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What IS Bronchopulmonary Dysplasia - (Neonatal Chronic Lung Disease)?? BPD Part 1 - Tala Talks NICU
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- Опубліковано 3 лип 2022
- Who gets BPD? What are the risk factors? How do we diagnose it? What is the difference between "Old BPD" and "New BPD"? Are the rates going down? In this first video of two, learn the basics of BPD, before we go on to prevention, treatment and outcomes.
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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:
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**TIMESTAMPS**
01:04 What is BPD?
03:23 How do we diagnose BPD?
10:10 What causes BPD?
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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.
Thank you so much Dr Tala, i am a paediatric resident doctor in Ghana. Your videos are lifesaver. I can imagine the amount of time and effort you use in making these videos. May God continue to reward you. Dr Tala please when you are less busy you can also make videos on : 1 neonatal sepsis and TORCHES Infection, 2: Anemia 3: Tetanus. Once again, thank you so much.
Thank you so much Dr. Munu for taking the time to write and give us such encouraging comments. We filmed a video on anemia (an early one!) so maybe check that out. We didn't have tetanus on the list- but honestly here in the US we see it so rarely. I wonder if you would like to give a lecture on tetanus?! We promise we will get around to the other ones !
I'm glad to watch this video. My newborn daughter is in NICU (pre-term birth) and i'm going to watch many videos on this channel to understand her situation.
Congratulations on your daughter! Hope all goes smoothly xxx
Thank you so much Dr. Tala! I'm a RN that is coming back to NICU after a traumatic experience. I was re-reading my old notes and unsure how much I was retaining until I found you. I love your videos, you explain the rationales and physiologies without getting too complicated, it's just enough to understand why we do what we do. I appreciate your family-centred and supportive attitude. I am pairing my policy review with your videos and I am feeling a lot more informed and confident which is huge for me as I re-enter the NICU environment! Honestly thank you so much, you are amazing.
Wow- that was such a lovely message- thank you. I'm not sure if your traumatic experience was personal or related to the NICU, but good for you for being willing to get back on the horse. That must have taken a lot of strength and determination. We are so happy these videos help you -and we really hope your future the NICU is as smooth as can be. Good luck!!
Thanks a lot
For conveying knowledge in such a precise, excellent way. Easiest way to memorize and apply this kind knowledge.
What a lovely compliment- thank you so much - so glad it’s making anything easier!
Thank you! amazing to hear it brown down like that. Denver,Colorado (USA)
Oh thank you so much for watching! So glad it helped!
Amazing. Just amazing! I would love to take classes from her!
THANK YOU! Eventually we will figure out how to run classes!!!
Subscription earned! Currently in respiratory school. This helped so much!
Thank you so much Yasmany! Good luck with your studies. BTW we have a HFNC CPAP and jet series coming up soon :)
Dr. Tala, I’m so grateful for all your videos. They’re great for my learning as an NNP student. Thank you for sharing your knowledge and expertise to all of us 🤗
A request for future videos: Overview of Inherited Metabolic Disorders: key points in history taking, assessment and investigations?
Thank you! ❤
Thank you so much for your lovely comment- congratulations on your studies! We have been asked for IEM - inborn errors of metabolism- so many times- and we really NEED to cover it! Our plan is the next couple of months!
Thank you. So helpful. Looking forward to part 2
Hello!!! Glad you found it helpful- part 2 is written- but not filmed and edited yet! So give us a month!!! Thank you for being here :)
Really great!!
Please put the CMV in the nicu on your list! and tell us about the lab controls, which have done, when the mothers are affected with cmv pre/ peri and postnatal. Thanks a lot, doc!!!
YES! Really need to do a whole video on CMV- thank you for the great suggestion. Such a common diagnosis too- thank you!!
Awesome as always Dr Tala! 🥰
Thank you SOOOO much! We love your support so much!
Great video as always very informative, looking forward for the second part. Thanks as always for all the effort of you and your team really makes learning fun.
Thank you so much for your continued support- I agree I think part 2 may be more clinically helpful! Really appreciate you :)
New nicu nurse. Love this channel so much for helping nail down my foundational knowledge
Oh yay!!! Exactly what we had in mind when we started it! Thanks so much for watching and for letting us know :)
THANK YOU Tala & team🎉🙏🏼🥰
Your talks are motivating & so helpful!
Thank you so much for being such a loyal supporter and giving us positive reinforcement- it really motivates us :)
@@TalaTalksNICU ❤️🌺
Thank you very much for this information and this great way of explanation 😍😍 I'm a medical student and I was struggling to find good content about this topic, you helped me a lot! Thanks ❤️🙏
Oh yay! That makes us so happy! Also very impressed you're looking for other ways to supplement your medical education- very impressive :)
Wonderfully explained. Thank you 👏🏼
We love that you're still here and watching! Thank you!
Love this video, very informative. Thank you!
Thanks so much! Part two will be coming out soon :(
Very informative and concise talk. Thanks
So glad you think so- thank you for watching and for taking the time to write :)
Thank you so much.
Thank you for being here :)
Can you please make a TORCH series?
YES! We really really need to get to this! Thank you for the reminder!!!
Thank you
Thank you for watching!
Thank you so much for the informative video
.New NICU nurse 🧏🏻♀️💞.
Thank you so much for watching and being here!!!
Great information
Thanks so much for letting us know- we're so glad you think so!
Great informative video as always Dr.Tala. Can you do a video on adrenal insufficiency
Always the best ideas Kendra! Bet you're so great work with! SUCH a massive topic now since we're resuscitating all those 22 weekers now. Will add to the list and get back to you. Thanks as always :)
Oh thx dr lt was great
So glad you found it helpful!! Thank you!
Your videos is very informative for us love you from pakistan
Thank you SO much for watching and for all your positive comments! :)
thank you tala!
Thank you so much for watching! Part 2 will be out in a couple of weeks!
Big love from Egypt🙏
Shukran Ikteer! (my bad Arabic!!) so happy you're watching from Egypt :)
@@TalaTalksNICU I feel so happy as you talk Arabic🥰😍
Hi Thank you so much for the teaching.A request if you could Please do a session on metabolic bone disease and its pathophysiology .Could you please explain why do we supplement both phosphate and calcium even when it is usually the phosphate that is lowxx
Hello Marina! I have been away- so I'm sorry this answer took so long! YES! we definitely need to do a lecture on bone disease, osteopenia of prematurity and generally calcium and phosphorous. It is really hard to make sure that a growing premature infant gets the calcium and phosphorous their mother would be giving them in utero- if everything is going great (i.e. absorbing feeds, normal PTH, enough vitamin D etc)- then we can just about make it. If anything goes wrong- e.g. the infant is NPO on TPN etc- it's really hard to get the balance the baby needs. Calcium may be normal in the baby's blood, but this is a small part of the baby's calcium. If the phosphorous is low, and the alk Phos is high- then bodily calcium (especially the bones) is probably low too. We promise we'll get to it!! Thanks so much for watching and for commenting!
When is part2? Waiting for it
Hi Shiva! In a couple of weeks!! Lots more information in it! Thanks for watching and for your patience :)
that was a wonderful intro to BPD.. understood the concept of old vs new BPD.. Anxiously waiting for the part 2…
so two small question..
1. a 35 weeker preterm,if he is oxygen dependent at 1 week of life, would it be considered BPD?
2. is RDS a-pre- requisite for bpd or can bpd occur without rds
Hello!!! Excellent questions
a- so depending on which definition is used- that infant could be diagnosed as having BPD (that's the advantage of needing Oxygen for 28 days and where you are at 36 weeks)
b- RDS isn't a pre-requisite- but BPD is a disease of premature infants- so even of they didn't have horrible RDS (i.e. high Oxygen and 1 or more doses of surf)- they are still at risk of BPD. In fact we see quite a few of these- infants who never even needed intuition or surfactant- but somehow they still end up with bad lungs. But by definition all premature infants are born with some level of surfactant deficiency- so they all have RDS- even if it is 'mild'. Does the help?!
@@TalaTalksNICU yes. Understood both points.
So if we have a premie with RDS, and initially after some period of oxygen dependency, the baby remains off oxygen for a few days and then again becomes oxygen dependent (maybe duebto sepsis or pneumonia or aspiration .(in short, if there is an oxygen free period in between).. can we still label the baby as having BPD.
Generally yes. This is sometimes the course of BPD- that they look like they're weaning and we'' be able to get them off Oxygen or to home Oxygen, and then something may happen (pneumonia, aspiration etc) that puts babies back on Oxygen or much higher support. Sometimes we don't even know the reason: they just tire out and become incredibly hypercarbic. (In these situations I always think the body grew relatively more than the lungs did- and so effectively outgrew good functioning lungs. I have no proof of this- but it seems to happen not infrequently).
@@TalaTalksNICU thats true. Same happens in our NICU sometimes. Thanks for the lovely video. Very informative
Thank U Dr superb!!
Thank you for watching and for taking the time to comment :)
ما شاء اللة. بارك اللة فيكم.
Shukran :)
Could you do a vedio for neopuff and NCPAP and BIPAP...thank you
Yes- we've actually already written the video for non invasive modalities- we need to film it etc! everything is so time-consuming!!!Thanks for watching and for your suggestion Nimmy :)
Where is part 2? Thanks!
Hi Andrea! So the plan was to get it out this Monday- but I wanted to add a couple of things (based on recent Pediatrics review)- so will be out in just over 2 weeks. Sorry! Summer has been chaotic! On Monday we'll release a video on stuff new nurses or interns/ residents should know in the NICU (since beginning of academic year). thanks for your patience!!
Please courses on pdf if possible, thank you
Yes! we're getting there! We're wondering whether to do this vi an email subscription or membership or something?! Any suggestions would be great!