Monthly Archives: August 2014

Necrotizing Enterocolitis and Surgery

Posted on 28 August 2014 by Keith Barrington

Hull MA, Fisher JG, Gutierrez IM, Jones BA, Kang KH, Kenny M, et al. Mortality and Management of Surgical Necrotizing Enterocolitis in Very Low Birth Weight Neonates: A Prospective Cohort Study. Journal of the American College of Surgeons. 2014;218(6):1148-55. This data is … Continue reading →

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Can we share decisions?

Posted on 27 August 2014 by Keith Barrington

I found this article quite insightful. (Joseph-Williams N, Edwards A, Elwyn G: Power imbalance prevents shared decision making. Bmj 2014, 348). Shared decision making is a buzz-word (buzz-phrase I guess) to describe how to pursue good decision making with patients (or in our … Continue reading →

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Gastric acid is good for you

Posted on 19 August 2014 by Keith Barrington

I might have used that title previously, but new data published in JAMAPediatrics supports the concept. In a prospective cohort study the authors cultured fluid from gastroscopies, and bronchoscopies in children, and compared the results between those who were on … Continue reading →

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Inhaled Nitric Oxide in Preterms

Posted on 18 August 2014 by Keith Barrington

Kinsella JP, Cutter GR, Steinhorn RH, Nelin LD, Walsh WF, Finer NN, et al. Noninvasive Inhaled Nitric Oxide Does Not Prevent Bronchopulmonary Dysplasia in Premature Newborns. The Journal of pediatrics. 2014. My Cochrane review (which is in the process of being … Continue reading →

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Diaphragmatic Hernia Stuff

Posted on 14 August 2014 by Keith Barrington

Several recent articles which have some importance for diaphragmatic hernia management Madenci AL, Sjogren AR, Treadwell MC, Ladino-Torres MF, Drongowski RA, Kreutzman J, et al. Another dimension to survival: predicting outcomes with fetal MRI versus prenatal ultrasound in patients with … Continue reading →

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Neonatal Updates

Posted on 13 August 2014 by Keith Barrington

Garel C, Moutard ML. Main congenital cerebral anomalies: how prenatal imaging aids counseling. Fetal diagnosis and therapy. 2014;35(4):229-39. An excellent review article that can assist in prenatal counselling if you have a mother whose fetus has a CNS anomaly. Baylis R, … Continue reading →

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Should we all be wearing gloves? Every time we touch a baby?

Posted on 12 August 2014 by Keith Barrington

Two new articles over the summer suggest that the answer to that question may well be yes. The first is the best quality of the studies, an RCT in a single center in the USA. Kaufman DA, Blackman A, Conaway MR, Sinkin … Continue reading →

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Neonatal Etiquette

Posted on 6 August 2014 by Keith Barrington

In 2008 a Dr Michael Kahn published an article in the Prestigious New England Journal (which I abbreviate to PNEJM, for any new readers). It was entitled ‘etiquette-based medicine’. He made the introductory comment that although patients deserve compassionate doctors, … Continue reading →

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Back in the Saddle

Posted on 6 August 2014 by Keith Barrington

I have had a very relaxing break, a long vacation with no blogging, indeed very intermittent internet access, and I did not even keep up with my scanning of the neonatal lierature. But now back to full speed, or at … Continue reading →

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