Two neos chat!! Temp control// DCC// CPAP??// Manage a preemie!!

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  • เผยแพร่เมื่อ 25 ม.ค. 2025

ความคิดเห็น • 59

  • @SridharKs
    @SridharKs ปีที่แล้ว +9

    Thank you Tala, it was great doing this collab with you. You have a great passion for teaching and for our field, congratulations on the amazing milestone of 25000 subscribers. Hope to do this regularly, God willing.

    • @TalaTalksNICU
      @TalaTalksNICU  ปีที่แล้ว +1

      Thank you so much! LOVED our chats- and thank you for keeping me on task. Love the way you sum up important information briefly! I need to work on that!! Looking forward to next one!

    • @SridharKs
      @SridharKs ปีที่แล้ว

      @@TalaTalksNICU absolutely. Hope you had a nice holiday, welcome back!

    • @numnumtv1
      @numnumtv1 10 หลายเดือนก่อน +1

      THANK YOU BOTH
      FOR THIS AWESOME TALK

    • @SridharKs
      @SridharKs 10 หลายเดือนก่อน

      @@numnumtv1 thank you

  • @sarbarigupta2856
    @sarbarigupta2856 ปีที่แล้ว +2

    A wonderful collaboration. Thrilled to see two of my favourite doctors in one frame.

    • @TalaTalksNICU
      @TalaTalksNICU  ปีที่แล้ว

      Oh yay! Thanks for your lovely comment!

  • @ranamuhammadarshad6421
    @ranamuhammadarshad6421 ปีที่แล้ว +2

    The best initiative..if you discuss real clinical scenarios rather than just text book stuff ❤❤❤❤

    • @TalaTalksNICU
      @TalaTalksNICU  ปีที่แล้ว

      We’re so glad you think so!! Thanks for taking time to comment!

  • @smilerkris
    @smilerkris ปีที่แล้ว +3

    My two favorite Neos, this is amazing 😍😍😍

  • @ashleykeener6150
    @ashleykeener6150 11 หลายเดือนก่อน

    Amazing conversation, information, and perspective!

    • @TalaTalksNICU
      @TalaTalksNICU  11 หลายเดือนก่อน

      So glad you thought so- thanks for being here :)

  • @docNICU
    @docNICU ปีที่แล้ว +2

    thank you very much for this very nice talk and collaborated discussion between the NICU experts working in two different cultures. i am sure there will be further such informative discussion and sharing of experience

    • @TalaTalksNICU
      @TalaTalksNICU  ปีที่แล้ว

      Thank you for your lovely comment- we look forward to filming and getting more videos out soon. Any requests about what you’d like us to talk about?

  • @itzmechristina
    @itzmechristina ปีที่แล้ว +1

    Love love love this new segment ❤ Big THANK YOU to both! ❤

    • @TalaTalksNICU
      @TalaTalksNICU  ปีที่แล้ว

      Oh yay! So happy you found it helpful- we are looking forward to filming more soon

  • @Salsabildraou
    @Salsabildraou ปีที่แล้ว +2

    Merci Dr Tala et Dr Sridhar, such amazing, refreshing and informative discussion

    • @TalaTalksNICU
      @TalaTalksNICU  ปีที่แล้ว

      We’re so happy you think so! We loved filming it!

  • @lavanyabala4662
    @lavanyabala4662 6 หลายเดือนก่อน

    Very usefull . Nice knowing the way of management in different centers

    • @TalaTalksNICU
      @TalaTalksNICU  6 หลายเดือนก่อน

      Agreed! Love seeing what everyone does! Thanks for watching!

  • @dianafrancis1808
    @dianafrancis1808 ปีที่แล้ว

    Such a wonderful discussion to listen

    • @TalaTalksNICU
      @TalaTalksNICU  ปีที่แล้ว

      Thank you so much Diana! We enjoyed chatting. Really appreciate you taking time to offer encouragement!

  • @m.e.2286
    @m.e.2286 ปีที่แล้ว

    I follow both of you & am so excited for this collaborative series! I appreciate how you guys compare & share your experiences & relate them to current research studies. I agree with the gentle approach during the extremely crucial intense Golden Hour. Thank you!

    • @TalaTalksNICU
      @TalaTalksNICU  ปีที่แล้ว +1

      Thank you for your thoughtful comment- we really appreciate you being here :)

  • @sreedevinair108
    @sreedevinair108 ปีที่แล้ว

    Thank you for this discussion. Thank you to both Neo’s . ❤❤❤❤

    • @TalaTalksNICU
      @TalaTalksNICU  ปีที่แล้ว

      So glad you liked it! Thank you!

  • @jackirenee10
    @jackirenee10 ปีที่แล้ว

    This channel supports my growth as a Nicu nurse! Thank you!

    • @TalaTalksNICU
      @TalaTalksNICU  ปีที่แล้ว

      So happy to read this- thank you so much for being here and for taking the time to write :)

  • @NNCCCC63
    @NNCCCC63 ปีที่แล้ว +1

    top shelf presentation , as always ! God bless you both, and sorry for comparing you to hard liquor...😜

    • @TalaTalksNICU
      @TalaTalksNICU  ปีที่แล้ว

      Hahaha! We’ll take the comparison!!! Thank you so much!

  • @carmengalindo8587
    @carmengalindo8587 ปีที่แล้ว +1

    Thank you for the discussion! I would love to see another for micropreemie outcomes. I work at the bedside, and I wonder how they do after the hospital stay.

    • @TalaTalksNICU
      @TalaTalksNICU  ปีที่แล้ว +1

      Hello! That would be a great discussion- I know Dr SRidhar has his follow up clinic- whereas I don’t/ so I don’t think I’d be enough of an expert to speak comfortably on this! Maybe we can convince him to!

  • @laraeb2514
    @laraeb2514 ปีที่แล้ว +2

    Nice conversation. It's great to see different points of view. ECG lead placement can be really difficult on these little ones, the ecg leads that come on a heart in one piece were really nice for these kids because you could put them on the back as you apply the plastic bag, unfortunately they are cost prohibitive and only really useful in the intial resuscitation.

    • @TalaTalksNICU
      @TalaTalksNICU  ปีที่แล้ว

      These are great points- as always from you! Glad you liked the conversation- any ideas about other topics we should cover?

    • @laraeb2514
      @laraeb2514 ปีที่แล้ว

      @TalaTalksNICU Maybe neonatal pain management and / or management of delirium in older NICU patients. Epidemolysis Bullosa and maybe a refresher on pressors.

  • @joemygawd
    @joemygawd ปีที่แล้ว +1

    Love this guy! Thanks!

  • @jeffjew8393
    @jeffjew8393 ปีที่แล้ว +2

    Thank you for the discussion

  • @emadaljafal1373
    @emadaljafal1373 ปีที่แล้ว

    Very very interesting!! It will be so helpful if you can do part 2 from this topic.
    I have questions regarding this subject which type of cannulation you used in the delivery room peripher. Venen catheter or central catheter.
    Do you adminstrate caffeine citrate too? and fluid requirements?
    Thank both you!! always my pleasure to listen to both of you.

    • @TalaTalksNICU
      @TalaTalksNICU  ปีที่แล้ว

      These are SUCH good questions! We need to chat again to cover all of these!! Thank you so much for your great suggestions- we really appreciate you being here!

  • @dianazamarron2370
    @dianazamarron2370 ปีที่แล้ว

    He’s saying for obstetric Dr’s to allow delayed cord clamping for premature babies because he doesn’t expect the babies to be active? Couldn’t hear Dr . Sridhar very well at minute 6:15

    • @TalaTalksNICU
      @TalaTalksNICU  ปีที่แล้ว

      I think the point he’s making- is whether they’re active or not- we should try to do DCC. (Unless something majorly wrong with placenta!)

  • @dainaswamy3321
    @dainaswamy3321 ปีที่แล้ว

    Knowing that controlling temperature and insensible losses is so important in these ELBW babies, how do you allow for that minute of delayed cord clamping in the OR? Do you just let it happen with the OB holding the baby or do you have the OB deliver into a sterile plastic drape? With a transwarmer? Am I over thinking this? Where I work, we always barely delay the cord clamping and rush the baby to the warmer and the plastic. But maybe we need to rethink this. Also, if the baby is not breathing effectively, how is that delayed cord clamping helping the baby? Maybe I don't understand the physiology, but I thought the baby had to start breathing to make the arterial resistance in the lungs drop and blood start circulating through the lungs and that then that caused the cord to pump blood into baby but not allow blood to return back to the placenta. I have been doing some googling here and haven't quite figured out what happens at birth to tell the cord to give me the bonus blood but not take any back out! I hope that makes sense... please help me understand! I love all of your videos!

    • @TalaTalksNICU
      @TalaTalksNICU  ปีที่แล้ว +1

      Absolutely not over thinking this- we discuss exactly this point ALL the time!! Unless the baby is not getting any blood from the placenta (eg abruption/ prolapse etc) then generally that extra blood is helpful for the baby. (My good friend who has done SO much research on this has agreed to do a video for us). The blood staying in the baby is a combination of the pressure of the placenta being increased and the baby's pressures being decreased. Dr. Arpi will discuss this more soon- I promise!!! The temp thing is an issue. We need the room to be super warm (which understandably the OBs dont love) and then preferably we need the baby to be covered with warm sterile blankets during DCC. These questions are so smart- and ill be sure to get good answers for you in the video. Thank you!!!!

    • @dainaswamy3321
      @dainaswamy3321 ปีที่แล้ว

      I can't wait for the video. Thanks! @@TalaTalksNICU

  • @kellywelch134
    @kellywelch134 ปีที่แล้ว

    This was so informative! We are still a fairly young NICU. I was wondering if you have your sterile plastic bag for Ob to put infant in immediately while doing dcc? Also, I wasn't sure, but did you have plastic lined hats? Do you attempt to dry the chest before putting on leads? Could one of your transport nurses do a video on their role. Thank you so much for this! I really loved this video!!

    • @TalaTalksNICU
      @TalaTalksNICU  ปีที่แล้ว +1

      Hello Kelly- love your questions. Our OBs don't cover infants with plastic - we do that on the warmer. We don't have plastic lined hats either. And yes generally the chest is dry before putting on leads. (On paper, you put the plastic bag on without drying, but usually during DCC there is some- very gentle- drying happening). I'll try to convince our transport nurses to make a video- but I will say- the hospital I work in currently- they're kinda unicorns! They do a lot more than in most hospitals- but it also means their skills are pretty insane!!

    • @kellywelch134
      @kellywelch134 ปีที่แล้ว

      @TalaTalksNICU thank you so much for answering all my questions! I really get some much from your videos! Thank you for taking the time to make them and answering all the questions!

  • @sunil5394
    @sunil5394 ปีที่แล้ว

    Tala are you intubating orally or nasally?. Second question and role of pocus for confirming tube position in the delivery suite

    • @TalaTalksNICU
      @TalaTalksNICU  ปีที่แล้ว

      Such good questions. We intubate orally here. I have one colleague that can intubate nasally but I’ve never done it. And POCUS def seems like something we should all be moving to. But the way we have it set up here is we basically do lines etc in our resuscitation room right next to delivery room- and we get X-rays in there.

    • @sunil5394
      @sunil5394 ปีที่แล้ว

      Wow that seems very efficient. I am sure you have a better success of sticking to the golden rule as against units like ours . We bring the babies up on R pap if possible and site lines in Nicu
      While R pap is great to let mums get some skin to skin time, I think we loose about 10 mins of the golden hour. Often wondered which was the priority .

    • @TalaTalksNICU
      @TalaTalksNICU  ปีที่แล้ว

      @sunil5394 the thing about working in a hospital is that it’s always a work in progress. The team where I am now have done such an incredible job of ironing out the logistics to set that up. But quality improvement never ends! Can always do better! And every hospital is so different in lay out and space and personnel available that it really isn’t a one size fits all scenario

  • @smartman9033
    @smartman9033 ปีที่แล้ว

    Thank you both, it was a great lecture
    Question to dr Tala
    You have mentioned that you only resuscitate 25 wkr and above! For 22-24 wkr unless if parents request! but if they want comfort care then that will apply ! Based on what? Does NRP say if parents of (22-24wkr) request comfort care then go with parents request? What is your source
    Thanks Dr Tala

    • @TalaTalksNICU
      @TalaTalksNICU  ปีที่แล้ว

      It has taken me some time to answer you because basically this really depends on where you work. These types of cut- offs are generally made in hospitals. This has become “standard of care” in us in last 15-20 years though. This may be a good place to start www.sciencedirect.com/science/article/abs/pii/S0002937814001690

    • @smartman9033
      @smartman9033 ปีที่แล้ว

      @@TalaTalksNICU
      Thank you so much

  • @neeva-16
    @neeva-16 9 หลายเดือนก่อน

    I have a newborn 25 weeks gestational age micropreemie in the nicu he's 10 days today n I found out he's has grade 3 germinal matrix hemorrhage

    • @TalaTalksNICU
      @TalaTalksNICU  9 หลายเดือนก่อน

      I’m sorry you’re going through such a difficult time. I hope he gets through the NICU stay and has a full happy life ahead of him xx