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.
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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.
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There was Meconium in my fluid with my eldest son. He is 35 now (1989), was given to me after eight hours, so I don't know what happened. He was not intubated, and they put an external fetal monitor on his head. I did request that they bring him to me, because I wanted to breast feed him first, as mother's milk is better, but they did not bring him to me, and did not tell me why, other than I had to rest. I went to the hospital and walked the floor, and they sent me back to the house. When I got there, I had to call a taxi to go back to the hospital, where I presented there 8 cm dilated and 80% effaced. I was 20, so (though I was pre med, I did not have enough information to know what to do and was not expecting that. It didn't happen with my second child).
Another masterpiece and a great collection of PICC line x-rays.👏🏽👏🏽👏🏽. As neonatologist, we have to wear the hat of a radiologist and also know the normal and abnormal anatomy. The “weird” and “scary” x-rays as you describe are a reminder of how things can go wrong. A wise old professor once taught me that if I have not encountered these “scary” x-rays, then I have not done enough PICC lines!!!😩 Again, a great collection of x-rays and excellent teaching. A wealth of information from this and many previous episodes. Kudos.
How do I as a grandparent let my concerns about noise be known. I feel almost, if not all, the nurses talk informal voi es over the incubator and when it's open. They talk loudly at times and LOL often just feet away. It seems they are just in the bad habit of not trying to be quiet. Our baby was next to the break room door...in ou in ou in out all day..WITH A LOUD CREAK! all the noise of rolling trash, laundry, instruments, etc...I feel it is hazardous noisy and it hurts my heart to witness it. My son and daughterinlaw are afraid to offend for fear of their child's care...they don't get that the noise is detrimental to his well being. I've left many times in silent tears and prayers. He was born at 24-25 weeks.. has a significant large PDA. He is now 31 weeks gestation with no improvement. He was able to go to the NAVA CPAP. Just seeking a bit of advice for coping here.
at 5:45 , my understanding is that the square window test is an exception - you will see greater flexibility (a decreasing angle) as you approach term.
Thanks a lot My question is :did upgrading of antibiotics increase incidence of NEC in preterm with sepsis? and what is the relation bet sepsis and NEC?
Thanks so much , my question is ,When to give immunoglobulin in healthy baby with thrombocytopenia? Should be restricted to autoimmune or can be given also in alloimmuine
Great lecture madam.... Thank you so much for sharing knowledge and experience.... The lectures are really helpful.... - Dr Prashant, MD ( PEDIATRICS) Nagpur, India
Thank you for another excellent video.!🤗 We all are learning a lot from them. ☺️ I would like to ask you to make a video about pain management of newborns ? How do you practise pain management before the procedures/in palliative care, in your unit?
Great info appreciate the hard work The problem with me is when intubating small babies 0-4 months oral opening to small i can see the glottis and the vocal cords but once i thread in the ett im blind every thing is obstructed and i fail any tips how to maximize the oral view making it easier to thread the ett comfortably
It underscores our ability to practice empathy, to view the perspective of the parents despite having seen their experience many times over. For them it’s most likely their first time in the NICU.
