The Incubator
A weekly discussion about new evidence in neonatal care and the fascinating individuals who make this progress possible. Hosted by Dr. Ben Courchia and Dr. Daphna Yasova Barbeau.
#430 - 🏖️ [COOL TOPICS] - Can Early Intervention for Post Hemorrhagic Hydrocephalus Change the Trajectory for Preterm Brains? (ft. Dr. Kelly Mahaney)
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Dr. Kelly Mahaney, Assistant Professor of Pediatric Neurosurgery at Stanford and researcher focused on the role of iron in post hemorrhagic hydrocephalus, joins the podcast to challenge the traditional watch and wait approach to IVH complications. She describes Stanford’s early radiographic intervention pathway, which has reduced shunt dependency from 90% to 45% in reservoir-placed infants, explains why waiting for clinical symptoms means waiting too long, and outlines her effort to build a statewide CPQCC nested network to standardize and study early intervention practices across California NICUs.
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#428 - 🏖️ [COOL TOPICS] - Are Soft Skills Actually the Hardest Skills to Master in Medicine? (ft. Dr. Clara Song)
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Dr. Clara Song, neonatal intensivist with Southern California Permanente Medical Group, Chair of the AAP Section on Neonatal Perinatal Medicine Executive Committee, and founding leader of the Women in Neonatology group, shares the lessons from her Cool Topics talk on quiet power and soft skills in leadership. She explores how communication, emotional intelligence, and servant leadership drive team performance more than technical expertise, breaks down the four personality types every leader needs to understand, and offers a practical framework for structuring communication so every type of team member actually receives the message.
<...#429 - 🏖️ [COOL TOPICS] - Is the Lymphatic System the Circulatory System We Have Been Ignoring in the NICU? (ft. Dr. Sanjay Sinha)
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Dr. Sanjay Sinha, interventional pediatric cardiologist, Assistant Professor of Pediatrics at CHOC and UCI, and Co-Director of the UCLA Congenital Lymphatic Imaging and Intervention Program, opens a new chapter for neonatologists on neonatal chylothorax and lymphatic disease. He explains how to recognize lymphatic mimickers at the bedside, why woody edema should raise the index of suspicion, how MR lymphangiography is reshaping diagnosis and surgical planning, and how early targeted intervention is dramatically reducing NPO time and hospital length of stay in a population that was previously managed with a prolonged watch and wait...
#427 - 🏖️ [COOL TOPICS] - Are Neonatologists Being Fairly Compensated for the Work They Do? (ft. Dr. Robin Steinhorn)
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Dr. Robin Steinhorn, Professor and Vice Dean for Children’s Clinical Services at UC San Diego and President of Children’s Specialists of San Diego, tackles one of neonatology’s most uncomfortable conversations: compensation. She breaks down how to identify reliable benchmark data, explains why neonatologists are generating more RVUs than ever while pay has not kept pace with workload complexity, addresses gender discrepancy trends in the literature, and offers practical strategies for individuals and division chiefs to use rigorous national data when advocating for fair compensation at the institutional level.
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#426 - 🏖️ [COOL TOPICS] - What Does It Really Take to Build a Medical Home for NICU Graduates? (ft. Dr. Susan Hintz)
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Dr. Susan Hintz, Medical Director of the Fetal and Pregnancy Health Program and Robert L. Hess Family Endowed Professor at Stanford Medicine, delivers this year’s Cool Topics keynote on collaboration, shared purpose, and the lessons learned building high risk infant follow-up infrastructure through the CPQCC. She challenges the neonatal community to move beyond the handoff to a pediatrician and think deliberately about true medical home design, including coordinated care teams, clearly defined roles across subspecialty and follow-up clinics, and better use of community based resources to support families long after NICU discharge.Â
<...#425 - 🏖️ [COOL TOPICS] - Are We Missing Neonatal AKI Right in Front of Us? (ft. Dr. Caitlin Carter)
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Dr. Caitlin Carter, Clinical Director of Nephrology at Rady Children’s Hospital and associate clinical professor at UC San Diego, joins the podcast to challenge how neonatologists recognize and follow up on acute kidney injury. She explains why creatinine alone is insufficient, how biomarkers like NGAL can detect tubular injury before function declines, and why AKI too often disappears from the discharge summary. She also outlines published consensus guidelines on post NICU nephrology follow-up, with clear thresholds based on gestational age and AKI severity.
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#424 - 🏖️ [COOL TOPICS] - How Should We Feed the Most Immature Babies in Our NICUs? (ft. Dr. Tarah Colaizy)
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Dr. Tarah Colaizy, Professor of Neonatology at the University of Iowa Stead Family Children’s Hospital and Medical Director of the Mother’s Milk Bank of Iowa, challenges the one size fits all approach to nutrition in periviable infants. She shares the Iowa philosophy of individualized, principle driven feeding management, explains why rigid protocol adherence can backfire in the most immature babies, and walks through her unit’s glycerin protocol for meconium obstruction of prematurity. She also discusses the practical realities of frequent low volume lab monitoring and the importance of patience over speed...
#423 - 🏖️ [COOL TOPICS] - Should Neonatology Break Free from Pediatrics? (ft. Dr. Satyan Lakshminrusimha)
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Dr. Satyan Lakshminrusimha, Chair of Pediatrics and Pediatrician in Chief at UC Davis Children’s Hospital, makes a compelling case for rebranding and restructuring neonatology as a field. He argues for adopting the title of neonatal critical care physician, addresses the stark disparity between NICU revenue generation and neonatologist compensation, and outlines a step by step resuscitation framework for the field, from restoring professional identity to establishing a dedicated neonatal residency pathway and ultimately recognizing neonatology as its own independent department.
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#422 - 🏖️ [COOL TOPICS] - What Does Dignified End of Life Care Look Like in the NICU? (ft. Dr. Elizabeth Crouch)
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Dr. Elizabeth Crouch, neonatologist, neuroscientist, and physician scientist at UCSF and co-host of At the Bench on The Incubator Podcast, joins Ben and Daphna live at Cool Topics to discuss palliative and comfort care in the NICU. Drawing from her research on organ donation, autopsy, and research donation after neonatal loss, Dr. Crouch shares how meaning making supports families through grief, offers practical tips for approaching these conversations with compassion and good timing, and reflects on the role of chaplains, ethics consultants, and care pathways in supporting a death with dignity.
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#421 - 🏖️ [COOL TOPICS] - Can the CPQCC Model Be Exported to the World? (ft. Dr. Shmuel Zangen)
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Dr. Shmuel Zangen, Director of Neonatology at Barzilay Medical Center in Ashkelon, Israel, and former chair of the Israeli Neonatal Association, joins the podcast during his California sabbatical embedded with CPQCC. Having already led national QI collaborations targeting nosocomial infections and intraventricular hemorrhage across all 26 Israeli NICUs, he shares what he is learning about the culture, infrastructure, and methodology behind effective statewide quality improvement, and what he hopes to bring home as Israel transitions its neonatal database to the Ministry of Health.
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#420 - 🏖️ [COOL TOPICS] - What Do Normothermia, Breast Milk, and Infection Rates Have in Common? (ft. Dr. Jochen Profit)
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Dr. Jochen Profit, Chair and Principal Investigator at CPQCC and Wendy J. Tomlin-Hess Endowed Professor of Pediatrics at Stanford Medicine, joins the podcast to discuss what truly separates high performing NICUs from the rest. He makes the case for process metrics over mortality as quality markers, highlighting normothermia on admission, breast milk feeding at discharge, and infection rates as deceptively simple yet deeply revealing indicators of unit culture. The conversation also explores how toxic work environments and provider burnout silently undermine quality improvement efforts.
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#419 - 🏖️ [COOL TOPICS] - Is the Neonatal Kidney the Organ We Have Been Ignoring? (ft. Dr. Alexis Davis)
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Dr. Alexis Davis, Clinical Professor of Pediatrics at Stanford and Medical Director of the NephroNICU at Lucile Packard Children’s Hospital, makes the case that neonatology is entering a nephro era. She discusses how AKI prevention through initiatives like the BABY NINJA collaborative, fluid management strategies, and the emerging concept of the NephroNICU are reshaping how we think about kidney health in premature infants. She also addresses the complex ethical and practical considerations around dialysis and renal replacement therapy in newborns with congenital kidney failure.
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#418 - 🏖️ [COOL TOPICS] - Are We Truly Listening to NICU Families or Just Checking a Box? (ft. Ra’Niesha Bratton & Joanne Tillman)
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Ra’Niesha Bratton, MPH, CHES, CPQCC Family Advisory Council board member and public health advocate, and Joanne Tillman, CPQCC Family Engagement Coordinator, join the podcast to discuss what genuine family centered care looks like in practice. Drawing from lived NICU experience, Ra’Niesha shares how implicit bias and cultural incompetence harm families at their most vulnerable and how structured family advisory councils can drive systemic change. The conversation also tackles peer to peer support gaps, bereavement resources, and how to access the CPQCC NICU Family Advisory Council Toolkit.
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#417 - 🏖️ [COOL TOPICS] - Do NICU Families Have a Seat at the Table? (ft. Silvia Bor)
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Silvia Bor, NICU mom to a 24 weeker and Family Advisory Council member for the CPQCC, makes the case for why family centered care must go beyond a philosophy and become a structured practice. She shares how involving parents in quality improvement initiatives, including the NEOBrain early skin to skin project, drives meaningful change at the bedside. She also outlines the CPQCC toolkit for building hospital level Family Advisory Councils and discusses how to identify the right parent advocates, including those whose NICU journeys ended in loss.
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#416 - 🏖️ [COOL TOPICS] - Can Statewide Collaboration Transform Neonatal Care? (ft. Dr. Denise Suttner)
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Recorded live at the Cool Topics in Neonatology conference, this episode features Dr. Denise Suttner, Clinical Director of the Rady Children's Hospital NICU, professor of pediatrics at UC San Diego, and director of the San Diego Regional ECMO Program. Dr. Suttner discusses the California Perinatal Quality Care Collaborative (CPQCC) as a model for statewide neonatal quality improvement, the importance of family centered communication in the NICU, and the value of state level professional organizations in advancing advocacy for neonatal healthcare funding and pediatric subspecialty reimbursement.
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#415 - Finding Optimal PEEP at the Bedside With Electrical Impedance Tomography?
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In this episode, we sit down with Dr. Jessica Shui, attending neonatologist at Mass General for Children, to explore the game-changing potential of Electrical Impedance Tomography (EIT) in the NICU. We dive into her recent paper in the Journal of Perinatology on using non-invasive EIT to identify optimal PEEP in infants with severe bronchopulmonary dysplasia. Dr. Shui explains how this real-time, radiation-free technology allows clinicians to visualize lung mechanics, dynamically titrate ventilator settings, and confidently reduce PEEP without risking atelectasis. Join us as we discuss moving beyond blind adjustments and stepping into the future...
đź“‘ Journal Club - The Complete Episode from March 14th 2026
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The PDA debate has a new data point. TREOCAPA, a phase 3 multicenter European RCT, tested prophylactic acetaminophen in infants born at 23 to 28 weeks. The ductus closed more reliably. Whether that translated into better survival without severe morbidity at 36 weeks is where the conversation gets interesting.
Also this week: a large multicenter cohort study puts real numbers on diazoxide use across US NICUs and the pulmonary hypertension risk that has driven so much practice variation. The NeoDry trial tests whether drying very preterm infants before plastic wrapping improves normothermia at admission, with results...
#414 - [Neo News] - đź“Ś How Can Clinicians Navigate Unverified Formula Safety Data?
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In this Neo News episode, Ben and Eli dive into the recent controversial announcement from the state of Florida regarding heavy metals and pesticides found in infant formulas. They discuss the implications of releasing testing data without transparent methodology or clinical context, especially for unregulated or recalled brands like ByHeart and Similac Soy Isomil. How should NICU clinicians counsel parents who want to bring their own formulas from home? Tune in as they unpack the regulatory loopholes, the evolving public health initiatives, and the ongoing challenge of navigating unverified reports in neonatal care!
<...#413 - [Journal Club] - đź“Ś Should We Increase Caffeine Dosing for Extremely Preterm Infants?
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In this episode of Journal Club, Ben and Daphna review a retrospective cohort study exploring the effects of higher caffeine maintenance dosing on BPD and neurodevelopmental outcomes. They discuss the transition from the standard CAP trial doses to higher regimens for infants born at or before 28 weeks gestation. Does an average daily dose of over six milligrams per kilogram reduce severe BPD or improve Bayley cognitive scores at six months? Tune in as they debate the safety, clinical implications, and their own unit's practices regarding caffeine management in the NICU!
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<...#412 - [Journal Club] - đź“Ś Does Drying Very Preterm Infants Before Wrapping Improve Normothermia?
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In this Journal Club episode, Ben and Daphna review the eye-opening results of the NeoDry Trial recently published in JAMA Network Open. They explore the clinical rationale of whether drying very preterm infants before applying a plastic wrap in the delivery room improves rates of normothermia upon NICU admission. While the intervention did not significantly improve temperatures, it unexpectedly revealed an alarming increased mortality risk for the smallest neonates. Tune in as they break down the study's design, discuss the potential causes for this stark safety signal, and highlight the ongoing challenge of maintaining...
#411 - [Journal Club] - đź“Ś Is Diazoxide Use Increasing for NICU Hypoglycemia?
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In this Journal Club episode, Ben and Daphna review a large cohort study from the Journal of Perinatology on the prevalence and safety of diazoxide in the NICU. With neonatal hypoglycemia seemingly on the rise, they discuss off-label use for transient hyperinsulinism and evaluate real-world data from over 340 Pediatrix units. They dive into the rates of concurrent diuretic therapy, respiratory support, and the dreaded risk of pulmonary hypertension. Tune in for a clinical breakdown of when and how this medication is being utilized across centers, plus Ben's echocardiography struggles with cranky term babies on...
#410 - [Journal Club] - đź“Ś Prophylactic Acetaminophen for PDA, Does Early Closure Improve Outcomes?
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In this Journal Club episode, Ben and Daphna review the highly anticipated TREOCAPA trial results exploring the prophylactic use of acetaminophen for PDA closure in extremely preterm infants. They break down the study's tailored dosing regimens, safety outcomes like cholestasis, and discuss why achieving a higher rate of early ductal closure didn't necessarily translate to improved survival without severe morbidity. Plus, they share a nod to recent Neo Conference interviews and the realities of conducting clinical research in private practice. Tune in for a nuanced discussion on individualizing PDA management in the NICU!<...
#409 - 🔵 [NEO CONFERENCE] - Saving Babies, a book that capture the stories from the NICU (Dr. Tarek Nakhla)
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Live from the NEO Conference in Las Vegas, Ben and Daphna sit down with Dr. Tarek Nakhla to discuss his new book, Saving Babies Behind the Doors of the Neonatal Intensive Care Unit. Moving beyond standard medical textbooks, Dr. Nakhla shares how chronicling nearly 30 years of challenging patient encounters and complex family dynamics can serve as an essential guide for new trainees. The conversation highlights the therapeutic power of narrative medicine for clinicians and the profound impact of non-clinical staff on the family experience. Discover why capturing the human side of neonatology is...
#408 - 🔵 [NEO CONFERENCE] - How does structured bedside data power multicenter comparative effectiveness research? (Dr. Veeral Tolia)
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How can a database tracking 20% of all US NICU admissions change the way we practice neonatology? Live from the NEO Conference, Ben and Daphna sit down with Dr. Veeral Tolia to discuss his groundbreaking work with the Pediatrix Clinical Data Warehouse. Dr. Tolia dives into the power of leveraging decades of observational data to supplement randomized trials—from analyzing the 50-fold increase in Precedex usage to studying natural experiments like the vitamin A shortage. The group also looks ahead to the Newborn Express dataset, exploring how socioeconomic metrics like the Child Opportunity Index mi...
#407 - 🔵 [NEO CONFERENCE] - How can we build AI literacy among bedside clinicians (Dr. James Barry)
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How will artificial intelligence fundamentally change the way we chart, teach, and monitor patients in the NICU? Live from the NEO Conference, Ben and Daphna sit down with Dr. James Barry to explore the critical need for "AI literacy" among bedside clinicians. Dr. Barry draws parallels between driver's education and safe AI use, highlighting the hidden dangers of automation complacency with AI scribes. They also discuss the exciting potential of computer vision in respiratory monitoring and how the CONCERN early warning system is quantifying nursing intuition. Join us as we navigate the guardrails...
#406 - 🔵 [NEO CONFERENCE] - Conducting family centered research in the private practice world (Dr. Kaashif Ahmad)
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Can groundbreaking neonatal research thrive outside of academic medicine? Live from the NEO Conference, Ben and Daphna sit down with Dr. Kaashif Ahmad, Vice President of Research at Pediatrix. Dr. Ahmad shatters the myth that community NICUs can't drive clinical science, discussing how everyday documentation in systems like Baby Steps quietly fuels hundreds of publications. He also unveils "The Parent Network," a revolutionary initiative designed to partner with family-led organizations from day one to establish comparative effectiveness trial priorities. Tune in to discover how private practice clinicians are successfully balancing bedside care with...
#405 - 🔵 [NEO CONFERENCE] - How can direct networking redefine the neonatology job search? (Dr. Zubin Shah)
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How does individualized medicine shape both patient trust and neonatal careers? Live from the NEO Conference, Ben and Daphna catch up with Dr. Zubin Shah, Clinical Ambassador for Pediatrix. The team explores the power of tailoring bedside conversations to individual babies—whether discussing targeted hemodynamics or framing RSV prevention with nirsevimab—rather than relying solely on generalized trial data. Dr. Shah also sheds light on the evolving landscape of neonatal recruitment, emphasizing how peer mentorship and direct networking can help new physicians find practices that balance rigorous clinical care with research and quality impr...
#404 - 🔵 [NEO CONFERENCE] - What guides us when parents disagree on medical care? (Dr. Mark Mercurio)
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When parents fundamentally disagree on life-saving interventions in the delivery room, how do clinical teams decide the next step? Live from the NEO Conference, Ben and Daphna sit down with Dr. Mark Mercurio, Executive Director of the new Center for Pediatric Bioethics at Boston Children’s Hospital. Dr. Mercurio dissects a highly complex ethical case regarding parental disagreement over resuscitation at the border of viability. Emphasizing the distinction between parental "preference" and parental "judgment," he explores the necessity of clinical humility, the hidden margins of error in gestational age dating, and how admitting ou...
#403 - 🔵 [NEO CONFERENCE] - What defines high quality evidence in modern neonatal care (Dr. Wally Carlo)
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Join Ben and Daphna live from the NEO Conference as they welcome the 2026 Legends in Neonatology Award recipient, Dr. Waldemar "Wally" Carlo. In this inspiring conversation, Dr. Carlo discusses the driving forces behind his enduring passion for clinical care and the critical need for robust bedside research. They explore how full-time clinicians can actively shape the research agenda by turning everyday diagnostic uncertainties into innovative trials. Dr. Carlo also offers a preview of his highly anticipated lecture on neonatal oxygen targets, revealing why it remains one of the most rigorously studied—yet complex—area...
#402 - 🔵 [NEO CONFERENCE] - Is fresh milk the key to improving long term neonatal outcomes
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Does our fear of necrotizing enterocolitis do more harm than good? In this live episode from the Neo conference, Ben and Daphna sit down with Dr. Ariel Salas to challenge the "culture of fear" surrounding neonatal nutrition. Dr. Salas argues that while we obsess over ill-defined NEC risks, we may be sacrificing the proven benefits of early feeding on sepsis reduction. From the emotional weight of "wasted" breast milk to the "illusion of control" provided by strict protocols, this conversation urges neonatologists to move toward a family-centered, evidence-based approach that prioritizes human milk...
#401 - 🔵 [NEO CONFERENCE] - What are the best entry points for starting a POCUS program in your unit?
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Live from the Neo Conference in Las Vegas, Ben and Daphna sit down with Dr. Zach Anderson from Winnie Palmer Hospital to demystify the integration of Point of Care Ultrasound (POCUS) in the NICU. Moving beyond the intimidation of complex cardiac scans, Zach explains why starting with "pinch points" like vascular access or bladder volume can revolutionize bedside decision-making. From the SAFER protocol to managing the agitated infant on ECMO, this episode explores how POCUS serves as a powerful problem-solving tool that bridges the gap between clinical mystery and immediate intervention.
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#400 - 🔵 [NEO CONFERENCE] - What Are the Unintended Consequences of Ignoring a PDA
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In this live episode from the Neo Conference in Las Vegas, we welcome back Dr. Souvik Mitra to unpack the evolving landscape of PDA management in extremely preterm infants. We dive into the recent AAP guidelines recommending against early medical treatment and explore potential unintended consequences, including rising transcatheter closure rates and delayed intervention. Dr. Mitra shares his institution's approach using the SMART-PDA criteria, highlighting the importance of treatment timing and proper patient selection. Join us for a nuanced discussion balancing large pragmatic trial data with bedside clinical judgment for our most vulnerable...
#400 - 🔵 [NEO CONFERENCE] - What Are the Unintended Consequences of Ignoring a PDA
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In this live episode from the Neo Conference in Las Vegas, we welcome back Dr. Souvik Mitra to unpack the evolving landscape of PDA management in extremely preterm infants. We dive into the recent AAP guidelines recommending against early medical treatment and explore potential unintended consequences, including rising transcatheter closure rates and delayed intervention. Dr. Mitra shares his institution's approach using the SMART-PDA criteria, highlighting the importance of treatment timing and proper patient selection. Join us for a nuanced discussion balancing large pragmatic trial data with bedside clinical judgment for our most vulnerable...
#399 - đź“‘ Journal Club - The Complete Episode from February 28th 2026
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In this week’s journal club episodes, we review several interesting and important studies in neonatal medicine. Ben and Daphna start with a provocative echocardiography study out of Edmonton showing that standard chest compressions in newborns likely target the right heart and great vessels, not the left ventricle. A small sample size, but a finding that anyone who ultrasounds hearts all day will instantly recognize.
Daphna presents a retrospective multicenter study from Nationwide Children’s on antibiotic duration for Gram-negative bloodstream infections in the NICU. Short course (≤8 days) showed no tre...
#399 - [Neo News] - đź“Ś Paid NICU Leave: A New Standard for Family Support?
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In this episode of Neo News, we break down Colorado’s groundbreaking legislation mandating 12 weeks of paid leave for NICU parents—a potential blueprint for national change. We explore the critical intersection of policy, economics, and infant health, discussing why supporting families at the bedside isn't just morally right but economically smart. We also highlight new research from economists like Maya Rossin-Slater and Mariam Khan linking paid leave to reduced neonatal mortality. Plus, find out how you can turn these policy shifts into advocacy tools for your own state. Join us for a conc...
#399 - [Journal Club] - đź“Ś From Screening to Solution: Resolving Food Insecurity in Pediatrics
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Ben and Daphna conclude Journal Club with a quality improvement study from Pediatrics titled "Improving Health-Related Social Needs Screening and Support Across a Pediatric Health Care System". The hosts discuss the successful implementation of universal social determinants of health (SDOH) screening across nine pediatric divisions at Levine Children's. They highlight the impressive results—screening compliance reaching 92%—and the practical impact of connecting families to resources like FindHelp.org, which led to a 56% resolution rate in food insecurity for positive screens. Daphna makes a personal commitment to improve resource accessibility in her own unit.
#399 - [Journal Club] - đź“Ś Early Vitamin D: Can 800 IU Prevent BPD in Preterms?
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Ben and Daphna review a randomized controlled trial published in The Journal of Pediatrics by Dr. Ariel Salas and colleagues at UAB. The study investigates whether early high-dose vitamin D supplementation (800 IU/day starting day 1) in extremely preterm infants reduces the incidence of Bronchopulmonary Dysplasia (BPD) compared to standard care (starting day 14). The hosts discuss the physiologic rationale linking vitamin D to lung development, the use of impulse oscillometry to measure lung mechanics, and the secondary findings regarding metabolic bone disease. They explore why the "physiologic rationale" doesn't always translate to clinical significance.<...
#399 - [Journal Club] - đź“Ś 8 Days vs. 14 Days: Can We Shorten Antibiotics for Gram-Negative Sepsis?
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In this episode of Journal Club, Ben and Daphna review a retrospective cohort study from Pediatrics examining antibiotic duration for uncomplicated Gram-negative bloodstream infections in the NICU. The study, a collaboration between Nationwide Children’s Hospital and UT Health San Antonio, compares outcomes between short course (≤8 days) and long course (≥9 days) therapy. The hosts discuss the startling finding that while recurrence rates were similar, the long-duration group had a 14% rate of developing multi-drug resistant (MDR) infections within 90 days, compared to 0% in the short-duration group.
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Duration of Antibiotic Therapy for Gr...
#399 - [Journal Club] - đź“Ś Are We Compressing the Wrong Ventricle in Neonatal CPR?
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In this episode of Journal Club, Ben and Daphna review a thought-provoking study from the Archives of Disease in Childhood titled "Chest Compression in Newborn Infants: What Anatomical Structures Are We Compressing?". The hosts explore the anatomical findings suggesting that current neonatal CPR guidelines—recommending compressions over the lower third of the sternum—may actually be targeting the right ventricle and great veins rather than the left ventricle. They discuss the implications for the "cardiac pump" vs. "thoracic pump" theories and what this means for the future of resuscitation guidelines.
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#398 - Dr. Sheri Fink on the Ethics of Survival and Redefining Care for Trisomy 18
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Dr. Sheri Fink, Pulitzer Prize-winning correspondent for The New York Times and author of Five Days at Memorial, joins us for a compelling discussion on the ethics of survival. Dr. Fink, an MD-PhD, discusses her recent article "Noah is Still Here," which chronicles one family's journey with Trisomy 18—a condition once universally deemed incompatible with life. She and Eli explore the shifting paradigms of care, the tension between medical prognosis and parental hope, and the "two truths" clinicians must hold when counseling families in the grey zone. A must-listen for anyone navigating complex bi...
