PART II: Interpretation of Blood Gases -Tala Talks NICU
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- Опубліковано 14 лип 2024
- Build on your knowledge from part I as we cover the rest of the numbers displayed on blood gases: the bicarbonate and the base deficit/ excess. Then learn when we use am arterial/ capillary/ venous blood gas sample.
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*Timestamps*
0:43 - Intro
1:16 - Bicarbonate Level
4:05 - Base Deficit / Base Excess
5:58 - Generalities of Blood Gases (Arterial vs. capillary vs. venous blood gases)
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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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Tan, Pauws, van Loon, Smits, Lopriore, and Pas. 2018. Correlation and Interchangeability of Venous and Capillary Blood Gases in Non-Critically Ill Neonates, www.frontiersin.org/articles/...
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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.
The simple explanation between measured and calculated numbers really made a difference for me in understanding! It finally clicks faster !
Yay! Literally our favorite thing to help with the clicking!!! Thank you for sharing Mari :)
I just discovered your channel. I’ve been a Nicu nurse for 30 years. I have a lot of opportunities to teach new nurses. Your videos are so concise and informative. I will definitely be sharing them with our team. Thank you!
We’re so happy you’re here Jayne! Thirty years! Those lucky babies! Thanks so much for watching and for encouraging others to watch!!!
Thanks dr tala , You always make it easy.
Really, you are the best❤
Thank you for such a lovely comment! And for being here!
Thank you so much for all these great educational videos on caring for the neonate! I would love to see a video on HFOV! Thanks so much!
Hello Shameem- thank you so much for watching! We will definitely be filming that soon! Thanks again
Hopefully, high and normal anion gap metabolic acidosis will also be tackled. Thank you, Dr. Tala! I’m your biggest fan! 🥰
Hello!!! So glad you're still here :) As I was going through that (and the next video) I kept trying not to delve too deep into the different aspects of acidosis because I really wanted to stick more to the respiratory aspects (i.e. didn't want to lose the forest for the trees). But absolutely! None of this makes proper sense if we don't cover that too! Thanks so much!!
Great explanation !
Thank you so much for taking the time to comment here!
Beautifully explained
Thanks to share your knowledge
So happy you think so doc, thanks for taking the time to comment!
Dr Tala you are magic. Thank you so much. ❤️❤️ Hope you will do videos on surgical conditions too- xx
Thank you so much Marianna! I don't feel very magical but it's still lovely! ha! Yes- we are planning on covering neonatal surgeries too, starting with gastroschises and omphaloceles. Thanks so much for watching and commenting!!
Dr Tala talks make understanding disease process so easy Thank you
Thank you so much Bridget! Totally our goal :)
U r the best dr Tala
Ahhhh- wish this were true, but thank you for the lovely sentiment anyway!
Hai Dr Tala, I really appreciate you and your team making these informative videos. I am from India. A huge fan of you and Dr Sridhar.
Thank you so much for your lovely words- dr Sridhar is so great! Loved getting to know him too!!!
Thank you, we now understand, we have new born diagnosed with pulmonary hypertensions. We are so sad, we just pray for that he can survive
I’m sorry you’re going through this- stay hopeful - a lot can be done for PPHN
Good video Dr Tala
Thank you so much Sumathy!
Very helpful
Thank you so much as always!
Thank you for clear precise explanations. Please HFO / ECMO / Interpretation of ventilator parameters for future topics.
Hello Gaitree- thanks for watching and commenting. We're so glad these videos are helping you! We are running a series on high frequency ventilation soon, and then will get back to vent parameters. We have been planning an ECMO lecture for some time, but it's so rarely used now in NICUs (babies mostly transferred to PICU) that we've been dragging our feet with it! Thank you so much for your suggestions!
I have been following your videos for awhile now, and I absolutely love your channel ! Will you be coming out with more patient based scenarios with blood gases and how you would react to them ? Same with PPHN types and interventions you would do for each of those scenarios ?
That makes me so happy Avana. You're right- we do need to do more scenario type situations- and we should run more gases too. Thank you so much for your comment and suggestions
The Jet ventilator is coming to our unit. I need your help on understanding how this vent functions and when it's indicated in our neonatal population.
Hello Crystal! That's exciting for your unit :) We're planning on two talks on the oscillator and the jet- thanks so much for being here!
Hi Dr. Tala! Do you already have a video on your channel surrounding admission of micropreemies? Or can you make one? Just a NICU nurse here, soaking up all this info and brushing up on my knowledge(:
Hello Kaetyyy! So happy you're here. That is an excellent idea! We totally need to do a Golden Hour video. We didn't have that one on our list- and we haven't done it yet. We're a bit behind with requests- but we'll get around to it! Thank you so much!!
Thank you Dr Tala. I love your nicu videos. I am a pg1 and trying to find a video platform for general pediatrics (similar to your style). Any recommendations Dr. Tala ? Thank you again.
Hello! We've been asked this before- and I'm not sure what to say. Open pediatrics is good- but more formal. I think I should put it out as a question to community members- we've been getting this question a lot!
Thank you Dear Dr Tala.
My Dear Dear Dr Tala
Since long time I did not see you.
How are you.
Dr Osama Alagamawy ...Egypt
Hello Dr. Alagamawy- so glad you're still here! Hope you are well :)
Dear DrTala, I would like you share the management of neonatal hypoglycemia. Thank you
Yes!!! We need to do this soon!!! Thank you for the reminder!! And thank you for being here :)
@@TalaTalksNICU Please do the neonatal hypoglycemia management. Thanks.
@benjaminazumah9833 SORRY!!!! We’ll get around to it soon! Promise!!!!
Hi Dr. Tala! Thoughts on a 46 weeker on nasal CPAP with the following numbers: capillary gas 7.35/68 (co2)/ 43 (o2)/ 37.7 (hco3); when taking an arterial gas the next day the numbers were 7.36/61/107/34.3
The gases are acceptable given we accept permissive hypercarbia in BPD (in this hypothetical situation!) It takes about 6 weeks to get a baby home after a trach- so if a baby is improving and active etc- then allowing for slow improvement is completely acceptable.
@@TalaTalksNICU thank you so much for the response!
@@TalaTalksNICU one last question, would it be possible for a baby with the above blood gases to try a HFNC? Baby sound’s mucusy and produces a lot of bubbles on nasal cpap that seems to be causing choking.
We want topics on NEC
Neonatal seizures
Jaundice
We are filming jaundice this week. NEC and seizures to follow! Thank you for watching and for your patience!
Where are the multiple choice questions posted? I cannot find them. Thanks!
I figured it out!
Hi Vickie! Was there a trick to it? I think maybe you need to be on the app to see the community channel? How did you find it?
Hi DRA can we use diazepam in newborn?
Hello Consuelo! No- we don 't really use diazepam in neonates- it knocks them out really quickly and it may be bad for their development. For anti-epileptics we generally use phenobarbital and Keppra and for sedatives we use versed (midazolam) and Ativan (lorazepam). Honestly though, none of them are probably good for babies- so like everything else- use extreme caution when giving any baby drugs!
Would you like to teach vaccinations in preterm and LWB ?
Hello! This is a good topic- the only issue is that different countries have slightly different vaccination schedules. In the US, we give infants their vaccines as if they were born full-term. IE we give the two month shots (but not rotavirus) when babies turn 2 months old. Where are you based?
Wbc high cases
Yes, that's a good idea. We touch upon it in one of the CBC videos- but maybe we should do a separate segment. Thank you!
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Thanks!