Neonatal Definitions// EQUATIONS// Numbers and Acronyms// PART I
ฝัง
- เผยแพร่เมื่อ 4 ก.พ. 2024
- Get 50 FREE Neonatal Multiple Choice QUESTIONS and Explanations by signing up for our Neonatal Nuggets Newsletter. We also include a PDF summary of our most recent video! Join us here: talatalksnicu.substack.com/su...
Learn great mnemonics! How to measure NG insertion? What does ELBW stand for? How many calories in milk? Do we measure in kilos or pounds? Where should a UVC be on an Xray? What is LGA? How many milliliters in an ounce? How much milk should a baby eat in a day? How to calculate urine output? In this video we cover all the numbers, definitions, and equations you need to know off the top of your head in the neonatal intensive care unit!!
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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.
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References:
theheartthrills.files.wordpre...
www.flickr.com/photos/roadhunt...
www.bbc.com/news/world-us-can...
www.neopededu.com/outcomes-of...
Fenton T, Kim J: A systematic review and meta-analysis to revise the Fenton growth chart for preterm infants. BMC Pediatrics 13:59, 2013. doi: 10.1186/1471-2431-13-59; used with permission. Available at www.biomedcentral.com.
By Yehudamalul - Own work, CC BY-SA 3.0, commons.wikimedia.org/w/index...
littlemartinsdrawer.com/produ...
www.wikihow.com/Measure-a-Tab...
By Azoreg - Own work, CC BY-SA 3.0, commons.wikimedia.org/w/index...
Improved Weight Gain in Very Low-Birth Weight Infants after the Introduction of a Self-Created Computer Calculation Program for Individualized Parenteral Nutrition. - Scientific Figure on ResearchGate. Available from: www.researchgate.net/figure/C...
shop.nascohealthcare.com/prod...
www.crunch.com.au/blog/nutrit...
www.myamericannurse.com/verif...
starship.org.nz/guidelines/en...
Cirgin Ellett ML, Cohen MD, Perkins SM, Smith CE, Lane KA, Austin JK. Predicting the insertion length for gastric tube placement in neonates. J Obstet Gynecol Neonatal Nurs. 2011 Jul-Aug;40(4):412-21. doi: 10.1111/j.1552-6909.2011.01255.x. Epub 2011 Jun 3. PMID: 21639864; PMCID: PMC3140585.
radiologyassistant.nl/pediatr...
www.thoughtco.com/ph-of-the-s...
www.clinicalguidelines.scot.n...
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**TIMESTAMPS**
00:36 General Neonatology
00:39 Term vs Preterm
3:00 Weight loss
4:00 Typical criteria for automatic NICU admission
4:46 SGA vs LGA
5:36 PMA and corrected GA
6:30 Help fill our map!
7:00 Kg to lbs / ml to cc / mls to ounces
07:51 Total fluid rate
09:33 Human milk fortifier and TPN
11:06 GIR
12:37 Urine Output
13:44 NGT / OGT insertion depth measurement
15:33 UAC / UVC insertion depth measurement
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*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.
There's an error in the example equation:
50/850 *100 is 5,88..., so that's a weight loss of about 5,9%
(to get to 6,25%, you probably calculated 50/800*100)
WHOOPS!!!!!! How did that happen?!!!!! Totally wrong calculation!!! Thanks for bringing up quickly!!!
@@TalaTalksNICU nonetheless a great video, I definetely learned a lot. Keep up the great work!
Greetings from Austria
You’re so sweet! We’ll figure out how to edit it on TH-cam- apparently we can do that now! Thanks SO much for being here and for pointing out our mistake in such a nice gentle way. Such a fantastic trait for anyone who works in medicine!
NICU resident doctor from Taiwan! Thank you for all the useful lectures!❤
Hello! Yay so happy you’re in Taiwan! Thanks for being here!
NICU nurse currently doing my ANNP training, from Ayrshire Scotland! Love love love your videos ❤
Hello!!!!! I bet you’re surrounded by beauty!!! So happy you like the videos- thanks so much and good luck!! Let us know if anything specific we should be putting out there!
I’m a NICU nurse in Kansas, USA. Love your videos!
Oh thank you!!! And thank you for letting us know where you’re from :)
NICU NURSE 16 YEARS FROM SAUDI ARABIA.THANKS TO ALL VERY INFORMATIVE VIDEOS
Hello! 16 years :) we graduated together- that’s how long I’ve (tala) been a neonatologist for!!
Enjoyed watching this. Well done Dr Tala. NICU, Nigeria
Oh so happy you’re in Nigeria watching! Thanks for letting us know :)
Best starter that increases the appetite for Neonatology.
Thank you for your lovely comment! Love the idea of people being more excited to be in the NICU!
I'm a labor nurse in Indiana, US. Although I do not work in the NICU, I work closely with our NICU and pediatrics depts and find your videos very helpful in understanding our shared care of babies!
Hi Morgan! So happy you've found this channel :)
Many thanks ,Excellent dr.Tala
Thank you so much Mohammed! Appreciate you being here so much!
I'm a nurse from Viseu/ Portugal/ Europe!
Thank you for your helpful content!
Oh yay! You’re first person from Portugal! Thanks so much for watching and for letting us know!
Hi! I'm a child neurologist in training watching you from Kyiv, Ukraine! Huge thanks for awesome videos 🔥The abundant demonstrations and explanations help me a lot during my rotation in NICU.
Oh wow! and you're a child neurologist- that's amazing you're watching these- thank you so much! Glad you're finding them helpful at all!!!
And so happy you're in Ukraine- we haven't been told about viewers from there yet! So can fill in in map. Stay safe and optimistic- difficult time you're all going through XX
nicu nurse from the central valley in California and i absolutely love your videos. thank you.
Oh lovely! Thank you so much for taking time to let us know!
Thank you so much for this video Doctor Have been looking forward to getting a lessons on SGA LBW God bless you
Oh so happy they were helpful to you! Thanks so much for letting us know and for being here :)
Great review . Thank you always
Thank you so much for being here :)
Rio de Janeiro - Brazil. Always following your work Dr Tala.
Hello!!!! Thank you so much for all your support! Has been so motivating :)
Thank u mam fr covering all the basics frm nicu ,waiting fr more such videos in a series pattern ...frm basics to some tough topics
Thanks for being here! That’s our plan- slowly covering everything! Just takes soooo much time! Ha! We’re slowly getting there! Let us know if there’s something specific you’d like!
Great teaching! Watching from Sterling Hts MI
Oh lovely! Thanks so much- so glad you’re here :)
Thank you Dr Tala
Thank you so much for being here :)
Thanks doctor ❤
Jordan
Hi! So glad you’re in Jordan watching! Thanks so much for letting us know!
Hi, I am a NICU RN for a hospital in Illinois! I love my job, love learning, and watching your videos! I would appreciate a video on IV pumps. Thanks for all you do!
Hello! That's a great position to be in- loving your job and learning (actually feel quite lucky about it). The only thing I know to do with an IV pump is how to turn it off when it's beeping!! (And I guess calculate the rate- dependent on dosing and concentration- but that's just maths!). Let me see if I can find someone to cover that! Would be a great and very helpful video!
❤Thank you 🎉 from Philippines ❤
Oh so happy you’re watching from Philippines! Thanks for being here :)
Hi! From Minsk ( Belarus) with love❤
Oh yay! So glad you’re watching from Belarus- first for us :) thank you for being here
Wonderful, beautifully explained ❤❤❤❤❤
Tariq, Paediatrician, Pakistan
Oh so glad you thought so! Thanks for letting us know! And so happy you’re watching from Pakistan :)
I started watching your videos and really like the teaching. I thoroughly enjoyed your way for explanation. Could you please give classes on fluid calculation with examples.
Thank you so much! What would you have in mind for fluid calculations! More than happy to cover but not sure what would be most helpful? In meantime- check out our fluid and electrolyte playlist- may be something helpful there!
Watching from Ghana Bongo district hospital NICU
Fantastic! Thanks for letting us know :)
NICU in Việt Nam. Thank you❤
Oh great! Thanks so much for letting us know!
Thanks!
That is just the sweetest thing ever! Thank you!!! A medical student gave us our first super thanks about two months ago (and I had no idea what it was)- and I can’t tell you how touched we all were. Thank you for thinking this is worth any more support than time! We love that you’re here so much!
Neonatology resident from Warsaw, Poland!
Oh amazing! Thanks so much for letting us know and for watching!
Recently did a rotation (RT) at CHLA in Los Angeles and they would typically say that a baby was for example, 4 weeks old/26 weeks.
Exactly- so really listing post menstrual age- what we all use in the unit
Hi Dr Tala. Firstly Thankyou so much for all of your great videos. I’m from England, U.K! Studying my advanced neonatology practitioner masters programme. Your videos have helped me so much through my teaching programme and can’t thank you enough. Unsure if I have missed it but just wondered if you have any videos on the following:
• Hypo/Hyper-Thyroidism (blood interpretation)
• Blood gas interpretation (more in depth)
• Inotropic support
Thanks once again for your videos! Have a lovely weekend, James. X
Hello James! Thanks for your lovely comment- so glad that you find these helpful at all!!! We really need to cover inotropes soon as well as hypo hyperthyroidism- we’ll make that a couple month goal! We filmed a couple of videos on blood gases- they were pretty basic so I’m not sure if you were looking for something more in depth - let us know?!
@@TalaTalksNICU Hi, thanks so much for getting back to me. It was more of an in depth aspect of bicarb and base deficit etc, parameters that you are concerned with or what to look out for. I do some teaching myself but just wondered on what you would cover, not to worry! Looking forward to the thyroid & inotropes talk! Best wishes from England 🏴
Thank you Tala for all your educative videos, please can we have lectures on VKDB (VITAMIN k DEFICIANCY BLEEDING IN NEWBORN). THANK YOU
So happy you find them helpful! This is a fantastic idea for a video- thanks for the great suggestion! Will get on it soon!!
Thanks
This is the sweetest gesture- we are so touched you think this is worth any payment. Thank you so much!!!!
Hello Dr Tala ,I always like to watch ur video.thank u so much ,maybe next day we can share how we do or how we manage the bb in our nicu by zoom .bcs in my country we don't have neonatogist Dr ,the neonatologist came from Cuba that now work in our nicu ,so after I watched or followed ur video , a lot of different thing that we do in our Nicu , thats why if Dr Tala have time want to share or give any tutorial to us as a gp drs by zoom ,is a pleasure ❤❤❤🙏
Hello! That is a difficult situation/ as it always is building a unit. So impressive you’re doing it.
watch you from Libya
Oh amazing- thanks so much for letting us know and for watching :)
Maryland! ☺️
Lovely! Thanks so much for letting us know!
Hello Dr. Tala, I would like to thank you for your effort to deliver such clear practical neonatological contents. Could you please explain the concepts of Apnea of prematurity and how to approach it. Thanks a lot :).
Hello Ahed! Thanks so much for being here and for taking the time to comment. We NEED to cover apnea of prematurity soon- it keeps getting pushed down the line- but it’s a core concept we haven’t covered yet! Thank you for the reminder!
Thanks a lot Dr. Tala :) @@TalaTalksNICU
Hi, yes I'd love to hear about apnea of prematurity please 🙏
Guantanamo Bay, Cuba as a nursery but stand up NICU until MEDEVAC to higher level of care 😅
Oh great! First person to reply from Cuba! Thank you for watching and letting us know!
Arkansas. Thank you
A Neighbour! Hi! Thanks for being here!
NICU in New Jersey, USA!!
Hi! So happy you’re here- thanks for letting us know where you’re watching from too! Will add to map!
Syracuse NY❤
So happy that you’re here- stay warm! Thanks for letting us know!
Hi tala from😊 Libya 🇱🇾 ❤
Hello!!! So glad you’re with us!!!!
❤ ❤
Thank you :)
From Nicu Ireland
Oh lovely! Thanks for letting us know :)
👍👍👍👍👍♥️
Thank you!!! :)
Lansing, Michigan
Oh yay! Thanks for letting us know!
Hi Tala, you are doing great job of teaching on TH-cam.
I have question for you. What is difference between SGA and IUGR ?
Great question! SGA used after babies born and is less tenth percentile for GA. IUGR is a OB term/ when babies falling off their growth curve in utero. So if they were 50%ile at 25 weeks and then they’re 15%ile at 29 weeks they are IUGR. But not necessarily sga! Does this make sense?
@@TalaTalksNICU seems logical, excellent 👌
I want to insert UVC but how to make sure it not go into the liver ?
Sometimes it is not in the right way you want ?
Hello! Sometimes it’s really hard to avoid the liver- (because ductus venosus has already closed)- we’re going to be releasing a video soon on how to place a UVC!
NICU Utah, USA
Oh lovely! Thanks so much for letting us know :)
I've learned a lot from your videos. 1. Could you provide the bibliography from your video presentations? 2. You mentioned the application of ultrasound in your video. I wanted to inquire about the usage of ultrasound in your unit. Could you please provide a detailed explanation of ultrasound? Thank you.
Hello! Great questions- generally we put the bibliography in the reference section beneath each video. Sometimes when it's just well known (eg SGA definition)- I'm not referencing it. We made a video on the books we use in the NICU- and often I go back to those ones. We are starting to use ultrasound more in our unit- we are trying to build a program and get everyone trained. I would need to find an expert who is willing to give a lecture on ultrasound usage :)
@@TalaTalksNICU I am a NICU physician from a level three hospital in China. Due to language barriers, I need to listen to each video multiple times to understand. However, I am very happy to learn a lot from your videos and hope they continue to improve. Could you possibly include a few cases in each video in the future? I feel like that would make it even more interesting. Thank you.
That is a fantastic idea. Will try to start doing that at end- thank you for great suggestion!
❤❤❤❤❤❤
Thank you!!!!!!!
Canada ❤
Hello! Thanks so much for letting us know and for being here :)
Botswana 🇧🇼🥰
Oh how beautiful! Thanks for letting us know!!
Hi Dr. Tala,
The World Health Organization (WHO, 2023) defines preterm as a baby born before the completion of 37 weeks. So they define a baby born at 37 weeks and 2 days as preterm. Should we go based off the WHO, or where can I find out more about what actually defines pre term?
hello! You know I think this is one of the most confusing things in neonatology- when guidelines are written for 'X weeks' and we have to figure out if completed or not. You're right the way WHO words it makes it sound like it's 37 completed weeks- but if you look through their definitions it's less than 37 weeks (iris.who.int/bitstream/handle/10665/363697/9789240058262-eng.pdf). This WHO document goes through in more detail. Hope this helps!
Thank you for your response!@@TalaTalksNICU
Bendigo, Australia
I just looked this up on the map- north of Melbourne! So happy you’re watching from there! Thank you!
Utah ❤
Beautiful! Thanks for letting us know!
NICU RN in Greenville, NC US
Oh lovely!! A beautiful area of the country! Thanks for letting us know!
NICU nurse Syracuse, NY
Hello!!! Amazing- thanks so much for being here and for letting us know!
Johannesburg, South Africa. Clinical midwife specialist in training.
Oh how lovely! Thanks for letting us know!
Our NICU is in IRELAND 🇮🇪
Lovely! Thanks so much for letting us know! Have this plan to try to go visit various NICUs outside the US one day!
My Nicu is in Timor Leste 🇹🇱
That’s amazing you’re watching from there! What sort of set up do you have now?
In my country only have one perynatologia ward that settled in capital city ,so all the newborn baby that born in health post ,health center and municipality hospital who have problem transfer to capital,we just have 2 neonatologist ,warmer 30 ,cpap 10 ,incubator 6 , we don't have sulfactant and ventilator have not enough resource in our hospital,so we manage and treat the babys based on our setting
Nicu nurse South Africa Pretoria
Hello!!! So happy you’re watching from SA!
when does part 2 come
In two weeks! Already filmed- just need to finish editing :)
also maryland
NICU graduate from Kosovo :)
Fantastic! Thanks so much for being here :)
Our NISHTAR MEDICAL UNIVERSITY MULTAN PUNJAB PAKISTAN
Fantastic! Thanks so much for letting us know!
Egypt 🇪🇬
Ahlan! Thanks for being here :)
India( kerala)
Hello! So happy you’re here!
UK
Fantastic! Thanks for being here!
Nicu NMU MULTAN, NISHTAR MEDICAL UNIVERSITY MULTAN
Hi! Thanks so much for letting us know!!!
🇮🇳 INDIA
Hello! So glad you’re here!
New York.
Lucky you! Thanks for letting us know!! Xx
India punjab
Thanks for subscribing and for letting us know where you're from!!
Emergency Department Australia
Fantastic! Actually recently gave a lecture to the ER department here about what they need to know in neonatology- I think I'll make it into a video too!
💔 *Promo SM*
Not sure what this is!