Transient Tachypnea of the Newborn - TTN - Tala Talks NICU

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Welcome to Tala Talks NICU! In this video, we talk about what transient tachypnea of the newborn (TTN) means, signs and symptoms, treatment, and prognosis.
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! Be sure to 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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Lorente, E. and Agrawal, R. (2020). Transient tachypnea of newborn. Radiopaedia. Retrieved from radiopaedia.org/articles/tran... (Case 1-4)
Infant nasal cannula. (2020). Fisher and Paykel Healthcare Limited. Retrieved from www.fphcare.com/us/products/i...
Bashir T. Murki, S. Kiran, S., Reddy, V.K., and Oleti, T.P. (2019). ‘Nasal Mask’ in comparison with ‘nasal prongs’ or ‘rotation of nasal mask with nasal prongs’ reduce the incidence of nasal injury in preterm neonates supported on nasal continuous positive airway pressure (nCPAP): A randomized controlled trial. PLOS ONE. Retrieved from doi.org110.13711journal.pone.0211476
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Music: www.bensound.com
*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:

20 июл 2024

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Комментарии : 164

@alospm 2 года назад

I’m enjoying your videos so much! I’ve been a NICU nurse for many years but recently returned to work after having my own babies and your videos are a great refresher!

@TalaTalksNICU 2 года назад

Congratulations Alison on your babies and your (hopefully extended) maternity leave! Always weird coming back after babies! We're so happy that these are working as a good refresher. We hope you get all the satisfaction you want at work to make it worth being away from your own babies :)

@pgrodriguez88 Год назад

I’m loving your videos!!!! I’m a Pediatric Intensivist attending, working in a Ecuadorian Amazonian hospital, in a small NICU (NOT MY THING)..It’s been a great challenge, but, your videos had been of great help..GREAT JOB!!! THANK YOU VERY MUCH!!

@TalaTalksNICU Год назад

Well you sound like a complete hero! What an amazing experience you must be having. We're so happy these videos help at all! Thank you so much for taking the time to write :)

@alkafernandez29 Год назад

Dear Dr Tala, I am working in Himalayas. It's a remote place in India, where there are no neonatologists. I am a Pediatrician but have been looking after newborns too. You are a wonderful teacher. Love to listen to you. Thank you so very much for sharing your knowledge so succinctly.

@TalaTalksNICU Год назад

Wow! The Himalayas! Thank you so much for taking care of the babies- it must be so difficult to be in a remote area- we're sure you're doing SO much stuff by yourself. Really impressive!!! We're so glad these videos help at all! Thank you for writing in!

@crystalumar9423 3 года назад

Thanks for this brief but concise video...came across your channel by chance and happy I did. Looking forward to future videos :)

@TalaTalksNICU 3 года назад

We're so happy you're here and part of the NICU community. We have a back-log of requests now we're trying to get through- but please let us know if there's anything in particular you'd like us to discuss!

@bwalyatubi6814 2 года назад

Beautiful....thank you! Please keep them coming

@TalaTalksNICU 2 года назад

Thanks so much Bwalya- that is definitely our plan!

@kyleFed 3 года назад

I love your videos. I’m a new grad NICU nurse and I am learning so much more with your videos! Thanks :)

@TalaTalksNICU 3 года назад

Hi Kyle! We're so glad you found us! And congrats on your new job- we're sure you'll love it! Let us know what would new videos would be helpful for you?! Thanks!!

@leanne3862 3 года назад

I should be paying you.. thank you so much for explaining these concepts so well!

@TalaTalksNICU 3 года назад

That's so sweet! Thanks so much Leanne!

@rehammhmd8538 Год назад

tala i love u ,u reall helps me understanding my career please don't stop

@TalaTalksNICU Год назад

That makes us SO happy. We have no plans of stopping- in fact we have so many lectures we plan to give- we wish we had more time!! Thanks so much for your comment!

@yahyahassan4246 3 года назад

Thank you so much. Much appreciated all your series. Thnk you..

@TalaTalksNICU 3 года назад

We're loving your loyalty, Dr. Hassan!

@thembiq6598 3 года назад

You’re such an amazing tutor

@TalaTalksNICU 3 года назад

You are so kind Themby. Thank you for watching all of these!

@something93565 2 года назад

The only thing that can make this better is the subtitles. Thank you so much, Dr. Tala!

@TalaTalksNICU 2 года назад

Hello! Yes! We have had a few requests for subtitles/ a PDF version/ printable bullet points etc. We are discussing these options. It's all so much more time-consuming than we initially assumed, so for now, we're concerned that it will delay getting videos out! I promise we'll get it done eventually!

@something93565 2 года назад

@@TalaTalksNICU Thank you so much!

@monicabenay9177 2 года назад

Dear dr. Tala I really appreciate your work!!!!! I´'m a neonatologist from Argentina I'm learning English because I've a job offert abroad so your videos are very useful for me. Thank you so much!!

@TalaTalksNICU 2 года назад

Hello Dr. Benay- so happy you're watching and the language is helping!! Congratulations on your new job too- such an exciting part of life!!!

@something93565 2 года назад

Excellent! Thank you so very much!

@TalaTalksNICU 2 года назад

Thank you so much Lorina. We really appreciate your support :)

@decembergirl748 Месяц назад

Amazing explanation as always Dr. Tala! Thank you 🙌🙌🙌

@TalaTalksNICU Месяц назад

Thank you so much for your lovely comment! (Also love your handle!)

@Marilynefc 2 года назад

I love the fun charismatic personality!

@TalaTalksNICU 2 года назад

Thank you so much Mari A!

@alexmabiria7112 2 года назад

What a nice explanation.TTN made simple.

@TalaTalksNICU 2 года назад

That's what we're aiming for Alex! So thank you so much for your comment!

@khairyelwerfeli Год назад

So sweet Dr Tala ❤

@TalaTalksNICU Год назад

Hahaha! I’ll take it :)

@elishatushabomwe1344 2 года назад

Its been so nice surely. God bless you

@TalaTalksNICU 2 года назад

Thank you so much for taking the time to comment :)

@Roger-hu4tk 3 года назад

Thank you so much much appreciated

@TalaTalksNICU 3 года назад

Thank you for watching and for the positive reinforcement!

@sifnamoljoseph85 11 месяцев назад

Very informative videos ,as a nicu nurse very clearly understanding....Thank you so much for your each videos.Please continue to upload more videos

@TalaTalksNICU 11 месяцев назад

We’re so happy you find these clear! We’re definitely planning on continuing putting out videos for some time!!

@sammartial4927 2 года назад

Great video! Straight to the point and very informative. Could you please explain further how the grunting stents the airway? Thank you.

@TalaTalksNICU 2 года назад

Hi Sam- thanks for the compliments :) Grunting is where the glottis suddenly closes in an attempt to 'trap' the air and maintain the FRC- so kind of like the infant trying to give themselves CPAP. Does that make sense?

@sammartial4927 2 года назад

@@TalaTalksNICU Yes it does. Thanks a lot

@digimolraphel25 11 месяцев назад

Hi Dr Tala ...Amazing presentation

@TalaTalksNICU 11 месяцев назад

Thank you so much for watching

@dipikadave7533 2 года назад

Thank you Tala your vedio is very informative.Being a nurse is very helpful for me

@TalaTalksNICU 2 года назад

Hello! We're so glad you find these videos helpful. Thanks so much for letting us know :)

@kebedealemu8859 Год назад

Love your videos on NICU

@TalaTalksNICU Год назад

Thank you so much for watching!

@kengurukashanice76 3 года назад

You are the best!

@TalaTalksNICU 3 года назад

Thank you so much for your positivity!

@mans12341000 3 года назад

Simplified and nicely explained . I become fan of your teaching skills. It's really refreshing basic topic within few minutes. Hats off to you . Can you make video on central line cannulation in newborns . Thank you so much.

@TalaTalksNICU 3 года назад

Hello Manoj! Thanks for watching and for commenting- these messages keep us going! We have been wanting to do a series on procedures since we started but we need to figure out how to do it in the NICU by going down the proper channels!!! Stay tuned!!

@pang4617 2 года назад

Amazing. I have learned a lot

@TalaTalksNICU 2 года назад

Thanks so much Pa- for watching and for commenting :)

@azizjunaid3708 11 месяцев назад

Very clear and direct to the point- well explained thanks doctor

@TalaTalksNICU 11 месяцев назад

Thank you for the lovely compliment and for taking the time to write

@markoswodaje2385 3 года назад

It's best lectures ....

@TalaTalksNICU 3 года назад

Thank you so much for watching Markos

@BlueSky-wn2ox 3 года назад

Thanks alot what an informative explanation🌸

@TalaTalksNICU 3 года назад

Thank you so much for watching and commenting!

@antohalleyano5467 3 года назад

Thank you so much for this video. Really explanative. I don't get this detailed explanation from the hospital 🙏

@TalaTalksNICU 3 года назад

We're so glad it helped! Thank you for watching and commenting :)

@kimakira2362 8 месяцев назад

Dr.Tala , do you have a podcast? your videos helps a lot!! thank you!

@TalaTalksNICU 8 месяцев назад

Hello! No we don’t! Although Arianna and I keep talking about one!! We’re so busy with this channel low! So glad they are helpful to you!!

@mohammeddeeq2178 3 месяца назад

Wooow wooow thank you. Soo much 🙏🙏

@TalaTalksNICU 3 месяца назад

Love this comment! Thank you so much for watching!

@mariamhussein5360 2 года назад

Thank you for these wonderful lectures, Dr. Tala Can you add videos of birth asphyxia and neonatal pneumonia

@TalaTalksNICU 2 года назад

Hello! Thanks so much for watching! We do need to do a video on neonatal pneumonia (thank you! this wasn't on our list!). We promise we'll get to it! We recorded a video on HIE already- if you go to the search engine on the channel's page you'll find it??

@meor5175 3 года назад

Amazing intro to TTN! Next topic suggestion. How about neonatal jaundice?

@TalaTalksNICU 3 года назад

Thank you so much Myo! And you're in luck- hyperbilirubinemia will be covered in the next few videos we put out :)

@adeelrajpoot6792 2 года назад

Fantastic Dr

@TalaTalksNICU 2 года назад

Thank you so much for watching Adeel :)

@0819superman 2 года назад

Excellent!

@TalaTalksNICU 2 года назад

Thanks so much for watching for taking the time to comment!

@donellesatchwell494 Год назад

Amazing!

@TalaTalksNICU Год назад

Thank you!!

@olabadwey9022 2 месяца назад

Thank you

@TalaTalksNICU 2 месяца назад

You're welcome!!!!

@mohamedelsheity1242 5 месяцев назад

😂😂you and your smile are the best. thank you

@TalaTalksNICU 5 месяцев назад

Ha! Thank you! Appreciate you being here :)

@osamaalagamawy3891 Год назад

ما شاء اللة. بارك اللة فيكم.

@TalaTalksNICU Год назад

Shukran baad marra!

@klalawmpuia2001 2 месяца назад

Nicely said

@TalaTalksNICU 2 месяца назад

Thanks so much!!!

@blessingskaimbo6479 Год назад

Thanks 😊❤️

@TalaTalksNICU Год назад

Thank you for being here!

@missyrinehart5159 2 года назад

This is amazing! Could you please do BPD?

@TalaTalksNICU 2 года назад

Hello Missy! Thanks so much- yes! we are doing BPD soon, we promise!

@Mgan19 3 года назад

Please do a video about newborn jaundice, I LOOVE YOUR CHANNEL

@TalaTalksNICU 3 года назад

Yes! We have a series of these planned. I love talking about hyperbilirubinemia! Thank you for watching and commenting!

@thembiq6598 3 года назад

Yes please Jaundice

@velayudhankottamal6545 3 года назад

Plzz do a video about CPAP functioning And it's mechanism

@TalaTalksNICU 3 года назад

Absolutely. We'll be starting a vent 101 series of videos soon explaining different modes of ventilation and gases etc. Will be sure to included CPAP too. Thank you for watching and commenting!

@ginagardiner9186 9 месяцев назад

Love it

@TalaTalksNICU 9 месяцев назад

Great! Thanks for being here :)

@alkafernandez29 Год назад

Dear Dr Tala, please take a lecture on LMA.

@TalaTalksNICU Год назад

Yes- we need to do this- especially as we feel that these are probably going to be used more and more in the NICU. Honestly though- as a team- we have only used LMAs in circulation. I would recommend you watching this excellent video: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-87flCCYhKZ8.html Hope thus helps!!

@mashudumuvhali2338 2 года назад

Great tutor😘

@TalaTalksNICU 2 года назад

Thank you!!!! A lovely compliment!

@ramdhassanap8271 3 года назад

Nice information mam

@TalaTalksNICU 3 года назад

Thank you so much for watching!

@marielenaguzman6305 2 года назад

Hi Dr. Tala can you make a video on when to use nasal cannula, hfnc and cpap.

@TalaTalksNICU 2 года назад

Hello Marielena! We're so glad you asked for this- because we actually have a couple of videos planned on exactly this topic in the near future. Thanks so much for watching and for commenting :)

@asimanrostami 3 года назад

excellent 👌❤

@TalaTalksNICU 3 года назад

Thanks so much Asma!

@user-uw6gh4eo4x 3 года назад

thanks

@TalaTalksNICU 3 года назад

Thank you for watching!

@naveedhaider3112 2 года назад

Loved those giggles. :)

@TalaTalksNICU 2 года назад

Ha! Justin always makes me laugh!

@shimma4996 Год назад

Great video! I am having some trouble understanding the difference between TTN and PPHTN...it seems that both involve extra fluid remaining in the lungs but what is the difference?

@TalaTalksNICU Год назад

TTN is retained fetal lung fluid. PPHN is high pressure in lungs from the blood vessels not relaxing because something else is going on (e.g RDS, MAS, pneumonia etc.). If TTN is really bad and not treated adequately, it can result in increased pulmonary pressures. Hope this helps!

@chemutaiharonelites8803 2 года назад

Good job

@TalaTalksNICU 2 года назад

We really appreciate you watching and taking the time to comment, Chemutai :)

@rajkoladia2055 2 года назад

Nice explanation 👌

@TalaTalksNICU 2 года назад

Thanks so much Raj!

@amberhughes7754 3 года назад

What does it mean if a baby born 29 weeks 5 days currently in the nicu and has tachynea only during feeds? My baby is 40 weeks and 4 days and she is having this problem.

@TalaTalksNICU 3 года назад

Congratulations! Obviously I don't know the details- but generally this is one of two issues: 1) Eating itself takes a lot of stamina and strength so it's possible your baby is tiring out during feeds or 2) your baby is micro aspirating during feeds (which means small amounts of the milk are going down the breathing tube or trachea instead of down the esophagus (tube to stomach). Many ex-preemies do this and generally grow out of it. I'm sure the speech therapist and NICU team at your NICU are looking into both these scenarios. Good luck!

@johnsunn1256 7 месяцев назад

Since birth (30+6 planned c-section, preemclampsia/gestational diabetes), baby started with cpap on 21% room air. Now switched to vapotherm 3liters (tried 2liters for a day and went back up) 21% room air and has random respiratory rates that go low to high (still breathing too fast for direct feeding). We're at day 21 of life. If not TTN is it just development most likely? Every other milestone has been reached. Weight (born 3lbs 4.6 oz, now 4lbs 3 oz) maintaining body temp, feedings cues etc. Just monitoring breathing now. Whats your take?

@TalaTalksNICU 7 месяцев назад

Hello! Normally TTN lasts 2-3 days so if beyond that period then it’s something else. Here it definitely sounds like some pulmonary insufficiency of prematurity- ie developmental stuff. Sounds like little one is doing well :)

@Noreem100 3 года назад

Hi this is Noreem I work in NICU recently in Saudi Arabia , want to ask you wen to use Nitric Oxide and what is the purpose of using it with mechanical support .Thanks

@TalaTalksNICU 3 года назад

Hello Noreem! Thank you so much for watching and commenting. We discuss iNO in the pulmonary HTN video- take a look at that- and if you still have questions, I'll be sure to answer them!!

@Monica_29 2 года назад

3:15 Why does an infant of a diabetic mother have increased risk of TTN? Learning so much from your videos from a Physiotherapist's perspective. Thank you!

@TalaTalksNICU 2 года назад

Hello Monica- this is an excellent question- and one which I'm not sure of the answer. Infant of diabetic mothers have decreased surfactant production so they also have a higher chance of RDS. I'm not sure if a higher circulating glucose also affects the channels that are responsible for absorbing the fluid from within the lungs? Some (but not all) of the effect maybe that IDMs are also larger and more likely to be delivered by C-section. I will try to research more and get back to you if I find something! Thank you for watching and commenting :)

@Monica_29 2 года назад

@@TalaTalksNICU That all makes much sense. I didnt expect such a thorough answer. Thank you!

@megandeveraux9842 Месяц назад

If a newborn started out with tachypnea, nasal flaring and maybe a little grunting. Spo2 is slightly low for minutes old what is your normal practice? If SVD is it appropriate to just give a little blow by on mom and keep skin to skin to keep spo2 within range? Would it be best to support with CPAP thus take off of Mom? Do you ever drop a OG right after delivery if they sound especially wet just to clear fluids out of their stomach? 😊

@TalaTalksNICU 28 дней назад

Oooh this happens so often doesn’t it! I think so much depends on what baby looks like and what direction he is going in. Really tugging and grunting getting worse? Maybe Cpap. A bit cyanotic but breathing improving- maybe NC. Mild desats and comfortable then I’d wait!!! Not v helpful!

@trinhjavaid2344 2 года назад

Can you make a video regarding chest tubes? Inserting, placing, negative pressure etc?:)

@TalaTalksNICU 2 года назад

Hello Trinh! First lovely picture! We think we have a suitable simulator for it-so we now have a plan at least for how to film it!! Thanks for your suggestion!

@trinhjavaid2344 2 года назад

@@TalaTalksNICU :) thank you! Sorry a couple more cause I’m in the NNP Program! Would you add needle aspiration with it? And if I think of more I’ll be sure to send a message!

@TalaTalksNICU 2 года назад

Absolutely! Great idea!! Thanks!

@talabatbouta 3 года назад

Great video thank you!

@TalaTalksNICU 3 года назад

Great name! Thanks for watching and commenting!

@hashimkhan9218 2 года назад

Hi Doc, my baby has been ion CPAP since 5th hour of his life in NICU, retractions are very much visible. blood group of mum and baby are different. is there a concern ???

@TalaTalksNICU 2 года назад

Hello Hashim. Congratulations on your new baby. If it is TTN, it can take 2-3 days for the retractions and tachypnea to go away. Many babies have different blood types from their mothers. Your doctors will be following the levels. Good luck!

@charmainedivinagracia4064 3 года назад

So the only difference between RDS and TTN is the time it manifests? like they have the same signs and symptoms (grunting, retractions, tachypnea). I remember RDS is due to a deficient surfactant. TTN is retained fluid in the lungs. (sorry im just listing out possible differences that i could remember. dont hesitate to correct me please. I want to learn hehe) both resolves in 3 days?

@TalaTalksNICU 3 года назад

Hello Charmaine! You're right- from a purely physical exam standpoint, it would be difficult to differentiate the two (tachypnea, grunting, retractions etc). Generally RDS occurs in earlier GAs, and TTN in later. RDS is more likely to need an Oxygen requirement, whereas TTN is often the grunting babies needing CPAP but like 23% fi02. Generally TTN resolves in 3 days (it's transient!) but RDS normally lingers on much longer (weeks to months depending on the gestational age). Does this help?

@charmainedivinagracia4064 3 года назад

@@TalaTalksNICU yes it does!!! thankyou! 😌😌 Thankyou for the videos. Very easy to comprehend ☺️

@TalaTalksNICU 3 года назад

Great! Thanks for being here :)

@fatem6144 Год назад

If it sever they use NO , can you explain that

@TalaTalksNICU Год назад

Great question. Rarely TTN is treated way too late and not aggressively enough- and the lungs go into worsening pulmonary HTN- which needs something big to get out of it. This is very rare- and would normally be associated with another underlying issue (e.g. pneumonia, hypolasia etc).

@dsolowkeyx2823 2 года назад

My son is 6 days old and is nicu because of this problem when I call they tell me his still breathing fast but when I look it up it only says it last about 3 days so what really is going on?

@TalaTalksNICU 2 года назад

Hello. We're sorry it took us so long to reply- hopefully your son is doing much better now. Congratulations on his birth!

@shasy00 Год назад

its the day 7 baby in nicu. All clinical tests are done but nothing found. (Chest cray, echo, stomach and head ultra sound, blood tests for any infections) baby breathing rate varies between 60-75. Baby looks so much fine, breastfed well. What could it be then?

@shasy00 Год назад

yes its a selective c section due to GD

@TalaTalksNICU Год назад

Obviously we don't know enough about the case to offer any advice- but if a baby is breast feeding well, then that's very reassuring. Good luck!

@peddagorantlagarimanohar1525 3 года назад

What is the difference between asphyxia and respiratory failure

@TalaTalksNICU 3 года назад

Asphyxia means the body is not getting the Oxygen it needs (e.g. during choking when the airways are blocked), whereas respiratory failure means the lungs themselves are failing and unable to do the job of breathing (getting Oxygen from alveoli into the blood vessels and getting carbon dioxide out f the body) . Hope this makes sense?

@peddagorantlagarimanohar1525 3 года назад

@@TalaTalksNICU Why are hyaline membranes formed in the alveoli during RDS, but not during pneumonia? CPAP and expiratory grunting. What do they have in common? The difference in the mechanism of action and indications for high-frequency oscillatory ventilation and the usual mode of invasive ventilation in newborn? Can we put Respiratory distress syndrome as diagnosis?

@jampellhendrup1376 2 года назад

What's the difference between birth asphyxia and TTN

@TalaTalksNICU 2 года назад

Hello Jampel! Birth asphyxia means that the baby lacked Oxygen during the delivery process (see the HIE video we filmed). TTN is when the fluid that was in the lungs all the way through pregnancy- hasn't completely emptied out of the lungs yet-and so they're 'wet'. Does this answer your question? Thanks so much for subscribing :)

@ssmm8200 3 года назад

can ttn make baby needs mechanical ventilation?

@TalaTalksNICU 3 года назад

Excellent question. If a baby has pure TTN, it would be unlikely the infant would need to be intubated and on a vent, unless it had reached the point of pulmonary hypertension or if for example the infant blew a pneumothorax (e.g. from being on the CPAP). Pure TTN usually needs low, if any extra Oxygen, and normally they're breathing enough by themselves to ventilate adequately too. Thanks for the question and for being here with us!

@rehabhh5834 3 года назад

How to calculate TpN for neonate

@TalaTalksNICU 3 года назад

we can definitely go over this!

@shreyaroy8711 3 года назад

My baby is there in Nicu for 5days..i hd Gestational Diabetes and was delivered in 38week 3days

@TalaTalksNICU 3 года назад

Thank you for sharing Shreya. I hope your baby is much better now. Congratulations!

@salwaalmawy8190 3 года назад

Piano players🤣

@TalaTalksNICU 3 года назад

HAHA! right?

@Kirito-xi5od 2 года назад

Dr. Tala, I appreciate the length you go to teach a complicated lesson into a simple one. You make learning fun.

@TalaTalksNICU 2 года назад

AHHH that's lovely! Always our aim to simplify lessons as much as possible. And making anything fun is a massive bonus, because it keeps people wanting to learn more :) Thank you!