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

Probiotics in a Canadian NICU

We occasionally have parents who request ‘alternative’ therapies for their babies in my unit, not many, as I think very often parents are rather overwhelmed by the efficacy and intensiveness of a modern NICU. On two occasions in my career I have … Continue reading →

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101 posts, 20,000 page views, 105 countries!

When I started this blog I intended it mostly for my own trainees, with the hope that others might find it useful, and that the energy expended for my fellows (and colleagues) could help others struggling like me to stay … Continue reading →

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Slow codes, show codes, and no-codes in neonatal intensive care

This is the title of a live webinar debate, Nov 29th, 12-1pm Organized by the Children’s mercy Hospital, Kansas City. The Information for the Webinar is as follows: Every NICU or PICU doctor has faced the following situation:  A baby … Continue reading →

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Weekly Updates #13

Tin W, Brunskill G, Kelly T, Fritz S. 15-Year Follow-Up of Recurrent “Hypoglycemia” in Preterm Infants. Pediatrics. 2012. A very long term follow up of a study by my friend Win Tin in the North East of England. They were … Continue reading →

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Feeding patterns and NEC

I have discussed before evidence about whether the pattern of introduction or advancement of feeds affects NEC.  I noted that there is only one out of a large number of trials of feeding introduction and advancement which has shown an … Continue reading →

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Opioids and Cerebral Development in the Newborn

An extremely interesting “ratling” study from the latest “Neonatology” (Dührsen L, Simons SHP, Dzietko M, Genz K, Bendix I, Boos V, Sifringer M, Tibboel D, Felderhoff-Mueser U: Effects of repetitive exposure to pain and morphine treatment on the neonatal rat … Continue reading →

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The Preemie Toolkit

If you haven’t seen this and you are involved in NICU and/or follow up, I think this could be a very valuable resource. The preemie toolkit is a series of forms and web links for professionals and families designed to … Continue reading →

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Chloride is toxic

I think we have given too little attention to the nature of the crystalloid solutions we use. Not just in neonatology, but apparently in the adult ICU also,  (Yunos NM, Bellomo R, Hegarty C, Story D, Ho L, Bailey M: Association between … Continue reading →

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Abort all the bankers!

I just heard a great quote from Francesca Martinez on the BBC News Quiz. Francesca Martinez is a stand up comic with a disability (she is often a sit-down comic in fact as you can see here), she is very … Continue reading →

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Weekly Updates #12

Welzing L, Oberthuer A, Junghaenel S, Harnischmacher U, Stützer H, Roth B: Remifentanil/midazolam versus fentanyl/midazolam for analgesia and sedation of mechanically ventilated neonates and young infants: a randomized controlled trial. Intensive Care Medicine 2012, 38(6):1017-1024. A small RCT (n=23) comparing … Continue reading →

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