• #271 - The Evidence that Matters (ft. Dr. Keith Barrington)
    Jan 12 2025

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    In this episode of The Incubator Podcast, renowned neonatologist and researcher Dr. Keith Barrington discusses his career, his influential blog (Neonatal Research), and his contributions to evidence-based neonatology. Dr. Barrington explains how his blog originated from sharing recent research insights with trainees and grew into a platform that educates professionals and promotes consistent, evidence-based practices in neonatology. He emphasizes the importance of critically evaluating new studies and their potential impact on clinical care.

    The conversation also explores his personal journey as the father of a 24-week premature baby, Violette. This experience shaped his understanding of parental perspectives and the challenges families face in the NICU. He highlights the need for healthcare providers to align clinical decisions with what parents deem acceptable outcomes, emphasizing compassion and humility in predicting long-term results.

    Dr. Barrington reflects on the future of neonatology, stressing the importance of reducing variations in care across centers and leveraging multi-center networks to optimize outcomes. He advocates for innovative research approaches, such as registry-based trials, to address challenges in studying rare neonatal conditions. Throughout the episode, his passion for improving neonatal care through science and empathy shines through.

    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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    51 mins
  • #270 - 🌍 Championing Neonatal Health in Malawi: A pediatrician's inspiring journey (ft Dr. Msandeni Chiume-Kayuni)
    Jan 9 2025

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    In this episode of the Global Neonatal Podcast, Dr. Msandeni Chiume-Kayuni shares her inspiring journey into pediatrics and neonatal health in Malawi. As the chief pediatrician for Malawi's Ministry of Health, she discusses the significant strides made in neonatal survival, the importance of data collection, and the role of partnerships in improving healthcare outcomes. Dr. Msandeni emphasizes the need for infrastructure and human resources in neonatal care and shares valuable insights on how clinicians can be the change they wish to see in their communities.

    Contact: msandeni@gmail.com

    Episode Webpage Link: https://www.the-incubator.org/post/270-championing-neonatal-health-in-malawi-a-pediatrician-s-inspiring-journey-ft-dr-msandeni

    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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    39 mins
  • #269 - 📑 Journal Club - The Complete Episode from January 5th 2024
    Jan 5 2025

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    In this engaging Journal Club episode, Ben and Daphna return to explore the latest research in neonatology. They begin with a pivotal clinical report from Pediatrics on updated algorithms for newborn screening of critical congenital heart disease (CCHD), highlighting simplified protocols and their significant impact on infant mortality. The discussion delves into screening challenges in the NICU, high-altitude settings, and for out-of-hospital births.

    Next, they discuss the CordSafe study from Australia, a phase 1 trial on the safety of autologous cord blood-derived cell administration for extremely preterm infants, aimed at reducing brain injuries like IVH. Daphna explains the rigorous methodology and promising early findings.

    Ben then reviews the STAT trial, which evaluates whether primary anastomosis offers better outcomes than stoma formation in NEC surgery. The results show significant reductions in TPN duration and intestinal complications with primary anastomosis.

    The hosts also discuss trends in PDA management and their surprising association with increased rates of BPD over the past decade, along with insights into evolving diagnostic and therapeutic practices.

    Finally, they analyze a Spanish study on elective extubation during skin-to-skin care, finding it to be a feasible and safe practice, potentially enhancing neonatal and parental outcomes.

    Don’t miss next week’s exciting interview with Dr. Keith Barrington!

    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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    1 hr and 23 mins
  • #269 - [Journal Club Shorts] - 📌 Elective Extubation during skin-to-skin: Feasible?
    Jan 5 2025

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    Elective extubation during skin-to-skin care in preterm newborns is safe and well-tolerated.

    Morey-Olivé M, Romaní-Franquesa N, Echeverría-Gallart M, Céspedes-Dominguez MC, Camba-Longueira F, Montaner-Ramon A.Acta Paediatr. 2024 Nov 12. doi: 10.1111/apa.17496. Online ahead of print.PMID: 39530316

    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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    16 mins
  • #269 - [Journal Club Shorts] - 📌 IVH rates haven't changed, but they are occuring later?
    Jan 5 2025

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    Occurrence and Time of Onset of Intraventricular Hemorrhage in Preterm Neonates: A Systematic Review and Meta-Analysis of Individual Patient Data.

    Nagy Z, Obeidat M, Máté V, et al. JAMA Pediatr. 2024 Dec.

    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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    12 mins
  • #269 - [Journal Club Shorts] - 📌 Changes in PDA management and BPD rates in preemies 26-28wks
    Jan 5 2025

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    Changes in Patent Ductus Arteriosus Management and Outcomes in Infants Born at 26 to 28 Weeks' Gestation.

    Kaluarachchi DC, Rysavy MA, Do B, Chock VY, Laughon MM, Backes CH, Colaizy TT, Bell EF, McNamara PJ.J Pediatr. 2024 Dec 26:114456. doi: 10.1016/j.jpeds.2024.114456. Online ahead of print.PMID: 39732160

    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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    15 mins
  • #269 - [Journal Club Shorts] - 📌 Stoma vs. Primary Re-anastomosis for surgical NEC: The STAT Trial
    Jan 5 2025

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    STAT trial: stoma or intestinal anastomosis for necrotizing enterocolitis: a multicentre randomized controlled trial.

    Eaton S, Ganji N, Thyoka M, Shahroor M, Zani A, Pleasants-Terashita H, Ghazzaoui AE, Sivaraj J, Loukogeorgakis S, De Coppi P, Montedonico S, Sindjic-Antunovic S, Lukac M, Hamill J, Choo CSC, Nah SA, Hulscher J, Emil S, Petersen A, Wijnen R, Sloots C, Sigalet D, Kiely E, Svensson JF, Wester T, Pierro A.Pediatr Surg Int. 2024 Oct 29;40(1):279. doi: 10.1007/s00383-024-05853-3.PMID: 39470842 Free PMC article. Clinical Trial.

    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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    11 mins
  • #269 - [Journal Club Shorts] - 📌 Transfusing preemies their own cord blood back - safety and feasibility
    Jan 5 2025

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    Feasibility and safety of autologous cord blood derived cell administration in extremely preterm infants: a single-centre, open-label, single-arm, phase I trial (CORD-SaFe study).

    Zhou L, McDonald CA, Yawno T, Razak A, Connelly K, Novak I, Miller SL, Jenkin G, Malhotra A.EBioMedicine. 2024 Dec 13;111:105492. doi: 10.1016/j.ebiom.2024.105492. Online ahead of print.PMID: 39674685 Free article.

    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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    16 mins