How to WORK-UP and treat HYDROPS // what are outcomes like?!

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The infant is puffy! What do you do next? What are the important blood tests you need to send? And imaging? How can you figure out if a fetus is anemic??? Should hydrops babies be delivered by C-section? Do you have to drain the cavities in the DR? Do you have to at all? What is the survival like?
Learn all this and more!!!
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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!
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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:
Tolia VN, Hunter Clark R Jr, Perelmuter B, Frankfurt JA, Ahmad KA, Abrams ME, Cohen JL, Clark RH. Hydrops fetalis-trends in associated diagnoses and mortality from 1997-2018. J Perinatol. 2021 Oct;41(10):2537-2543. doi: 10.1038/s41372-021-01179-3. Epub 2021 Aug 12. PMID: 34385586.
www.nature.com/articles/s4159...
Society for Maternal-Fetal Medicine (SMFM), Norton ME, Chauhan SP, Dashe JS. Society for maternal-fetal medicine (SMFM) clinical guideline #7: nonimmune hydrops fetalis. Am J Obstet Gynecol. 2015 Feb;212(2):127-39. doi: 10.1016/j.ajog.2014.12.018. Epub 2014 Dec 31. PMID: 25557883.
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**TIMESTAMPS**
01:07 How do you work-up hydrops?
12:46 Treatment of hydrops
22:54 Outcomes of infants with hydrops
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Music: www.bensound.com (royalty free with credit)
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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.

Опубликовано:

23 июл 2024

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Комментарии : 54

@Kaitybardot Год назад

Thank you! Your videos are my go-to as a new grad NICU RN.

@TalaTalksNICU Год назад

THANK YOU! That makes us so happy! Congrats on your new role :)

@haleystreever6155 Год назад

I’m a newbie NICU RN too and these videos help me so much!!!

@raminanouri1506 Год назад

Thanks for an excellent video! I would like a video on chylothorax

@TalaTalksNICU Год назад

Yes- Thank you - we definitely need to cover that soon. Thanks!

@felipeguinancio7456 Год назад

Thanks again Dr Tala! Always here watching and learning. Happy New Year!

@TalaTalksNICU Год назад

Thank YOU so much for all your support! Hope you have a fantastic year :)

@naitramsingh6942 Год назад

Awesome topic to start off the year, really informative and excellent video, thanks again for you and your team

@TalaTalksNICU Год назад

We're SO glad you think so! Thanks so much as always :)

@farmlifekyekyessimplelife1347 Год назад

What an excellent video. Thank you so much

@TalaTalksNICU Год назад

thank you so much! We're really appreciating you positive contributions :)

@havvasimsek6419 10 месяцев назад

Hi Tala this video is amazing covering everything about hydrops thank you so much

@TalaTalksNICU 10 месяцев назад

hello!!! Always so good to hear from you! So glad you found this helpful!!! Thank you :)

@colobotik 13 дней назад

Thank you!!!

@TalaTalksNICU 12 дней назад

Thank you for watching!

@anaisc6678 Год назад

Thank you so much for your videos. I'm a nurse but new to NICU and there is so much to learn. I love referencing to your videos. Literally had a hydrops baby two nights ago.

@TalaTalksNICU Год назад

So happy they're helpful Anais. Thanks o much for letting us know- so motivating getting comments like yours. And ps- congrats on finding yourself in the best field! ha!

@amreshyadav2758 4 месяца назад

great stuff... thank you

@TalaTalksNICU 4 месяца назад

Thank you so much for being here :)

@madanat1000 Год назад

Wonderful review

@TalaTalksNICU Год назад

So glad you think so- thank you!

@evarot9585 Год назад

Thank you for the amazing video! Could you maybe also make a video about "metabolic emergencies"?

@TalaTalksNICU Год назад

YES! I (Tala) have written half of it- so we'll get it out in the next month or so. (I know this has been asked a lot- so I do apologize we haven't gotten around to it yet)

@asermahmoud7273 Год назад

Thank you for all this information. Can you please arrange videos about ECG, Non invasive ventilation and how to adjust it according to ga

@TalaTalksNICU Год назад

Thank you so much! We actually hadn't planned an ECG lecture - but may be fun to do one on the most common and concerning ECG abnormalities we see in the newborn period. We have a couple more videos coming that we already had planned- and then well be starting the non-invasive series- hopefully starting March :)

@lvillarreal8865 Год назад

Thank you Dr. Tala!

@TalaTalksNICU Год назад

So happy you're still watching! Happy New Year!!

@funekatanda7548 Год назад

@@TalaTalksNICU Thank you so much ,u now understand hydrops better

@funekatanda7548 Год назад

Sorry not u but I ,thank you

@stillbreathing100 Год назад

2nd part is equally awesome🎉

@TalaTalksNICU Год назад

So glad you think so!! Thank you SO much!

@sunil5394 Год назад

Looking forward to a talk on a talk on a metabolic work up in a baby with suspected metabolic disorder.

@TalaTalksNICU Год назад

Yes! It's coming soon- we promise!

@laraeb2514 Год назад

I am behind on watching your videos, but once again, another freaking fabulous video!!!! So comprehensive and informative, I love that you even addressed the decision points regarding an emergent c/s in the presence of high mortality....I kinda want to relocate just to work with your team, I promise I can carry my weight I have the energy of a newbie with 20 years experience 😂😂 Also the KB test....I don't believe I have ever pronounced it correctly thankfully most know what I'm talking about when I say KB.

@TalaTalksNICU Год назад

HAHAH KB! yup- don't think i'll say that again. Well you sound perfect for any job on the planet- the curiosity and energy and love for the job still there- with the experience. Come join us!!!!Thank you SO much for the lovely compliments!!

@sophiabrockie905 Год назад

Hi Tala and team! I’d love to see a video series on identifying sepsis and common causes in the neonate. I know you’ve mentioned sepsis multiple times throughout videos but I’d love to hear more about evidence based practices for addressing sepsis. Not sure if it’s too broad of a topic or if you have already created a series on this! Thanks!

@TalaTalksNICU Год назад

Hi Sophia! You're absolutely right- it's such a massive topic that we've been nervous to get into it. But we need to cover some basics- it's been long enough! (Actually ridiculous we haven't talked about sepsis yet!!)

@marionparsons2292 Год назад

@@TalaTalksNICU Hi Tala! As a related topic - I'd love to have a better understanding of antibiotic selection. When there are no culture/sensitivity results yet, how do MDs decide which to prescribe? Another topic that I'd suggest would be liver function tests - ALP, AST, ALT, GGT, albumin, direct bili - what do they mean? Not just the literal function of the marker (i.e. enzyme that converts this AA), but what do high and low levels mean for the baby's status?

@TalaTalksNICU Год назад

These are all excellent suggestions. We should have you as an official consultant! And I love the specificity of the antibiotic one- maybe that’s the bite size we could start with. Similarly with the LFTs! Could talk about labs all day :)

@nimadesai2152 Год назад

Very informative lecture. Could you please post the Feto maternal guidelines for hydrops? Or where can I find them

@TalaTalksNICU Год назад

Whoops! We didn't put that reference in! Sorry and thank you so much for pointing that out! I'll update the page and here it is for you: Society for Maternal-Fetal Medicine (SMFM), Norton ME, Chauhan SP, Dashe JS. Society for maternal-fetal medicine (SMFM) clinical guideline #7: nonimmune hydrops fetalis. Am J Obstet Gynecol. 2015 Feb;212(2):127-39. doi: 10.1016/j.ajog.2014.12.018. Epub 2014 Dec 31. PMID: 25557883. Thanks!!!

@haleystreever6155 Год назад

I would love a video explaining the difference between the Jet and the Oscillator- I’m a Level IV RN and my unit uses the Oscillator so I have a good grasp on that but I we don’t use the Jet so I’d like to have an understanding incase I ever go somewhere and need to use it!!

@TalaTalksNICU Год назад

YES! We do need to get around to the jet. We made two videos on the oscillator so maybe check those out- and we're going top cover the jet soon. Hope you're enjoying your role!

@mahhiidavtalab6088 10 месяцев назад

Thank you for your informative videos❤ can you plaese add persian subtitles to videos?

@TalaTalksNICU 10 месяцев назад

Hello! So happy they help- I really don't know ho to add subtitles? Honestly- I thought that was something you could do on your end?? I'll look into subtitles though!!

@maryamshaikh6615 9 месяцев назад

what happens if hydrops baby also had cystic hygroma in neck and amniotic fluit in heart and lungs what should we do??

@TalaTalksNICU 8 месяцев назад

Hello- I'm not sure what you mean about amniotic fluid within heart/ lungs. With hydrops- infants end up with fluid around heart and lungs. They need to be delivered if it comes to this. Good luck

@maryamshaikh6615 8 месяцев назад

@@TalaTalksNICU i’m asking why hydrops happens in fetus

@TalaTalksNICU 8 месяцев назад

@maryamshaikh6615 oh sorry I didn’t get it! We cover that in part 1 of Hydrops- so maybe check that out? If you go to home page- there is a playlist of Hydrops. If you have questions after that let us know!!!

@divyacv8828 7 месяцев назад

Hi mam i lost 2 babies in hydrops at 16 week fetus one in 2022 june and next is nov 2023 ,i have 1 healthy girl baby 2019,,im rh negative but my ict titre is 1:4 so our dictor told that it may be non immune disease,is it treatable mam im from india,,,please reply,,,can i get your online consultation?please reply

@TalaTalksNICU 7 месяцев назад

Hello- I'm so sorry you've been going through this. We cannot provide any medical advice- but it sounds like your doctor is following up with the tests that need to be done. We wish you and your baby health XX