The Incubator

Send us Fan Mail

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.

Support the show

As always, feel free to send us questions, comments, or suggestions to our email: [email protected]. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.

Enjoy!

Send us Fan Mail

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.

Support the show

As always, feel free to send us questions, comments, or suggestions to our email: [email protected]. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.

Enjoy!

Send us Fan Mail

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 Force’s webinars, office hours, and survey-driven improvement tools help units build sustainable, equitable, family-centered practices across both NICU and follow-up care settings.

Support the show

As always, feel free to send us questions, comments, or suggestions to our email: [email protected]. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.

Enjoy!

Send us Fan Mail

This discussion features Dr. Clyde Wright, Professor of Pediatrics at Children’s 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 risk–benefit discussions at the bedside.

Support the show

As always, feel free to send us questions, comments, or suggestions to our email: [email protected]. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.

Enjoy!

Send us Fan Mail

This discussion features Dr. Beena Kamath-Rayne, a neonatologist at Lurie Children’s 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 AAP’s NICU Verification (Neonatal Excellence) Program, which supports level II–IV 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.

Support the show

As always, feel free to send us questions, comments, or suggestions to our email: [email protected]. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.

Enjoy!

Send us Fan Mail

In this CHNC 2025 conversation, Daphna speaks with Dr. Beverley Brozanski (St. Louis Children’s) and Dr. Anthony Piazza (Children’s Healthcare of Atlanta) about the evolution of quality improvement within the Children’s Hospitals Neonatal Consortium (CHNC). They trace the journey from the first collaborative—reducing central line infections—to today’s data-driven, multicenter initiatives powered by the Children’s 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

Support the show

As always, feel free to send us questions, comments, or suggestions to our email: [email protected]. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.

Enjoy!

Send us Fan Mail

In this episode from the CHNC 2025 Symposium, The Incubator welcomes Dr. Briana Bertoni and Dr. Gene Pallotto to discuss the Children’s Hospitals Neonatal Consortium’s (CHNC) CIQI program and its ongoing quality improvement initiatives. They share results from Project Home, a multicenter effort to increase human milk use at discharge—highlighting how transport teams, unified family education, and cultural awareness helped drive progress. The next phase takes a flexible “choose-your-own-adventure” 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

Support the show

As always, feel free to send us questions, comments, or suggestions to our email: [email protected]. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.

Enjoy!

Send us Fan Mail

In this CHNC 2025 episode, The Incubator speaks with Dr. Sandy Johng (Seattle Children’s) and Dr. Kelsey Montgomery (Riley Children’s 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 hernia—a 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.

Support the show

As always, feel free to send us questions, comments, or suggestions to our email: [email protected]. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.

Enjoy!

Send us Fan Mail

Live from the Children’s 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 CHNC’s 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 infants—reminding neonatal providers why gathering, reflecting, and innovating together still matters in an increasingly digital world.

Support the show

As always, feel free to send us questions, comments, or suggestions to our email: [email protected]. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.

Enjoy!

Send us Fan Mail

Join Dr. Daphna Yasova Barbeau as she kicks off The Incubator’s live coverage from the Children’s 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 Children’s Hospitals Neonatal Database (CHND)—a resource driving benchmarking and innovation nationwide. Tune in for context, purpose, and the energy that fuels this year’s meeting before diving into interviews with CHNC leaders and attendees

Support the show

As always, feel free to send us questions, comments, or suggestions to our email: [email protected]. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna 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!