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PODCAST

The Incubator

Ben Courchia & Daphna Yasova Barbeau

A weekly discussion about new evidence in neonatal care and the fascinating individuals who make this progress possible. Hosted by Dr. Ben Courchia and Dr. Daphna Yasova Barbeau.

health & fitness medicine

All Episodes

17:14

#431 - [Journal Club] - 📌 Prophylactic hydrocortisone...

The Incubator ·

2026/03/30

Send us Fan Mail In this Daily Journal Club episode, Ben and Daphna review a massive Swedish national cohort study from JAMA Network Open examining early prophylactic hydrocortisone in extremely preterm infants. They discuss the targeted regimens used, differences in gestational age outcomes, and whether a blanket prophylactic approach is truly effective for preventing BPD. With impressive data covering 98% of all NICU admissions in Sweden, the hosts debate the nuances of targeting 24 to 25-w...

en-us

12:21

#430 - 🏖️ [COOL TOPICS] - Can Early Intervention for...

The Incubator ·

2026/03/20

Send us Fan Mail Dr. Kelly Mahaney, Assistant Professor of Pediatric Neurosurgery at Stanford and researcher focused on the role of iron in post hemorrhagic hydrocephalus, joins the podcast to challenge the traditional watch and wait approach to IVH complications. She describes Stanford’s early radiographic intervention pathway, which has reduced shunt dependency from 90% to 45% in reservoir-placed infants, explains why waiting for clinical symptoms means waiting too long, and outlines her ef...

en-us

12:27

#429 - 🏖️ [COOL TOPICS] - Is the Lymphatic System the...

The Incubator ·

2026/03/20

Send us Fan Mail Dr. Sanjay Sinha, interventional pediatric cardiologist, Assistant Professor of Pediatrics at CHOC and UCI, and Co-Director of the UCLA Congenital Lymphatic Imaging and Intervention Program, opens a new chapter for neonatologists on neonatal chylothorax and lymphatic disease. He explains how to recognize lymphatic mimickers at the bedside, why woody edema should raise the index of suspicion, how MR lymphangiography is reshaping diagnosis and surgical planning, and how early t...

en-us

29:47

#428 - 🏖️ [COOL TOPICS] - Are Soft Skills Actually...

The Incubator ·

2026/03/20

Send us Fan Mail Dr. Clara Song, neonatal intensivist with Southern California Permanente Medical Group, Chair of the AAP Section on Neonatal Perinatal Medicine Executive Committee, and founding leader of the Women in Neonatology group, shares the lessons from her Cool Topics talk on quiet power and soft skills in leadership. She explores how communication, emotional intelligence, and servant leadership drive team performance more than technical expertise, breaks down the four personality typ...

en-us

15:13

#427 - 🏖️ [COOL TOPICS] - Are Neonatologists Being...

The Incubator ·

2026/03/20

Send us Fan Mail Dr. Robin Steinhorn, Professor and Vice Dean for Children’s Clinical Services at UC San Diego and President of Children’s Specialists of San Diego, tackles one of neonatology’s most uncomfortable conversations: compensation. She breaks down how to identify reliable benchmark data, explains why neonatologists are generating more RVUs than ever while pay has not kept pace with workload complexity, addresses gender discrepancy trends in the literature, and offers practical strat...

en-us

23:05

#426 - 🏖️ [COOL TOPICS] - What Does It Really Take to...

The Incubator ·

2026/03/20

Send us Fan Mail Dr. Susan Hintz, Medical Director of the Fetal and Pregnancy Health Program and Robert L. Hess Family Endowed Professor at Stanford Medicine, delivers this year’s Cool Topics keynote on collaboration, shared purpose, and the lessons learned building high risk infant follow-up infrastructure through the CPQCC. She challenges the neonatal community to move beyond the handoff to a pediatrician and think deliberately about true medical home design, including coordinated care team...

en-us

11:13

#425 - 🏖️ [COOL TOPICS] - Are We Missing Neonatal AKI...

The Incubator ·

2026/03/19

Send us Fan Mail Dr. Caitlin Carter, Clinical Director of Nephrology at Rady Children’s Hospital and associate clinical professor at UC San Diego, joins the podcast to challenge how neonatologists recognize and follow up on acute kidney injury. She explains why creatinine alone is insufficient, how biomarkers like NGAL can detect tubular injury before function declines, and why AKI too often disappears from the discharge summary. She also outlines published consensus guidelines on post NICU n...

en-us

16:48

#424 - 🏖️ [COOL TOPICS] - How Should We Feed the Most...

The Incubator ·

2026/03/19

Send us Fan Mail Dr. Tarah Colaizy, Professor of Neonatology at the University of Iowa Stead Family Children’s Hospital and Medical Director of the Mother’s Milk Bank of Iowa, challenges the one size fits all approach to nutrition in periviable infants. She shares the Iowa philosophy of individualized, principle driven feeding management, explains why rigid protocol adherence can backfire in the most immature babies, and walks through her unit’s glycerin protocol for meconium obstruction of p...

en-us

24:56

#423 - 🏖️ [COOL TOPICS] - Should Neonatology Break...

The Incubator ·

2026/03/19

Send us Fan Mail Dr. Satyan Lakshminrusimha, Chair of Pediatrics and Pediatrician in Chief at UC Davis Children’s Hospital, makes a compelling case for rebranding and restructuring neonatology as a field. He argues for adopting the title of neonatal critical care physician, addresses the stark disparity between NICU revenue generation and neonatologist compensation, and outlines a step by step resuscitation framework for the field, from restoring professional identity to establishing a dedica...

en-us

21:24

#422 - 🏖️ [COOL TOPICS] - What Does Dignified End of...

The Incubator ·

2026/03/19

Send us Fan Mail Dr. Elizabeth Crouch, neonatologist, neuroscientist, and physician scientist at UCSF and co-host of At the Bench on The Incubator Podcast, joins Ben and Daphna live at Cool Topics to discuss palliative and comfort care in the NICU. Drawing from her research on organ donation, autopsy, and research donation after neonatal loss, Dr. Crouch shares how meaning making supports families through grief, offers practical tips for approaching these conversations with compassion and goo...

en-us

11:07

#421 - 🏖️ [COOL TOPICS] - Can the CPQCC Model Be...

The Incubator ·

2026/03/19

Send us Fan Mail Dr. Shmuel Zangen, Director of Neonatology at Barzilay Medical Center in Ashkelon, Israel, and former chair of the Israeli Neonatal Association, joins the podcast during his California sabbatical embedded with CPQCC. Having already led national QI collaborations targeting nosocomial infections and intraventricular hemorrhage across all 26 Israeli NICUs, he shares what he is learning about the culture, infrastructure, and methodology behind effective statewide quality improvem...

en-us

15:11

#420 - 🏖️ [COOL TOPICS] - What Do Normothermia,...

The Incubator ·

2026/03/19

Send us Fan Mail Dr. Jochen Profit, Chair and Principal Investigator at CPQCC and Wendy J. Tomlin-Hess Endowed Professor of Pediatrics at Stanford Medicine, joins the podcast to discuss what truly separates high performing NICUs from the rest. He makes the case for process metrics over mortality as quality markers, highlighting normothermia on admission, breast milk feeding at discharge, and infection rates as deceptively simple yet deeply revealing indicators of unit culture. The conversatio...

en-us

11:53

#419 - 🏖️ [COOL TOPICS] - Is the Neonatal Kidney the...

The Incubator ·

2026/03/19

Send us Fan Mail Dr. Alexis Davis, Clinical Professor of Pediatrics at Stanford and Medical Director of the NephroNICU at Lucile Packard Children’s Hospital, makes the case that neonatology is entering a nephro era. She discusses how AKI prevention through initiatives like the BABY NINJA collaborative, fluid management strategies, and the emerging concept of the NephroNICU are reshaping how we think about kidney health in premature infants. She also addresses the complex ethical and practical...

en-us

16:39

#418 - 🏖️ [COOL TOPICS] - Are We Truly Listening to...

The Incubator ·

2026/03/18

Send us Fan Mail Ra’Niesha Bratton, MPH, CHES, CPQCC Family Advisory Council board member and public health advocate, and Joanne Tillman, CPQCC Family Engagement Coordinator, join the podcast to discuss what genuine family centered care looks like in practice. Drawing from lived NICU experience, Ra’Niesha shares how implicit bias and cultural incompetence harm families at their most vulnerable and how structured family advisory councils can drive systemic change. The conversation also tackles...

en-us

11:39

#417 - 🏖️ [COOL TOPICS] - Do NICU Families Have a...

The Incubator ·

2026/03/18

Send us Fan Mail Silvia Bor, NICU mom to a 24 weeker and Family Advisory Council member for the CPQCC, makes the case for why family centered care must go beyond a philosophy and become a structured practice. She shares how involving parents in quality improvement initiatives, including the NEOBrain early skin to skin project, drives meaningful change at the bedside. She also outlines the CPQCC toolkit for building hospital level Family Advisory Councils and discusses how to identify the righ...

en-us

14:15

#416 - 🏖️ [COOL TOPICS] - Can Statewide Collaboration...

The Incubator ·

2026/03/18

Send us Fan Mail Recorded live at the Cool Topics in Neonatology conference, this episode features Dr. Denise Suttner, Clinical Director of the Rady Children's Hospital NICU, professor of pediatrics at UC San Diego, and director of the San Diego Regional ECMO Program. Dr. Suttner discusses the California Perinatal Quality Care Collaborative (CPQCC) as a model for statewide neonatal quality improvement, the importance of family centered communication in the NICU, and the value of state level p...

en-us

39:15

#415 - Finding Optimal PEEP at the Bedside With...

The Incubator ·

2026/03/16

Send a text In this episode, we sit down with Dr. Jessica Shui, attending neonatologist at Mass General for Children, to explore the game-changing potential of Electrical Impedance Tomography (EIT) in the NICU. We dive into her recent paper in the Journal of Perinatology on using non-invasive EIT to identify optimal PEEP in infants with severe bronchopulmonary dysplasia. Dr. Shui explains how this real-time, radiation-free technology allows clinicians to visualize lung mechanics, dynamically ...

en-us

83:00

#410 - 📑 Journal Club - The Complete Episode from...

The Incubator ·

2026/03/14

Send a text The PDA debate has a new data point. TREOCAPA, a phase 3 multicenter European RCT, tested prophylactic acetaminophen in infants born at 23 to 28 weeks. The ductus closed more reliably. Whether that translated into better survival without severe morbidity at 36 weeks is where the conversation gets interesting. Also this week: a large multicenter cohort study puts real numbers on diazoxide use across US NICUs and the pulmonary hypertension risk that has driven so much practice varia...

en-us

18:17

#410 - [Neo News] - 📌 How Can Clinicians Navigate...

The Incubator ·

2026/03/13

Send a text In this Neo News episode, Ben and Eli dive into the recent controversial announcement from the state of Florida regarding heavy metals and pesticides found in infant formulas. They discuss the implications of releasing testing data without transparent methodology or clinical context, especially for unregulated or recalled brands like ByHeart and Similac Soy Isomil. How should NICU clinicians counsel parents who want to bring their own formulas from home? Tune in as they unpack the...

en-us

15:38

#410 - [Journal Club] - 📌 Should We Increase Caffeine...

The Incubator ·

2026/03/12

Send a text In this episode of Journal Club, Ben and Daphna review a retrospective cohort study exploring the effects of higher caffeine maintenance dosing on BPD and neurodevelopmental outcomes. They discuss the transition from the standard CAP trial doses to higher regimens for infants born at or before 28 weeks gestation. Does an average daily dose of over six milligrams per kilogram reduce severe BPD or improve Bayley cognitive scores at six months? Tune in as they debate the safety, clin...

en-us

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