Hi Tala Thank you for amazing videos. Can please talk about the different milk feeding for the neonates and pre-term babies in special condition , when to use fortified, formula, hydrolysed , and when we have high stomach or low wait And what is the cons and pros of them ? I am a paediatric surgeon following your youtube, always confused in NICU when they choose the milk feeding for our patients? Thank you
Hello! Yes! We’re planning one mid - November! Do you have any preferences about what we go over? Maybe a symptom or a topic in general? Or gases? What do you think?!!
@TalaTalksNICU i was thinking maybe just a conversation with the subscribers, answering questions live... maybe about your career, the nicu you work at US, some pictures of your institution. I have this curiosity. Must be so much different of my reality. And shame yout hospital doesnt accept fellowships.
Dr. Tala, I am reviewing by watching your video's and they I really like them. They are short, direct and informative. In this video you claim to have been a neonatologist for 16 years? I don't know your age, but whatever you are doing keep it up. You look very young...
Hi Dr Tala > we see them a few times a year in our small unit. Causes: 1. MAS, 2. Increased Positive pressure, 3. Spontaneous. Treatment: 1. Thoracentesis ( needle aspiration), 2. Chest Drain Insertion , 3. M.I.S.T + oxygen therapy ( gentle)
Thanks for all this hard work of making videos and sharing knowledge of care of tiny sick babies. In my unit, in case of pneumothorax, especially if it needs intervention, a common practice is to intubate and sedate specifically if the baby was on CPAP. Keeping the baby on CPAP is considered a crime if there was a pneumothorax. Never alllowed a chest tube with CPAP, so either remove CPAP if not too much distress or intubate and start MV, we are using always volume gauranty. We dont have Jet. My personal thinking is that the CDP ( continus distending pressure) in conventinel MV is higher than CPAP hence if we dont have high flow nasal canula for some reason, better not to intubate just because of pneuthorax and why not chest tube with CPAP. I will be glad if you share your team thinking on it.
Hello! It’s funny how different units have their own cultures. We have done chest tubes with CPAP- but generally if a baby gets a pneumo- we’re probably intubating to give surfactant or whatever anyway. The thing about ventilators is that they’re generally synchronized with baby’s breathing- so there would be no fighting against the machine. With Cpap it’s easier to get a pneumo because the baby can fight against the machine and it’s that pressure difference that makes it worse.
7-day-old premature infant born at 26 weeks' gestation now has a grossly bloody stool, abdominal distention, and increasing oxygen requirements. Choose the best initial diagnostic step in the evaluation of the patient's apparent gastrointestinal hemorrhage: a. Abdominal X-ray series b. Fiberoptic endoscopy c. Apt test d. Stool culture e. Barium enema Can you help me what answer my teacher?
Excellent Dr. Tala. A complete and practical guide to managing pneumothorax in newborn.
Exactly what we were aiming for! Thank you so much!!!
Thank you once again for the thorough review.
Thanks for being here!
Love the first 10 seconds
I had to go back and watch first ten seconds! But ha! Yes! Key point!!!
Hi Tala
Thank you for amazing videos.
Can please talk about the different milk feeding for the neonates and pre-term babies in special condition , when to use fortified, formula, hydrolysed , and when we have high stomach or low wait
And what is the cons and pros of them ?
I am a paediatric surgeon following your youtube, always confused in NICU when they choose the milk feeding for our patients?
Thank you
YES we need to do this! Love that you’re a pediatric surgeon and you’re watching these videos! Thank you! We’ll get around to formula and feeds soon!!
Thanks Dr Tala...we are using USG thorax to diagnose n monitor air leaks...you have very well summarised the entire micro concept ...cheers...
Oh that’s great! We’re slowly getting there!! Thanks for your lovely words
Thanks a lot again Dr Tala! Make a live one day with the subscribers.
Hello! Yes! We’re planning one mid - November! Do you have any preferences about what we go over? Maybe a symptom or a topic in general? Or gases? What do you think?!!
@TalaTalksNICU i was thinking maybe just a conversation with the subscribers, answering questions live... maybe about your career, the nicu you work at US, some pictures of your institution. I have this curiosity. Must be so much different of my reality. And shame yout hospital doesnt accept fellowships.
@felipeguinancio7456 yes love this!!! Thank you!
Dr. Tala, I am reviewing by watching your video's and they I really like them. They are short, direct and informative. In this video you claim to have been a neonatologist for 16 years? I don't know your age, but whatever you are doing keep it up. You look very young...
You’re so sweet! So happy you like the videos! It must be camera trickery because I am old! Thank you for your lovely lovely comment! Made my morning!
Thank you Dr Tala
You're most welcome! Thanks so much for watching and for taking the time to comment!
Thanks Dr Tala
Thank you for being here!
Hi Dr Tala > we see them a few times a year in our small unit. Causes: 1. MAS, 2. Increased Positive pressure, 3. Spontaneous. Treatment: 1. Thoracentesis ( needle aspiration), 2. Chest Drain Insertion , 3. M.I.S.T + oxygen therapy ( gentle)
Yes! Love this! Thanks so much for watching and reaching the end!!
Thanks for all this hard work of making videos and sharing knowledge of care of tiny sick babies.
In my unit, in case of pneumothorax, especially if it needs intervention, a common practice is to intubate and sedate specifically if the baby was on CPAP. Keeping the baby on CPAP is considered a crime if there was a pneumothorax. Never alllowed a chest tube with CPAP, so either remove CPAP if not too much distress or intubate and start MV, we are using always volume gauranty. We dont have Jet.
My personal thinking is that the CDP ( continus distending pressure) in conventinel MV is higher than CPAP hence if we dont have high flow nasal canula for some reason, better not to intubate just because of pneuthorax and why not chest tube with CPAP.
I will be glad if you share your team thinking on it.
Hello! It’s funny how different units have their own cultures. We have done chest tubes with CPAP- but generally if a baby gets a pneumo- we’re probably intubating to give surfactant or whatever anyway. The thing about ventilators is that they’re generally synchronized with baby’s breathing- so there would be no fighting against the machine. With Cpap it’s easier to get a pneumo because the baby can fight against the machine and it’s that pressure difference that makes it worse.
Excellent information. How do I register for news letter?
Hello! If you go to home page or community tab it will have the link to sign up. I’m on my phone otherwise would put here!
Hello Dr Tala
How are you?
Hope that everything sounds good 🌹
Good! Tired but good thank you!
Hi
Three treatments
Needle aspiration
Chest tube
Surfactant
Excellent!!!! Thanks for watching until the end! Ha!
Hi Dr.Tala
Hello!
7-day-old premature infant born at 26 weeks' gestation now has a grossly bloody stool, abdominal distention, and increasing oxygen requirements. Choose the best initial diagnostic step in the evaluation of the patient's apparent gastrointestinal hemorrhage:
a. Abdominal X-ray series
b. Fiberoptic endoscopy
c. Apt test
d. Stool culture
e. Barium enema
Can you help me what answer my teacher?
In a preemie baby always always worry about NEC if you have bloody stools (esp with any other symptoms). So here id start with an X-ray of the belly.
Iam in ĺove for u
Ha! Thank you?
Thanks Dr Tala
Thank you so much for watching and commenting!