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    Science

    The Incubator

    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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    Copyright: © 2022 CATO NEONATAL INNOVATIONS INC.

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    Latest Episodes:
    #308 - [Journal Club Shorts] - 📌 Non-Invasive Respiratory Support – Canadians tells us how they really feel! May 11, 2025
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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

    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.

    Enjoy!


    #308 - [Journal Club Shorts] - 📌 Can Kangaroo Mother Care Improve Human Milk Intake? May 11, 2025
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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.

    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.

    Enjoy!


    #308 - [Journal Club Shorts] - 📌 Sigh Breaths for HFOV: Yay or Nay? May 11, 2025
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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.

    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.

    Enjoy!


    #308 - [Journal Club Shorts] - 📌 7 vs 14 days of Antibiotics for Culture Proven Sepsis May 11, 2025
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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

    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.

    Enjoy!


    #308 - [Journal Club Shorts] - 📌 Furosemide for Infants at Risk of BPD: Is it Safe? May 11, 2025
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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 – Pediatric Trials Network Steering Committee.J Pediatr. 2025 Apr 28:114629. doi: 10.1016/j.jpeds.2025.114629. Online ahead of print.PMID: 40306549

    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.

    Enjoy!


    #307 - 🚀 Tech Tuesday – Empowering Parents in the NICU: The Consult Cards Project with Dr. Theodor Uzamere May 07, 2025
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    This week on Tech Tuesday, we sit down with Dr. Theodor Uzamere, a graduating neonatology fellow from Texas Children’s Hospital, to explore an inspiring project that brings creativity and compassion to the NICU bedside. Theodor introduces us to the Consult Cards — 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 baby’s care. If you’re passionate about patient-centered communication and innovation in neonatology, this conversation will move and motivate you.

    For collaboration opportunities, Theodor’s contact details are: theodoruzamere@gmail.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.

    Enjoy!


    #306 - BPD Care: The Nationwide Children’s Hospital Model May 04, 2025
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    In this inspiring and deeply informative episode of The Incubator Podcast, Dr. Audrey Miller, neonatologist at Nationwide Children’s 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 team’s 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 “slow lung” 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 administration—while remaining anchored in purpose. Whether you’re a fellow exploring BPD, a clinician curious about slow lung strategies, or an early-career neonatologist navigating your next move, Miller’s perspective is both practical and empowering. This is a must-listen for anyone thinking seriously about the future of chronic care in neonatology.

    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.

    Enjoy!


    #304 – 🗞️ NeoNews - What is new in neonatal and perinatal care Apr 27, 2025
    Show notes

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    In this week’s 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 — 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. It’s a conversation about hope, hardship, and the small ways we can support the next generation, even amid a changing world.

    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.

    Enjoy!


    #301 - 📑 Journal Club - The Complete Episode from April 20th 2025 Apr 20, 2025
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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 mother’s 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 outcomes—ultimately 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 trial’s 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.

    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.

    Enjoy!


    #301 - [Journal Club Shorts] - 📌 Advancing neonatal autopsy by strengthening physician belief and fostering effective family communication. Apr 20, 2025
    Show notes

    Send us Fan Mail

    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

    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.

    Enjoy!


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