timestamped below.
enjoy!
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Show notes and articles can be found on our website: www.nicupodcast.com/055-journal-club/
This podcast is proudly sponsored by Chiesi and by Reckitt/Mead-Johnson
Dr. Salas is a board-certified, attending neonatologist at the Children's Hospital of Alabama and an Associate Professor of Pediatrics at the University of Alabama at Birmingham (UAB). He has an M.D. degree from Universidad Mayor de San Andres and an M.S.P.H. degree from UAB. He currently receives grant support from NICHD to study the effects of human milk diets on body composition outcomes of extremely preterm infants. His long-term career goal is to reduce the burden of postnatal growth faltering through novel translational studies and large-scale, multi-center clinical trials of promising dietary interventions that optimize growth, reduce dysbiosis, and ultimately improve neurodevelopment.
Find out more about ArielAlabama and this episode at: www.nicupodcast.com
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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. enjoy!
This podcast is proudly sponsored by Chiesi.
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. Papers discussed in today's episode are listed and timestamped below.
enjoy!
________________________________________________________________________________________
Show notes and articles can be found on our website: www.nicupodcast.com/054-journal-club/
This podcast is proudly sponsored by Chiesi and by Reckitt/Mead-Johnson
Dr. Watterberg is a Professor Emerita of Pediatrics in the Division of Neonatology at the University of New Mexico Health Sciences Center. She served as Chief of the Division from 2006 â 2011, and Director of the UNM Signature Program in Child Health Research from 2011 â 2016. Dr. Watterberg has over 30 yearsâ experience conducting studies exploring newborn adrenal function, its relationship to inflammation and BPD, and long-term outcomes after preterm birth. She is the New Mexico Principal Investigator for the NICHD Neonatal Research Network (NRN, 2006-2023), which has multiple ongoing observational and interventional studies. She also was awarded a grant from NIH to study adrenal function at age six in a cohort of NRN children born extremely preterm (R01HL117764; 2013 â 2019). She has mentored fellows, faculty and other learners in research and academic advancement. Dr. Watterberg has served on NIH peer review panels and is a member of the Society for Pediatric Research and the American Pediatric Society. She has been an AAP member throughout her career, and has served on the Committee on Fetus and Newborn (COFN) as a member from 2006 â 2012, and as chair (2013 â 2017).
Find out more about Kristi and this episode at: www.nicupodcast.com
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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. enjoy!
This podcast is proudly sponsored by Chiesi.
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. Papers discussed in today's episode are listed and timestamped below.
enjoy!
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Show notes and articles can be found on our website: www.nicupodcast.com/052-journal-club/
This podcast is proudly sponsored by Chiesi and by Reckitt/Mead-Johnson
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. Papers discussed in today's episode are listed and timestamped below.
enjoy!
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Show notes and articles can be found on our website: www.nicupodcast.com/051-journal-club/
This podcast is proudly sponsored by Chiesi and by Reckitt/Mead-Johnson
Dr. Richard A. Polin is the William T. Speck Professor of Pediatrics at Columbia University, College of Physicians and Surgeons and is the immediate past Director of the Division of Neonatology at Morgan Stanley Childrenâs Hospital of New York-Presbyterian. From July, 1977 until January 1998, Dr. Polin was a faculty member in the Division of Neonatology at the Childrenâs Hospital of Philadelphia and Professor of Pediatrics at the University of Pennsylvania. In 1998, Dr. Polin returned to Morgan Stanley Childrenâs Hospital of NY- Presbyterian as the Director of Neonatology. In the spring of 2006 Dr. Polin received the National Neonatal Education Award from the AAPâs Section on Perinatal Pediatrics and in 2017 he was inducted into the âLegends Hall of Fameâ. Dr. Polin is the 2021 recipient of the Apgar Award from the American Academy of Pediatrics. Dr. Polin has published over 200 original papers, 20 books (including Fetal and Neonatal Physiology, Workbook in Practical Neonatology, Pediatric Secrets and Fetal and Neonatal Secrets,) and more than 200 abstracts. Dr. Polin is the Chair of the NICHD Neonatal Research Network executive steering committee, and he is the past chair of the Sub-board of Neonatal-Perinatal Medicine.
Find out more about Richard and this episode at: www.nicupodcast.com
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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. enjoy!
This podcast is proudly sponsored by Chiesi.
Sue Ludwig is a sought-after speaker, consultant, writer, and educator. A licensed occupational therapist and certified neonatal therapist, she is president and founder of the National Association of Neonatal TherapistsÂź, where she uses her unique blend of clinical expertise, innovation, and leadership to support the advancement of this specialized field on a global level. Sue lives in Cincinnati, Ohio, with her husband and a couple of dogs, and has two grown children. In addition to spending time with her favorite people, she enjoys hiking, photography, reading, writing, sports, travel, and the pursuit of good craft breweries.
Find out more about Sue and this episode at:Â
https://www.nicupodcast.com/049-sue-ludwig/
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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. enjoy!
This podcast is proudly sponsored by Chiesi.
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. Papers discussed in today's episode are listed and timestamped below.
enjoy!
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Show notes and articles can be found on our website: http://www.nicupodcast.com
This podcast is proudly sponsored by Chiesi.
Dr. Paul Offit is a pediatrician specializing in infectious diseases and an expert on vaccines, immunology, and virology. He is the co-inventor of a rotavirus vaccine that has been credited with saving hundreds of lives every day. Dr. Offit is the Maurice R. Hilleman professor of vaccinology, professor of pediatrics at the Perelman School of Medicine at the University of Pennsylvania and director of The Vaccine Education Center at Children's Hospital of Philadelphia (CHOP). Offit is currently a member of National Institutes of Health (NIH) working group on vaccines, a subgroup of the "Accelerating COVID-19 Therapeutic Interventions and Vaccines" (ACTIV) comprised of experts to combat COVID-19. He is also a member of the FDA's Vaccines and Related Biological Products Advisory Committee (VRBPAC). Previously, he was a member of the Centers for Disease Control and Prevention's (CDC) Advisory Committee on Immunization Practices. Offit is a board member of Vaccinate Your Family, The Franklin Institute, and Autism Science Foundation. "You Bet Your Life" is his 12th book.
Find out more about Dr. Offit and this episode at:
https://www.nicupodcast.com
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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. enjoy!
This podcast is proudly sponsored by Chiesi.
Find out more about Katarzyna and this episode at:Â
www.nicupodcast.com/046-professor/Â
Participate in our fundraiser at: https://fundly.com/relief-fund-for-nicus-in-ukraine
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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. enjoy!
This podcast is proudly sponsored by Chiesi.
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. Papers discussed in today's episode are listed and timestamped below.
enjoy!
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Show notes and articles can be found on our website: http://www.nicupodcast.com
This podcast is proudly sponsored by Chiesi.
Dr. Monica Arroyo is an attending Neonatal Neurologist at Joe di Maggio Childrenâs Hospital in Hollywood, Florida. Prior to this position she completed a Pediatric Neurology residency and subsequently a fellowship in Fetal and Neonatal Neurology at Cincinnati Childrenâs Hospital Medical Center in 2018 after graduating from medical school from the University of Puerto Rico. In her current position she has started a Neonatal Neurology service, fetal consultation service and a high risk clinic for NICU follow up since her arrival to the institution. Her mission is to accompany the parents in the âjourneyâ of an unexpected neonatal brain injury. She is an advocate for optimizing continuity of care between the hospital and home and creating safe medical homes for children with complex needs. Dr. Arroyo is also interested in parent mental health and support and looking for ways to improve the NICU experience, as she herself is a NICU mother who lost her child to complications of prematurity.
Find out more about Monica and this episode at:
https://www.nicupodcast.com/044-dr-monica-arroyo-md/
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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. enjoy!
This podcast is proudly sponsored by Chiesi.
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. Papers discussed in today's episode are listed and timestamped below.
enjoy!
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Show notes and articles can be found on our website: http://www.nicupodcast.com
This podcast is proudly sponsored by Chiesi.
Dr. Fort is the chair for the research council at the Maternal, Fetal, and Neonatal institute at Johns Hopkins All Childrenâs Hospital. He is a board-certified pediatrician and neonatologist with a research focus in respiratory medicine in preterm infants. He attended undergraduate education at the University of North Carolina and continued his medical training with the School of Medicine at the University of North Carolina, pediatrics residency at Duke University Medical Center, and Neonatal-Perinatal fellowship at the University of Alabama in Birmingham. He has successfully presented research studies at the National Child Health and Human Development (NICHD), and has been and is currently involved in a multitude of multicenter, regional and national clinical trials. He has been the recipient of teaching awards as well as two prestigious awards from the Society of Pediatric Research for his study in vitamin D use in extremely preterm infants. He is recognized nationally and internationally as an expert in respiratory care with minimally invasive methods of surfactant administration, a drug that is needed for preterm infants to breath. He is constantly striving to improve the care of newborn, preterm infants through research and Best Practice in clinical care.
Find out more about Prem and this episode at: www.nicupodcast.com
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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. enjoy!
This podcast is proudly sponsored by Chiesi.
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. Papers discussed in today's episode are listed and timestamped below.
enjoy!
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Show notes and articles can be found on our website: http://www.nicupodcast.com
This podcast is proudly sponsored by Chiesi.
Dr Wally Carlo is the division chair of neonatology at the University of Alabama in Birmingham. He completed his training in pediatrics at the University Childrenâs Hospital in Puerto Rico and his neonatal fellowship at Rainbow Babies Children Hospital in Cleveland Ohio. Dr. Carlo has played pivotal roles in the development and the growth of the neonatal research network. He was the lead author of the SUPPORT trial published in the New England Journal of Medicine in 2010. He has conducted numerous NIH funded randomized trials. His dedication to research and the advancement of neonatal care have made him one of the most published neonatologist of all time, and his work has accrued over 50,000 citations. He was the chair of the Fetus and Newborn Committee, he has been a major contributor to the success of the Neonatal Resuscitation Program. Dr. Carlo is beloved and respected educator and his work in neonatology has reached far and wide beyond the state of Alabama thanks to his talent in training future leaders in neonatology and to his contributions to textbooks and other projects.
Find out more about Wally and this episode at: www.nicupodcast.com
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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. enjoy!
This podcast is proudly sponsored by Chiesi.
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. Papers discussed in today's episode are listed and timestamped below.
enjoy!
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Show notes and articles can be found on our website: http://www.nicupodcast.com
This podcast is proudly sponsored by Chiesi.
Mary E. Coughlin, MS, NNP, RNC-E, is a global leader in neonatal nursing and has pioneered the concept of trauma-informed, age-appropriate care as a biologically relevant paradigm for hospitalized infants, families, and professionals.
A seasoned staff nurse, charge nurse, neonatal nurse practitioner, administrator, educator, coach and mentor, Ms. Coughlin has over 35 years of nursing experience beginning with her 7 years of active duty in the U.S. Air Force Nurse Corp and culminating with her current role as president and founder of Caring Essentials Collaborative.
Find out more about Mary and this episode at: www.nicupodcast.com
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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. enjoy!
This podcast is proudly sponsored by Chiesi.
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.Â
enjoy!
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Show notes and articles can be found on our website: http://www.nicupodcast.com
This podcast is proudly sponsored by Chiesi.
The Incubator end of year giveaway includes books and an 2021 11in iPad Pro. Rules are:
- Look out for a tweet (https://twitter.com/nicupodcast or @nicupodcast) announcing the giveaway
- Like the tweet
- Quote retweet and tag @nicupodcast and a friend of yours
- And that's all - you're entered in the raffle
The Incubator & Neonatology Review podcast will air its first episode on Jan 3rd and there is a set of signed Brodsky & Martin books to be won. Rules of that giveaway are:
- Subscribe to the podcast: https://podcasts.apple.com/us/podcast/the-incubator-neonatology-review/id1601661028 or https://open.spotify.com/show/1tgViDf3hQF8T9olGQ5wWi?si=8041cf82bc4f4380
- Look out for a tweet on 12/29 announcing the new podcast coming from @nicupodcast on Twitter
- Like the tweet
- Quote retweet and tag @nicupodcast and a friend of yours
- And that's all - you're entered in the raffle
More details can be found on our website: http://www.nicupodcast.com
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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. Papers discussed in today's episode are listed and timestamped below.
enjoy!
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This podcast is proudly sponsored by Chiesi.
We are very excited to welcome Dr. Jennifer Beck and Dr. Christer Sinderby on the podcast this week. They are a husband and wife couple who invented and pioneered one of our most favorite modes of ventilation: NAVA.Â
Check out the show notes at:Â
https://the-incubator-podcast.ghost.io/035-dr-jennifer-beck-dr-christer-sinderby
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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. enjoy!
This podcast is proudly sponsored by Chiesi.
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. Papers discussed in today's episode are listed and timestamped below.
enjoy!
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Show notes and articles can be found on our website: http://www.nicupodcast.com
This podcast is proudly sponsored by Chiesi.
Dr. Perri Klass is Professor of Journalism and Pediatrics at New York University and Co-Director of NYU Florence. She attended Harvard Medical School and completed her residency in pediatrics at Childrenâs Hospital, Boston. She writes the weekly column, âThe Checkup,â for the New York Times Science Section. She has written extensively about medicine, children, literacy, and knitting. Her new book, A Good Time to Be Born: How Science and Public Health Gave Children a Future, is an account of how victories over infant and child mortality have changed the world.
Find out more about Perri and this episode at: www.nicupodcast.com
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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. enjoy!
This podcast is proudly sponsored by Chiesi.
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. Papers discussed in today's episode are listed and timestamped below.
enjoy!
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Show notes and articles can be found on our website: http://www.nicupodcast.com
This podcast is proudly sponsored by Chiesi.
Join us this week for a fascinating discussion about artificial intelligence in neonatology with doctors Kristyn and Andrew Beam.
Dr. Kristyn Beam is an attending neonatologist at Beth Israel Deaconess Medical Center in Boston, MA. She is also an Instructor in the Department of Pediatrics at Harvard Medical School. Her research focuses on machine learning applications for neonatal data with a focus on improving our decision-making in the NICU at the point of care and ultimately improving neonatal outcomes.
Dr. Andrew Beam is an assistant professor in the Department of Epidemiology at the Harvard T.H. Chan School of Public Health, with secondary appointments in the Department of Biomedical Informatics at Harvard Medical School and the Department of Newborn Medicine at Brigham and Womenâs Hospital. His research develops and applies machine-learning methods to extract meaningful insights from clinical and biological datasets, with a special focus on neonatal medicine.
Check out the show notes at:
https://the-incubator-podcast.ghost.io/031-dr-kristyn-beam-md-mph-dr-andrew-beam-phd/
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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. enjoy!
This podcast is proudly sponsored by Chiesi.
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. Papers discussed in today's episode are listed and timestamped below.
enjoy!
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1:20 - Update on Phototherapy and Childhood Cancer in a Northern California Cohort. https://publications.aap.org/pediatrics/article-abstract/148/5/e2021051033/181342/Update-on-Phototherapy-and-Childhood-Cancer-in-a?redirectedFrom=fulltext
10:55 - Hour-Specific Total Serum Bilirubin Percentiles for Infants Born at 29â35 Weeksâ Gestation. https://www.karger.com/Article/FullText/519496
19:55 - Neurodevelopmental Outcomes following Intrauterine Growth Restriction and Very Preterm Birth. https://www.jpeds.com/article/S0022-3476(21)00667-3/fulltext
29:05 - Enteral Iron Supplementation in Infants Born Extremely Preterm and its Positive Correlation with Neurodevelopment; Post Hoc Analysis of the Preterm Erythropoietin Neuroprotection Trial Randomized Controlled Trial. https://jpeds.com/retrieve/pii/S0022347621006867
40:50 - Caffeine is a respiratory stimulant without effect on sleep in the short-term in late-preterm infants. https://www.nature.com/articles/s41390-021-01794-y
48:06 - Lung Ultrasound for Prediction of Bronchopulmonary Dysplasia in Extreme Preterm Neonates: A Prospective Diagnostic Cohort Study. https://jpeds.com/retrieve/pii/S0022347621006612
53:45 - Early (< 7 days) systemic postnatal corticosteroids for prevention of bronchopulmonary dysplasia in preterm infants. https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD001146.pub6/full
61:14 - A novel and accurate method for estimating umbilical arterial and venous catheter insertion length. https://www.nature.com/articles/s41372-021-01121-7
This podcast is proudly sponsored by Chiesi.
Keliana OâMara, PharmD, is a Pharmacist and the Neonatal Intensive Care Unit Pharmacy Specialist at WakeMed Health and Hospitals. Keliana is a graduate of UNC Eshelman School of Pharmacy. She completed her PGY1 at Moses Cone Health System and a neonatal pharmacotherapy research fellowship at Womenâs Hospital of Greensboro. Her areas of research interest include neonatal pain and sedation management, dosing accuracy of medication delivery devices in neonates and pediatrics, neurodevelopmental impact of medication use in neonates, and individualized pharmacokinetic/pharmacodynamics dosing in neonates.
You can reach out to Keliana for collaboration and questions at:
keliana.omara@gmail.com
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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. enjoy!
This podcast is proudly sponsored by Chiesi.
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. Papers discussed in today's episode are listed and timestamped below.
enjoy!
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04:00 - Neonatal MIS-C: Managing the Cytokine Storm. https://pediatrics.aappublications.org/content/early/2021/10/19/peds.2020-042093
17:33 - Randomized clinical trial investigating the effect of consistent, developmentally-appropriate, and evidence-based multisensory exposures in the NICU. https://www.nature.com/articles/s41372-021-01078-7
29:29 - Association of Increased Seizures During Rewarming With Abnormal Neurodevelopmental Outcomes at 2-Year Follow-up. https://jamanetwork.com/journals/jamaneurology/fullarticle/2784930
37:20 - Randomized Trial to Increase Speech Sound Differentiation in Infants Born Preterm. https://jpeds.com/retrieve/pii/S0022347621010283
46:36 - Language function following preterm birth: prediction using machine learning. https://www.nature.com/articles/s41390-021-01779-x
48:45 - The bacterial gut microbiome of probiotic-treated very-preterm infants: changes from admission to discharge. https://www.nature.com/articles/s41390-021-01738-6
56:30 - Prioritization framework for improving the value of care for very low birth weight and very preterm infants. https://www.nature.com/articles/s41372-021-01114-6
Dr. Benjamin Rattray is a newborn critical care physician in North Carolina where he serves as Associate Medical Director of Neonatal Intensive Care at the Cone Health Womenâs and Childrenâs Center. He completed a pediatric residency and a neonatal-perinatal medicine fellowship at Duke University Medical Center, holds an MBA from LSU Shreveport, and is a Certified Physician Executive. He lives with his wife, three children, and a Golden Retriever in Greensboro, North Carolina.
He is the author of the book WHEN ALL BECOMES NEW: A DOCTOR'S STORIES OF LIFE, LOVE, AND LOSS.
Learn more at benjaminrattray.com.
Purchase Dr. Rattray's book on amazon @ https://amzn.to/3juLpfv
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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. enjoy!
This podcast is proudly sponsored by Chiesi.
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. Papers discussed in today's episode are listed and timestamped below.
enjoy!
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02:12 - Health-Related Quality of Life from Adolescence to Adulthood Following Extremely Preterm Birth. https://www.jpeds.com/article/S0022-3476(21)00326-7/fulltext
12:45 - Low Birth Weight as an Early-Life Risk Factor for Adult Stroke Among Men. https://www.jpeds.com/article/S0022-3476(21)00632-6/fulltext
19:25 - Bloodstream Infections in Preterm Neonates and Mortality-Associated Risk Factors. https://www.jpeds.com/article/S0022-3476(21)00561-8/fulltext
31:01 - InâHospital Respiratory Viral Infections for Patients with Established BPD in the SARSâCoVâ2 Era. https://onlinelibrary.wiley.com/doi/10.1002/ppul.25714
39:07 - Neighborhood Disadvantage and Early Respiratory Outcomes in Very Preterm Infants with Bronchopulmonary Dysplasia. https://www.jpeds.com/article/S0022-3476(21)00643-0/fulltext
47:57 - Family history of asthma influences outpatient respiratory outcomes in children with BPD. https://onlinelibrary.wiley.com/doi/10.1002/ppul.25603
50:23 - End-of-Life Care Related Distress in the PICU and NICU: A Cross-Sectional Survey in a German Tertiary Center. https://www.frontiersin.org/articles/10.3389/fped.2021.709649/full
Dr. Jimmy Turner is a practicing anesthesiologist at Wake Forest. Dr. Turner hosts the physician philosopher podcast and blog where he take an uncurated and unapologetic look into physician life. He also cohosts the podcast Money meets medicine with Ryan Inman where they discuss finance topics that healthcare providers desperately need to know. He is also the author of the book The Physician Philosopher's Guide to Personal Finance. And finally, he is the founder of the alpha coaching experience which helps empower physicians who feel trapped in medicine and helps them practice medicine on their own terms.
https://thephysicianphilosopher.com
https://thephysicianphilosopher.com/podcasts/the-physician-philosopher/
https://thephysicianphilosopher.com/podcasts/money-meets-medicine/
https://coaching.thephysicianphilosopher.com/alpha-coaching-experience
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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. enjoy!
This podcast is proudly sponsored by Chiesi.
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.
enjoy!
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. Papers discussed in today's episode are listed and timestamped below.
enjoy!
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03:20 - Use of Antenatal Corticosteroids at 22 Weeks of Gestation. https://www.acog.org/clinical/clinical-guidance/practice-advisory/articles/2021/09/use-of-antenatal-corticosteroids-at-22-weeks-of-gestation
09:40 - Parent Preferences for Transparency of Their Childâs Hospitalization Costs. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2784398
19:55 - Monitoring of carbon dioxide in ventilated neonates: a prospective observational study. https://fn.bmj.com/content/early/2021/08/02/archdischild-2021-322138
31:00 - Medication Use in the Neonatal Intensive Care Unit and Changes from 2010-2018. https://www.jpeds.com/article/S0022-3476(21)00860-X/fulltext
37:50 - Early-Onset Sepsis Among Very Preterm Infants. https://pediatrics.aappublications.org/content/148/4/e2021052456
46:15 - Dexmedetomidine versus intermittent morphine for sedation of neonates with encephalopathy undergoing therapeutic hypothermia. https://www.nature.com/articles/s41372-021-00998-8
53:40 - Survival prediction modelling in extreme prematurity: are days important? https://www.nature.com/articles/s41372-021-01208-1
58:50 - Association of time of first corticosteroid treatment with bronchopulmonary dysplasia in preterm infants. https://onlinelibrary.wiley.com/doi/10.1002/ppul.25610
62:30 - Burnout and Perceptions of Stigma and Help-Seeking Behavior Among Pediatric Fellows. https://pediatrics.aappublications.org/content/148/4/e2021050393
Pr Minesh Khashu is a clinical leader reimagining healthcare with a focus on systemic wide transformation, continuous quality improvement and family centered care. Prof Khashu has held multiple hospital, regional and national leadership roles in neonatal and perinatal care. Professor Minesh Khashu is a neonatologist at University Hospitals Dorset. He is the founder of the special interest group NEC (SIGNEC; signec.org). He also works actively on advocating for fathers' involvement in the NICU, and to that end, collaborated on the development of the neonatal DadPad app.
https://signec.org
https://thedadpad.co.uk/neonatal/
Check out his NEC paper on the use of bowel US: https://pubmed.ncbi.nlm.nih.gov/32398270/
You can get in touch with Dr. Khashu via:
Twitter - @mkrettiwt
Email - mineshkhashu@gmail.com
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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.
enjoy!
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. Papers discussed in today's episode are listed and timestamped below.
enjoy!
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04:10 - Qualitative indications for tracheostomy and chronic mechanical ventilation in patients with severe bronchopulmonary dysplasia. https://www.nature.com/articles/s41372-021-01165-9
15:40 - Association between Term Equivalent Brain MRI and 2 Year Outcomes in Extremely Preterm Infants: A Report from the PENUT Trial Cohort. https://jpeds.com/retrieve/pii/S0022347621008258
22:46 - Association of Blood Donor Sex and Age With Outcomes in Very Low-Birth-Weight Infants Receiving Blood Transfusion. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2783715
29:30 - Slow advancement of enteral feed volumes to prevent necrotising enterocolitis in very low birth weight infants. https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD001241.pub8
38:29 - Neurodevelopmental outcome of preterm infants enrolled in myo-inositol randomized controlled trial. https://www.nature.com/articles/s41372-021-01018-5.
41:20 - Adverse Events and Associated Factors During Intra-hospital Transport of Newborn Infants. https://www.jpeds.com/article/S0022-3476(21)00859-3/fulltext
46:17 - Digital tracheal intubation and finger palpation to confirm endotracheal tube tip position in neonates: A systematic review and metaâanalysis. https://onlinelibrary.wiley.com/doi/10.1002/ppul.25551
52:41 - The DELUX study: development of lung volumes during extubation of preterm infants. https://www.nature.com/articles/s41390-021-01699-w
Dr. Erik Jensen is an attending neonatologist in the division of neonatology at the Children's hospital of Philadelphia. He is an assistant professor of pediatrics at the Perelman School of Medicine at the University of Pennsylvania.
Dr. Jensenâs research seeks to improve the long-term respiratory health of premature infants through: (1) clinical and translational studies that aim to develop evidence-based strategies to prevent and treat BPD; (2) novel characterization of disease severity and phenotypes in BPD; and (3) application of health services research techniques to investigate the association between hospital-level factors and neonatal morbidity and mortality.
Dr. Jensenâs research is supported by grant funding from the National Heart Lung and Blood Institute (NHLBI), the National Institute of Child Health and Human Development (NICHD), and the American Lung Association (ALA). He is a member of the International BPD Collaborative pharmacology working group and the International Neonatal Consortium (INC) BPD working group. He has received multiple clinical and research awards.
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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.
enjoy!
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. Papers discussed in today's episode are listed and timestamped below.
enjoy!
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Please find the list of articles discussed in this weekâs journal club with links to the full text.
03:15 - Characteristics and Outcomes of Women With COVID-19 Giving Birth at US Academic Centers During the COVID-19 Pandemic. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2782978
Maternal and Neonatal Morbidity and Mortality Among Pregnant Women With and Without COVID-19 Infection. https://jamanetwork.com/journals/jamapediatrics/fullarticle/2779182
18:15 - Timing of neonatal stoma closure: a survey of health professional perspectives and current practice. https://fn.bmj.com/content/early/2021/08/18/archdischild-2021-322040
28:12 - Newborn Incubators Do Not Protect from High Noise Levels in the Neonatal Intensive Care Unit and Are Relevant Noise Sources by Themselves. https://www.mdpi.com/2227-9067/8/8/704
38:23 - Cardiac Performance in the First Year of Age Among Preterm Infants Fed Maternal Breast Milk. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2783546
45:55 - Race, language, and neighborhood predict high-risk preterm Infant Follow Up Program participation. https://www.nature.com/articles/s41372-021-01188-2
53:30 - Is late treatment with acetaminophen safe and effective in avoiding surgical ligation among extremely preterm neonates with persistent patent ductus arteriosus? https://www.nature.com/articles/s41372-021-01194-4
59:59 - Is it time to study routine car seat tolerance screening in a randomized controlled trial? An international survey of current practice and clinician equipoise. https://www.nature.com/articles/s41372-021-01167-7
Dr. Diana Montoya-Williams is an attending neonatologist in the division of Neonatology at Childrenâs Hospital of Philadelphia, a clinician scientist in CHOPâs PolicyLab and an assistant professor of Pediatrics in the University of Pennsylvaniaâs Perelman School of Medicine. She graduated from Harvard College with a degree in the History of Science and received her medical degree from Columbia University. Subsequently, she completed her residency in Pediatrics and her fellowship in Neonatology at the University of Florida. She conducts research on the drivers of racial and ethnic inequities in infant health outcomes. Her recent work has also explored structural and individual factors that confer resilience to poor birth and infant health outcomes among populations vulnerable to discrimination. Dr. Montoya-Williams has a special interest in immigration policies as political determinants of Latinx health outcomes. As a member of CHOP PolicyLabâs Health Equity team, she also engages in legislative and policy advocacy.
Dr. Montoya-Williams can be contacted by email: MONTOYAWID@chop.edu
or via twitter: @DrDianaMW
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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. Papers discussed in today's episode are listed and timestamped below.
enjoy!
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. Papers discussed in today's episode are listed and timestamped below.
enjoy!
______________________________________________________________________________________________________
Please find the list of articles discussed in this weekâs journal club with links to the full text.
01:36 - Hypothermia for moderate or severe neonatal encephalopathy in low-income and middle-income countries (HELIX): a randomised controlled trial in India, Sri Lanka, and Bangladesh. https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(21)00264-3/fulltext
16:48 - Preterm or Early Term Birth and Risk of Autism. https://pediatrics.aappublications.org/content/early/2021/08/10/peds.2020-032300
25:40 - Neonatal resuscitation in the NICU; Challenges beyond NRP. https://onlinelibrary.wiley.com/doi/10.1111/apa.16057
31:15 - Improving Compliance with a Rounding Checklist through Low- and High-technology Interventions: A Quality Improvement Initiative. https://journals.lww.com/pqs/Fulltext/2021/07000/Improving_Compliance_with_a_Rounding_Checklist.21.aspx
38:59 - Initial Laparotomy Versus Peritoneal Drainage in Extremely Low Birthweight Infants With Surgical Necrotizing Enterocolitis or Isolated Intestinal Perforation: A Multicenter Randomized Clinical Trial. https://journals.lww.com/annalsofsurgery/Abstract/9000/Initial_Laparotomy_Versus_Peritoneal_Drainage_in.93407.aspx
51:27 - Automated Explainable Multidimensional Deep Learning Platform of Retinal Images for Retinopathy of Prematurity Screening. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2779454
54:00 - Neonatal mortality prediction with routinely collected data: a machine learning approach. https://bmcpediatr.biomedcentral.com/articles/10.1186/s12887-021-02788-9
Dr. Brodsky and Dr. Martin are the authors of the renowned books titled Neonatology Review. This series, well known to every neonatal trainee, is currently in its third edition. They have also published other books including Neonatology Review Images and Neonatology Review: Questions & Answers.
Dr. Dara Brodsky is an Associate Professor at Harvard Medical School. She is the Director of Education for the department of Neonatology at Beth Israel Deaconess Medial Center. She is also the Editor-in-Chief of NeoReviews.Dr. Camilia R. Martin is an Associate Professor of Pediatrics at Harvard Medical School, and the Associate Director of the Neonatal Intensive Care Unit and Director for Cross-Disciplinary Research Partnerships in the Division of Translational Research at Beth Israel Deaconess Medical Center Boston, MA.
You can in touch with them by email at:
Dr. Brodsky: dbrodsky@bidmc.harvard.edu
Dr. Martin: cmartin1@bidmc.harvard.edu
Their books can be purchased at the following website:
https://www.lulu.com/spotlight/neonatologyreview/
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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. Papers discussed in today's episode are listed and timestamped below.
enjoy!
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. Papers discussed in today's episode are listed and timestamped below.
enjoy!
Please find the titles and links to the articles mentioned in this week's journal club and timestamps for your convenience:
02:30 - Effect of Systemic Hydrocortisone Initiated 7 to 14 Days After Birth in Ventilated Preterm Infants on Mortality and Neurodevelopment at 2 Yearsâ Corrected Age: Follow-up of a Randomized Clinical Trial. https://jamanetwork.com/journals/jama/article-abstract/2782313
07:50 - Postnatal Corticosteroids to Prevent or Treat Bronchopulmonary Dysplasia. https://www.karger.com/Article/FullText/515950
18:30 - Temporal Trends in Neurodevelopmental Outcomes to 2 Years After Extremely Preterm Birth. https://jamanetwork.com/journals/jamapediatrics/article-abstract/2782149
26:00 - An assessment of dexmedetomidine as an opioid-sparing agent after neonatal open thoracic and abdominal operations. https://www.nature.com/articles/s41372-021-01175-7
32:23 - Association of time of day and extubation success in very low birthweight infants: a multicenter cohort study. https://www.nature.com/articles/s41372-021-01168-6
39:27 - Caffeine citrate for apnea of prematurityâOne dose does not fit all a prospective study. https://www.nature.com/articles/s41372-021-01172-w
43:40 - Early High-Dose Caffeine Improves Respiratory Outcomes in Preterm Infants. https://www.mdpi.com/2227-9067/8/6/501
48:35 - Low Rate of Spontaneous Closure in Premature Infants Discharged with a Patent Ductus Arteriosus: A Multicenter Prospective Study. https://jpeds.com/retrieve/pii/S0022347621007022
55:36 - Effects of single family room architecture on parentâinfant closeness and family centered care in neonatal environmentsâa single-center preâpost study. https://www.nature.com/articles/s41372-021-01137-z
60:53 - Asynchronous telemedicine for clinical genetics consultations in the NICU: a single centerâs solution. https://www.nature.com/articles/s41372-021-01070-1
64:00 - Cortical hemodynamic activity and pain perception during insertion of feeding tubes in preterm neonates: a randomized controlled cross-over trial. https://www.nature.com/articles/s41372-021-01166-8
Dawn Raffel's book: The Strange Case of Dr. Couney was chosen as one of NPRâs best books of 2018 and awarded a 2019 Christopher Award for books that affirm the highest values of the human spirit.Â
As Dawn Raffel recounts, Dr. Couney used incubators and careful nursing to keep previously doomed infants alive, while displaying these babies alongside sword swallowers, bearded ladies, and burlesque shows at Coney Island, Atlantic City, and venues across the nation. How this turn-of-the-twentieth-century Ă©migrĂ© became the savior to families with premature infantsâknown then as âweaklingsââas he ignored the scorn of the medical establishment and fought the rising popularity of eugenics is one of the most astounding stories of modern medicine. Dr. Couney, for all his entrepreneurial gusto, is a surprisingly appealing character, someone who genuinely cared for the well-being of his tiny patients.
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.
Enjoy!
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. Papers discussed in today's episode are listed and timestamped below.
enjoy!
01:50 - Reviewing recordings of neonatal resuscitation with parents. https://fn.bmj.com/content/106/4/346
10:55 - Associations between family presence and neonatal intubation outcomes: a report from the National Emergency Airway Registry for Neonates: NEAR4NEOS https://fn.bmj.com/content/106/4/392
19:28 - A Retrospective Review Following the Addition of Clonidine to a Neonatal Abstinence Syndrome Treatment Algorithm. https://www.frontiersin.org/articles/10.3389/fped.2021.632836/full
25:03 - Trial of aerosolised surfactant for preterm infants with respiratory distress syndrome. https://fn.bmj.com/content/early/2021/06/09/archdischild-2021-321645
30:15 - Interface leakage during neonatal CPAP treatment: a randomised, cross-over trial. https://fn.bmj.com/content/early/2021/06/28/archdischild-2021-321579
33:55 - Changes in Physicians' Perceptions and Practices on Neonatal Pain Management Over the Past 20 Years. A Survey Conducted at Two Time-Points. https://www.frontiersin.org/articles/10.3389/fped.2021.667806/full
39:02 - The Experience of Housing Needs Among Families Caring for Children With Medical Complexity. https://pediatrics.aappublications.org/content/148/1/e2020018937
47:10 - Home Visiting for NICU Graduates: Impacts of Following Baby Back Home. https://pediatrics.aappublications.org/content/148/1/e2020029397
52:25 - An Infant Carrier Intervention and Breastfeeding Duration: A Randomized Controlled Trial. https://pediatrics.aappublications.org/content/148/1/e2020049717
56:37 - Severity of Bronchopulmonary Dysplasia Among Very Preterm Infants in the United States. https://pediatrics.aappublications.org/content/148/1/e2020030007
58:41 - Human milk feeding and cognitive outcome in preterm infants: the role of infection and NEC reduction. https://www.nature.com/articles/s41390-021-01367-z
61:27 - Validity of Random Triglyceride Levels in Infants Receiving Parenteral Nutrition. https://www.frontiersin.org/articles/10.3389/fped.2021.601915/full
62:40 - Degree of ventriculomegaly predicts school-aged functional outcomes in preterm infants with intraventricular hemorrhage. https://www.nature.com/articles/s41390-021-01631-2
Juliette Lee is a pediatric nurse from Cambridge in the U.K. She was born extremely preterm in the 1990's and has since worked with other adult preterm to create the adult premie advocacy network (www.adultpreemies.com).Â
She also took part in a large study of former preterm adults that you can find at the following link: https://pubmed.ncbi.nlm.nih.gov/31732683/
This was undoubtedly a great discussion.
Enjoy!
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.
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. Papers discussed in today's episode are listed and timestamped below.
enjoy!
03:35 - https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2781459
14:35 - https://jpeds.com/retrieve/pii/S0022347620315675
23:35 - https://jpeds.com/retrieve/pii/S0022347621002298
28:40 - https://dx.doi.org/10.1016/j.jpeds.2021.03.046
40:08 - https://www.jpeds.com/article/S0022-3476(21)00219-5/fulltext
47:45 - https://www.jpeds.com/article/S0022-3476(21)00114-1/fulltext
51:48 - https://www.nature.com/articles/s41372-021-01097-4
57:08 - https://www.nature.com/articles/s41372-020-00808-7
63:20 - https://www.nature.com/articles/s41372-021-01082-x
68:04 - https://www.nature.com/articles/s41372-021-00988-w
70:35 - https://www.nature.com/articles/s41372-020-00911-9
74:40 - https://www.nature.com/articles/s41372-020-0746-6
77:14 - https://www.nature.com/articles/s41372-021-01021-w
78:30 - https://www.nature.com/articles/s41372-020-00850-5
81:02 - https://www.nature.com/articles/s41372-021-01081-y
82:38 - https://www.nature.com/articles/s41372-021-01035-4
83:50 - https://www.nature.com/articles/s41372-021-00963-5
Dr. Katherine Horan is a neonatologist from Baystate Medical Center in Springfield Massachusetts. She has gone on multiple field missions with Doctors Without Borders in West Africa. She recounts her experience in various settings including Chad, South Sudan, Mali and the Ivory Coast.Â
She also gives amazing tips on how to get started in global health work for anyone interested.
Enjoy!
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.
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. Papers discussed in today's episode are listed and timestamped below.
enjoy!
06:05 - Extremely Low Birth Weight and Accelerated Biological Aging. https://pediatrics.aappublications.org/content/147/6/e2020001230
13:48 - Early Determination of Prognosis in Neonatal Moderate or Severe Hypoxic-Ischemic Encephalopathy. https://pediatrics.aappublications.org/content/147/6/e2020048678
19:55 - Use of Probiotics in Preterm Infants.h ttps://pediatrics.aappublications.org/content/147/6/e2021051485
23:20 - Use of Probiotics to Prevent Necrotizing Enterocolitis. https://jamanetwork.com/journals/jamapediatrics/article-abstract/2780228
28:00 - Comparison of Respiratory Support After Delivery in Infants Born Before 28 Weeksâ Gestational Age. https://jamanetwork.com/journals/jamapediatrics/article-abstract/2780513
40:49 - Parentâinfant skin-to-skin contact reduces the electrical activity of the diaphragm and stabilizes respiratory function in preterm infants. https://www.nature.com/articles/s41390-021-01607-2
51:00 - Lung mechanics and respiratory morbidities in school-age children born moderate-to-late preterm. https://www.nature.com/articles/s41390-021-01538-y
59:00 - Early prediction of neurodevelopmental outcomes at 12 years in children born extremely preterm. https://www.nature.com/articles/s41390-021-01564-w
Betsy Pilon is the executive director of the nonprofit organization HOPE FOR HIE. Hope for HIE provides awareness, education and support to families and providers dealing with neonatal and pediatric hypoxic ischemic encephalopathy. Learn more at www.hopeforhie.org or on twitter @HopeforHIE
Check out the other half of this discussion on just say HIE (hope for HIE's podcast) where we delve into the challenges and opportunities that clinicians face during the care of patients stricken by HIE.
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.
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. Papers discussed in today's episode are listed and timestamped below.
enjoy!
01:30 - Immediate âKangaroo Mother Careâ and Survival of Infants with Low Birth Weight https://www.nejm.org/doi/10.1056/NEJMoa2026486
13:45 - Influence of different breast expression techniques on human colostrum macronutrient concentrations. https://www.nature.com/articles/s41372-021-00989-9
18:00 - Migration of cyclohexanone and 3,3,5-trimethylcyclohexanone from a neonatal enteral feeding system into human milk. https://www.nature.com/articles/s41372-021-01036-3
22:50 - Changes in macronutrients of human milk after bolus feeding: a simulation study. https://www.nature.com/articles/s41372-020-00899-2
27:45 - Maternal dietary fat intake during pregnancy and newborn body composition. https://www.nature.com/articles/s41372-021-00922-0
32:40 - Body adiposity and oral feeding outcomes in infants: a pilot study. https://www.nature.com/articles/s41372-021-00975-1
34:55 - Breastfeeding and growth trajectory from birth to 5 years among children exposed and unexposed to gestational diabetes mellitus in utero. https://www.nature.com/articles/s41372-021-00932-y
38:55 - The effects of probiotic supplementation on the gene expressions of immune cell surface markers and levels of antibodies and pro-inflammatory cytokines in human milk. https://www.nature.com/articles/s41372-020-00875-w
45:14 - Comparison of standard versus high-dose ibuprofen for the treatment of hemodynamically significant patent ductus arteriosus in preterm infants. https://www.nature.com/articles/s41372-021-01046-1
49:00 - Patent ductus arteriosus shunt elimination results in a reduction in adverse outcomes: a post hoc analysis of the PDA RCT cohort. https://www.nature.com/articles/s41372-021-01002-z
56:19 - Temporal and seasonal variations in incidence of stage II and III NECâa 28-year epidemiologic study from tertiary NICUs in Connecticut, USA. https://www.nature.com/articles/s41372-021-00961-7
61:15 - Invasive mechanical ventilation at 36 weeks post-menstrual age, adverse outcomes with a comparison of recent definitions of bronchopulmonary dysplasia. https://www.nature.com/articles/s41372-021-01102-w
62:35 - High CPAP vs. NIPPV in preterm neonates â A physiological cross-over study. https://www.nature.com/articles/s41372-021-01122-6
Dr. Matt Siuba is critical care physician from the Cleveland Clinic in Ohio and is the leading thinker of the zentensivist philosophy. On this episode we dive into the various ways in which we can put zentensivism into practice in the NICU. Matt Siuba can be found on twitter @msiuba ... Enjoy!
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.
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. Papers discussed in today's episode are listed and timestamped below.
enjoy!
- 01:44 - New Hour-Specific Serum Bilirubin Nomogram. https://www.jpeds.com/article/S0022-3476(21)00489-3/fulltext
- 08:50 - Changes in PDA Treatment Strategy and Respiratory Outcomes https://www.jpeds.com/article/S0022-3476(21)00356-5/fulltext
- 15:30 - Outcomes of Extremely Premature Infants Comparing PDA Management Approaches. https://www.jpeds.com/article/S0022-3476(21)00335-8/fulltext
- 20:11 - Effect of Early Targeted Treatment of Ductus Arteriosus with Ibuprofen https://www.jpeds.com/article/S0022-3476(20)31488-8/fulltext
- 25:30 - Towards a Rational Approach to Patent Ductus Arteriosus Trials: Selecting the Population of Interest. https://www.jpeds.com/article/S0022-3476(21)00016-0/fulltext
- 29:20 - MRI biomarkers in very preterm infants: relationships to perinatal factors. https://www.jpeds.com/article/S0022-3476(21)00003-2/fulltext
- 37:10 -Should Vitamin A Injections to Prevent Bronchopulmonary Dysplasia or Death Be Reserved for High-Risk Infants? https://www.jpeds.com/article/S0022-3476(21)00445-5/fulltext
- 44:43 - Information order for periviable counseling: Does it make a difference? https://www.jpeds.com/article/S0022-3476(21)00307-3/fulltext
- 53:15 - Perinatal Counseling at the Margin of Gestational Viability: Where Weâve Been, Where Weâre Going, and How to Navigate a Path Forward. https://www.jpeds.com/article/S0022-3476(21)00115-3/fulltext
- 55:29 - Multicenter validation of the nSOFA score for prognosis in the neonatal intensive care unit. https://www.jpeds.com/article/S0022-3476(21)00460-1/fulltext
- 59:34 - Rates and Determinants of Motherâs Own Milk Feeding in Infants Born Very Preterm. https://www.jpeds.com/article/S0022-3476(21)00388-7/fulltext
- 64:00 - Outcomes of Very Preterm Infants Conceived with Assisted Reproductive Technologies. https://www.jpeds.com/article/S0022-3476(21)00495-9/fulltext
- 65:34 - Implementation of a Standardized Neonatal Intubation Training Package. https://www.jpeds.com/article/S0022-3476(21)00407-8/fulltext
- 68:10 -Development, Reliability, and Testing of a New Rating Scale for Neonatal Encephalopathy. https://www.jpeds.com/article/S0022-3476(21)00324-3/fulltext
- 68:55 - Neonatal Morbidities in Infants Born Late Preterm at 35-36 Weeks of Gestation: A Swedish Nationwide Population-based Study. https://www.jpeds.com/article/S0022-3476(21)00205-5/fulltext
Dr. Michael Narvey is a Canadian neonatal intensive care physician. He is the section head of neonatology at the University of Manitoba. He maintains a popular and active twitter account (@nicu_musings) with thousands of followers. He is also the founder and main contributor of the blog www.allthingsneonatal.com
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.
Enjoy!
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.
Papers discussed in today's episode are listed and timestamped below.
enjoy!
02:18
Arias, A. V., Lucas, D. J. & Shafi, N. I. Respiratory Syncytial Virus Bronchiolitis Complicated by Necrotizing Enterocolitis: A Case Series. Pediatrics 147, e2020022707 (2020). https://pediatrics.aappublications.org/content/147/5/e2020022707
08:42
Kuzniewicz, M. W. et al. Predicting the Need for Phototherapy After Discharge. Pediatrics 147, e2020019778 (2021). https://pediatrics.aappublications.org/content/147/5/e2020019778
18:00
Barton, H. J. et al. Medical Device Workarounds in Providing Care for Children With Medical Complexity in the Home. Pediatrics 147, e2020019513 (2021). https://pediatrics.aappublications.org/content/147/5/e2020019513
34:12
Fuller, A. E. et al. Mortality Among Parents of Children With Major Congenital Anomalies. Pediatrics 147, e2020028571 (2021).https://pediatrics.aappublications.org/content/147/5/e2020028571
43:06
Dhudasia, M. B. et al. Intrapartum Group B Streptococcal Prophylaxis and Childhood Allergic Disorders. Pediatrics 147, e2020012187 (2021). https://pediatrics.aappublications.org/content/147/5/e2020012187
48:29
Prakalapakorn, S. G., Greenberg, L., Edwards, E. M. & Ehret, D. E. Y. Trends in Retinopathy of Prematurity Screening and Treatment: 2008â2018. Pediatrics e2020039966 (2021) doi:10.1542/peds.2020-039966. https://pediatrics.aappublications.org/content/early/2021/05/08/peds.2020-039966
53:15
Villar, J. et al. Association Between Preterm-Birth Phenotypes and Differential Morbidity, Growth, and Neurodevelopment at Age 2 Years. Jama Pediatr 175, 483â493 (2021). https://jamanetwork.com/journals/jamapediatrics/fullarticle/2776774
61:45
Chinnappan, A. et al. Fortification of Breast Milk With Preterm Formula Powder vs Human Milk Fortifier in Preterm Neonates. Jama Pediatr 175, (2021).https://jamanetwork.com/journals/jamapediatrics/fullarticle/2779856
This week Ben and Daphna sit down with Norwegian neonatologist and cardiologist, Dr. Rune Toms.
Dr. Toms is the former medical director of the NICU at the University of Alabama in Birmingham and is now working for Envision Physician Services.Â
At Envision, he is the regional director for neonatology in South Florida, the national director of pediatric cardiology, and the national director of quality and safety.
In this episode Rune Toms discusses his upbringing, his path that led him to become a neonatologist and eventually a cardiologist. He also shares with us his passion for art, mindfulness, and his definition of the Scandinavian approach to neonatology.
https://www.linkedin.com/in/rune-toms-824018134/
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.
enjoy!
Pilot episode (we apologize for our subpar audio on this one :)
Daphna and Ben review some compelling articles that were published in the April edition of the Journal of Perinatology.Â
Please follow the link to access the Journal:
https://www.nature.com/jp/volumes/41/issues/4
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.
enjoy!