The Incubator

Latest Episodes:

#214 - 📑 [Journal Club Shorts] - Direct vs Video Laryngoscopy for intubation of newborn infants Jun 02, 2024

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Video versus Direct Laryngoscopy for Urgent Intubation of Newborn Infants. Geraghty LE, Dunne EA, Ní 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.

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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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#214 - 📑 [Journal Club Shorts] - Congenital CMV and risk of future Autism Spectrum Disorder Jun 02, 2024

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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

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#214 - 📑 [Journal Club Shorts] - AAP Clinical Report on infant feed for people living with HIV Jun 02, 2024

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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

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#212 - Advancing Neonatal Care in Africa (Ft. Dr. Alex Stevenson) May 26, 2024

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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.

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#210 - 📑 Journal Club - Sunday May 19th - The complete episode May 19, 2024

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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.

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#210 - [Journal Club Shorts] - 📌 Timing of RBC transfusion and NEC May 19, 2024

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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

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#210 - [Journal Club Shorts] - 📌 IV vs ETT Epinephrine during neonatal resuscitation May 19, 2024

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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 Association’s Get With The Guidelines–Resuscitation Investigators.

J Pediatr. 2024 Apr 16;271:114058. doi: 10.1016/j.jpeds.2024.114058. Online ahead of print.

PMID: 38631614

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#210 - [Journal Club Shorts] - 📌 A practical algorithm for the detection of hypothyroidism in premature infants. May 19, 2024

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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

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#209 - 🚀 Graham's Legacy - A Father's Journey to Support NICU Families May 15, 2024

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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.

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#208 - 🤖 Harnessing the Power of AI for Better Neonatal Outcomes (ft NeoMIND-AI founders Drs. Barry and McAdams) May 12, 2024

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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.

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