Monthly Archives: May 2016

Do Moderately Preterm Infants need RSV Immunization? What use are numbers without a denominator?

Palivizumab is an enormously expensive medication, an antibody which is given intramuscularly about once per month to at-risk infants to prevent infection with the respiratory syncytial virus (RSV). Recently the AAP and the CPS have changed their recommendations to reduce … Continue reading

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Making Good Decisions: part 3. Living with the aftermath

When there are decisions made about withholding or withdrawing life-sustaining interventions for a baby. There are 2 possible long term outcomes, either the baby will be there a few weeks hence, or not. What do we know about how parents … Continue reading

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Culture negative sepsis: what is it?

One of the things that I have wondered about over the years is whether infants who appear to be infected, but who have negative cultures, might have viral infections. A new study suggests that this is not rare. Kidszun A, et … Continue reading

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New Publication

Just arrived on-line: a systematic review and meta-analysis (I can imagine Annie’s eyes glazing over right now as she reads those words) of neonatal resuscitation programs. Pammi M, et al. Newborn Resuscitation Training Programmes Reduce Early Neonatal Mortality. Neonatology. 2016;110(3):210-24. Available free … Continue reading

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I want a Guarantee.

Enomoto M, et al. Effect of Volume Guarantee in Preterm Infants on High-Frequency Oscillatory Ventilation: A Pilot Study. American journal of perinatology. 2016(EFirst). One of the things that really bugs me (and there are many, as my gentle readers will … Continue reading

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Making Good Decisions; part 2

Green J, et al. Quality versus quantity: The complexities of quality of life determinations for neonatal nurses. Nurs Ethics. 2016. This study used a mixture of quantitative (survey of over 400 nurses) and qualitative (interviews with 24 nurses) methods. The … Continue reading

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Making Good Decisions; part 1

White DB, et al. Prevalence of and Factors Related to Discordance About Prognosis Between Physicians and Surrogate Decision Makers of Critically Ill Patients. JAMA. 2016;315(19):2086. This is a really cool study among families who had a family member in the … Continue reading

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