Monthly Archives: October 2013

Pain hurts

Posted on 21 October 2013 by Keith Barrington

In 2010 a paper published in the Lancet called into question the use of sucrose as an analgesic for heelsticks. (I will use the US term as I think most people understand that it refers to lancing the heel of … Continue reading →

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Do Probiotics prevent C difficile?

Posted on 18 October 2013 by Keith Barrington

My recent post about Bayesian analysis was in part prompted by this trial, just published in the Lancet, but I never got back to discussing this trial, being distracted by other things, like actual work. Nearly 3000 adults were randomized … Continue reading →

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Time is Brain

Posted on 17 October 2013 by Keith Barrington

That phrase, which has been used to denote the urgency of early stroke treatment in adults, has been purloined by Marianne Thoresen and her colleagues for their article about the importance of timely hypothermia treatment, and now by me for … Continue reading →

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Feeding during PDA treatment

Posted on 15 October 2013 by Keith Barrington

Ron Clyman and a multicenter group have just published this DAFFII trial. Which is a rather tortuous light-hearted acronym for Ductus Arteriosus Feed or Fast with Indomethcain or Ibuprofen.   (Clyman R, Wickremasinghe A, Jhaveri N, Hassinger DC, Attridge JT, Sanocka … Continue reading →

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Neonatal Updates #38

Posted on 15 October 2013 by Keith Barrington

Simons SHP, van der Lee R, Reiss IKM, van Weissenbruch MM: Clinical evaluation of propofol as sedative for endotracheal intubation in neonates. Acta Paediatrica 2013, 102(11):e487-e492 Many readers will know that I was the author of the recent CPS position statement … Continue reading →

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More extubation stuff

Posted on 11 October 2013 by Keith Barrington

Eduardo Banclari’s group have just published an RCT comparing success of extubation among 93 babies less than  1 kg birth weight who were put on low CPAP pressure (4 to 6) or high pressure (7 to 9 cm H2O). These were … Continue reading →

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High Flow Nasal Cannulae; finally learning about them

Posted on 11 October 2013 by Keith Barrington

The Melbourne group must get fed up of publishing important research, here is another in the PNEJM. Manley BJ, Owen LS, Doyle LW, Andersen CC, Cartwright DW, Pritchard MA, Donath SM, Davis PG: High-flow nasal cannulae in very preterm infants … Continue reading →

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Therapeutic Hypothermia: not a panacea

Posted on 11 October 2013 by Keith Barrington

If hypothermia protects the brain, maybe we should use it for anyone who is at risk of brain injury during acute illness? Fortunately other potential uses of hypothermia are being investigated, such as this:  Mourvillier B, Tubach F, van de Beek D, … Continue reading →

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Comment on my last post

Posted on 7 October 2013 by Keith Barrington

Please go see the comment from Alyssa Kent on my last post. Link is here. Alyssa is the mother of Virginia Kent, an extreme premie, and her insights are very provocative. I like the term extreme premie, makes it sound … Continue reading →

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Variation in care for extremely preterm infants

Posted on 7 October 2013 by Keith Barrington

One of the things that is striking in neonatology are the variations in outcomes of the most immature babies. In some centers, and in some countries, when a mother presents with threatened delivery at what the doctors think is 23 … Continue reading →

Posted in Neonatal Research | Tagged | 7 Comments