Monthly Archives: January 2013

Iron therapy for anemia of the preterm; now I’m confused!

Posted on 29 January 2013 by Keith Barrington

I thought I knew, sort of, what to do about iron supplementation in the preterm. Preterm babies outgrew their iron supply, there isn’t very much in breast milk, and you need to supplement to minimize the appearance of anemia of … Continue reading →

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Not only Neonatology

Posted on 26 January 2013 by Keith Barrington

I really appreciate the writings of Atul Gawande, his articles and his books: ‘Complications’ ‘Better’ and ‘The checklist manifesto’. I just saw a TED talk he gave in March last year, 19 minutes on how to fix medicine. Link here. … Continue reading →

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Helping Babies Breathe is a Really Good Idea

Posted on 24 January 2013 by Keith Barrington

Two new articles showing that ‘Helping Babies Breathe‘ training really works. Msemo G, Massawe A, Mmbando D, Rusibamayila N, Manji K, Kidanto HL, Mwizamuholya D, Ringia P, Ersdal HL, Perlman J: Newborn mortality and fresh stillbirth rates in tanzania after … Continue reading →

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Are babies and children so different?

Posted on 24 January 2013 by Keith Barrington

Matteo Fontana and his collaborators have just published an interesting paper evaluating modes of death in the PICU and NICU at my hospital, Annie Janvier is, of course, the senior author (Fontana MS, Farrell C, Gauvin F, Lacroix J, Janvier … Continue reading →

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Weekly Updates #21

Posted on 23 January 2013 by Keith Barrington

Van Hus JW, Jeukens-Visser M, Koldewijn K, Geldof CJ, Kok JH, Nollet F, Van Wassenaer-Leemhuis AG: Sustained developmental effects of the infant behavioral assessment and intervention program in very low birth weight infants at 5.5 years corrected age. The Journal … Continue reading →

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Slow Flow

Posted on 22 January 2013 by Keith Barrington

I have worked in a couple of NICUs in the past where infants were placed on low flow room air by nasal cannulae. The idea, I was told, was that a bit of flow would help the babies to inhale. … Continue reading →

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Supporting oxygen limits

Posted on 19 January 2013 by Keith Barrington

The initial results of the SUPPORT trial examining the effects of different oxygen limits stopped a lot of us in our tracks. We started these trials because most of us thought that aiming for lower oxygen saturation targets would reduce … Continue reading →

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Transplanting Poo

Posted on 18 January 2013 by Keith Barrington

That’s right, Poo not Pooh; this post is not an AA Milne tribute. The smallest trial in a while at the PNEJM (van Nood E, Vrieze A, Nieuwdorp M, Fuentes S, Zoetendal EG, de Vos WM, Visser CE, Kuijper EJ, … Continue reading →

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Testing treatments

Posted on 14 January 2013 by Keith Barrington

Imogen Evans, Hazel Thornton, Iain Chalmers, and Paul Glasziou have written a great book about why we need to do clinical trials, with introductory chapters about how they should be done. The second edition of their book is available free … Continue reading →

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Weekly Updates #20

Posted on 11 January 2013 by Keith Barrington

My endnote database got corrupted partway through the week, I nearly had a “crise de nerfs” and it took most of a day to put right… the final solution wasn’t that difficult, but I tried about 15 other things first. … Continue reading →

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