Monthly Archives: February 2017

Survival of extremely preterm babies, part 3. A regional European comparison. If you don’t treat them, they will die.

Hard on the heels of the publication discussed in the previous post, a new publication comparing interventions and outcomes for babies at the same sort of gestational ages from 12 regions in 5 different European countries (if we can still … Continue reading

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Survival of extremely preterm babies in a national cohort, and a comparison of nations.

As a follow up to my last post, a new article from Norway details the survival to one year of age, and the neonatal morbidities of babies born at 22 to 26 weeks gestation in the whole country in 2013-2014. … Continue reading

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Improved survival and improved Bayley scores among infants born in the periviable period.

If you were to report survival and other outcomes among infants with a very high risk of dying or having long-term impairments, why would you include babies for whom a decision was made to let them die? Let me put … Continue reading

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Fluid restriction to prevent BPD?

In response to my previous post, one of the comments was a question about fluid volumes in the first few days of life, and whether fluid and/or sodium intake was important for the development of BPD during the early neonatal … Continue reading

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Fluid restriction as treatment for BPD? This time with the summary of findings table.

I realize that many of my gentle readers may not have access to the Cochrane reviews in full text as soon as they are published. The NICHD do provide free access to the neonatal reviews, (together with a useful introduction … Continue reading

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New Publication: Does fluid restriction improve the clinical status of babies with BPD?

I have never been convinced that fluid restriction is a good thing for kids with BPD. I think the common practice came about because of the short-term improvements in lung function that sometimes follow if you start diuretics. The idea … Continue reading

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The FDA warns against anaesthesia in the very young

There has been accumulating evidence of the potential risks of anaesthetic agents, such as risks of enhanced apoptosis in animal models and long-term functional effects in  those various animal models also. All anaesthetic agents appear to be affected, which I … Continue reading

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