The Incubator

Latest Episodes:

#160 - 🟣 Thermoregulation Series - Episode 2 with Dr. Daniel Trevisanuto Nov 13, 2023

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Join us as we dive into the vital world of neonatal thermal regulation with our esteemed guest, Dr Daniel Trevisanuto. We unpack the critical role thermal regulation plays in newborn survival and address potential comorbidities that can arise from mismanagement. Highlighting important results from a recent multi-center randomized control trial, we reveal an urgent need for improved thermal regulation practices.
As the conversation unfolds, we grapple with the complexities of keeping newborns at the optimal temperature, emphasizing the importance of team education. Our discourse takes you through the journey of how a vigilant team can spot the critical moment of a newborn's temperature drop. We also dissect a study on servo-controlled temperature and its implications, shedding light on why technology alone cannot be relied upon for maintaining ideal temperatures in newborns.
In the final segment, we delve into the world of low birth weight infants and the significance of normothermia. Dr Trevisanuto, with his extensive experience in low-resource settings, brings to the fore the harsh reality of hypothermia and its impact on newborn mortality rates. We discuss the comparative effectiveness of different bag materials, asserting the need for strategic approaches for gold standard thermal regulation. Throughout this enlightening dialogue, we drive home the importance of team education and a comprehensive understanding of technology's role in neonatal thermal regulation. Prepare for a deep understanding of the importance of thermoregulation in newborns and the essential strategies for success in this field.
This mini series is kindly sponsored by GE Healthcare

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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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#159 - 🟣 Thermoregulation Series - Episode 1 with Dr. John Ibrahim Nov 12, 2023

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In this opening episode of our mini series on Thermoregulation we welcome to the show Dr. John Ibrahim, neonatologist and assistant professor of pediatrics in the newborn medicine division at UPMC.
Dr. Ibrahim takes us on an enlightening journey, starting from the rudimentary practices of using shoeboxes and ovens to the modern pre-warmed incubators in keeping babies warm. We also explore the significant disparity between low and middle-income countries and the highest resource settings regarding thermal regulation during skin-to-skin care for newborns. The conversation highlights how this seemingly simple practice can have profound impacts and the critical role physicians and providers play in this process.
Moving further, we dive into the intricacies of maintaining a baby's temperature during resuscitation, the responsibilities during this critical Golden Hour, and the harsh realities of hypothermia. Simultaneously, we acknowledge the power of education and technology in revolutionizing neonatal care. From setting up a resuscitation table to the impact of cold IV fluids on a baby's temperature, Dr. Ibrahim shares invaluable insights. As we conclude, we tackle the challenges of keeping babies warm during transport and the importance of effective communication among the NICU team. Don't miss out on this captivating conversation - it's a deep insight into the crucial, but often overlooked, aspect of newborn care.
This mini-series is kindly sponsored by GE Healthcare.

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#158 - 🛩️ High-Stakes Missions: A Look into Military Neonatal Transports with Drs. Laura Borruso, Mike Guindon, and Liz Okonek Nov 05, 2023

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Ever wonder what it's like to transport a neonate across the globe in the high-stakes environment of military medicine? Three military neonatologists, Drs. Laura Borruso, Mike Guindon, and Liz Okonek, here to offer a rare glimpse into this challenging and vital aspect of their work. Transporting such fragile patients is far from easy, fraught with challenges around temperature regulation, resource allocation, and the use of equipment not approved for aircrafts. Listen in to learn how they overcome these hurdles while ensuring the safety and wellbeing of their young charges.
The distance between military and civilian transports is further than one might expect, not just geographically, but also in terms of the costs involved, the planning required, and the specialized expertise needed. Our expert guests share how they navigate these unique challenges, from the paradox of opportunity costs to the absolute necessity of bringing extra supplies. They also delve into the critical strategies for maintaining a baby's vitals during these intense journeys.
Lastly, join our neonatologists as they explore the daunting challenges of high-altitude medical transport, dealing with potential complications such as hypoxia and the crucial importance of communication and collaboration within their teams. Hear about the camaraderie they build during these missions and gain an appreciation for the extraordinary lengths the US military goes to ensure the safe transport of patients. This is a side of neonatology and military service that you won't want to miss.

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#157 - Journal Club - 📑 Feeding protocol, treatment of pneumonia, transcatheter closure of the PDA and more Oct 29, 2023

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Journal Club is back! Daphna and I reviewed some of the latest papers published in the neonatal literature. This week, we talk about feeding protocols, treatment of pneumonia, transcatheter PDA closure, and much more.

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#157 - [Journal Club Shorts] - 📌 Is academic neonatology on the brink of extinction? Oct 29, 2023

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Have you ever pondered over the fact that academic neonatologists are battling a tsunami of challenges? From soaring workloads and acuity to anemic compensation and fleeting clinical time, the hardship they face is as real as it gets. Join us as we peel back the layers on the reasons behind the dwindling interest in this vital field. Added to that, we'll explore the effects of ever-mounting demands of research, education, documentation, and the high cost of living in some areas on these healthcare professionals.

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#157 - [Journal Club Shorts] - 📌 Transcatheter closure of the PDA: a game changer? Oct 29, 2023

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#157 - [Journal Club Shorts] - 📌 Treating pneumonia in the NICU with short antibiotic course Oct 29, 2023

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#156 - Jessi Barnes MSN - 💁‍♀️ Insights into neonatal nursing from a clinical educator and NICU mom Oct 20, 2023

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Experience the raw, emotional rollercoaster with our special guest, Jessi Barnes, a clinical nurse educator who carries an unparalleled passion for neonatal care. Jessi brings a unique perspective to the table - not only is she an expert in her field with a background in high risk perinatal care, neonatal intensive care, and nursing informatics, but she's also a mother who has faced the challenges of the NICU firsthand.
This episode offers a rare narrative blend of professional expertise and personal experience, as Jessi unfolds her journey of delivering her daughter prematurely at 27 weeks. Her intense commitment to trauma-informed family integrated care is a testament to her personal experiences and her dedication to improving neonatal care. Engage with us as we navigate through Jessi's captivating story. This episode promises to be illuminating, emotional, and inspiring.

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🟠 CHNC 2023 Conference Wrap Up with Anthony Piazza and Kris Reber Oct 13, 2023

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Ready to get a glimpse behind the curtain of the 2023 CHNC symposium? We're going to take you on a journey, recapping the magic that took place at this year's CHNC conference with Anthony Piazza and Kris Reber. Join us as we unpack the successes and challenges, reflecting on the energetic attendees, diverse disciplines, and the invaluable results of integrating trainees early in focus groups. We'll delve into the exponential growth of CHNC, illuminating how the symposium has been instrumental in building a network where everyone's contributions and insights are valued. Finally we take a quick look at what is to come for 2024!

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🟠 CHNC 2023 COVERAGE - Open Mic w Dr. Jim Barry Oct 13, 2023

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Our guest Dr. Barry takes us through the evolution of Electronic Health Records (EHRs), once mere paper charts, now a crucial player in lab tests, radiology, and medication safety. As we navigate through the maze of healthcare tech, we touch upon an often overlooked aspect - the essence of individual uniqueness in medicine. Closing the episode, Dr. B leaves our young innovators with some priceless tips to test fresh ideas. So tune in, and let's explore how AI is reshaping healthcare and the profound implications it holds for our future.

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