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

What is hypoglycaemia? Part 3. Part of the answer!

The only way that we can find the answer to the question of what threshold blood sugar we should use to treat babies with low blood sugars is a prospective RCT, and Behold! Look! Lo! How say you? (van Kempen … Continue reading

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What is hypoglycemia? part 2

The new statement from the CPS, and many others, don’t discuss which measurement that we are really interested in, is it blood glucose, or plasma glucose? The different data sources are discussed as if they were all measuring the same … Continue reading

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What is hypoglycaemia? Part 1.

The Canadian Pediatric Society has just published new guidance for screening and treatment of infants at risk for neonatal hypoglycaemia. The older statement needed to be revised, in particular to include the use of oral glucose gel as an option, … Continue reading

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The jaundiced eye of the beholder

Well, this is disappointing, the amazing results from Iowa regarding the outcomes of infants born at 22 and at 23 weeks gestation have now been published in the February print edition of the Journal of Pediatrics. What is disappointing about … Continue reading

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Giving bad news as it happens

A new publication from my great group at Sainte Justine. Lizotte MH, et al. Techniques to Communicate Better With Parents During End-of-Life Scenarios in Neonatology. Pediatrics. 2020:e20191925. We have already published about what residents think about being part of a … Continue reading

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Preventing prematurity for pennies, and perinatal death.

This is amazing and somewhat surprising, at least to me. When I saw the title of this article, Low-dose aspirin for the prevention of preterm delivery in nulliparous women with a singleton pregnancy (ASPIRIN): a randomised, double-blind, placebo-controlled trial. I … Continue reading

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Cephalhaematomas, just leave them alone?

I remember going from Edmonton to Ukraine, to Kiev, not long after Chernobyl, as part of what started as the Chernobyl Children’s Project and had by then been renamed “Osvita”, “education” in Ukrainian. There are many Albertans of Ukrainian background, … Continue reading

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Does acidosis affect contractility of the neonatal heart? And does bicarbonate help?

I sometimes write posts which are not based on a new publication but to address a clinical issue that I think is important, and may not be clear to everyone. Often triggered by something that has happened in my own … Continue reading

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Do Probiotics work in the UK?

Seems like a dumb question I know, if they work in one country, surely they should work everywhere? It is sometimes difficult, however, to institute change based on studies that are done elsewhere, usually because there is an idea, or … Continue reading

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Breathe baby, breathe!

Annie’s book is now available in English. It is a distillation of the notes she made while our daughter was in the NICU, as well as additions written later, chapters written by caregivers, reprints of some of Annie’s narrative articles, … Continue reading

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