Total Parenteral Nutrition for NEONATES including central vs. peripheral TPN -Tala Talks NICU

[@carolyngoodson8388]

You are awesome! I love all your videos and recommend them to all my colleagues. I listen to your videos over and over to solidify the information. Being a visual learner I am so grateful for these videos:)

[@TalaTalksNICU]

That's so great Carolyn! I'm almost jealous of being able to learn like that- I'm so use to reading that I find it hard for new information to 'stick' unless I'm reading and highlighting! So glad these are helping you :)

[@melh_3466]

I would love to see how to change TPN lines!

[@TalaTalksNICU]

Excellent! We'll try to get a video of an experienced nurse changing the lines (if Arianna refuses! She is the best at it!)

[@oceanmiss91]

Thank you Dr Tala for sharing some insights about TPN practice at your facility. Can't wait for next episode.

[@TalaTalksNICU]

Thank you so much GM! For watching, for subscribing and for taking the time to comment. We'll be releasing the IDM video next and the TPN part 2 to follow that! Thank you for being here :)

[@pinetinav9083]

The audio is good for me!!! Love from Italy

[@TalaTalksNICU]

Oh good- we're working on it all! But thank you- and happy you're in Italia!

[@fewdaysmukupa588]

Thank you very much Dr Tala for making these easy and simple lectures for us to understand 🙏

[@TalaTalksNICU]

Thank you so much again for watching these videos and for taking the time to comment :)

[@lakohadavis7214]

Thank you! I really enjoyed how you explained everything!

[@TalaTalksNICU]

Oh fantastic! Thanks so much for letting us know!

[@joelea6667]

Very informative thanks. Waiting for IVH discussion😊

[@TalaTalksNICU]

Hello Joe! Thank you for your lovely comment. We have already made a video on IVH- have you seen that already? was there something else we missed in that you'd like us to discuss more.

[@nadarali5570]

Please make a video for CHD patient your video is so helpful for us.

[@TalaTalksNICU]

Hello! Yes! We are planning a whole series on CHD- we're trying to set up a time for filming!!! Thanks so much for your suggestion!

[@sherinea4574]

Yes please convince her to do a video about the line/tube/fluid change

[@TalaTalksNICU]

I'll try!!! We need one!!

[@ThuyLe-dg2iu]

Thank you, Dr. Tala, for this amazing discussion. I love watching all your lectures. Could you do a lecture on medication management for babies with opioid withdrawal symptoms? Thank you.

[@TalaTalksNICU]

Hello! Thank you so much for taking the time to watch the video and for writing to us. We always love your comments! Yes! NAS management is a great topic- and one that has changed recently. Thanks for the excellent suggestion!

[@sconlavanyarosemalli736]

Yes, make a video how to load TPN mam

[@TalaTalksNICU]

I’ll try to get Arianna on this!! Thank you for being here!

[@jampellhendrup1376]

To optimize nutrition ✌️🙏💚

[@TalaTalksNICU]

Yes! Definitely to optimize nutrition!

[@madisonhillis-mole3002]

Did you ever make a video on changing the lines!? I would really like one!

[@TalaTalksNICU]

Oh dear we haven’t done that yet!!! We are starting a whole procedure series at the start of the year so we’ll be sure to include that! Sorry!!!

[@katmartinez9128]

Would absolutely love to see how to change tpn & smof lines on central lines, specifically uvc lines.. Unfortunately this is done at my facility on days and I work nights, so it’s not something I’m exposed to very often.

[@TalaTalksNICU]

yes! Will try to get Arianna on it- she's brilliant at line changes! Thank you :)

[@preethaharilal174]

👏🏻👏🏻👏🏻

[@TalaTalksNICU]

Thank you so much!!!

[@diyazaheer5534]

very informative. thank you so much. could you please give insight regarding DIC and its management?

[@TalaTalksNICU]

Yes! A great idea! We made a video on the coagulation pathways- PT and fibrinogen etc- so maybe start there until we get the actual video out!! Thanks for watching!

[@monjidibrahim1168]

Amazing, thanks

[@TalaTalksNICU]

We're so glad you're still here! Thanks for watching and for commenting!

[@rachelbell6969]

Was there a video ever done on how to change TPN lines?

[@TalaTalksNICU]

Uhm no!!!!! We still haven’t done one! Thanks for the reminder!!!

[@wparsa]

Thanks

[@TalaTalksNICU]

Thanks so much for watching :)

[@Sharifewatan55]

Vey good information I share your most video with my students like PPTH TGA PDA If you have a video for preterm baby vaccination

[@TalaTalksNICU]

Hello Devina- we're not sure why- but this got thrown into the 'held for review' basket- so we just saw your comment. thank you so much for your lovely words. We will be running a cardiac series this summer :) And we will definitely get around to vaccinations

[@rachelsprague534]

So informative, thank you! I’m new to NICU nursing, so these videos really help break down essential pieces of neonatal care. Very helpful! Would love to see a video on types of respiratory support, why one is used over another, and interpreting ventilator and hfov settings :)

[@TalaTalksNICU]

Hello Rachel! Congratulations on being in the NICU- we all love it here! We've made a few videos on respiratory support (ventilators/ gases/ HFOV). We are planning more on different modes, but maybe you could start by looking at those ones? Let us know if there's anything you are specifically looking for?

[@Angela-oh8wl]

Thank you for the great videos! Is it possible to do a lecture on fetal hydrops sometime in the future? I appreciate all of your help!

[@TalaTalksNICU]

Thank you for watching Angela. We are planning a lecture on hydrops soon (after we finish TPN and BPD). They all take longer than expected- so thanks for your patience!!!!

[@sifnamoljoseph85]

Can we administer intra lipid through PICC line

[@TalaTalksNICU]

YES! we often do. Often it's not the issue with the line but with whatever meds are going through with the lipids...

[@jampellhendrup1376]

Is dextrose 10%, 25% and 50% a part of TPN

[@TalaTalksNICU]

TPN can be written at any dextrose you choose- generally we go down to about D5 (below that we're worried about a GIR

[@marienorris4878]

pքɾօʍօʂʍ 💃

[@TalaTalksNICU]

Not sure what that means?!

[@strgrl89babe]

What is Starter TPN?!

[@TalaTalksNICU]

Whoops! Should have explained that better- starter TPN is also called vanilla TPN or Admit TPN in the US- and they’re basically pre-prepared or mostly pre-prepared bags with dextrose and protein (and then possibly other stuff like calcium and heparin). Often we use it as soon as a premature baby comes to the unit to make sure they’re getting protein as soon as possible. Do you have something similar?

[@spookytook]

the audio issues are there by the way

[@TalaTalksNICU]

SORRY! We're trying to do a better job with that :(

[@gabbyola658]

Thank you so much, this is very informative and useful information. Please could do a video on different types of venous access, central line, longline, brovaic line and where this lines are inserted into. Also interpretation of blood gases. Thank you so much

[@TalaTalksNICU]

Hello Gabby! These are all such great suggestions. We haven't directly filmed these videos but we did one on PICC lines and a few on gases. A video on types of lines is a GREAT idea though. Thank you so much.