Golden hour! Vitamin K! Lumbar punctures! Surfactant! Exchange transfusions! - 10K Celebration

You ASKED and we gave QUICK answers to your NICU questions- and a BONUS QUESTION! What do we care about in the Golden Hour? When do we need to tap an infant? When should we give surfactant? When do we perform an exchange transfusion? Why is vitamin K important? AND! What has changed in the NICU in the last 20 years?!
---------------------------------------------------------------------

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.

----------------------------------------------------------------------
**TIMESTAMPS**
00:43 What do we care about in the golden hour?
5:13 When would a lumbar puncture need to be obtained?
10:05 Is there an optimal time to give surfactant?
12:25 When does a baby need an exchange transfusion and can you describe it?
15:17 What is the major reason vitamin K is given to a newborn? Also, which babies are a greater risk of complications if the Vitamin K is declined?
17:45 What's the most important/impressive development or change in practice that you've seen during your time in the NICU?

----------------------------------------------------------------------------
References:
Early or selective surfactant (colfosceril palmitate, Exosurf) for intubated babies at 26 to 29 weeks gestation. A European double-blind trial with sequential analysis. European Exosurf Study Group. Online J Curr Clin Trials 1992;Doc No 28.

Bahadue FL, Soll R. Early versus delayed selective surfactant treatment for neonatal respiratory distress syndrome. Cochrane Database Syst Rev 2012;11:CD001456

Vitamin K and the Newborn Infant
Ivan Hand, MD, FAAP; Lawrence Noble, MD, FAAP; Steven A. Abrams, MD, FAAP COMMITTEE ON FETUS AND NEWBORN, SECTION ON BREASTFEEDING, COMMITTEE ON NUTRITION

----------------------------------------------------------------------------
*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.

[Jo-mpqo]

Thank you so much for taking the time to answer my question 🥰 These are such great responses. I especially like how you've split the answer into 4 parts. Very Tala Talks of you 😀 Love it.

[zubairqasimrashdi]

Brilliant discussion. Concise yet comprehensive. Why did I not discover this channel earlier!

[jaynesolomon]

So Happy to see a new video post. I look forward to these uploads every week!

[naitramsingh]

With each new video your team continues producing amazing contents, thanks again for your knowledge and time, its always fun to learn.

[carmengalindo]

Hi! Could you guys do a video on apnea/Brady events? Like why they happen, what’s considered an event, why do we care?

[sarbarigupta]

I have never before seen anyone making such simple, so so informative and easy to understand videos out of such complex topics .
Kudos Dr...hoping to hear more and more from you

[TheAsdfghjk]

Can you make a video on maternal pathologies and how they affect the neonate? For example, pre E, GDM, hypothyroid

[heritagegirl]

I started in the NICU in 1985 and I agree with all of your points about the advancements and changes! We kept babies on the ventilator for WEEKS. Also, we used transcutaneous monitors to keep track of oxygen levels...we would have to rotate the location on the skin, and the monitor caused a red burn mark on the micropreemies...I am so grateful for pulse oximeters!! And, the head neo had us giving IV Gentamycin into the stomach via the NGT to prevent NEC. 😱 😱😱

[الحمدللهعمري]

Please . Make a common scenario about all medication and how to manage hypotension step by step for preterm baby .. please

[moraghoward]

Love your videos and recommend for nursing interns for initial knowledge to experienced providers as means to explain things more concisely to parents! Would you consider video on NAVA and HFJV?

[malikkamuki]

Please make a video of viability decision making limits, approach factors and criteria for care withdrawal if any severe outcomes. As a fellow I was asked to withdraw care in a 23 weeker with severe us based bad cerebral assessment like extensive ivh hemorrhage etc …but baby lungs were decent …so there was a lot of choas

[laraeb]

I have to agree iNO was a game changer!!! I remembered inducing alkalosis for vasodilation, using systematic vasodiolators (😬🥺)!! Also, induced hypothermia treatment for HIE ....my favorite improvement in NiCU!

[jaynesolomon]

Would like clarification on white and grey matter injury -pathophysiology and outcomes of injury.

[melishendek]

Hey Tala. Can you tell us some brief but important informations about Calcium and Phosphat / vit D substitution? Thanks!

[drsatishparmar]

Last answer show your expertise as neonatologist.
Love to listen you in answering mode.