What is a normal blood pressure for a neonate? - NICU Nuggets - Tala Talks NICU

[@mhales09]

Just a quick clarification - for the MAP/GA correlation, I assume we use the corrected age? So, if an infant is born at 28 weeks, but is now 4 weeks old, we'd be hoping for a MAP >32, not 28, correct? Thanks for any info!

[@TalaTalksNICU]

Hello Laura- excellent point. I probably should have mentioned this! Again- there really isn't that much scientific data out there on what numbers we should be using- but the corrected gestational age is a pretty good 'rough' number to start with. Thanks so much for bringing this up!

[@加先邓]

As a top NICU training expert, can you give me more information about guided circulatory monitoring (including blood pressure monitoring methods, non-invasive cardiac function, and ultrasound monitoring of perfusion)? I think that this is very important to manage preterm babies in the NICU. FROM CHINA

[@TalaTalksNICU]

Hello! You’re absolutely right- so important! In the coming two months we’ll be releasing our BP videos- there is SO much to talk about and I’ve had a tough time trying to decide what to include!!!! We’ll try to get to all your topics. Thank you!

[@nittynithu]

Hi Tala- please could you do a series on ionotropes and preterm circulation. Thanks so much for everything you’re doing!

[@TalaTalksNICU]

Hello!!! Thanks for being here!!! We filmed a couple of videos on hypotension myths and we’re getting around to one on inotropes. We cover a lot of ground in those so may be a good place to start??

[@VishalSharma-hv6ks]

I am from Singapore. The way you explain the topic is superb.❤

[@TalaTalksNICU]

Thank you so much! Happy you’re in Singapore! We filmed another couple of BP videos if you’re interested too!

[@drheshamelkordi8529]

Thank you so much, Dr Tala

[@TalaTalksNICU]

Thank you for watching!

[@geraldinechow144]

Hi can you talk on bolus and what inotropes to use in NICU ? Thank you 😊

[@TalaTalksNICU]

Hello Geraldine! This is definitely on our list-so we promise we're getting around to it! Thanks for being here :)

[@drsatishparmar9422]

So message is BP lower than 30 to be consider as hypotensive neonate. In FT baby MAP is 50 to 60mm/hg BP will be lower in lower gestational baby in comparison with FT baby. Interesting discussion and clear message.

[@TalaTalksNICU]

Hello Dr. Parmar- yes- definitely the smaller the baby the lower the BP. Nobody really sure what a 'normal' BP is- because a normal blood pressure implies an infant getting the cardiac output they need. So if an infant has good perfusion, good urinary output and not acidotic then that BP should be ok. Because we're keeping such tiny babies alive now, generally that could happen in these tiny ones below 30. Gestational age as the starting point for the mean BP is OK- we just need to be aware that every baby is different and an adequate BP may be lower than that.

[@pinetinav9083]

I love you ❤ you are sooo much better than the books I’m studying

[@TalaTalksNICU]

That makes us just the HAPPIEST! Thank you so much for watching!

[@funekatanda7548]

I really appreciate you Dr Talla ,you are making my studies easy,i now understand neonate

[@TalaTalksNICU]

That's fantastic- so glad we're helping you in anyway :)

[@phililezwane4806]

Hi Dr can you please do bradycardia on you next video Please

[@TalaTalksNICU]

Yes! We’re planning a video on apnea and bradycardias soon! Thanks so much for watching and commenting!

[@nadiahmdnor6033]

Hai can I ask how idm cause hypocalcemia? Thank you for the attention

[@TalaTalksNICU]

Hello Nadiah! This is an excellent question and not really understood. This is current thought: In IDMs, the calcium in the fetus is generally on high side. (Not really sure why- Calcium transported through placenta by active transport, but PTH doesn't cross placenta).Maybe secondary to all growth IDMs go through as a results of elevated IGF?? The elevated calcium suppresses the baby's own PTH. So after baby is born, its PTH is low, causing calcium to drop. If you check PTH level, it will be inappropriately normal or even low, given the low Calcium level in the baby. (Ie in a normal person, if your calcium is low, the parathyroid gland 'sees' this and releases more PTH which then increases Calcium). This is only transient because eventually the PTH level creeps up and calcium is normalized. Does this make sense?!

[@شوقىغريبعجيبمريب]

You are very excellent... Thank you so much...

[@TalaTalksNICU]

So glad this helped! Thanks for watching :)

[@Nicole-so4zv]

Can you discuss DIC and how to interpret coag studies?

[@TalaTalksNICU]

That's a fabulous idea- and an extension of the CBC labs. We'll plan on that on the sooner side. Thanks for watching and bringing up this important topic.

[@hossamyasser8651]

Unique Way of explanation.😊😊

[@TalaTalksNICU]

Thank you (I hope?!)

[@sedofsedof6435]

Very interesting illustration ❤❤❤

[@TalaTalksNICU]

Ha! Thank you!!

[@الحمدللهعمري]

What about the management of hypotension in premeis

[@TalaTalksNICU]

Hello Riah (is that right?!) That is a GREAT topic- and one we want to get to soon- we promise. Thanks for being here :)

[@الحمدللهعمري]

@@TalaTalksNICU I will wait .. 😊

[@laurenr5647]

Thank you so much! Can you discuss concerns regarding hypertension?

[@TalaTalksNICU]

Absolutely! That is a concern in the unit too! Good idea, thanks Lauren!

[@beverlyreyes7675]

Pros and cons of cord clamping

[@TalaTalksNICU]

YES! Mostly pros- but will plan a NICU nugget on this!

[@محبةالرحمن-م9ح]

Thanks

[@TalaTalksNICU]

Thank you for continuing to watch!

[@stillbreathing100]

Brief and Excellent. Would appreciate a talk on IDM babies and the pathophysiology of different problems occuring in an IDM baby .

[@TalaTalksNICU]

Hi Dr. Hassan! We have already filmed it and now Arianna is working on making it better! ha! It will be out soon :)))

[@stillbreathing100]

@@TalaTalksNICU yay!!