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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.

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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.

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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' – 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.

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.

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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.

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.

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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.

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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.

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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.

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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.

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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

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.

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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.

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.

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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.

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.

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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.

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.

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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.

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!