How do we PREVENT and TREAT BPD??!!- Tala Talks NICU скачать в хорошем качестве

How do we PREVENT and TREAT BPD??!!- Tala Talks NICU

What is the role of STEROIDS? And CAFFEINE? Vitamin A? Nutrition? DIURETICS? Which vent should we use? What is the ideal OXYGEN SATURATION for a growing preemie? How can we get babies HOME with BPD? What is the maximum home Oxygen we use? How does BPD affect children in the future? Learn all this and a lot more in our most thorough video so far!!! --------------------------------------------------------------------- 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! Also, click the notification bell after you subscribe to gain your weekly NICU knowledge as soon as it's loaded! --------------------------------------------------------------------- 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. ---------------------------------------------------------------------- **TIMESTAMPS** What can we do to prevent preterm births? 1:16 Prevent premature birth 1:36 Decrease injury to lungs 6:35 Decrease oxygen toxicity 8:05 Decrease inflammation 9:05 Nutrition 10:40 Vitamin A 12:27 Caffeine 13:53 Steroids How do we treat BPD? 18:21 Provide support needed 21:54 Provide good nutrition 22:37 Inhaled steroids 23:23 Diuretics 24:50 Steroids Long term outcomes 26:12 Pulmonary issues 29:46 Growth Failure 30:31 Developmental Outcomes ----------------------------------------------------------------------- References: 1) Oxygen Saturation and Outcomes in Preterm Infants. The BOOST II United Kingdom, Australia, and New Zealand Collaborative Groups. May 30, 2013 N Engl J Med 2013; 368:2094-2104 2) Target ranges of oxygen saturation in extremely preterm infants SUPPORT Study Group of the Eunice Kennedy Shriver NICHD Neonatal Research Network; https://pubmed.ncbi.nlm.nih.gov/20472... 3) Early CPAP versus Surfactant in Extremely Preterm Infants SUPPORT Study Group of the Eunice Kennedy Shriver NICHD Neonatal Research Network* https://www.nejm.org/doi/full/10.1056... 4) Vitamin A supplementation to prevent mortality and short‐ and long‐term morbidity in very low birth weight infants. Brian A DarlowP J GrahamMaria Ximena Rojas‐Reyes https://www.cochranelibrary.com/cdsr/... 5) Htun, Z.T., Schulz, E.V., Desai, R.K. et al. Postnatal steroid management in preterm infants with evolving bronchopulmonary dysplasia. J Perinatol 41, 1783–1796 (2021). https://www.nature.com/articles/s4137... 6) Hydrocortisone to Improve Survival without Bronchopulmonary Dysplasia. Eunice Kennedy Shriver NICHD Neonatal Research Network†. March 24, 2022 N Engl J Med 2022; 386:1121-1131 https://www.nejm.org/doi/full/10.1056... 7) FROM THE AMERICAN ACADEMY OF PEDIATRICS| POLICY STATEMENT| MAY 30 2022 Postnatal Corticosteroids to Prevent or Treat Chronic Lung Disease Following Preterm Birth James J. Cummings, MD, MS, FAAP; Arun K. Pramanik, MD, FAAP COMMITTEE ON FETUS AND NEWBORN https://publications.aap.org/pediatri... 8) Greenberg RG, Gayam S, Savage D, Tong A, Gorham D, Sholomon A, Clark RH, Benjamin DK, Laughon M, Smith PB; Best Pharmaceuticals for Children Act—Pediatric Trials Network Steering Committee. Furosemide Exposure and Prevention of Bronchopulmonary Dysplasia in Premature Infants. J Pediatr. 2019 May;208:134-140.e2. doi: 10.1016/j.jpeds.2018.11.043. Epub 2018 Dec 20. PMID: 30579586; PMCID: PMC6486845. https://pubmed.ncbi.nlm.nih.gov/30579... ---------------------------------------------------------------------------- Music: www.bensound.com (royalty free with credit) ---------------------------------------------------------------------------- *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.