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Oxygen, getting the dose right. Not so easy.

Preterm babies require differing concentrations of oxygen to maintain them within the optimal saturation range, which is clearly the low 90’s, from all the data we have so far (Saugstad OD, Aune D. Optimal Oxygenation of Extremely Low Birth Weight … Continue reading

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Delayed Cord Clamping re-re-visited

I have been trying to develop some sort of protocol for babies in our center, so I have been reading in some detail the studies about very preterm births and cord clamping that are in the literature. It seems from … Continue reading

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Delayed cord clamping or cord milking for the very preterm newborn… or both?

What should we be doing, given the current state of the evidence, for the very preterm neonate? I think the evidence is now pretty clear that full-term babies have benefits, and no significant harm, from delayed cord clamping, which has … Continue reading

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Osteopathy in the NICU; you’ve got to be joking!

I didn’t mention this article when it first came out as it is so obviously nonsense. It came back to my attention as there is a really well done deconstruction on the blog ‘Science Based Medicine‘ which I strongly recommend … Continue reading

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Adrenal function in critical illness

A very interesting article in the PNEJM that made me question a lot of my ideas; I always like that when it happens. Boonen E, Vervenne H, Meersseman P,  et al: Reduced Cortisol Metabolism during Critical Illness. Prestigious New England Journal … Continue reading

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What do babies die of in resource poor countries?

Two very recent publications about neonatal mortality in resource poor countries. The first is from 6 different low resource countries and one medium resource country (Argentina) the authors presented the birth weight, gestational age and age at death of babies … Continue reading

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