The Incubator

Latest Episodes:

#175 - [Journal Club Shorts] - 📌 Effect of baby position on lumbar puncture success (Pessano et al) Jan 14, 2024

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Positioning for lumbar puncture in newborn infants. Pessano S, Bruschettini M, Prescott MG, Romantsik O.Cochrane Database Syst Rev. 2023 Dec 14;12(12):CD015592. doi: 10.1002/14651858.CD015592.pub3.PMID: 38096386 Review.

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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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#175 - [Journal Club Shorts] - 📌 Can Sildenafil repair neonatal brains after HIE? (Wintermark et al) Jan 14, 2024

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Feasibility and safety of sildenafil to repair brain injury secondary to birth asphyxia (SANE-01): A randomized, double-blind, placebo-controlled phase Ib clinical trial. Wintermark P, Lapointe A, Steinhorn R, Rampakakis E, Burhenne J, Meid AD, Bajraktari-Sylejmani G, Khairy M, Altit G, Adamo MT, Poccia A, Gilbert G, Saint-Martin C, Toffoli D, Vachon J, Hailu E, Colin P, Haefeli WE.J Pediatr. 2023 Dec 21:113879. doi: 10.1016/j.jpeds.2023.113879. Online ahead of print.PMID: 38142044 Free article.

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#175 - [Journal Club Shorts] - 📌 Update from the NEC Society on their meeting with the FDA Jan 14, 2024

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Learn more about the work done by the NEC Society here: https://necsociety.org/2024/01/03/nec-society-fda-meeting-on-probiotics/

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#174 - 🙂 Hope, Empathy and Professional Growth (with Dr. Terri Major Kincade) Jan 07, 2024

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Happy 2024! We kick off the new year with an exceptional episode. This week, we delve deep with Dr. Terri Major-Kincade, a neonatologist whose career is a testament to the power of empathy in medicine. Dr. Major-Kincade shares intricate details of her path, shaped by her sister's premature birth, leading to her life's mission in neonatology. She explores the complexities of providing hope in the NICU, the ethical dimensions of palliative care, and how personal experiences can enrich professional practice. The conversation also navigates the intricate balance of work and life in the demanding world of neonatal care. For specialists seeking to deepen their practice with empathy and evidence-based insight, this episode is a reservoir of wisdom and encouragement.

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#173 - Journal Club - 📑 Normal Saline Boluses, Long term effects of nitric oxide, Oral surfactant and more.. Dec 24, 2023

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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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#172 - 🔵 Managing Respiratory Distress Series - Episode 5 with Andy Niccol from Fisher & Paykel Dec 21, 2023

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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.

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#171 - 🔵 Managing Respiratory Distress Series - Episode 4 with Dr. Lonnie Miner Dec 20, 2023

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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.

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#170 - 🔵 Managing Respiratory Distress Series - Episode 3 with Dr. Lonnie Miner and Dr. Amy Miner Dec 19, 2023

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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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#169 - 🔵 Managing Respiratory Distress Series - Episode 2 with Dr. Richard Polin and Dr. Amy Miner Dec 18, 2023

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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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#168 - 🔵 Managing Respiratory Distress Series - Episode 1 with Dr. Richard Polin Dec 17, 2023

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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

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