Monthly Archives: October 2015

Another amazing publication (insert jokey emoticon here)

Posted on 29 October 2015 by Keith Barrington

This one’s just me, and is a bit of a “how do I do it” article. I recount how I try and keep up with the emerging literature, and then some simple rules for determining if a new publication is … Continue reading →

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Late Surfactant may not be effective, probably.

Posted on 29 October 2015 by Keith Barrington

A large multi-center trial (n=511) led by Roberta Ballard has just been published. (Ballard RA, et al. Randomized Trial of Late Surfactant Treatment in Ventilated Preterm Infants Receiving Inhaled Nitric Oxide. J Pediatr 2015.) In this trial infants had similar … Continue reading →

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When should we treat hyperbilirubinemia in preterm infants?

Posted on 28 October 2015 by Keith Barrington

I missed this when it was first published, but it came up on one of my regular searches at the weekend. Hulzebos CV, et al. The bilirubin albumin ratio in the management of hyperbilirubinemia in preterm infants to improve neurodevelopmental outcome: … Continue reading →

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A new book, with great chapters!

Posted on 27 October 2015 by Keith Barrington

A new book about neonatal clinical ethics has just been released. Eduard Verhagen and Annie Janvier are the editors. Here is the blurb: Ethical Dilemmas for Critically Ill Babies Editors: Verhagen, Eduard, Janvier, Annie. Series: International Library of Ethics, Law, … Continue reading →

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A step forward in neonatal resuscitation. And Oh So Simple.

Posted on 27 October 2015 by Keith Barrington

When you are resuscitating a baby, and you ask, how is the heart rate? What kind of answer do you get? “It’s good” “pulse is a bit slow” “I think its around 80”? As Lou Halamek and his team recount … Continue reading →

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Also, still no parents!

Posted on 27 October 2015 by Keith Barrington

My previous post was long enough without addressing another serious deficiency in these guidelines. It is worth its own post. The guidelines are written by doctors. And only doctors (actually only Obstetricians). There is no input mentioned from any other … Continue reading →

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Another extremely flawed guideline on periviable deliveries

Posted on 26 October 2015 by Keith Barrington

Oh Dear, here we go again… This is a joint statement from ACOG and the SMFM. There is some good in here, but you’d think they could at least get the facts right. “Delivery before 23 weeks of gestation typically … Continue reading →

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Life in a hospital…

Posted on 26 October 2015 by Keith Barrington

My nephew Charles has a youtube channel that I directed readers to previously, I really like his funny recent video `life in a hospital‘ but I hesitated to publish a link here. There are some stereotypical nurse images that might … Continue reading →

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Another confirmation of the excellent quality of life of very preterm infants

Posted on 22 October 2015 by Keith Barrington

Huhtala M, et al. Health-related quality of life in very low birth weight children at nearly eight years of age. Acta Paediatrica. 2015 This study from Finland showed an excellent quality of life of former VLBW infants at “nearly 8 … Continue reading →

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Can we stop worrying about neonatal hypoglycaemia?

Posted on 21 October 2015 by Keith Barrington

In the same, neonatal, issue of the Formerly Prestigious New England Journal of Medicine as my recent post about inhaled steroids, is a fascinating cohort study of serial blood glucose monitoring in 404 at-risk term infants (the CHYLD study). The infants … Continue reading →

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