Monthly Archives: October 2013

Neonatal Updates #40

Posted on 30 October 2013 by Keith Barrington

Oops, the last one was #40, except it wasn’t, this is the real #40, as we are heading to a big blog threshold soon, I will probably stop numbering these! Field D: Neonatal ECMO Study of Temperature (NEST): A Randomized … Continue reading →

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Registry Trials

Posted on 30 October 2013 by Keith Barrington

The latest PNEJM reports a large trial in adults (over 7000 patients randomized) in a very tasty trial, known as TASTE (Thrombus Aspiration in ST-Elevation Myocardial Infarction in Scandinavia). The trial was among patients who were undergoing coronary angiography and … Continue reading →

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Reducing BPD by Avoiding Intubation

Posted on 29 October 2013 by Keith Barrington

Sometimes more than one article gets published almost simultaneously on the same topic, sometimes with similar methodology. Two systematic reviews of the effects of trying to avoid or curtail endotracheal intubation in order to protect the lungs have just been … Continue reading →

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Brain Death: a fiction that has outlived its usefuleness

Posted on 28 October 2013 by Keith Barrington

It may come as a surprise to some readers that I regard ‘Brain Death’ as a fiction. But brain death was invented by a US president’s commission as a way of deciding that patients were dead when they manifestly were … Continue reading →

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How to deliver CPAP

Posted on 25 October 2013 by Keith Barrington

Two almost simultaneous articles, one from the Melbourne group. One from Colm O’Donnell in Dublin who has worked with the Melbourne group in the past Kamlin COF, Schilleman K, Dawson JA, Lopriore E, Donath SM, Schmölzer GM, Walther FJ, Davis … Continue reading →

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I have to change my opinion of Russell Brand

Posted on 25 October 2013 by Keith Barrington

Turns out he is bright, thoughtful, and can articulate the disillusionment of many millions. Watch his interview with Jeremy Paxman. I certainly don’t agree with everything he has to say, but his passion for the fight against economic disparity, entrenched … Continue reading →

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Neonatal Updates #39

Posted on 25 October 2013 by Keith Barrington

Storme L, Aubry E, Rakza T, Houeijeh A, Debarge V, Tourneux P, Deruelle P, Pennaforte T: Pathophysiology of persistent pulmonary hypertension of the newborn: Impact of the perinatal environment. Archives of Cardiovascular Diseases 2013, 106(3):169-177.  An excellent review article by someone … Continue reading →

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More Pain

Posted on 25 October 2013 by Keith Barrington

One comment on a previous post was about pain control for, among other things, nasogastric tube insertion. Lo and behold a new publication (Ravishankar A, Thawani R, Dewan P, Das S, Kashyap A, Batra P, Faridi MMA: Oral dextrose for … Continue reading →

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Pain research in the newborn, what is ethical?

Posted on 21 October 2013 by Keith Barrington

Annie Janvier’s comment on my recent post made we wonder what are the ethical limits of pain research in the newborn. Let me start with an adult analogy, if a researcher wanted to investigate the efficacy of a new analgesic … Continue reading →

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“Saving extremely preterm babies by signing forms”

Posted on 21 October 2013 by Keith Barrington

This is great.  A journalist at the Tampa Bay Times who had an infant herself at 23 weeks gestation has just written one of the best articles about SUPPORT, from the point of view of someone who has experienced NICU from the other … Continue reading →

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