Author Archives: keithbarrington

About keithbarrington

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

Should we try?

Arnolds M, et al. Worth a Try? Describing the Experiences of Families during the Course of Care in the Neonatal Intensive Care Unit When the Prognosis is Poor. The Journal of pediatrics. 2018;196:116-22 e3. A few times a year many … Continue reading

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Why is MOM best? part 2

MOM is best, because it leads to the lowest incidence of NEC; but why? (if you didn’t read part 1, MOM is Mother’s Own Milk) The impacts of milk processing which create the differences in milk composition, detailed in my … Continue reading

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Why is MOM best?

Mother’s Own Milk (MOM) seems to be the best base for enteral nutrition of the preterm infant, in terms of the risk of infection, the risk of Enterocolitis (NEC) and, probably, long term neurodevelopment. Reasonably good data show that replacing … Continue reading

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Dr William Meadow 1948-2019

A sad way to fire up the blog after a long summer break. My good friend and colleague, Bill Meadow, died a few days ago. I first got to know Bill when I was junior faculty in Edmonton. At that … Continue reading

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Are these data relevant to my practice?

A couple of recent published trials have made me wonder about that question, and how to assess if an impact suggested by the results of a trial might be relevant to how I practice, and would likely be reproduced if … Continue reading

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Pulse Oximetry screening; a bizarre decision in the UK.

Universal pulse oximetry screening for critical congenital heart disease is a simple cheap addition to universal hearing and metabolic screening with undeniable benefits. Infants with undiagnosed life threatening congenital heart disease can be detected prior to closure of the ductus … Continue reading

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Gastric acid is good for your bones.

We’ve known for a while now that suppressing gastric acid production in preterm infants increases Necrotising Enterocolitis and also systemic sepsis. Presumably this is because the intestinal microbiome is deranged by allowing the survival of pathogens as they pass through … Continue reading

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