RDS in a NUTSHELL!- Tala Talks NICU

Learn who gets RDS, what causes it and how we treat it. As always, truly understand the physiology and pathophysiology behind the disease so you can better treat it at the bedside.
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Please be sure to give us a like, comment about future topics, and subscribe to this channel to stay up to date on all things NICU! Also, click the notification bell after you subscribe to gain your weekly NICU knowledge as soon as it's loaded!
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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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Ultrasound evaluation of the fetal thorax. (2019). Radiology Key. Retrieved from radiologykey.com/ultrasound-e...
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Research: Biophysical study of lung surfactant. (2009). Laboratory of Biocolloids and Biointerfaces. Retrieved from www2.hawaii.edu/~yzuo/research...
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SickKids Staff. (2009). Diagnosis of respiratory distress syndrome in premature babies. About Kids Health. Retrieved from www.aboutkidshealth.ca/Articl...
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Neonatal chest imaging. (2016). Radiology Key. Retrieved from radiologykey.com/neonatal-che...
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Roberts, K., Merritt, A., & Goldstein, M. (2018). What is the “best” way to administer surfactant in 2018? The case for the laryngeal mask airway (LMA). Neonatology Today, 13 (4). Retrieved from www.neonatologytoday.net/newsl...
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SickKids Staff. (2009). Treatment of breathing problems in premature babies. AboutKidsHealth. Retrieved from www.aboutkidshealth.ca/articl...
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Infant nasal cannula. (2020). Fisher and Paykel Healthcare Limited. Retrieved from www.fphcare.com/us/products/i...
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London, S. (2015). High-flow nasal cannula therapy works will in preterm infants. Medscap Retrieved from www.medscape.com/viewarticle/...
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Victorian Agency for Health Information (2019). Intubation. Victoria State Government. Retrieved from www.bettersafercare.vic.goc.a...
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Kacmarek, R.M. (2011). The mechanical ventilator: Past, present, and future. Respiratory Care, 56(8), 1170-1180. Doi: doi.or110.4187/respcare.01420
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Music: www.bensound.com (royalty free with credit)
*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.

[@malokwanegabriellamatsetel7349]

You are an awesome teacher Doc

[@TalaTalksNICU]

What a lovely comment to see first thing in the morning! Thank you! And thanks for watching and being here :)

[@chelsea1243]

You're so great at explaining things so they make sense. Greatly appreciated 🙏

[@TalaTalksNICU]

Thank you Chelsea so much for your kind words. That was our aim starting this channel, so we can't tell you how much your positivity means to us! Thanks!!

[@hossamyasser8651]

You are incredible, doctor Tala. May God bless you!!

[@TalaTalksNICU]

Ha! Definitely not-but thank you!!

[@laradevaal8045]

Thank you for the detailed explanation, Dr.

[@TalaTalksNICU]

Thank you for taking the time to comment!!!

[@francinemaitland4700]

Love your videos!!!! Many thanks.

[@TalaTalksNICU]

Thank you so much for watching and commenting. We're really enjoying building this Neo community!!

[@firpofutbol]

Freaking love your channel! I'm a nursing student and your lectures are helping me understand the material better than in class as I prepare for finals. Thank you so much!!!!!

[@TalaTalksNICU]

That makes us SOOOO happy! Thank you so much for watching and for letting us know!

[@reesejachetta289]

Great channel! I'd love to see some on early onset sepsis, hemangiomas, golden hour, xray interpretation, Hirschsprung's, and hydrops if you're looking for more topics! Thanks for all the work you put in Tala Team!

[@TalaTalksNICU]

These are all amazing suggestions Reese- and we didn't have a few on the list-so we'll definitely add them! (Hemangiomas is an excellent idea). We'll try to get around to them sooner rather than later! Thanks!

[@alospm]

NICU nurse here! Your explanation of surfactant is helpful. You are definitely highly listenable! I can’t wait to dive into all your other videos. I would love to see a visual comparison of chest x-ray images typical of common NICU lung diseases!! ❤️👶

[@TalaTalksNICU]

Thank you so much Alison! We would LOVE to do an entire video on Xrays- but we're concerned about copyright issues as well as HIPAA issues! We just put a plea out under the community tab for viewers to email us interesting X-rays etc. In the meantime- we are also asking some researchers for permission to use their X-rays. So stay posted!

[@naveedhaider3112]

That's kind of teaching I was looking for. You are teaching basic concepts and practical tips. Please continue the good work and never stop sharing your knowledge.

[@TalaTalksNICU]

ahhhh! Your comments get even kinder!!! Thank you so much Naveed. We are so happy you are here. We have zero intentions of stopping- it has been such a rewarding experience for us- mostly from messages like yours :) Thank you again!

[@EmilyMountz]

I am so grateful for your channel Dr. Tala! Thank you so so much! I am an FM resident on NICU right now and your talks have truly helped me to excel! There is so much to learn and sift through in all the text resources I have, and you make it easy to find what is highest priority and then to learn in a pinch!

[@TalaTalksNICU]

Thank you so much Dr. Mountz! We're so glad you found us. So happy the videos are helpful- your description was exactly what we were aiming for.We hope you enjoy your NICU rotation (not too late to change! ha!!)

[@drreetanirwal8809]

Awesome..Must watch video

[@TalaTalksNICU]

Thank you so much Dr. Nirwal!

[@johncycyril9014]

Thanks a million Dear Doctor.I am a NICU Nurse, with 18 years of experience...I really want to say thank you...for presenting this topics..in such an interesting way...the best one among neonatal topics.. Very helpful

[@TalaTalksNICU]

Oh wow- thank you so much Johncy- that's a lot of experience, so your lovely words carry even more weight. Thank you so much for watching and for taking the time to write to us :)

[@mukeshbadmera4399]

You r great at explaining things...thanx a lot..ll🙏

[@TalaTalksNICU]

Thank you so much- we really appreciate you being here!

[@user-dt3dg9tl2r]

new nicu nurse! Just want to say thank you. Felt lost because i only worked in adult and nicu is completely different. Have been learning so much through your videos. You are the best nicu teacher!

[@TalaTalksNICU]

Thank you SO much for watching these videos and for taking the time to write to us. Comments like yours keep us going :)

[@strawbwery]

Hi Dr. Tala! Love your videos. Could you make a video on vital signs and some laboratory values for neonates? For example, what’s on an iSTAT, ICU panel, etc.

[@TalaTalksNICU]

Thanks so much for watching and commenting. Doing a series on labs is a great idea- especially the basics. Interestingly each hospital calls their groups of labs by different names and has different labs within each group. E.g Your ICU panel may be another hospital's CMP or renal profile etc. But going through the general chemistries and gases (inc. iCa etc.) is definitely something we should be going over! Thank you! Until we get around to these videos- you may want to check out the CBC ones- where we covered WBCs, RBCs, platelets etc. Thanks again!

[@MichealImongit]

Wow ur the best teacher in neonatal conditions

[@TalaTalksNICU]

That's a really lovely compliment! Thanks so much!

[@prasads8482]

Excellent lecture.

[@TalaTalksNICU]

Thank you so much Prasad- we appreciate you watching and commenting!

[@Mable-gm6om]

Thankyou.God bless.

[@TalaTalksNICU]

Thank you so much for watching and for commenting. We really appreciate your positive feedback!

[@annaofosu5196]

Well done

[@TalaTalksNICU]

Thank you Anna!

[@HThach90]

Thank you very much for the useful knowledge. Can you tell me more about the latest treatment updates for RDS? Since listening to your KZbin channel, I have learned a lot for clinical practice.

[@TalaTalksNICU]

Hello! Wish we could say we had brand new treatments! Modes of administering surfactant in a non invasive way have been the most recent advancement. But really it’s surgery replacement and some sort of positive pressure!

[@NUDZZZ]

Thanks!!!

[@TalaTalksNICU]

Thanks for watching!

[@laurieyoungs1306]

We just had triplets two weeks ago they where born at 25 weeks they are all doin well your video has helped to better understand RDS THANK YOU SO KUCH FOR THIS VIDEO

[@TalaTalksNICU]

Congratulations Laurie- that's so exciting!!! So happy video helped- hope they all have a smooth, healthy course. (Remember though- as we're sure you've been told- it's a rollercoaster. Not one preemie baby is born, continues getting better, and then goes home. Every preemie goes through something!). Lots of love your way XX

[@hanifamacasindel192]

i just have a newborn bb with RDS, i am so worried with his status now. he is currently in NICU. after giving SURFACTANT can a bb live normally? or their any consequences after

[@lakshminandish5037]

How is your babies now?

[@lakshminandish5037]

@@hanifamacasindel192 how is your baby now?

[@stillbreathing100]

Awesome talk once again!!! Keep up the good work.. how Gestational diabetes affect the surfactant?

[@TalaTalksNICU]

Hello!!! Thanks again so much Dr. Hassan! Gestational diabetes is thought to directly decrease surfactant production and release, which is why these infants have a higher incidence of RDS.

[@hamedahoyedeji1944]

Thank you for all your educative lectures... I’m a big fan. Ps can hep give a lecture on cpap and other means of ventilators support in the Nicu

[@TalaTalksNICU]

Thank you so much Hamedah- for watching and for taking the time to comment. After the last episode on treatment of jaundice- we are going to oscillators/ high frequency ventilation. We had not planned on a separate topic of CPAP- but you're right- we should definitely do a video on that and high flow nasal cannula. Thanks so much!

[@drheshamelkordi8529]

Amazing as usual, May U talk about other indications of Surfactant usage

[@TalaTalksNICU]

Oh that’s such a great idea for a talk! Thank you so much for the suggestion! And for being here!

[@JC-xk8vh]

Amazing channel. I hope you invest in a mic. Regardless you keep getting the like button.

[@TalaTalksNICU]

Hi JC! Thanks so much for your lovely compliment! We’ve been filming two ways- either directly recording onto the phone or with Justin recording me with the whole camera and lighting stuff. We’ve played around with a couple of microphones but we always seem to end up with a massive echo! Any advice you have would be much appreciated. We want to start filming a cardiac series with the white board etc- but we’re hoping it all goes more smoothly!!!

[@m.e.2286]

Hi! Would you please make a video series about Apnea of prematurity? I enjoy your very helpful videos, Thank you so much!

[@TalaTalksNICU]

Hello! Yes absolutely!! We have that down on the list- sorry that everything takes so long! We have these plans and they get derailed by something else!!! Thanks so much for continuing to watch :)

[@m.e.2286]

@@TalaTalksNICU I look forward to it! 🤗❤️Thank you! 🙏🏼

[@lalohernandez5582]

Can you cover a segment on NEC!!

[@TalaTalksNICU]

Absolutely! Planning on two separate lectures- one of my favorite topics to talks about! Thank you for this great suggestion!

[@user-wj8ec7mf1c]

Thanks dr tala

[@TalaTalksNICU]

Thank you again for watching!

[@tawamobg3026]

Excellent

[@sajikumar233]

Hi Dr Tala You are doing an amazing Job😊👏🙏 Can you please do a session about DART treatment, if possible Thank you

[@TalaTalksNICU]

Thank you so much for your lovely comment! We should do a separate video on DART- but for now- go check out the second BPD video we made- we discuss DART in that! Hope that helps for now?

[@sajikumar233]

Thank you Dr.Tala ❤️🥰

[@monicawiggins3882]

Pls cover hsv in the neonate ☺️

[@TalaTalksNICU]

YES! This is a great topic- thank you so much- we'll try to get this covered relatively soon!

[@drazam325]

Great

[@TalaTalksNICU]

Thank you for watching!

[@sisterscross-countrykitche4752]

God bless

[@TalaTalksNICU]

Thank you so much

[@blessingskaimbo6479]

Beautiful 🥰

[@TalaTalksNICU]

Thank you so much!

[@roshanjamal9944]

Hi Dr thank for your nice information. I want to know future risk of Rds in infant

[@TalaTalksNICU]

Great question Roshan. There is definitely a genetic component to RDS. So generally if a mother had a child at 36 weeks with bad RDS, there's a good chance her next child will also have issues with RDS if that infant were born even slightly early. If babies are born at a very early GA then they will have RDS no matter the genetic component.

[@roshanjamal9944]

@@TalaTalksNICU thanks you Dr. I want to clear two things more 1_Is RDS impact any long run problem to children like GDD. And if yes How can we diagnosed in early stage of chield 2_ TTN ,MA, And HMD all are called RDS

[@TalaTalksNICU]

To answer your questions: 1- Depending on severity of RDS, it can have problems in the future (mostly if develops into BPD). These symptoms would be similar to asthma, decreased ability to expire quickly, and some bronchospasms. And 2- RDS and hyaline membrane disease refer to same disease. TTN and MAS are both different. (We have videos on all of these, if you are interested) Good luck with your information gathering!

[@arjetabeqiri1179]

Hi how are you, my nephew has rds , 38 weeks born via csection. We were really afraid that we might lose him because my sister lost another child from the same condition. Its been 7 days that he is in nicu. Stable thank god. But still how long does the recovery last. Will we be able to hold him? Thank you for everything! The info was precious

[@TalaTalksNICU]

Hello! I’m so sorry you’re going through this. Obviously I’m not taking care of your nephew so I don’t have the information. Some babies have lingering courses and take a couple of weeks to improve. I wish your family health and luck xx

[@lovejacki7760]

Can you please do a video of X-rays please I struggle with pneumomediastims and KUBS

[@TalaTalksNICU]

Hello Jacki. We really, really want to do this lecture but we have problems with getting the actual X-rays. We just put out a request for people to send us X-rays (with no identifying data) if they have them so we can use them. We're also reaching out to various researchers asking permission to use their X-rays (in articles etc)- but it's harder than we thought it would be. We promise we'll get there though!

[@lovejacki7760]

@@TalaTalksNICU thank you for your response. I love your videos so much . You’re amazing

[@byebye5907]

LISA Administration when the baby still breathing on it own and has ventilation support via CPAP instead of insure?

[@TalaTalksNICU]

LISA is less invasive surfactant administration- so we keep baby on CPAP, and we use blade to visualize cords and then pass a small catheter through cords. Then push in surfactant with syringe. It's less invasive because baby stays on CPAP (no aggressive PPV breaths) and also the catheter we're 'intubating' with is much skinnier. Does that answer the question?!

[@rasoulhoma8007]

Can we give surfactant in case of pneumothorax complicated RDS. Thank you.

[@TalaTalksNICU]

Hello Rasoul! Yes! this often works really well. (If the pneumothorax is small and not too symptomatic- then giving surfactant sometimes mean you don't need to do anything else). And even if the baby popped a pneumothorax in the setting of RDS- even if you needle/ place a chest tube, giving surfactant would likely prevent further pneumothoraces. What do you do in your unit?

[@rasoulhoma8007]

@@TalaTalksNICU I used it.and it worked well.thank you

[@TalaTalksNICU]

Agreed! I love doing this! A relatively non invasive way to solve a problem. Thanks!

[@lan.1762]

Hi, this is so helpful thank u !! But can i ask u if we can give steroids (dexamethasone) ? Is it correct? Im a nursing student and I’m asking out of curiosity

[@TalaTalksNICU]

Hi Lan! This is SUCH an important topic in neonatology- and there have been so many differing opinions on steroids. We need to do a whole video on steroids! We know they are great to get a baby extubated and they probably decrease BPD, but we don't generally give them for acute treatment for RDS. More information to come!!!

[@mukeshbadmera4399]

Mam ..how caan we set pip n peep...with respect to tv...means...how to corelate these 3.....while doing vent settings..initially..

[@TalaTalksNICU]

Hello Mukesh! The ventilator videos we filmed (especially part 2) may help with this. Check those out and let us know if we can fill in gaps?!

[@jampellhendrup1376]

Has dexamethasone got anything to do with the immaturity of infant lungs

[@TalaTalksNICU]

Hello! Dexamethasone given prenatally (to mothers) has been shown to increase surfactant production as well as potentially help the lungs mature. (So has betamethasone- another steroid- which may also be better at preventing neonatal death). Generally though, after babies are born we don't give steroids to help surfactant maturation- but rather to decrease any swelling so we can get babies extubated. Does this answer your question?! Thanks for being here :)

[@purnimakumari4341]

Mam please dicuss neonatal shock

[@TalaTalksNICU]

YES Purnima! We promise this is coming- along with inotropes used (obviously very institutionally dependent!) Thanks for watching and for your suggestion :)

[@shreyaroy8711]

My baby born on 38weeks 3days still she has Respiratory disorder..how long does it take to heal? She can survive upto 6hrs at a stretch without oxygen support

[@TalaTalksNICU]

Hello Shreya! Congratulations on your baby. Without more information, it would be difficult to give any generalizations. However, it is always a good sign if a baby can remain on room air for long stretches at a time. Good luck with everything!

[@luscraftasticcorner6635]

Mine was 38 weeks and we left the nicu on day 2. Best of luck mom

[@lakshminandish5037]

My baby had rds at birth (36 week)...what will be the future complications?

[@TalaTalksNICU]

Most babies recover completely from it and go on to lead healthy active lives. Good luck!

[@lakshminandish5037]

@@TalaTalksNICU thank you🙂🙂

[@zeadmohamed5191]

❤️

[@TalaTalksNICU]

Thanks so much for watching and for subscribing Zead!

[@yahyahassan4246]

Dr Tala, can we have BPD lecture? Thnks

[@TalaTalksNICU]

Yes! This is high up on our list- and another viewer suggested we incorporate cor pulmonale into the video too. We'll get there, we promise!!

[@yahyahassan4246]

@@TalaTalksNICU its really nice having them together. Thnks

[@Brr195]

Hello doctor my baby was born in 37 week with rds after 12 days in NICU he came home healthy but sometimes he is making grunting sound and he is getting little caugh now is it normal or any problem plz reply doctor its needed🙏

[@TalaTalksNICU]

Hello Bhavani- congratulations on your baby boy. Obviously it's very hard to comment on his status without seeing him or knowing ore details. We would recommend you get him to his pediatrician (and as always, everyone in your family should be vaccinated as possible- the flu/ pertussis/ cover etc)

[@lakshminandish5037]

How is your baby now??......I am sailing in same boat now

[@danieldavid8057]

vreau sa stiu si eu daca o firma cum e deyvid bacau poate sa te distruga cu aparatura sa in casa la tine pentru a capata sau a manipula unele lucruri

[@TalaTalksNICU]

I'm not sure what you are saying!!! Can't figure out either!