Monthly Archives: June 2013

HIE: what’s next?

Kapadia VS, Chalak LF, Dupont TL, Rollins NK, Brion LP, Wyckoff MH: Perinatal Asphyxia with Hyperoxemia within the First Hour of Life Is Associated with Moderate to Severe Hypoxic-Ischemic Encephalopathy. The Journal of pediatrics 2013. If you are acidotic at … Continue reading

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Intensive care for the extremely preterm infant requires intensive care, and working with Obstetricians

Alleman BW, Bell EF, Li L, Dagle JM, Smith PB, Ambalavanan N, et al. Individual and Center-Level Factors Affecting Mortality Among Extremely Low Birth Weight Infants. Pediatrics. 2013. This paper from the NICHD network shows substantial variation in survival between … Continue reading

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ECMO: not dead yet

There is a sort of a quadruple entendre in the title of this post: ECMO still exists; ECMO is needed if you are ‘not yet dead’ and have a chance of surviving; ECMO decreases mortality if you need it; but, … Continue reading

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Speech is developing even before the speech centers appear

Someone who is more expert in this field than me could probably take apart that title, but the message of this article is that, even at 29 weeks gestation, , the preterm brain reacts differently to different phonemes (ba versus … Continue reading

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We can stop routine suctioning at birth!

I never understood why it was thought to be so important, (indeed by some essential) to stick some sort of suctioning device into the babies mouth, usually right back to the posterior pharyngeal wall, and suck out amniotic fluid. It … Continue reading

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Neonatal Updates #35

Huang SS, Septimus E, Kleinman K, Moody J, Hickok J, Avery TR, et al. Targeted versus Universal Decolonization to Prevent ICU Infection. New England Journal of Medicine. 2013;368(24):2255-65. A cluster randomized study in adults in intensive care. There were 3 … Continue reading

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Hyperinsulinemic babies don’t neccesarily have high insulin??

It has been known for some time that some SGA babies with hypoglycemia are hyperinsulinemic. As many as 20% of some small series have shown this phenomenon, they can be suspected because of the high glucose requirements, and confirmed, I … Continue reading

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