Golden hour! Vitamin K! Lumbar punctures! Surfactant! Exchange transfusions! - 10K Celebration

You ASKED and we gave QUICK answers to your NICU questions- and a BONUS QUESTION! What do we care about in the Golden Hour? When do we need to tap an infant? When should we give surfactant? When do we perform an exchange transfusion? Why is vitamin K important? AND! What has changed in the NICU in the last 20 years?!
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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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*TIMESTAMPS*
00:43 What do we care about in the golden hour?
5:13 When would a lumbar puncture need to be obtained?
10:05 Is there an optimal time to give surfactant?
12:25 When does a baby need an exchange transfusion and can you describe it?
15:17 What is the major reason vitamin K is given to a newborn? Also, which babies are a greater risk of complications if the Vitamin K is declined?
17:45 What's the most important/impressive development or change in practice that you've seen during your time in the NICU?

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References:
Early or selective surfactant (colfosceril palmitate, Exosurf) for intubated babies at 26 to 29 weeks gestation. A European double-blind trial with sequential analysis. European Exosurf Study Group. Online J Curr Clin Trials 1992;Doc No 28.

Bahadue FL, Soll R. Early versus delayed selective surfactant treatment for neonatal respiratory distress syndrome. Cochrane Database Syst Rev 2012;11:CD001456

Vitamin K and the Newborn Infant
Ivan Hand, MD, FAAP; Lawrence Noble, MD, FAAP; Steven A. Abrams, MD, FAAP COMMITTEE ON FETUS AND NEWBORN, SECTION ON BREASTFEEDING, COMMITTEE ON NUTRITION

https://publications.aap.org/pediatri...


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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.