EASY steps to writing the Rate, Glucose, Protein and Fats in NEONATAL TPN- Part II-Tala Talks NICU

[@blessyjohnson3253]

Dr TALA your videos are amazing, your explanation is mind-blowing.I too am working in NICU . A request from my side could you please make a video on AEDF AND REDF.

[@TalaTalksNICU]

Hello Blessy! Thanks so much for your lovely comments. A video on umbilical flow is an excellent idea- one we didn't have on the list. (Obviously we're not obstetricians- but we would talk more about fetal consequences!) Thank you so much :)

[@blessyjohnson3253]

Thank you DR TALA you are a good soul ❤️❤️

[@JoseHernandez-fj9tv]

@@TalaTalksNICUbe😊😅

[@simonsher4533]

I'm from Pakistan,I'm 1st year resident Neonatology, watching your videos , I'm in love with neonatology 💕 thank you

[@TalaTalksNICU]

It's the best field! Glad you're enjoying it- and watching our videos too :)

[@camillespence9756]

I am a Dietitian from Jamaica, thank you for this video

[@TalaTalksNICU]

Hello!!! Thanks so much for letting us know where you’re from and for watching!

[@shashaax1]

M a practicing pediatrician from India it's great to see how lucidly the concepts r explained,wish I had ur videos wen I was a pg resident at med school

[@TalaTalksNICU]

Ha! It's funny- I think there are so many things I wish we had around during training. World has really changed- in a fantastic way for education, I think. So happy you find these helpful at all- thank you for subscribing and for taking the time to write to us :)

[@zh3828]

Watching from Malaysia, it's informative and comprehensive to prepare for NICU rotation, TQ :)

[@TalaTalksNICU]

Oh so glad you found it helpful- and very impressed you're educating yourself before stepping into the NICU :)

[@TheJwillse]

I would love a tutorial on Inborn Error of Metabolism and what labs to order/look for! Thank you, love all of your videos!!!

[@TalaTalksNICU]

Hello! We are definitely getting around to this (obviously not ALL the enzymes- because we all refuse to learn them and forget them again!)- but general steps and when to be concerned. In our 10K celebration video coming up soon- we go over a few pearls everyone needs to know about IEMs. Thanks so much for commenting and subscribing!!

[@wparsa]

Hello. I am from Iran (Persia) and I practice Internal Medicine as my specialty. But generally, I love to learn everything about medicine no matter whether it is NICU, surgery, etc. By the way, thank you so much for your invaluable tutorials.

[@TalaTalksNICU]

That's so impressive Dr. Mazhary! It's kind of hard to stay up to date with our own specialties- so it's great you're keeping an open mind! A lot of the information is translatable too, we hope. Thank you so much for your lovely compliment. Hope all is going well for you in Iran- I'm sure, an absolute stunning country.

[@antoinetteeder8008]

I want to hear about hyperglycemia for sure!!!

[@TalaTalksNICU]

We’re just putting out our hypoglycemia videos- second one today and then we’ll get to hyperglycemia! Thanks for being here :)

[@judithhenderson3828]

Greetings, I am watching from the US Virgin Islands! Great job, with the teaching, you rock.

[@TalaTalksNICU]

Oh lovely!!! Thanks for your watching and for your lovely comment!

[@ayasakr764]

Amazing videos, they're up to the point, they include the most practical points that we faced in NICU ,many thanks Dr Tala

[@TalaTalksNICU]

We’re so glad you think so! Practical help is what we’re really trying to get across! Thanks so much for writing to us :)

[@chiara2827]

Love and thanks from Italy 🌻🙏

[@TalaTalksNICU]

Thank you for being here! And lucky you in Italy!

[@chiara2827]

@@TalaTalksNICU if you’ll ever plan to visit .. you’ll be very welcome here in Verona ☺️ I’m starting my NICU residency in September, and I will bring with me your advice and the passion you pour in your work 🙏

[@TalaTalksNICU]

@chiara2827 oh that’s so exciting you’re starting NICU soon/ I’m so impressed you were honing up your knowledge before starting! I will def hold you to that if we are in Italy! I love visiting other NICUs!!!!

[@CaitlinConner]

Love to hear more about insulin drips and sliding scales, as well as, other uses for insulin drips like high potassium. Thanks so much for y’all your videos. They are EXCELLENT!

[@TalaTalksNICU]

That is a great idea for a video- also would love to look through recent literature- out of interest!! Thank you so much for watching and commenting :)

[@celinegp85]

Dr. Tala these videos are so helpful! I hope you make a video about Omegaven

[@TalaTalksNICU]

Ohh that would be good (albeit not very long!!!). We'll def add to the list- thanks so much for being here!

[@RB-ez8vx]

Love and thanks🙏 from India.

[@TalaTalksNICU]

Thank you so much for watching RB! We love hearing where everyone is from :)

[@mohammadyrami]

Very good lecture thank you

[@TalaTalksNICU]

Appreciate you taking the time to comment! Thank you!

[@carolyngoodson8388]

Love it! Awesome video, Super helpful while I am studying for my NNP boards!

[@TalaTalksNICU]

So glad they're helpful- we wish you lots of luck in your boards- please let us know when you get the results :)

[@craigreplogle9009]

Dr. Tala and team - thank you for these videos! I am using them to help study for RNC - NIC exam coming up soon. Your simplification of these larger concepts has been super helpful. - NICU RN from Portland, OR

[@TalaTalksNICU]

That makes us so happy!!! LOVE Portland too. Good luck Craig!

[@drheshamelkordi8529]

Amazing 🎉

[@TalaTalksNICU]

Thank you!! So glad you liked it!!!

[@wontagabmare2832]

HELP FULL👍👌

[@TalaTalksNICU]

Great!!!!

[@naomiamon8521]

Awesome thanks. Tanzania

[@TalaTalksNICU]

Oh yay! Tanzania! How gorgeous!! Thanks for watching and letting us know where you're from!!

[@naitramsingh6942]

Awesome video as always from you and your team, thanks for making these topics so simple to understand, really appreciate all your hard work

[@TalaTalksNICU]

We love your comments! Thanks for continuing to watch- and for realising how long these take! Arianna worked well into several nights on this one! :)

[@jaynesolomon680]

Hello. I’m an NNP from Florida. Level 4 busy unit. Thank you for these videos! Requesting a video on the importance of moms own milk - science based related to immune system support. Even oral care with colostrum.

[@TalaTalksNICU]

Hello Jayne! We're so happy you're watching! That's an excellent idea for a video, and one we hadn't planned on yet- (helpful for literally anyone!) so thank you so much for your suggestion!

[@ashishbajaj1383]

Nice presentation mam

[@TalaTalksNICU]

Thank you so much doctor :)

[@lotenna]

Awesome video! Please when will the second part be out? Thank you so much for dedication to teaching

[@TalaTalksNICU]

Hi Lotenna! Thanks for your lovely comments! We are releasing the second 'questions asked video' next and then the last part of TPN will be out after that. Hope you'll find that helpful too!

[@lotenna]

@@TalaTalksNICU thank you! Waiting eagerly

[@osamaalagamawy3891]

ما شاء الله. بارك اللة فيكم 👍

[@TalaTalksNICU]

Thank you!

[@osamaalagamawy3891]

ما شاء اللة. بارك اللة فيكى

[@TalaTalksNICU]

Shukran ikteer :)

[@ahmadmusbah3313]

Dr. Tala thanks much for your Practical Teaching.... I hope to speak on PICC Line.... Also. Please put your C.V....on chanel... This when advice any doctors to subscripe.. He will be know high level of Dr. Tala experience

[@TalaTalksNICU]

Hello! Thanks so much for your lovely comments!!! We actually filmed a video on PICC lines (but we still need to film one on actually putting one in). This channel is independent of the practice and the hospitals we work for- so we haven't put our resumes up for a reason!! But we have all worked in level 3/4 NICUS for a long time now!!! Thanks so much for watching!! (And ps- I can send you my CV if your'e interested!)

[@mohmos3]

thank you so much Dr tala ,your videos are so helpful for me, I am a neonatologist from Egypt , I have a question about lipids in TPN...Is there any association between sepsis and lipids? shall we not add lipids to TPN incase of sepsis?

[@TalaTalksNICU]

Hello! So happy you’re finding some usefulness in these videos! This is a question we’re always asking ourselves in the unit. We know lipids affect how wbcs and platelets function in the lab- and that in sepsis babies are more likely to get high TG from same level- but usually we continue same dosing through sepsis treatment. Under the logic that we want good nutrition and all the good fatty acids when we’re sick. What do you do?

[@mohmos310]

In our policy we discontinue and stop lipids from TPN when sepsis occur​@@TalaTalksNICU

[@ciniravichand1204]

Thanks 😊

[@TalaTalksNICU]

Thank you for watching Cini!

[@nelselson]

Can you make a video about NAS?

[@TalaTalksNICU]

Yes! We really need to do this- also I'd love to find out what the rest of the world does with their withdrawal babies, so hopefully we could start a good dialogue! Thanks!

[@waeldoct7195]

Nice

[@TalaTalksNICU]

Thanks!

[@rachelfungweilim6338]

Hi! Thanks for this very informative video on TPN . Im a pediatric trainee from Malaysia Would like to get your opinion if the amino acids in the TPN would affect or contribute to metabolic acidosis in a newborn prem baby? Just wondering if it could be one of a cause of persistent metabolic acidosis after ruling out sepsis, dehydration, anemia and pDA. Thanks

[@TalaTalksNICU]

Hello Rachel- this is a great question. theoretically AA can cause metabolic acidosis- but this is less likely than other causes. Not sure if you have cysteine in your TPN- this is more likely to cause acidosis. Most likely (if other more pathologic causes have been ruled out)- it's immature kidneys dumping out too much bicarb- and leaving an acidosis. We need to discuss this more! Thanks for your great question :)

[@TalaTalksNICU]

And so happy you're watching from Malaysia :)

[@rachelfungweilim6338]

I see.. Thanks for the reply Dr Tala

[@sham7564]

Good job direct videos and to the point I like it. more of practical guide to NICU resident by the way the metabolism of preterm is not that amazing The extremely high energy he got is directed towards gaining weight as well as basic metabolism imagine 60 kg adult who adds 10g/kg daily ..that is 600 gram/d or 18 Kg every month...horrible😊

[@TalaTalksNICU]

Very good point about the weight gain! ha! Thanks for your lovely comments :)

[@drazam325]

Excellent, me HOD pediatric medicine at NMU multan

[@drazam325]

Pakistan

[@TalaTalksNICU]

Oh yay! Thanks for watching and for letting us know Dr. Khan :)

[@DrMohamedAyyedi]

We just rewire our brain to get neonatal informations in english instead of french

[@TalaTalksNICU]

Oh I wish my French were good enough to teach neonatal videos!!!

[@ashishbajaj1383]

Dr Ashish Bajaj Bhatinda paediatrician Punjab India

[@TalaTalksNICU]

Hello! And welcome! Thanks so much for watching!