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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: Β© 2022 CATO NEONATAL INNOVATIONS INC.

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    Latest Episodes:
    #260 - πŸ“‘ Journal Club - The Complete Episode from December 1st 2024 Dec 01, 2024
    Show notes

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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 study’s 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.

    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!


    #260 - [Journal Club Shorts] - πŸ“Œ Sodium supplementation means better growth for preemies Dec 01, 2024
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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.

    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!


    #260 - [Journal Club Shorts] - πŸ“Œ HIE with or without concomitant Chorioamnionitis: Good or Bad for neurodevelopment? Dec 01, 2024
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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.

    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!


    #260 - [Journal Club Shorts] - πŸ“Œ The PLUSS Trial (ft. Dr. Brett Manley) Dec 01, 2024
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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, SchmΓΆlzer 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

    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!


    #260 - [EBNEO SEGMENT] - πŸ“Œ Video vs Direct Laryngoscopy for Intubation Dec 01, 2024
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    Video versus Direct Laryngoscopy for Urgent Intubation of Newborn Infants.

    Geraghty LE, Dunne EA, NΓ­ 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.

    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!


    #260 - [Journal Club Shorts] - πŸ“Œ Is there a relationship between major bleeds and thrombocytopenia? Dec 01, 2024
    Show notes

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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

    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!


    #260 - [Journal Club Shorts] - πŸ“Œ Postnatal Steroids for BPD and Survival free of CP (Updated Meta Regression) Dec 01, 2024
    Show notes

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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.

    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!


    #258 - "Not Visitors" - Redefining Parenthood in the NICU with Fabiana Bacchini Nov 24, 2024
    Show notes

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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 baby’s 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 babies’ outcomes but also strengthens long-term parental confidence.

    This episode is a must-listen for anyone committed to improving neonatal care, as Fabiana’s insights and advocacy provide an inspiring call to action.

    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!


    #256 - πŸ“° NeoNews! - The Stories Parents and Providers Are Talking About Nov 17, 2024
    Show notes

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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!

    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!


    #254 - πŸ“‘ Journal Club - The Complete Episode from November 9th 2024 Nov 10, 2024
    Show notes

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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.

    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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