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In our latest Tech Tuesday episode, Daphna and I spoke with Nancy Addison from Locus Health about their remote patient monitoring (RPM) platform. We learned how Locus Health bridges the gap between hospital and home for medically complex pediatric patients, including NICU babies, substance-exposed newborns, and infants on oxygen.

We discussed the potential benefits of RPM, such as empowering families, reducing length of stay, and preventing readmissions. Nancy emphasized the importance of maintaining close family-provider relationships during the transition to home.

We also explored the technical aspects of the platform, like data entry, EHR integration, and alert systems. While limitations exist in wireless home monitoring for infants, the potential for real-time data streaming is intriguing.

Finally, we touched on the research implications of capturing post-discharge data through RPM. Tools like Locus Health could accelerate research and quality improvement efforts to help medically complex infants thrive at home. This thought-provoking discussion left us excited about the future of RPM in pediatrics

As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.

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In this jam-packed episode of Journal Club, Ben & Daphna discuss several impactful new studies in neonatology.

First up is an important clinical report from the AAP on infant feeding for people living with HIV. The hosts dive into the nuanced recommendations, which state that while avoiding breastfeeding is still the only way to completely eliminate HIV transmission risk, breastfeeding can be supported in certain cases where the parent has a strong desire after comprehensive counseling and meeting strict criteria like sustained viral suppression.

Next, they examine a study linking congenital CMV infection with an increased risk of autism spectrum disorder diagnoses, highlighting the importance of screening for this common congenital infection.

A randomized trial comparing video laryngoscopy to direct laryngoscopy for urgent neonatal intubation is also discussed. While video laryngoscopy resulted in higher first-attempt success rates, the hosts note some adverse events to consider as this technology becomes more widespread for these critical procedures.

The effectiveness of NICU music therapy on neurodevelopmental outcomes is also covered, with a study finding no significant language benefits at 24 months. The hosts question the impact and necessity of these programs.

Practical coding tips for NICU consultations from a recent paper are shared, with an emphasis on the financial impact of proper billing.

Lastly, the increasing frequency of heat waves and their association with preterm and early-term births is explored, underscoring the environmental factors that influence neonatal health.

With insightful analysis and engaging discussion, Ben & Daphna provide a fantastic overview of some of the most noteworthy recent publications in neonatology. Be sure to tune in for this informative and thought-provoking installment of Journal Club!

As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.

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Video versus Direct Laryngoscopy for Urgent Intubation of Newborn Infants. Geraghty LE, Dunne EA, Ní Chathasaigh CM, Vellinga A, Adams NC, O'Currain EM, McCarthy LK, O'Donnell CPF.N Engl J Med. 2024 May 30;390(20):1885-1894. doi: 10.1056/NEJMoa2402785. Epub 2024 May 5.PMID: 38709215 Clinical Trial.

As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.

Enjoy!