Author Archives: Keith Barrington

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About Keith Barrington

I am a neonatologist and clinical researcher at Sainte Justine University Health Center in Montréal

The acid test

Posted on 7 February 2013 by Keith Barrington

As well as avoiding putting anything untested in the intestinal tracts of preterm babies, we should also leave alone their intestinal function. My good friend Sanjay Patole has published, with his group of systematic reviewers in Perth, a review of … Continue reading →

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Weekly Updates #22

Posted on 6 February 2013 by Keith Barrington

Milstone AM, Elward A, Song X, Zerr DM, Orscheln R, Speck K, Obeng D, Reich NG, Coffin SE, Perl TM et al: Daily chlorhexidine bathing to reduce bacteraemia in critically ill children: A multicentre, cluster-randomised, crossover trial. Lancet 2013(0). Nearly … Continue reading →

Posted in Neonatal Research | 3 Comments

Leave my gut alone!

Posted on 5 February 2013 by Keith Barrington

Many things that we put in the intestines of preterm infants increase the risk of necrotising enterocolitis, including xanthan gum, kayexalate, and now, it seems, gastrografin. A group from Vienna performed a masked RCT in 96 very low birth weight, … Continue reading →

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Nurses matter!

Posted on 4 February 2013 by Keith Barrington

There are a lot of qualitative studies that make huge generalizations from the very tiniest of samples; on the other hand, some studies of values and wishes of parents and patients can be valuable, and can be well studied only … Continue reading →

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Preventing Stillbirth

Posted on 4 February 2013 by Keith Barrington

A new observational study looking at the causes of Stillbirth in the UK (Gardosi J, Madurasinghe V, Williams M, Malik A, Francis A: Maternal and fetal risk factors for stillbirth: Population based study. BMJ 2013, 346:f108.) identifies potentially modifiable factors … Continue reading →

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Iron therapy for anemia of the preterm; now I’m confused!

Posted on 29 January 2013 by Keith Barrington

I thought I knew, sort of, what to do about iron supplementation in the preterm. Preterm babies outgrew their iron supply, there isn’t very much in breast milk, and you need to supplement to minimize the appearance of anemia of … Continue reading →

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Not only Neonatology

Posted on 26 January 2013 by Keith Barrington

I really appreciate the writings of Atul Gawande, his articles and his books: ‘Complications’ ‘Better’ and ‘The checklist manifesto’. I just saw a TED talk he gave in March last year, 19 minutes on how to fix medicine. Link here. … Continue reading →

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Helping Babies Breathe is a Really Good Idea

Posted on 24 January 2013 by Keith Barrington

Two new articles showing that ‘Helping Babies Breathe‘ training really works. Msemo G, Massawe A, Mmbando D, Rusibamayila N, Manji K, Kidanto HL, Mwizamuholya D, Ringia P, Ersdal HL, Perlman J: Newborn mortality and fresh stillbirth rates in tanzania after … Continue reading →

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Are babies and children so different?

Posted on 24 January 2013 by Keith Barrington

Matteo Fontana and his collaborators have just published an interesting paper evaluating modes of death in the PICU and NICU at my hospital, Annie Janvier is, of course, the senior author (Fontana MS, Farrell C, Gauvin F, Lacroix J, Janvier … Continue reading →

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Weekly Updates #21

Posted on 23 January 2013 by Keith Barrington

Van Hus JW, Jeukens-Visser M, Koldewijn K, Geldof CJ, Kok JH, Nollet F, Van Wassenaer-Leemhuis AG: Sustained developmental effects of the infant behavioral assessment and intervention program in very low birth weight infants at 5.5 years corrected age. The Journal … Continue reading →

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