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Author Archives: keithbarrington
Cochrane Neonatal Reviews #EBNEO
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.
Posted in Neonatal Research
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Ethical issues in the NICU
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
Posted in Neonatal Research
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The 2018 Apgar award, and the 2018 Bartholome Award
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
Posted in Neonatal Research
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“The war to end all wars” 100 years on
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
Posted in Neonatal Research
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Under Pressure…
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
More about platelets
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).
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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