Can technology and telemedicine help close the gap in the mortality disparity for inborn and outborn infants?
Dr. Fang conducted a simulated study where pediatric trainees were assigned to two groups, one with telemedicine support
This simulation study reduced the time to effective ventilation and supported the rationale for a pilot development of a telemedicine program at @MayoClinic that now serves 19 community hospitals, covering 17,000 deliveries per year
Snapshots of a telemedicine consult - opportunities to interact with the bedside team in the delivery room and guide resuscitation by a remote neonatologist
Telemedicine may help to address inequality by increasing access to a neonatologist to all newborns
Dr. Fang also highlights the potential for telemedicine to reduce medicolegal liability based on the experience at @MayoClinic
Does telemedicine improve outcomes of newborn resuscitation?
Data suggested that telemedicine improved the quality of neonatal resuscitation, with associated increases in measurement of temperature, blood glucose, and blood gas
Potential opportunities for telemedicine regarding access, patient safety and quality of neonatal resuscitation #neoEBM#HotTopicsNeo2020
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To conclude "New Approaches to Cooling", Sudhin Thayyil (@SudhinThayyil) of @imperialcollege discusses the “Hypothermia for Encephalopathy in Low and Middle-Income Countries (HELIX) Trial”
Next up in "New Approaches to Cooling" Deirdre Murray of @CUH_Cork discussing “Neurodevelopmental Outcomes after Mild HIE.” Read more about Prof. Murray and her work: infantcentre.ie/who-we-are-2/o…
How do infants with different HIE severity grades perform on IQ testing at 5 years of age? Summary from: pubmed.ncbi.nlm.nih.gov/27650049/, which includes additional outcomes measures.
Take home point: mild and moderate HIE infants similar.
Reese: Talk to focus on steroid use. To begin, what postnatal steroids are we using? Dexamethasone and hydrocortisone most common systematic exposures, budenoside most common inhaled exposure.
Next up in #HotTopicsNeo2020: Erik Jensen of @ChildrensPhila discussing how the baseline risk of BPD impacts the number needed to treat when considering effective therapies.
Presentation builds on recently published report in @JPediatr: drugs to Prevent Bronchopulmonary Dysplasia: Effect of Baseline Risk on the Number Needed to Treat jpeds.com/article/S0022-…
What is the earliest gestational age, assuming dating is correct, where you (or your hospital) routinely offer active postnatal resuscitation if desired by the family
If an infant at 22-24 weeks GA has evidence of inadequate organ perfusion (low urine output, decreasing BP), what is your first line treatment:
First up in: "Pharmacotherapy for BPD: We Know Less than We Think We Do" at #HotTopicsNeo2020 is Dr. Gerri Baer (@thegerribaer), Team Leader for Neonatology @US_FDA, discussing "Challenges in Studying Drugs for BPD" @HotTopicsNeo#neoEBM
Baer: no (zero, zilch, none!) drugs approved in the USA to prevent or treat BPD.
Highlights various cohorts demonstrating the ongoing high burden of BPD:
Baer: broad view of challenges to BPD Rx, illustrated by 3 buckets: understanding phenotypes/endotypes, definitions and classification and choosing adequate endpoints. #HotTopicsNeo2020@HotTopicsNeo