Author Archives: keithbarrington

About keithbarrington

I am a neonatologist and clinical researcher and chief of service at Sainte Justine University Health Center in Montréal

A CPS statement thought experiement

Its been a while since I ranted about the CPS position statement regarding decision making around extremely preterm delivery. But I am currently in Europe where certain countries have specific thresholds for willingness to provide intensive interventions, thresholds which are … Continue reading

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Brain Food for Preterms

All food is brain food when your brain is making 250,000 new neurones every minute. In a small two-center trial first published in 2013 50 very preterm babies were randomized to different parenteral nutritional intakes. The main differences between the groups … Continue reading

Posted in Neonatal Research | Tagged , | 2 Comments

It’s not enough to be good

You have to keep practicing as well. The way our health systems are organized has impacts on outcomes. Multiple small centers doing complex surgery and looking after fragile patients only infrequently will likely have poorer outcomes overall. Large centers which … Continue reading

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Neonatal Updates

I haven’t done one of these for a while, getting too verbose I  guess, but here is a selection of interesting recent articles with just a few sentences about them. Mola-Schenzle E, Staffler A, Klemme M, Pellegrini F, Molinaro G, … Continue reading

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Comparing Currently Used Treatments

The idea that we should actively and scientifically compare treatments that are in widespread use, but currently with haphazard variations based on poor or no evidence, is a vital part of improving medicine. In my own field, the care of … Continue reading

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Feeding and NEC

Necrotizing Enterocolitis remains a devastating disease. One of the major causes of mortality in Very Low Birth Weight Infants, it often strikes when babies are starting to do well. Because it is relatively unpredictable, observational studies are potentially useful, but can … Continue reading

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Frozen poop sounds much more palatable

Fecal transplants are effective in treatment of persistent clostridium difficile infections. The publication showing that, in the small RCT published in the PNEJM, was remarkable in the pre-screened donors who were ready and available to produce a “donation” on demand. … Continue reading

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