Tag Archives: Randomized Controlled Trials

What to give before intubation

The blog has been quiet recently, for various personal and professional reasons, but I will be getting back into the groove. I got really concerned over the last couple of days, my usually reliable personal PubNeoMed in my brain told … Continue reading

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New Lactoferrin Data

Two new articles addressing effects of lactoferrin. Both used bovine lactoferrin (bLF), one was in humans, the other in piglets. In case you haven’t been following closely, lactoferrin is an iron transport protein that has multiple anti-infective properties, against bacteria, … Continue reading

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Probiotics in preterm infants: not just for NEC prevention any more

A new RCT in more mature preterm infants 32 to 37 weeks compared the incidence of viral respiratory infections during the first year of life between infants who received prebiotics (galacto-oligosaccharide and polydextrose) probiotics (lactobacillus rhamnosus) or placebo between the … Continue reading

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Poietins for the brain?

Ohls RK, Kamath-Rayne BD, Christensen RD, Wiedmeier SE, Rosenberg A, Fuller J, et al. Cognitive Outcomes of Preterm Infants Randomized to Darbepoetin, Erythropoietin, or Placebo. Pediatrics. 2014. I’ve written about this trial before, a smallish 3 arm trial of erythropoietin, … Continue reading

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Funny shaped heads? You can take the helmet off now.

I often see kids around my hospital wearing orthotic helmets, designed to make their heads more round (some of them ex-preterms), and I often wondered if they really work. A new RCT from the Netherlands shows no effect . Renske MvW, Leo … Continue reading

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Prophylactic fluconazole works; but we shouldn’t use it?

A new high quality multicenter RCT examined the effects of fluconazole prophylaxis in about 360 very tiny babies (VTB), that is they weighed less than 750g at birth. They were enrolled in the first 5 days of life to fluconazole … Continue reading

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High Frequency Ventilation and long term pulmonary outcomes

The UK Oscillation study (UKOS) was a large multicenter trial in the UK of high-frequency compared to conventional ventilation; 800 babies <29 weeks gestation were randomized, if they were intubated from birth and were less than 1 hour old, to … Continue reading

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High Flow Nasal Cannulae: poor man’s CPAP?

The title is how I sometimes refer to HFNC, but one could ask whether that is all there is to high flow, is it just another way to deliver CPAP, but with no control, or knowledge, of the pressure delivered? … Continue reading

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Something else that doesn’t work in sepsis; albumin

Another multi-center RCT in adults with severe sepsis or septic shock with a negative result. This time 1800 adults in 100 ICUs in Italy were randomized. Fluid boluses were either crystalloid or 20% albumin and crystalloid. Blood pressure was somewhat … Continue reading

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Bloody Placentas

No, literally. There is now quite good evidence of the advantages of delayed cord clamping in the term infant, with most particularly an improvement in iron stores in the baby that has lasting effects during the first year of life. … Continue reading

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