-
Recent Posts
- Two amazing trials, at the opposite ends of the spectrum. What a weird world.
- What do you think are meaningful long term outcomes for preterm infants? Give your opinion!
- Which is worse; death or a low Bayley score? Comparing composite outcomes between groups, taking into account clinical priorities.
- Renal Function in the very immature preterm, what is a “normal” creatinine
- Longer-term outcomes: what should we measure? part 2
breathe, baby, breathe
- Analgesia
- anemia
- antibiotics
- Apnea
- asphyxia
- Assisted ventilation
- BPD
- Breast-feeding
- breast milk
- Conflicts of Interest
- Congenital Heart Disease
- Convulsions
- Cost effectiveness
- CPAP
- Delayed Cord Clamping
- ECMO
- EEG
- End-of-life decisions
- endotracheal intubation
- enteral feeding
- erythropoietin
- Ethics
- extubation
- families
- Fluids
- Gastro-oesophageal reflux
- Global Neonatal Health
- Handicap
- Head Ultrasound
- Health Care Organization
- Heart Surgery
- Hemodynamics
- Hyperglycemia
- Hypoglycemia
- Hypothermia
- hypoxic ischemic encephalopathy
- infection control
- intracranial hemorrhage
- Lactoferrin
- long term outcomes
- lung compliance
- microbiome
- mortality
- MRI
- Necrotising Enterocolitis
- Nitric Oxide
- nutrition
- Obstetrics
- oxygen therapy
- oxygen toxicity
- pain
- PDA
- Prebiotics
- Preventing Prematurity
- Probiotics
- pulmonary physiology
- Quality Improvement
- quality of life
- Randomized Controlled Trials
- Research Design
- Respiratory Management
- respiratory support
- Resuscitation
- Retinopathy of Prematurity
- RSV
- Sepsis
- statistics
- steroids
- sucrose
- surfactant treatment
- Survival
- Systematic Reviews
- transfusion
- trisomy
- twins
Respire, bébé, respire!
RSS Links
Canadian Premature Babies Foundation
Sainte Justine Hospital
Canadian Neonatal Network
Préma-Québec
Categories
Transport Néonatal
Archives
- May 2021
- April 2021
- January 2021
- December 2020
- October 2020
- September 2020
- August 2020
- July 2020
- May 2020
- April 2020
- March 2020
- February 2020
- January 2020
- December 2019
- November 2019
- October 2019
- September 2019
- June 2019
- May 2019
- April 2019
- March 2019
- February 2019
- December 2018
- November 2018
- October 2018
- June 2018
- May 2018
- April 2018
- February 2018
- January 2018
- December 2017
- November 2017
- October 2017
- September 2017
- August 2017
- July 2017
- June 2017
- May 2017
- April 2017
- March 2017
- February 2017
- January 2017
- December 2016
- November 2016
- October 2016
- September 2016
- August 2016
- June 2016
- May 2016
- April 2016
- March 2016
- February 2016
- January 2016
- December 2015
- November 2015
- October 2015
- September 2015
- August 2015
- June 2015
- May 2015
- April 2015
- March 2015
- February 2015
- January 2015
- December 2014
- November 2014
- October 2014
- September 2014
- August 2014
- June 2014
- May 2014
- April 2014
- March 2014
- February 2014
- January 2014
- December 2013
- November 2013
- October 2013
- September 2013
- August 2013
- July 2013
- June 2013
- May 2013
- April 2013
- March 2013
- February 2013
- January 2013
- December 2012
- November 2012
- October 2012
- September 2012
- August 2012
- July 2012
- June 2012
- May 2012
Meta
Author Archives: keithbarrington
Two amazing trials, at the opposite ends of the spectrum. What a weird world.
In the most recent NEJM two trials impacting newborn/paediatric care. One including 3,211 preterm infants, which shows that a very simple intervention could save, I estimate, tens of thousands of lives each year at almost no cost; the other with … Continue reading
What do you think are meaningful long term outcomes for preterm infants? Give your opinion!
Annie Janvier is part of a group of collaborators who are trying to get multiple opinions about meaningful outcomes in preterm babies. It is part of a project being run by the Canadian Follow-up Network CNFUN, which is called Parent-EPIQ. … Continue reading
Posted in Neonatal Research
Leave a comment
Which is worse; death or a low Bayley score? Comparing composite outcomes between groups, taking into account clinical priorities.
I keep harping on about this issue as I think we make a mistake in the design of our research studies when we include death and a much less important outcome in composite outcomes. For example in the STOP-BPD trial, … Continue reading
Renal Function in the very immature preterm, what is a “normal” creatinine
The last time I blogged about this issue, there were a few comments from renal specialists which pointed out some limitations in my interpretation of the data. I defended myself admirably (it is my blog after all!) but I recognize … Continue reading
Longer-term outcomes: what should we measure? part 2
I have made my concerns about developmental screening tests including the Bayley clear over the years, including in the previous post, which might make what I am going to say now seem odd: I do not think we should stop … Continue reading
Longer term outcomes; what should we measure? part 1.
Many important trials include follow-up to about 2 years in order to ascertain longer-term effects. Such as this one: Adams-Chapman I, et al. Neurodevelopmental outcome of preterm infants enrolled in myo-inositol randomized controlled trial. J Perinatol. 2021. Ira Adams-Chapman was … Continue reading
Posted in Neonatal Research
Tagged long term outcomes, Randomized Controlled Trials, Research Design
2 Comments
More thoughts about what to de-adopt
My post about de-adopting certain investigations or procedures in the NICU got a lot of suggestions and responses. Here are a few, either from the comments section or from Twitter. We should de-adopt the following: Dopamine. This is a suggestion … Continue reading
Posted in Neonatal Research
Leave a comment
Medication use in babies with bronchopulmonary dysplasia
A few recent studies have noted the marked variability between sites in the use of medications in preterm infants with BPD. Nelin TD, et al. The association between diuretic class exposures and enteral electrolyte use in infants developing grade 2 … Continue reading
Posted in Neonatal Research
2 Comments
The ACOG patient information page; what should it say about 22, 23, 24 weekers?
I mentioned not so long ago that the web page of the US Obstetricians professional association has information for prospective parents of babies of less than 25 weeks gestation that is… questionable. They state, for example, the following : Medical … Continue reading
What should we de-adopt in Neonatology?
When practices become ingrained in practice it can be very difficult to change them, even when new evidence becomes available, or a review of existing evidence points out that the practice is worthless. An editorial towards the end of last … Continue reading
Posted in Neonatal Research
8 Comments
