Monthly Archives: June 2018

Does inhaling Nitric Oxide cause cancer?

How would you answer the question posed in this title? Given the relative rarity of infant cancers, I guess you would have to follow thousands of babies treated with iNO, and compare with thousands of babies who were equally sick … Continue reading

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Oxygen for preterm infants, what dose of this toxic drug is the right dose? #NeoEBM

The NeoProm primary publication is the result of a prolonged gestation; I remember meetings over 15 years ago when Cynthia Cole from Boston was suggesting the idea, and although she was not, I think, finally an author on any of … Continue reading

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Even more thoughts on breast milk fortification

I thought I would discuss the new study by O’Connor and colleagues in a little more detail (O’Connor DL, et al. Nutrient enrichment of human milk with human and bovine milk-based fortifiers for infants born weighing <1250 g: a randomized … Continue reading

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More on breast milk fortification

The trial that I mentioned in my previous post on this topic, that I said had not been published, has now been published! O’Connor DL, et al. Nutrient enrichment of human milk with human and bovine milk-based fortifiers for infants … Continue reading

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Don’t push so hard! Diaphragmatic hernia babies have fragile lungs that can easily be overdistended.

Neonatology ‘grew up’ treating babies with surfactant deficiency. We all learnt about recruiting lungs with PEEP, and that increasing mean airway pressure improved oxygenation. It is generally true that babies with acute pulmonary disease of low-volume such as HMD, pneumonia, … Continue reading

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When should we fortify feeds in extremely preterm babies?

This post is not based on a new publication, but is stimulated by the introduction of an update to our nutritional protocol in our NICU. Since the previous update of the protocol we have been fortifying breast milk early. We … Continue reading

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