Monthly Archives: February 2013

Weekly Updates #25

The postings have been light the last 3 weeks. With 2 periods of service and between them a trip to San Francisco for an NIH workshop, for which I have to author a review article, (and co-author 2 others) as … Continue reading

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A life of quality

Saroj Saigal has just published a very important review of long term quality of life of former preterm infants. As you can imagine, as she originated this area of study for the preterm, it is clearly written and thoughtful. (Saigal … Continue reading

Posted in Advocating for impaired children | Tagged , , | 1 Comment

Bloody Stools

It is not infrequent in the neonatal unit to be faced with an infant who has rectal bleeding. In some places the tendency has been to assume that the infant has cows milk protein intolerance (even among those who are … Continue reading

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Weekly Updates #24

Stutchfield PR, Whitaker R, Gliddon AE, Hobson L, Kotecha S, Doull IJM: Behavioural, educational and respiratory outcomes of antenatal betamethasone for term caesarean section (ASTECS trial). Archives of Disease in Childhood – Fetal and Neonatal Edition 2013. Caesarean delivery, even … Continue reading

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Post hemorrhagic hydrocephalus: when to drain the ventricles

A new editorial from Linda de Vries, (de Vries LS, Brouwer AJ, Groenendaal F: Posthaemorrhagic ventricular dilatation: When should we intervene? Archives of Disease in Childhood – Fetal and Neonatal Edition 2013.) comments on an article which has been available … Continue reading

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Weekly Updates #23

Arboleya S, Binetti A, Salazar N, Fernández N, Solís G, Hernández-Barranco A, Margolles A, de los Reyes-Gavilán CG, Gueimonde M: Establishment and development of intestinal microbiota in preterm neonates. FEMS Microbiology Ecology 2012, 79(3):763-772. These Spanish investigators surveyed the intestinal … Continue reading

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How long is a piece of string? When is a PDA hemodynamically significant?

The answer to the first question is traditionally ‘twice as long as half a piece of string’ which is supposed to be funny. Equally difficult is the second question, when is a patent ductus arteriosus (PDA)  hemodynamically significant? We could … Continue reading

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The acid test

As well as avoiding putting anything untested in the intestinal tracts of preterm babies, we should also leave alone their intestinal function. My good friend Sanjay Patole has published, with his group of systematic reviewers in Perth, a review of … Continue reading

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Weekly Updates #22

Milstone AM, Elward A, Song X, Zerr DM, Orscheln R, Speck K, Obeng D, Reich NG, Coffin SE, Perl TM et al: Daily chlorhexidine bathing to reduce bacteraemia in critically ill children: A multicentre, cluster-randomised, crossover trial. Lancet 2013(0). Nearly … Continue reading

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Leave my gut alone!

Many things that we put in the intestines of preterm infants increase the risk of necrotising enterocolitis, including xanthan gum, kayexalate, and now, it seems, gastrografin. A group from Vienna performed a masked RCT in 96 very low birth weight, … Continue reading

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