Monthly Archives: May 2015

Should we resuscitate children?

Posted on 27 May 2015 by Keith Barrington

I am going to be deliberately provocative today… for a change. A very interesting study from Japan has reported the results of out-of-hospital cardiac arrest in children. Goto Y, et al. Decision tree model for predicting long-term outcomes in children with … Continue reading →

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Are we family centered? Families don’t think so!

Posted on 25 May 2015 by Keith Barrington

Finlayson K, et al. Mothers’ perceptions of family centred care in neonatal intensive care units. Sex Reprod Healthc. 2014;5(3):119-24. This qualitative study interviewed mothers who had babies in one of three NICUs in the UK which claim to practice family-centered care. As … Continue reading →

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Neonatal Updates

Posted on 24 May 2015 by Keith Barrington

Aly H, et al. Melatonin use for neuroprotection in perinatal asphyxia: a randomized controlled pilot study. J Perinatol. 2015;35(3):186-91. Thirty asphyxiated infants undergoing hypothermia were randomized to melatonin or not, in a study from Egypt. The melatonin was given enterally, … Continue reading →

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What is a perfect baby?

Posted on 22 May 2015 by Keith Barrington

With the recent publication from the NICHD network concerning survival rates of the most immature infants, there has been a lot of discussion. Including a strange article in “the Daily Beast”, by Jeff Perlman. Why he would publish something there … Continue reading →

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Genetic variants and NEC risk

Posted on 19 May 2015 by Keith Barrington

This post is out of my usual comfort zone, but I thought I’d write about it as it is fascinating, and might lead to something clinical. I don’t understand any of the lab methodology of this study, except to say … Continue reading →

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Cord milking/delayed clamping at the 2015 PAS-meeting

Posted on 19 May 2015 by Keith Barrington

I have tried to go through the abstracts from PAS to find those that had new information, from controlled trials, about the efficacy and safety of cord milking and/or delayed clamping. Mercer and the group from Rhode Island presented the … Continue reading →

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Does gestational age matter?

Posted on 19 May 2015 by Keith Barrington

Gagliardi L. On the importance – and unimportance – of gestational age. Acta Paediatrica. 2015;104(6):544-6. This article by Luigi Gagliardi discusses the incidence of white matter injury on head ultrasound across extremely low gestational ages. He was intrigued by Bree … Continue reading →

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Delayed cord clamping or cord milking for the very preterm newborn… or both?

Posted on 18 May 2015 by Keith Barrington

What should we be doing, given the current state of the evidence, for the very preterm neonate? I think the evidence is now pretty clear that full-term babies have benefits, and no significant harm, from delayed cord clamping, which has … Continue reading →

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A letter from a mother to neonatologists

Posted on 18 May 2015 by Keith Barrington

From the blogger Alison Epps, a mother of an extremely preterm boy, who writes at the blog 22w6d. Below the letter on her blog there are before and after photos of her son James at the age of 4 1/2. Dear NICU … Continue reading →

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Paracetamol for the PDA? Maybe not, this time.

Posted on 15 May 2015 by Keith Barrington

Roofthooft DW, et al. Limited effects of intravenous paracetamol on patent ductus arteriosus in very low birth weight infants with contraindications for ibuprofen or after ibuprofen failure. Eur J Pediatr. 2015:1-8. In contrast to the previous study that I blogged … Continue reading →

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