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

Desperately Seeking Problems with Premies

Posted on 9 June 2012 by Keith Barrington

I don’t know about you, but I am getting really irritated with people searching desperately to find problems with the long term outcomes of preterm infants. A new publication exemplifies this. A linked database study from Sweden has compared the … Continue reading →

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Head Ultrasound lesions and developmental progress: Predicting Long-Term Outcomes part 2

Posted on 7 June 2012 by Keith Barrington

Two recent articles that give much more information about the predictive capacity of head ultrasounds. Many articles about head ultrasounds and outcomes use the Papile classification. This classification was developed for simple classification of periventricular hemorrhage types as seen on … Continue reading →

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Predicting Long Term Outcomes, General Observations

Posted on 7 June 2012 by Keith Barrington

Just back to blogging from a few days at a very successful conference in Geneva, organized by Annie Janvier. At the conference I gave a presentation about prediction of long term outcomes in preterm infants. Some of the issues that … Continue reading →

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What does a low Bayley Score Mean? Predicting Long term outcomes: part 1.

Posted on 2 June 2012 by Keith Barrington

The title of the commentary listed below might put off some neonatologists, it looks like it has to do with studies in full term babies of their nutrition, when it really has to do with the meaning of the Bayley Scores. Colombo J, Carlson SE. … Continue reading →

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Fluid Restricting Babies: Part 2

Posted on 30 May 2012 by Keith Barrington

While I am on a roll… Fluid restriction as a means of treating babies with BPD makes no sense. It is also unsupported by any literature. I think this practice may have arisen because diuretics are given to infants with BPD (don’t get … Continue reading →

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Fluid Restricting Babies

Posted on 29 May 2012 by Keith Barrington

A study published online first in the Journal of Pediatrics questions a common practice, the practice of fluid restricting babies who have a patent ductus arteriosus. De Buyst J, Rakza T, Pennaforte T, Johansson AB, Storme L: Hemodynamic Effects of … Continue reading →

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Neonatal Surgery and Long Term Outcomes

Posted on 27 May 2012 by Keith Barrington

A study from a group in Australia provides new data about the developmental outcomes of babies having surgery, in the medium long term. It is already clear that babies who need neonatal cardiac surgery have poorer developmental outcomes than control … Continue reading →

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Septic Shock

Posted on 25 May 2012 by Keith Barrington

This study is not neonatal at all, not even pediatric, but I think it is really important. Ranieri VM, Thompson BT, Barie PS, Dhainaut JF, Douglas IS, Finfer S, et al. Drotrecogin Alfa (Activated) in Adults with Septic Shock. N … Continue reading →

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15,000,000 preterm babies a year

Posted on 25 May 2012 by Keith Barrington

A new report from the World Health Organisation highlights the importance of prematurity as a major health problem around the world. http://www.who.int/pmnch/media/news/2012/preterm_birth_report/en/index.html Fifteen million babies are born prematurely in the world each year, and the number is increasing everywhere. You can use … Continue reading →

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Pulse Oximetry Screening for Congenital Heart Disease, an idea whose time has come

Posted on 24 May 2012 by Keith Barrington

It is now several years since the first study of using pulse oximeters to screen for congenital heart disease were published. The initial response was a little skeptical, and appropriately cautious. It was immediately clear that there would be numerous false positives … Continue reading →

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