Monthly Archives: November 2018

Who needs an EEG?

Posted on 30 November 2018 by Keith Barrington

Clinical neurologic evaluation of our patients in the NICU is limited; a careful detailed neurologic exam can only reveal so much in newborns who can’t cooperate or communicate. Many of our patients need ancillary testing to reveal what is going … Continue reading →

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Mur d’espoir

Posted on 28 November 2018 by Keith Barrington

Il y a maintenant, près de l’entrée principale de notre unité de soins intensifs néonatals à CHU Sainte Justine, un mur avec plusieurs pancartes sur lesquels on peut lire les témoignages de familles et enfants qui ont passée dans la … Continue reading →

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Cochrane Neonatal Reviews #EBNEO

Posted on 15 November 2018 by Keith Barrington

Cochrane Neonatal Reviews are now freely available full text at https://public.vtoxford.org/cochrane-at-von/ Thanks to the Vermont Oxford Network for making this possible.

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Ethical issues in the NICU

Posted on 14 November 2018 by Keith Barrington

Two new articles by John Lantos address ethical issues, one is explicitly about the NICU, the other is relevant to our issues, but uses an older child case as the example. The article in the FPNEJM is 8 pages long … Continue reading →

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The 2018 Apgar award, and the 2018 Bartholome Award

Posted on 13 November 2018 by Keith Barrington

Virginia Apgar Award The most prestigious award given to an individual who has made major contributions to neonatology, by the AAP, is the Virginia Apgar award. This year the deserving recipient is Saroj Saigal. Saroj has worked for most of … Continue reading →

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“The war to end all wars” 100 years on

Posted on 11 November 2018 by Keith Barrington

Among the many moving ceremonies to mark the centenary of the Armistice, a series of portraits of casualties of the first world war were stencilled in the sand around Britain, the project is called “Pages of the Sea”, which is … Continue reading →

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Under Pressure…

Posted on 7 November 2018 by Keith Barrington

This post “under pressure” isn’t about the classic collaboration between David Bowie and Queen at Live Aid, rather it is about how to wean CPAP. Should we trial preterm babies off for a period every day, or either progressively reduce … Continue reading →

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More about platelets

Posted on 6 November 2018 by Keith Barrington

The recent RCT comparing transfusion thresholds of 25,000 per mm3 to 50,000 in very preterm babies has generated a great deal of discussion. The result was somewhat unexpected, I think. I would not have been surprised to find that there … Continue reading →

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Platelet transfusions don’t prevent bleeding (and may increase mortality).

Posted on 2 November 2018 by Keith Barrington

When do you give a platelet transfusion? You could easily ask 10 different neonatologists and get 15 different answers. I would be one of those who gave several different answers depending on the clinical situation, believing that thrombocytopenia of different … Continue reading →

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Heads up?

Posted on 1 November 2018 by Keith Barrington

A new RCT published in the Journal of Perinatology suggests that a midline head position with head elevated at 30 degrees might reduce severe intracranial hemorrhage. (Kochan M, et al. Elevated midline head positioning of extremely low birth weight infants: … Continue reading →

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