Monthly Archives: June 2013

HIE: what’s next?

Posted on 28 June 2013 by Keith Barrington

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

Posted on 23 June 2013 by Keith Barrington

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

Posted on 20 June 2013 by Keith Barrington

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

Posted on 18 June 2013 by Keith Barrington

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!

Posted on 17 June 2013 by Keith Barrington

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

Posted on 15 June 2013 by Keith Barrington

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??

Posted on 14 June 2013 by Keith Barrington

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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Xrays may not be innocuous

Posted on 13 June 2013 by Keith Barrington

This worrying article from Australia of a matched database study shows a significant increase in cancer risk with a CT scan performed during childhood or adolescence, (Mathews JD, Forsythe AV, Brady Z, Butler MW, Goergen SK, Byrnes GB, Giles GG, … Continue reading →

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When she died there was a hailstorm, it was as if the Angels cried.

Posted on 11 June 2013 by Keith Barrington

Evy Kristine (the little girl that Siri Berg, her mother, wrote about) has a website, with a page in English. The title of this post is taken from one of the two very moving poems you can find there written … Continue reading →

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Neonatal Updates #34

Posted on 8 June 2013 by Keith Barrington

Hartling L, et al. Benefits and Harms of Treating Gestational Diabetes Mellitus: A Systematic Review and Meta-analysis for the U.S. Preventive Services Task Force. Ann Intern Med. 2013 (open access). A very comprehensive review, as is usual from this source, I … Continue reading →

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