Channel Title: Tala Talks NICU Channel Description: Dr. Tala (M.D, FAAP) is double board-certified in Neonatology and Pediatrics. Nurse Arianna (RN BSN) has been a NICU nurse for over 10 years. Join our MEMBERSHIP for behind-the-scene videos, polls to pick the next videos, live chats- and so much more. We can't wait to build an even stronger community!! Get 50 FREE neonatal multiple choice question and answers by subscribing to our newsletter (NEONATAL NUGGETS). Each newsletter will include PDF summaries of our videos, more multiple choice questions, links to relevant articles and other exciting stuff! Subscribe BELOW! Our team has over 40 years of experience in busy level III and level IV NICUs, and seven of our own kids. Dr. Tala has won numerous teaching awards during her career. Our opinions are our own and do not represent the hospitals or practices we work for. P.S. As an Amazon associate, we may earn from qualifying purchases <video> Why do NEONATES bleed from the LUNGS and how do you TREAT it?? Description: You see bright red blood or frothy pink secretions come up from the endotracheal tube. What do you do? What TESTS do you send? How do you MANAGE the baby? In this video we cover the risk factors for a neonatal pulmonary hemorrhage, what is the pathophysiology behind a PH (and why PDAs are so concerning), how do we diagnose a PH, and how do we manage a PH. We end the video with outcomes after a PH. --------------------------------------------------------------------- Do you want extra Tala Talks education? A neonatal tip a week? Access to LIVE videos? Behind the scene members-only videos? Worksheets of the videos? Do you want to decide which videos we should be publishing next? If so- join our (low-priced!) membership community! Join here: https://www.youtube.com/channel/UCxv2qGB7HR5lR2D7IdoUAJA/join Help us guide the future of this channel and get involved in our community! For PDF summaries of the videos, links to relevant articles (+ 50 free Multiple Choice Questions/ Answers and explanations!!), AND a bunch of other stuff, subscribe to our Neonatal Nuggets Newsletter here: https://talatalksnicu.substack.com/subscribe --------------------------------------------------------------------- Please be sure to give us a like, comment about future topics, and subscribe to this channel to stay up to date on all things NICU! Also, click the notification bell after you subscribe to gain your weekly NICU knowledge as soon as it's loaded! --------------------------------------------------------------------- Dr. Tala is a board-certified neonatologist and has worked in busy level III and IV units for the past 15 years. She has won multiple teaching awards throughout her time as a neonatologist. ---------------------------------------------------------------------- References: https://onlinelibrary.wiley.com/doi/epdf/10.1111/apa.16127 https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD005254.pub4/epdf/abstract Welde MA, Sanford CB, Mangum M, Paschal C, Jnah AJ. Pulmonary Hemorrhage in the Neonate. Neonatal Netw. 2021 Aug 1;40(5):295-304. doi: 10.1891/11-T-696. PMID: 34518381. Causes and management of pulmonary haemorrhage in the neonate Bendapudi, P. et al. Paediatrics and Child Health, Volume 22, Issue 12, 528 - 531 Gezmu AM, Tefera E, Mochankana K, Imran F, Joel D, Pelaelo I, Nakstad B. Pulmonary hemorrhage and associated risk factors among newborns admitted to a tertiary level neonatal unit in Botswana. Front Pediatr. 2023 Jun 14;11:1171223. doi: 10.3389/fped.2023.1171223. PMID: 37388284; PMCID: PMC10306393. ---------------------------------------------------------------------------- ***TIMESTAMPS*** 01:38 Cause of Pulmonary Hemorrhage 05:37 Risk factors for Pulmonary Hemorrhage 10:18 Diagnosis of a Pulmonary Hemorrhage 13:41 Management of Pulmonary Hemorrhages 28:26 Outcomes after a Pulmonary Hemorrhage ---------------------------------------------------------------------------- *Disclaimer*: This video is intended for educational purposes only and while we strive to give the most accurate information, errors may occur. Subsequently, this video should not be a replacement for medical advice. </video> <video> Neonatal Hypoglycemia: Causes, Symptoms, PROGNOSIS Description: How LOW do sugars go in babies? What CAUSES hypoglycemia? WHEN do we have to treat and WHY? How do we MEASURE sugars? Is there a difference in sending the glucose to the lab or checking it ad bedside? Which infants are at risk for low sugars? Learn all this and more in PART I of our 2 part series on newborn hypoglycemia. For the PDF summary of THIS video, links to relevant articles (+ 50 free Multiple Choice Questions/ Answers and explanations!!), AND a bunch of other stuff, subscribe to our Neonatal Nuggets Newsletter here: https://talatalksnicu.substack.com/subscribe --------------------------------------------------------------------- Please be sure to give us a like, comment about future topics, and subscribe to this channel to stay up to date on all things NICU! Also, click the notification bell after you subscribe to gain your weekly NICU knowledge as soon as it's loaded! --------------------------------------------------------------------- Dr. Tala is a board-certified neonatologist and has worked in busy level III and IV units for the past 15 years. She has won multiple teaching awards throughout her time as a neonatologist. ---------------------------------------------------------------------- References: https://downloads.aap.org/AAP/PDF/Seminars_in_Fetal_Neonatal_Medicine.pdf Giouleka S, Gkiouleka M, Tsakiridis I, Daniilidou A, Mamopoulos A, Athanasiadis A, Dagklis T. Diagnosis and Management of Neonatal Hypoglycemia: A Comprehensive Review of Guidelines. Children (Basel). 2023 Jul 14;10(7):1220. doi: 10.3390/children10071220. PMID: 37508719; PMCID: PMC10378472. Congenital Hyperinsulinaemic Hypoglycaemia—A Review and Case Presentation - Scientific Figure on ResearchGate. Available from: https://www.researchgate.net/figure/Main-causes-of-neonatal-hypoglycaemia_tbl2_364569342 : Hufnagel A, Dearden L, Fernandez-Twinn DS, Ozanne SE. Programming of cardiometabolic health: the role of maternal and fetal hyperinsulinaemia. Journal of Endocrinology. 2022;253(2):R47-R63. doi:10.1530/JOE-21-0332 https://doi.org/10.1007/s00431-020-03729-x Edwards T, Alsweiler JM, Gamble GD, Griffith R, Lin L, McKinlay CJD, Rogers JA, Thompson B, Wouldes TA, Harding JE. Neurocognitive Outcomes at Age 2 Years After Neonatal Hypoglycemia in a Cohort of Participants From the hPOD Randomized Trial. JAMA Netw Open. 2022 Oct 3;5(10):e2235989. doi: 10.1001/jamanetworkopen.2022.35989. PMID: 36219444; PMCID: PMC9554702 Brooks D, Slaughter JC, Nichols JH, Gregory JM. Reliability of Handheld Blood Glucose Monitors in Neonates: Trustworthy Arterial Readings but Capillary Results Warrant Caution for Hypoglycemia. Journal of Diabetes Science and Technology. 2023;0(0). doi:10.1177/19322968231207861 ---------------------------------------------------------------------------- ***TIMESTAMPS*** 00:32 What is this video about? 01:16 Why is hypoglycemia bad? 06:11 What causes hypoglycemia? 13:00 Symptoms of hypoglycemia 15:07 How do we measure glucose levels? 20:40 Homework assignment ---------------------------------------------------------------------------- *Disclaimer*: This video is intended for educational purposes only and while we strive to give the most accurate information, errors may occur. Subsequently, this video should not be a replacement for medical advice. </video> <video> How do you DIAGNOSE and TREAT a newborn's PNEUMOTHORAX??! Description: An AIR LEAK between the chest walls and the lungs! What is a TENSION pneumothorax? How many babies get them? What CAUSES a pneumothorax? How do we diagnose them? How do we treat them? Do we ALWAYS need a chest tube? What about outcomes?! Learn all this in this video! For the PDF summary of THIS video, links to relevant articles (+ 50 free Multiple Choice Questions/ Answers and explanations!!), AND a bunch of other stuff, subscribe to our Neonatal Nuggets Newsletter here: https://talatalksnicu.substack.com/subscribe --------------------------------------------------------------------- Please be sure to give us a like, comment about future topics, and subscribe to this channel to stay up to date on all things NICU! Also, click the notification bell after you subscribe to gain your weekly NICU knowledge as soon as it's loaded! --------------------------------------------------------------------- Dr. Tala is a board-certified neonatologist and has worked in busy level III and IV units for the past 16 years. She has won multiple teaching awards throughout her time as a neonatologist. ---------------------------------------------------------------------- References: Jhaveri V, Vali P, Giusto E, Singh Y, Lakshminrusimha S. Pneumothorax in a term newborn. J Perinatol. 2024 Apr;44(4):465-471. doi: 10.1038/s41372-024-01899-2. Epub 2024 Feb 26. PMID: 38409329. Evaluation of Neonatal Pneumothorax - Scientific Figure on ResearchGate. Available from: https://www.researchgate.net/figure/58_tbl2_221791041 Arya A, Verma A. Trans-illumination in Pneumothorax: A Useful Bedside Tool. Indian Pediatr. 2017 Feb 15;54(2):149. doi: 10.1007/s13312-017-1020-7. PMID: 28285289. https://radiopaedia.org/articles/neonatal-pneumothorax https://www.safercare.vic.gov.au/best-practice-improvement/clinical-guidance/neonatal/pneumothorax-drainage-for-neonates Characteristics of Pneumothorax in a Neonatal Intensive Care Unit - Scientific Figure on ResearchGate. Available from: https://www.researchgate.net/figure/Treatment-of-Pneumothorax-in-Term-Infants_tbl3_266175863 ---------------------------------------------------------------------------- ***TIMESTAMPS*** 01:16 Incidence of a pneumothorax 03:55 Cause of a pneumothorax 05:58 Diagnosis of a pneumothorax 11:14 Management of a pneumothorax 17:53 Outcomes post pneumothorax ---------------------------------------------------------------------------- *Disclaimer*: This video is intended for educational purposes only and while we strive to give the most accurate information, errors may occur. Subsequently, this video should not be a replacement for medical advice. </video> <video> MR. SOPA and 4 + MEMORY aids for Neonatal Resuscitation Description: MR. SOPA and DOPE are part of the NRP 8th edition. But what do they stand for? And we came up with 3 more (SILLY) mnemonics to help you remember the NRP algorithm Do you want extra Tala Talks education? A neonatal tip a week? Access to LIVE videos? Behind the scene members-only videos? Worksheets of the videos? Do you want to decide which videos we should be publishing next? If so- join our (low-priced!) membership community! Join here: https://www.youtube.com/channel/UCxv2qGB7HR5lR2D7IdoUAJA/join Help us guide the future of this channel and get involved in our community! For PDF summaries of the videos, links to relevant articles (+ 50 free Multiple Choice Questions/ Answers and explanations!!), AND a bunch of other stuff, subscribe to our Neonatal Nuggets Newsletter here: https://talatalksnicu.substack.com/subscribe --------------------------------------------------------------------- Please be sure to give us a like, comment about future topics, and subscribe to this channel to stay up to date on all things NICU! Also, click the notification bell after you subscribe to gain your weekly NICU knowledge as soon as it's loaded! --------------------------------------------------------------------- Dr. Tala is a board-certified neonatologist and has worked in busy level III and IV units for the past 15 years. She has won multiple teaching awards throughout her time as a neonatologist. ---------------------------------------------------------------------- References: NRP 8th edition https://amzn.to/40b4jwK ---------------------------------------------------------------------------- ***TIMESTAMPS*** 00:15 Pre-delivery questions 01:03 Can baby stay with mother after delivery? 01:57 Initial steps in NRP algorithm 03:25 Steps to improve ventilation with PPV 06:00 Possible causes for decompensated intubated patient ---------------------------------------------------------------------------- *Disclaimer*: This video is intended for educational purposes only and while we strive to give the most accurate information, errors may occur. Subsequently, this video should not be a replacement for medical advice. </video> <video> Doctor reviews: 7 KEY things about TORCH infections + Symptoms!! Description: Infections in pregnancy?! Toxoplasmosis/ Others/ Rubella/ CMV/ HSV! How are they transmitted? Are pregnant mother sick? What is a Blueberry muffin rash? How do you DIAGNOSE the infections? What SYMPTOMS do babies have? What LAB values do you see? For less than a Starbucks coffee, join our community and decide which videos we should be publishing next! You'll get a behind the scenes look at the filming of our videos, access to polls, live-chats and a lot more! Join here: https://www.youtube.com/channel/UCxv2qGB7HR5lR2D7IdoUAJA/join Help us guide the future of this channel and get involved in our community! For the PDF summary of THIS video, links to relevant articles (+ 50 free Multiple Choice Questions/ Answers and explanations!!), AND a bunch of other stuff, subscribe to our Neonatal Nuggets Newsletter here: https://talatalksnicu.substack.com/subscribe --------------------------------------------------------------------- Dr. Tala is a board-certified neonatologist and has worked in busy level III and IV units for the past 15 years. She has won multiple teaching awards throughout her time as a neonatologist. ---------------------------------------------------------------------- References: Penner J, Hernstadt H, Burns JE, Randell P, Lyall H. Stop, think SCORTCH: rethinking the traditional 'TORCH' screen in an era of re-emerging syphilis. Arch Dis Child. 2021 Feb;106(2):117-124. doi: 10.1136/archdischild-2020-318841. Epub 2020 Jun 25. PMID: 32586930. Nahmias, A., Walls, K., Stewart,, J. et al. The ToRCH complex-perinatal infections associated with toxoplasma and rubella, cytomegol- and herpes simplex viruses. Pediatr Res 5, 405–406 (1971). https://doi.org/10.1203/00006450-197108000-00144 Rodríguez-Cerdeira C, Silami-Lopes VG. Congenital syphilis in the 21st century. Actas Dermosifiliogr. 2012 Oct;103(8):679-93. English, Spanish. doi: 10.1016/j.ad.2011.10.008. Epub 2012 Feb 28. PMID: 22382200. Modlin JF, Grant PE, Makar RS, Roberts DJ, Krishnamoorthy KS. Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 25-2003. A newborn boy with petechiae and thrombocytopenia. N Engl J Med. 2003 Aug 14;349(7):691-700. doi: 10.1056/NEJMcpc030017. PMID: 12917307. CopyDownload .nbib Mantecón L, Solís G. Neonatal Herpes Simplex Virus Infection. N Engl J Med. 2023 Mar 30;388(13):1209. doi: 10.1056/NEJMicm2035394. PMID: 36988596. Stafford IA, Workowski KA, Bachmann LH. Syphilis Complicating Pregnancy and Congenital Syphilis. N Engl J Med. 2024 Jan 18;390(3):242-253. doi: 10.1056/NEJMra2202762. PMID: 38231625. ---------------------------------------------------------------------------- ***TIMESTAMPS*** 00:59 Key facts about TORCH infections 08:45 What does TORCH acronym stand for? 11:16 Clinical manifestations of TORCH infections --------------------------------------------------------------------------- *Disclaimer*: This video is intended for educational purposes only and while we strive to give the most accurate information, errors may occur. Subsequently, this video should not be a replacement for medical advice. </video> <video> 12 + PHRASES parents of NICU babies LOVE to hear!! Description: How can we make this DIFFICULT time for moms of sick babies less traumatizing? The Neonatal Intensive Care Unit is a foreign world to many and the way we COMMUNICATE can really change the course for families. In this video we cover phrases, words and sentiments which mean so much to mothers and families in general. (All coming from the mouths of ex-NICU moms). For the PDF summary of THIS video, links to relevant articles (+ 50 free Multiple Choice Questions/ Answers and explanations!!), AND a bunch of other stuff, subscribe to our Neonatal Nuggets Newsletter here: https://talatalksnicu.substack.com/subscribe Thank you SO much to the Physician Moms For Preemies group on Facebook who took the time and effort to answer questions, openly, kindly, and with the intention of educating us all. Again - a caveat- this is a specific group of mothers (educational group, mothers of premature babies etc.), so please let us know what else you would add to this list!!! --------------------------------------------------------------------- Please be sure to give us a like, comment about future topics, and subscribe to this channel to stay up to date on all things NICU! Also, click the notification bell after you subscribe to gain your weekly NICU knowledge as soon as it's loaded! --------------------------------------------------------------------- Dr. Tala is a board-certified neonatologist and has worked in busy level III and IV units for the past 16 years. She has won multiple teaching awards throughout her time as a neonatologist. ---------------------------------------------------------------------- References: Dahan S, Bourque CJ, Reichherzer M, Prince J, Mantha G, Savaria M, Janvier A. Community, Hope, and Resilience: Parental Perspectives on Peer Support in Neonatology. J Pediatr. 2022 Apr;243:85-90.e2. doi: 10.1016/j.jpeds.2021.11.060. Epub 2021 Nov 27. PMID: 34843711. Charchuk M, Simpson C. Loyalty and hope: keys to parenting in the NICU. Neonatal Netw. 2003 Jul-Aug;22(4):39-45. doi: 10.1891/0730-0832.22.4.39. PMID: 12934748. https://www.rightattitudes.com/2008/10/04/7-38-55-rule-personal-communication/#google_vignette ---------------------------------------------------------------------------- *Disclaimer*: This video is intended for educational purposes only and while we strive to give the most accurate information, errors may occur. Subsequently, this video should not be a replacement for medical advice. </video> <video> Neonatal Spinal Taps every time!!//Step-by-step instructions! Description: INFANTS often need lumbar punctures (meningitis, herpes, syphilis etc.) so learn the steps needed to get that CSF. What landmarks do we use? Which inter-spinous spaces? How deep should the needle go? What could be going wrong? Watch this video and feel MUCH more confident when you go to tap! For the PDF summary of THIS video, links to relevant articles (+ 50 free Multiple Choice Questions/ Answers and explanations!!), AND a bunch of other stuff, subscribe to our Neonatal Nuggets Newsletter here: https://talatalksnicu.substack.com/subscribe --------------------------------------------------------------------- Please be sure to give us a like, comment about future topics, and subscribe to this channel to stay up to date on all things NICU! Also, click the notification bell after you subscribe to gain your weekly NICU knowledge as soon as it's loaded! --------------------------------------------------------------------- Dr. Tala is a board-certified neonatologist and has worked in busy level III and IV units for the past 15 years. She has won multiple teaching awards throughout her time as a neonatologist. ---------------------------------------------------------------------- References: Macdonalds Atlas of Procedures in Neonatology. Get it here: https://amzn.to/3U5IlbW Assessment of infant position and timing of stylet removal to improve lumbar puncture success in neonates (NeoCLEAR): an open-label, 2 × 2 factorial, randomised, controlled trial Marshall, Andrew S J et al. The Lancet Child & Adolescent Health, Volume 7, Issue 2, 91 - 100 https://simulead.com/en/product-details/57/pediatric-lumbar-puncture-simulator#gallery-1 Schulga P, Grattan R, Napier C, Babiker MO. How to use… lumbar puncture in children. Arch Dis Child Educ Pract Ed. 2015 Oct;100(5):264-71. doi: 10.1136/archdischild-2014-307600. Epub 2015 Jun 23. PMID Yıldız, Bülent et al. “Evaluation of Conus Medullaris Level in Newborn Infants”. Cukurova Medical Journal, vol. 48, no. 2, 2023, pp. 629-36, doi:10.17826/cumj.1241867. Bruccoleri RE, Chen L. Needle-entry angle for lumbar puncture in children as determined by using ultrasonography. Pediatrics. 2011 Apr;127(4):e921-6. doi: 10.1542/peds.2010-2511. Epub 2011 Mar 28. PMID: 21444601; PMCID: PMC3065080. https://theprocedureguide.com/lumbar-puncture-spinal-tap-technique-and-overview https://www.loc.gov/resource/ppmsca.09456/ ---------------------------------------------------------------------------- *Disclaimer*: This video is intended for educational purposes only and while we strive to give the most accurate information, errors may occur. Subsequently, this video should not be a replacement for medical advice. </video> <video> Initial STEPS of Neonatal Resuscitation Program made super EASY! Description: NRP 8th edition! What is MR. SOPA? What are the 4 questions you need to know before a delivery? When can a baby stay on mother's chest? (Answer 'yes' to 3 questions). What are your FIRST steps when an infant gets to the warmer? Do you always suction? When do you give PPV? What does Mr. SOPA stand for? How do you carry out Mr. SOPA. LEARN all this and more in the video!!! For LESS than a Starbucks coffee, become a MEMBER and join our COMMUNITY to decide which videos we should be publishing next! You'll get a behind the scenes look at the filming of our videos, access to polls, live-chats and a lot more! Join here: https://www.youtube.com/channel/UCxv2qGB7HR5lR2D7IdoUAJA/join Help us guide the future of this channel and get involved in our community! For the PDF summary of THIS video, links to relevant articles (+ 50 free Multiple Choice Questions/ Answers and explanations!!), AND a bunch of other stuff, subscribe to our Neonatal Nuggets Newsletter here: https://talatalksnicu.substack.com/subscribe --------------------------------------------------------------------- Please be sure to give us a like, comment about future topics, and subscribe to this channel to stay up to date on all things NICU! Also, click the notification bell after you subscribe to gain your weekly NICU knowledge as soon as it's loaded! --------------------------------------------------------------------- Dr. Tala is a board-certified neonatologist and has worked in busy level III and IV units for the past 15 years. She has won multiple teaching awards throughout her time as a neonatologist. ---------------------------------------------------------------------- References: NRP 8th edition. https://amzn.to/3ZJxuIc Qian, Y., Ying, X., Wang, P. et al. Early versus delayed umbilical cord clamping on maternal and neonatal outcomes. Arch Gynecol Obstet 300, 531–543 (2019). https://doi.org/10.1007/s00404-019-05215-8 ---------------------------------------------------------------------------- ***TIMESTAMPS*** 00:00 Intro 01:35 Preparation for the delivery 07:25 NRP algorithm after the delivery ---------------------------------------------------------------------------- *Disclaimer*: This video is intended for educational purposes only and while we strive to give the most accurate information, errors may occur. Subsequently, this video should not be a replacement for medical advice. </video> <video> Management and TREATMENT of neonatal HYPOGLYCEMIA Description: How to TREAT a low glucose in a newborn?? WHEN is a Glucose level considered LOW in babies? WHEN to treat? What if the baby has SYMPTOMS? What about feeds? What is glucose GEL? When do we give a bolus? When do we increase Dextrose concentrations? What about the GIR? When do we use other medications e.g glucagon, diazoxide, steroids, octreotide??? When do we check other hormones and labs values! This is probably our clinically most helpful video- so find out all the answers in the video! For the PDF summary of THIS video, links to relevant articles (+ 50 free Multiple Choice Questions/ Answers and explanations!!), AND a bunch of other stuff, subscribe to our Neonatal Nuggets Newsletter here: https://talatalksnicu.substack.com/subscribe --------------------------------------------------------------------- Please be sure to give us a like, comment about future topics, and subscribe to this channel to stay up to date on all things NICU! Also, click the notification bell after you subscribe to gain your weekly NICU knowledge as soon as it's loaded! --------------------------------------------------------------------- Dr. Tala is a board-certified neonatologist and has worked in busy level III and IV units for the past 16 years. She has won multiple teaching awards throughout her time as a neonatologist. ---------------------------------------------------------------------- References: Giouleka S, Gkiouleka M, Tsakiridis I, Daniilidou A, Mamopoulos A, Athanasiadis A, Dagklis T. Diagnosis and Management of Neonatal Hypoglycemia: A Comprehensive Review of Guidelines. Children (Basel). 2023 Jul 14;10(7):1220. doi: 10.3390/children10071220. PMID: 37508719; PMCID: PMC10378472 Pediatrics. 2011;127(3). doi:10.1542/peds.2010-3851 https://www.liebertpub.com/doi/full/10.1089/bfm.2021.29178.new Harris DL, Weston PJ, Signal M, Chase JG, Harding JE. Dextrose gel for neonatal hypoglycaemia (the Sugar Babies Study): a randomised, double-blind, placebo-controlled trial. Lancet. 2013 Dec 21;382(9910):2077-83. doi: 10.1016/S0140-6736(13)61645-1. Epub 2013 Sep 25. PMID: 24075361. Gupta K, Amboiram P, Balakrishnan U, C A, Abiramalatha T, Devi U. Dextrose Gel for Neonates at Risk With Asymptomatic Hypoglycemia: A Randomized Clinical Trial. Pediatrics. 2022 Jun 1;149(6):e2021050733. doi: 10.1542/peds.2021-050733. PMID: 35582897. Harris DL, Gamble GD, Harding JE; CHYLD Study Group. Outcome at 4.5 years after dextrose gel treatment of hypoglycaemia: follow-up of the Sugar Babies randomised trial. Arch Dis Child Fetal Neonatal Ed. 2023 Mar;108(2):121-128. doi: 10.1136/archdischild-2022-324148. Epub 2022 Aug 8. PMID: 35940872; PMCID: PMC9905356. St Clair SL, Harding JE, O'Sullivan JM, Gamble GD, Alsweiler JM, Vatanen T; hPOD Study Group. Effect of prophylactic dextrose gel on the neonatal gut microbiome. Arch Dis Child Fetal Neonatal Ed. 2022 Sep;107(5):501-507. doi: 10.1136/archdischild-2021-322757. Epub 2021 Dec 2. PMID: 34857640; PMCID: PMC9160211 https://www.med.unc.edu/pediatrics/cccp/wp-content/uploads/sites/1156/gravity_forms/1-188e5632d99d8f770a150fd48b72fb22/2021/03/Hypoglycemia-Algorithm-Dextrose-Gel-Aug-20191.pdf Vanhatalo T, Tammela O. Glucose infusions into peripheral veins in the management of neonatal hypoglycemia--20% instead of 15%? Acta Paediatr. 2010 Mar;99(3):350-3. doi: 10.1111/j.1651-2227.2009.01237.x. Epub 2009 Apr 14. PMID: 19397539. Sweet CB, Grayson S, Polak M. Management strategies for neonatal hypoglycemia. J Pediatr Pharmacol Ther. 2013 Jul;18(3):199-208. doi: 10.5863/1551-6776-18.3.199. PMID: 24052783; PMCID: PMC3775554 Adamkin DH. Neonatal hypoglycemia. Semin Fetal Neonatal Med. 2017 Feb;22(1):36-41. doi: 10.1016/j.siny.2016.08.007. Epub 2016 Sep 4. PMID: 27605513 Watch this too: https://youtu.be/oEnOXV6YGXI?si=5kh8_eSszwY1Kgcs ---------------------------------------------------------------------------- ***TIMESTAMPS*** 00:32 Definition of hypoglycemia 09:45 Management of hypoglycemia ---------------------------------------------------------------------------- *Disclaimer*: This video is intended for educational purposes only and while we strive to give the most accurate information, errors may occur. Subsequently, this video should not be a replacement for medical advice. </video> <video> Channel membership LAUNCH!// Join our growing community!!! Description: For less than a Starbucks coffee, join our community and decide which videos we should be publishing next! You'll get a behind the scenes look at the filming of our videos, access to polls, live-chats and hopefully a lot more! Help us guide the future of this channel and get involved in our community! --------------------------------------------------------------------- Please be sure to give us a like, comment about future topics, and subscribe to this channel to stay up to date on all things NICU! Also, click the notification bell after you subscribe to gain your weekly NICU knowledge as soon as it's loaded! --------------------------------------------------------------------- Dr. Tala is a board-certified neonatologist and has worked in busy level III and IV units for the past 15 years. She has won multiple teaching awards throughout her time as a neonatologist. ---------------------------------------------------------------------------- *Disclaimer*: This video is intended for educational purposes only and while we strive to give the most accurate information, errors may occur. Subsequently, this video should not be a replacement for medical advice. </video> <video> Doctor reviews: Symptoms, Labs and Treatment of CONGENITAL Hypothyroidism Description: Low THYROID levels in neonates can be super DANGEROUS. In this video we discuss the thyroid gland, then cover CAUSES and SYMPTOMS of hypothyroidism. What is TSH?? What about FT4? Why is it free??!! We cover what levels of thyroid hormones are concerning, and when we should start TREATMENT. And at what dose? What is the outcome of infants with hypothyroidism? For the PDF summary of THIS video, links to relevant articles (+ 50 free Multiple Choice Questions/ Answers and explanations!!), AND a bunch of other stuff, subscribe to our Neonatal Nuggets Newsletter here: https://talatalksnicu.substack.com/subscribe --------------------------------------------------------------------- Please be sure to give us a like, comment about future topics, and subscribe to this channel to stay up to date on all things NICU! Also, click the notification bell after you subscribe to gain your weekly NICU knowledge as soon as it's loaded! --------------------------------------------------------------------- Dr. Tala is a board-certified pediatrician and neonatologist and has worked in busy level III and IV units for the past 15 years. She has won multiple teaching awards throughout her time as a neonatologist. ---------------------------------------------------------------------- References: https://publications.aap.org/pediatrics/article/151/1/e2022060419/190311/Congenital-Hypothyroidism-Screening-and-Management?autologincheck=redirected Cherella CE, Wassner AJ. Update on congenital hypothyroidism. Curr Opin Endocrinol Diabetes Obes. 2020 Feb;27(1):63-69. doi: 10.1097/MED.0000000000000520. PMID: 31789720. https://ksumsc.com/download_center/Archive/2nd/435/3-Endocrine%20block/Teams/Embryology/2-%20Development%20of%20thyroid%20and%20parathyroid%20glands%20%20.pdf https://my.clevelandclinic.org/health/articles/22391-thyroid-hormone https://oncohemakey.com/disorders-of-the-thyroid-in-the-newborn-and-infant-2/ https://teachmephysiology.com/endocrine-system/thyroid-parathyroid-gland/thyroid-gland/ ---------------------------------------------------------------------------- ***TIMESTAMPS*** 01:29 Function and regulation of thyroid hormone 06:16 What causes hypothyroidism? 11:33 Clinical manifestations of hypothyroidism 13:31 Diagnosis of congenital hypothyroidism 16:36 Management of infants with hypothyroidism 22:35 Outcomes ---------------------------------------------------------------------------- *Disclaimer*: This video is intended for educational purposes only and while we strive to give the most accurate information, errors may occur. Subsequently, this video should not be a replacement for medical advice. </video> <video> SPINAL TAPS!// 5 + steps to PREPARE a baby! Description: LUMBAR PUNCTURES are super common in NEONATES! And as we always say- it's "ALL IN THE HOLDING". In the video, we go over 5 important things you need to consider when you're holding a baby for an LP. Exactly how the baby should be positioned, reasons we miss the taps- and other important things to consider before we do the procedure itself!! For the PDF summary of THIS video, links to relevant articles (+ 50 free Multiple Choice Questions/ Answers and explanations!!), AND a bunch of other stuff, subscribe to our Neonatal Nuggets Newsletter here: https://talatalksnicu.substack.com/subscribe --------------------------------------------------------------------- Please be sure to give us a like, comment about future topics, and subscribe to this channel to stay up to date on all things NICU! Also, click the notification bell after you subscribe to gain your weekly NICU knowledge as soon as it's loaded! --------------------------------------------------------------------- Dr. Tala is a board-certified neonatologist and has worked in busy level III and IV units for the past 15 years. She has won multiple teaching awards throughout her time as a neonatologist. ---------------------------------------------------------------------- References: https://www.childrens.health.qld.gov.au/__data/assets/pdf_file/0036/179694/holding-for-a-lumbar-puncture-infant.pdf Assessment of infant position and timing of stylet removal to improve lumbar puncture success in neonates (NeoCLEAR): an open-label, 2 × 2 factorial, randomised, controlled trial Marshall, Andrew S J et al. The Lancet Child & Adolescent Health, Volume 7, Issue 2, 91 - 100 Testoni D, Hornik CP, Guinsburg R, Clark RH, Greenberg RG, Benjamin DK Jr, Smith PB. Early lumbar puncture and risk of intraventricular hemorrhage in very low birth weight infants. Early Hum Dev. 2018 Feb;117:1-6. doi: 10.1016/j.earlhumdev.2017.11.013. Epub 2017 Dec 5. PMID: 29220639. Pandian JD, Sarada C, Radhakrishnan VV, Kishore A. Iatrogenic meningitis after lumbar puncture-a preventable health hazard. J Hosp Infect. 2004 Feb;56(2):119-24. doi: 10.1016/j.jhin.2003.09.023. PMID: 15019223. https://dontforgetthebubbles.com/how-to-perform-a-lumbar-puncture/ Pessano S, Romantsik O, Hedayati E, Olsson E, Bruschettini M. Pharmacological interventions for the management of pain and discomfort during lumbar puncture in newborn infants. Cochrane Database Syst Rev. 2022 Dec 14;2022(12):CD015594. doi: 10.1002/14651858.CD015594. PMCID: PMC9749080. ---------------------------------------------------------------------------- ***TIMESTAMPS*** 00:32 Gross position of infant 02:16 Pain management 06:25 Safety during procedure 09:29 Monitoring for sterility 10:51 Holding position for LP ---------------------------------------------------------------------------- *Disclaimer*: This video is intended for educational purposes only and while we strive to give the most accurate information, errors may occur. Subsequently, this video should not be a replacement for medical advice. </video> <video> The Neonatal Intensive Care Unit: From A to Z!!! Description: A is for Alarms. B is for Breast Milk. C is for Caffeine....and on it goes. This is a tongue-in-cheek version of everything we obsess about when we take care of our sickest babies. This comes directly from our newsletter! We hope you enjoy it! Do you want extra Tala Talks stuff? A neonatal tip a week? Access to LIVE videos? Behind the scene members-only videos? Worksheets of the videos? Do you want to decide which videos we should be publishing next? If so- join our (low-priced!) membership community! Join here: https://www.youtube.com/channel/UCxv2qGB7HR5lR2D7IdoUAJA/join Help us guide the future of this channel and get involved in our community! For PDF summaries of the videos, links to relevant articles (+ 50 free Multiple Choice Questions/ Answers and explanations!!), AND a bunch of other stuff, subscribe to our Neonatal Nuggets Newsletter here: https://talatalksnicu.substack.com/subscribe --------------------------------------------------------------------- Please be sure to give us a like, comment about future topics, and subscribe to this channel to stay up to date on all things NICU! Also, click the notification bell after you subscribe to gain your weekly NICU knowledge as soon as it's loaded! --------------------------------------------------------------------- Dr. Tala is a board-certified neonatologist and has worked in busy level III and IV units for the past 15 years. She has won multiple teaching awards throughout her time as a neonatologist. ---------------------------------------------------------------------------- *Disclaimer*: This video is intended for educational purposes only and while we strive to give the most accurate information, errors may occur. Subsequently, this video should not be a replacement for medical advice. </video> <video> Neonatal lungs: What happens on CPAP and High Flow Nasal Cannula? Description: Using a great model: Fisher-Paykel's BABY LIV (Lung Inflator Generator) we show you what happens to a baby's lungs when getting positive pressure and how changes in interfaces can change that pressure. See what happens when the pacifier comes out!! THANK YOU SO MUCH to Fisher-Paykel for letting us use their BABY LIV. (This was NOT a sponsored post!)- and especially to Kelsey LeBlanc who helps make everything happen! For the PDF summary of THIS video, links to relevant articles (+ 50 free Multiple Choice Questions/ Answers and explanations!!), AND a bunch of other stuff, subscribe to our Neonatal Nuggets Newsletter here: https://talatalksnicu.substack.com/subscribe --------------------------------------------------------------------- Please be sure to give us a like, comment about future topics, and subscribe to this channel to stay up to date on all things NICU! Also, click the notification bell after you subscribe to gain your weekly NICU knowledge as soon as it's loaded! --------------------------------------------------------------------- Dr. Tala is a board-certified neonatologist and has worked in busy level III and IV units for the past 15 years. She has won multiple teaching awards throughout her time as a neonatologist. ---------------------------------------------------------------------- References: Luo K, Huang Y, Xiong T, Tang J. High-flow nasal cannula versus continuous positive airway pressure in primary respiratory support for preterm infants: A systematic review and meta-analysis. Front Pediatr. 2022 Nov 21;10:980024. doi: 10.3389/fped.2022.980024. PMID: 36479290; PMCID: PMC9720183. ---------------------------------------------------------------------------- *Disclaimer*: This video is intended for educational purposes only and while we strive to give the most accurate information, errors may occur. Subsequently, this video should not be a replacement for medical advice. </video> <video> 10 tricks to a successful NEONATAL lumbar puncture!!!! Description: Spinal taps in infants can be tricky- but because of their weak immune system, we are often concerned about meningitis- so we all need to get really good at getting that CSF. Learn some tricks in this video to help improve your stats!!!! For LESS than a Starbucks coffee, become a MEMBER and join our COMMUNITY to decide which videos we should be publishing next! You'll get a behind the scenes look at the filming of our videos, access to polls, live-chats and a lot more! Join here: https://www.youtube.com/channel/UCxv2qGB7HR5lR2D7IdoUAJA/join Help us guide the future of this channel and get involved in our community! --------------------------------------------------------------------- Please be sure to give us a like, comment about future topics, and subscribe to this channel to stay up to date on all things NICU! Also, click the notification bell after you subscribe to gain your weekly NICU knowledge as soon as it's loaded! --------------------------------------------------------------------- Dr. Tala is a board-certified neonatologist and has worked in busy level III and IV units for the past 15 years. She has won multiple teaching awards throughout her time as a neonatologist. ---------------------------------------------------------------------- References: Assessment of infant position and timing of stylet removal to improve lumbar puncture success in neonates (NeoCLEAR): an open-label, 2 × 2 factorial, randomised, controlled trial Marshall, Andrew S J et al. The Lancet Child & Adolescent Health, Volume 7, Issue 2, 91 - 100 Ilari Kuitunen, Marjo Renko; Ultrasound-Assisted Lumbar Puncture in Children: A Meta-Analysis. Pediatrics July 2023; 152 (1): e2023061488. 10.1542/peds.2023-061488 ---------------------------------------------------------------------------- ***TIMESTAMPS*** 00:12 Improve baby's comfort 00:30 Position needle in middle of back 00:58 Angle needle towards umbilicus 01:22 Pull out/push in needle 1-2 mms 01:47 If bloody, pull out needle 1-2 mm 01:58 Change angle of needle if hitting bone 02:17 If clotted, attempt to release with stylet 02:39 Turn hub of needle for improved flow 03:00 Sit baby upright 03:34 Obtain radiological help ---------------------------------------------------------------------------- *Disclaimer*: This video is intended for educational purposes only and while we strive to give the most accurate information, errors may occur. Subsequently, this video should not be a replacement for medical advice. </video>

Contacts and Links

Description

Dr. Tala (M.D, FAAP) is double board-certified in Neonatology and Pediatrics. Nurse Arianna (RN BSN) has been a NICU nurse for over 10 years.

Join our MEMBERSHIP for behind-the-scene videos, polls to pick the next videos, live chats- and so much more. We can't wait to build an even stronger community!!

Get 50 FREE neonatal multiple choice question and answers by subscribing to our newsletter (NEONATAL NUGGETS). Each newsletter will include PDF summaries of our videos, more multiple choice questions, links to relevant articles and other exciting stuff!
Subscribe BELOW!

Our team has over 40 years of experience in busy level III and level IV NICUs, and seven of our own kids. Dr. Tala has won numerous teaching awards during her career.

Our opinions are our own and do not represent the hospitals or practices we work for.

P.S. As an Amazon associate, we may earn from qualifying purchases

Videos from channel