Hi Dr Tala, You are a gift 🎉, iam a pediatrician from Algeria, so iam learning from you both neontology and English. Since iam French educated, I struggle a bit to understand all your videos but your accent is easy and understandable. Keep sharing more videos.❤ I heard you talking about a course at the beginning, are you planning a course on NRP or what?
Hello and merci beaucoup pour votre mots! (Not sure if that was ok!) thanks for being here! I know I speak to quickly sometimes! But yay! So happy you’re here! We’re planning a couple of shorter courses- all so time consuming though!!!
@TalaTalksNICU I am pleased to be among your followers. BTW I am new in your channel, so I could watch just some of your videos but I swear your are a great doctor, you know how to explain and how to make others follow you. Can't wait for your courses.!
A very great video. I have a question. Dr mention that after 15s if HR no raise have to perform MR SOPA. How long should I reassess back the baby if i am performing MR SOPA? Thank you
Honestly- almost immediately- you should see a quick raise in HR or better chest rise. If baby's HR is staying at 50- I wouldn't wait around to long- just intubate! In theory- you should be doing two of the Mr SOPA steps (ie M and R) then rechecking in 15 seconds.
Thank you very much Dr. Tala. Am a pead resident from uganda. Whats your opinion about suction before stimulation just in case of aspiration eg with meconium as compared to suctioninglast in the initial steps?
hello! Routine suctioning of the orophraynx has not been shown to decrease the incidence of MAS. www.thelancet.com/journals/lancet/article/PIIS0140673604168529/abstract#:~:text=Meconium%20aspiration%20syndrome%20(MAS)%20is,the%20procedure%20is%20widely%20used. Well as you know, the NRP has changed its stance on this in the last decade- on what we should be doing with meconium stained fluid and then what to do with a non-vigorous infant with MSAF. Now we usually treat these babies like they don't have MSAF- but there are some studies that suggest this may not be the right thing to do: pmc.ncbi.nlm.nih.gov/articles/PMC9188988/ I'm interested to see what the NRP 9th edition recommends!
Answer to questions: Qs1: Ans, 1 :Term or not, 2: Liqor status 3: Other Risk, 4: Umblical Management Plan Qs2: Ans, Term, Good breathing effort, Good tone Qs3: Warm, Dry, Stimulate and suction Qs4: If Heart rate < 60/min Qs5: Mr. SOPA= Mask readjustment, Repositioning , Suction, Open the mouth, Increase the Pressure, Alternative airway
wonderful video thank you!! why would you use ppv over the self inflating bag? is it just what’s available? also what do you mean when you say 02 blender? also is a baby who’s a few hours/days old considered to be “coding” when HR
Great questions! Everyone gets used to different equipment and there are advantages and disadvantages to each one. Blender as in can give oxygen between 21-100%. We used the word coding when a baby needs quick intervention because of heart rate (mostly) in the unit. Many things can cause code- pneumothorax, pulm hemorrhage, sepsis, list is unfortunately very long!
Can you make any comment on the way newborn babies are treated and handled in India and Pakistan? I’ve seen some resuscitation events that are rather frightening that go against everything I’ve learned as a respiratory therapist in the US. Turning babies upside down beating their backs, deep oral and nasal suctioning, whether needed or not every baby gets it, bagging with ambu bag without a mask and finally, baby is crying, pink and appears healthy and they still continue to turn baby upside down and give back blows. Every baby, preterm or term. I’ve seen a tiny 31 week flung around like a chicken. How are their standards so different than the modern world? Thank you! These videos are here on RUclips, and would be a great learning source of what not to do.
Hi! I really don’t feel I can comment because I’ve never been to India (hoping to change that soon!) let alone worked there!!! What affects a lot of places is resources available- so I don’t know if these practices have changed because of that. I agree aggressive slapping of babies is not good but it’s difficult to comment further at all without context! I wish you luck in your new role- accept what needs to be accepted and change what can be changed!!!
@ I hope to hear of your experience in India in a future video. I’d subscribe for that. I totally agree with you on some places not having resources, but I feel that in comparison to western countries/cultures there is some abuse or what we would interpret as abuse against newborns just by the way they are handled. I’m very curious to see another professional opinion on this matter. At any rate, thank you for your response and good luck in your future endeavors.
![Seungmin "그렇게, 천천히, 우리(As we are)" | [Stray Kids : SKZ-PLAYER]](http://i.ytimg.com/vi/kAzmhLHePqU/mqdefault.jpg)
amazing as always how you make resuscitation measures simple, continue the great work, thanks to you and your team
Hi Dr. Singh! I hope you’re well! Thank you for your lovely comment! Difficult to film this one without proper equipment!!!
Thank you Dr. Tala amazing presentation as usual waiting for chest compressions part ❤
Will be coming after the new years! Thank you!!!
Thanks so much Dr. Tala can’t wait for next video ❤
Very soon!!!
Another great video! I'm going to use the BeTTer trip when I teach my next NRP class. It's easier to remember than triple T.
Oh wait I didn’t know the triple T one? What was T for breathing?
It wasn't great Term,Tone,Tolerance of room air
@laraeb2514 ha! Yup makes sense! Some of those mnemonics are insane- I spend more time trying to remember what they stand for!!!
Thanks Dr
Tala .I was requested this 👌 ❤
Hope you liked it!!! Thank you for the request!!!!
That’s a wonderful review. Thank you
Glad it was helpful!
Hi Dr Tala, You are a gift 🎉, iam a pediatrician from Algeria, so iam learning from you both neontology and English. Since iam French educated, I struggle a bit to understand all your videos but your accent is easy and understandable.
Keep sharing more videos.❤
I heard you talking about a course at the beginning, are you planning a course on NRP or what?
Hello and merci beaucoup pour votre mots! (Not sure if that was ok!) thanks for being here! I know I speak to quickly sometimes! But yay! So happy you’re here! We’re planning a couple of shorter courses- all so time consuming though!!!
@TalaTalksNICU
I am pleased to be among your followers. BTW I am new in your channel, so I could watch just some of your videos but I swear your are a great doctor, you know how to explain and how to make others follow you.
Can't wait for your courses.!
Thanks so much ❤
You're welcome 😊
Thanks Dr😊
Welcome 😊 thank you!!!!
Great presentation Dr. Tala
Thank you kindly! Xx
A very great video. I have a question. Dr mention that after 15s if HR no raise have to perform MR SOPA. How long should I reassess back the baby if i am performing MR SOPA? Thank you
Honestly- almost immediately- you should see a quick raise in HR or better chest rise. If baby's HR is staying at 50- I wouldn't wait around to long- just intubate!
In theory- you should be doing two of the Mr SOPA steps (ie M and R) then rechecking in 15 seconds.
Thank you very much Dr. Tala. Am a pead resident from uganda. Whats your opinion about suction before stimulation just in case of aspiration eg with meconium as compared to suctioninglast in the initial steps?
hello! Routine suctioning of the orophraynx has not been shown to decrease the incidence of MAS. www.thelancet.com/journals/lancet/article/PIIS0140673604168529/abstract#:~:text=Meconium%20aspiration%20syndrome%20(MAS)%20is,the%20procedure%20is%20widely%20used.
Well as you know, the NRP has changed its stance on this in the last decade- on what we should be doing with meconium stained fluid and then what to do with a non-vigorous infant with MSAF. Now we usually treat these babies like they don't have MSAF- but there are some studies that suggest this may not be the right thing to do: pmc.ncbi.nlm.nih.gov/articles/PMC9188988/
I'm interested to see what the NRP 9th edition recommends!
Answer to questions:
Qs1: Ans, 1 :Term or not, 2: Liqor status 3: Other Risk, 4: Umblical Management Plan
Qs2: Ans, Term, Good breathing effort, Good tone
Qs3: Warm, Dry, Stimulate and suction
Qs4: If Heart rate < 60/min
Qs5: Mr. SOPA= Mask readjustment, Repositioning , Suction, Open the mouth, Increase the Pressure, Alternative airway
Amazing! (In US we use the term liquor referring to hard alcohol! Like vodka and stuff. I know you mean amniotic fluid!)
wonderful video thank you!! why would you use ppv over the self inflating bag? is it just what’s available? also what do you mean when you say 02 blender? also is a baby who’s a few hours/days old considered to be “coding” when HR
Great questions! Everyone gets used to different equipment and there are advantages and disadvantages to each one. Blender as in can give oxygen between 21-100%. We used the word coding when a baby needs quick intervention because of heart rate (mostly) in the unit. Many things can cause code- pneumothorax, pulm hemorrhage, sepsis, list is unfortunately very long!
@ thank you so much for the quick response!!!
Thank you
You're welcome
How can I manage if I don't have neither self inflating bag nor neopuff in the delivery room, with only a manual masque?
Lots of places have a bag-mask. The key thing is not to get too over excited and pump the bag too hard (difficult when we're stressed out in the DR).
Can you make any comment on the way newborn babies are treated and handled in India and Pakistan? I’ve seen some resuscitation events that are rather frightening that go against everything I’ve learned as a respiratory therapist in the US.
Turning babies upside down beating their backs, deep oral and nasal suctioning, whether needed or not every baby gets it, bagging with ambu bag without a mask and finally, baby is crying, pink and appears healthy and they still continue to turn baby upside down and give back blows. Every baby, preterm or term. I’ve seen a tiny 31 week flung around like a chicken.
How are their standards so different than the modern world? Thank you!
These videos are here on RUclips, and would be a great learning source of what not to do.
Hi! I really don’t feel I can comment because I’ve never been to India (hoping to change that soon!) let alone worked there!!! What affects a lot of places is resources available- so I don’t know if these practices have changed because of that. I agree aggressive slapping of babies is not good but it’s difficult to comment further at all without context! I wish you luck in your new role- accept what needs to be accepted and change what can be changed!!!
@ I hope to hear of your experience in India in a future video. I’d subscribe for that. I totally agree with you on some places not having resources, but I feel that in comparison to western countries/cultures there is some abuse or what we would interpret as abuse against newborns just by the way they are handled. I’m very curious to see another professional opinion on this matter. At any rate, thank you for your response and good luck in your future endeavors.
Thanks a lot ❤
Thanks for watching!