Monthly Archives: September 2013

Informed consent in the NICU

I have watched most of the presentations at the OHRP meeting, so you don’t have to. Many of the critics of SUPPORT make the same mistaken assumption, that usual care in the NICU is to individualize oxygen saturation targets, I … Continue reading

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Prebiotics, to support growth of Probiotics, and how to kill them

Ishizeki S, Sugita M, Takata M, Yaeshima T: Effect of administration of bifidobacteria on intestinal microbiota in low-birth-weight infants and transition of administered bifidobacteria: A comparison between one-species and three-species administration. Anaerobe 2013, 23(0):38-44. In this study the investigators report 3 … Continue reading

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Maybe CRPs are not CRaP? Not entirely convinced yet.

This is  a nicely done study, with interesting data, but I am not sure I agree 100% with the conclusions. Lots of newborn babies get antibiotics for suspected infection, they are usually stopped at 48 hours if the cultures are negative, … Continue reading

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Fuzzy Images

The title of this post I stole from the title of a newly published article (Mann PC, Woodrum DE, Wilfond BS: Fuzzy images: Ethical implications of using routine neuroimaging in premature neonates to predict neurologic outcomes. The Journal of pediatrics 2013, … Continue reading

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Nous sommes à la télévision!

Yesterday evening on “télé-québec” the first 22 minutes or so were about prematurity; it was all shot in our NICU, and features several members of the team here, nurses, a nurse practioner, neonatologists, RTs and parents. It think it turned out … Continue reading

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C’est inSUPPORTable!

A new publication about SUPPORT? Haven’t we heard enough? Well no, this is fascinating, although not entirely unexpected if you think about it. One of the 2 comparisons of the SUPPORT trial involved randomization to be either immediately intubated to receive surfactant, … Continue reading

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Neonatal Updates #37

Hough JL, Johnston L, Brauer S, Woodgate PF, Schibler AF: Effect of body position on ventilation distribution in ventilated preterm infants. Pediatric Critical Care Medicine 2013, 14(2):171-177. Regional ventilation was measured using computed impedance tomography. The researchers found no effect … Continue reading

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What are the responsibilities of clinical researchers?

One of the presentations at the OHRP hearings of the HHS was by George Annas, a JD who has an MPH (for those outside of north america that means he is a lawyer, but with a masters in public health). … Continue reading

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“There is no foot too small that it cannot leave an imprint on this world”

This link will take you to a very touching tribute written by a 16 year old to his little sister. It is a very personal essay, about his love for the girl who died at 6 weeks of age, but … Continue reading

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Predicting outcomes, but not before birth

One very important article that I failed to blog about last year when it came out is this one (Ambalavanan N, Carlo WA, Tyson JE, Langer JC, Walsh MC, Parikh NA, Das A, Van Meurs KP, Shankaran S, Stoll BJ … Continue reading

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