Author Archives: Keith Barrington

Unknown's avatar

About Keith Barrington

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

Don’t push so hard! Diaphragmatic hernia babies have fragile lungs that can easily be overdistended.

Posted on 14 June 2018 by Keith Barrington

Neonatology ‘grew up’ treating babies with surfactant deficiency. We all learnt about recruiting lungs with PEEP, and that increasing mean airway pressure improved oxygenation. It is generally true that babies with acute pulmonary disease of low-volume such as HMD, pneumonia, … Continue reading →

Posted in Neonatal Research | 3 Comments

When should we fortify feeds in extremely preterm babies?

Posted on 7 June 2018 by Keith Barrington

This post is not based on a new publication, but is stimulated by the introduction of an update to our nutritional protocol in our NICU. Since the previous update of the protocol we have been fortifying breast milk early. We … Continue reading →

Posted in Neonatal Research | 7 Comments

The PAS-meeting App, revisited

Posted on 29 May 2018 by Keith Barrington

I received a comment on my previous post about this issue about the 2018 PAS meeting from the executive director of the meeting, Eileen Fenton. She told me that the permanent record of the abstracts is an issue they are … Continue reading →

Posted in Neonatal Research | Leave a comment

ECMO for ARDS

Posted on 28 May 2018 by Keith Barrington

Although this isn’t neonatal it is a great study with an unfortunate conclusion… There has long been controversy about the place of ECMO for adults with ARDS. To resolve this a French multicentre trial randomized adults who were very sick … Continue reading →

Posted in Neonatal Research | Tagged | 1 Comment

At last, something men are better at than women!

Posted on 28 May 2018 by Keith Barrington

That is, giving blood for babies, at least maybe. The introduction to this new publication notes something that I was not aware of, that plasma donated by women is associated with a substantially greater frequency of transfusion related complications than … Continue reading →

Posted in Neonatal Research | Tagged , | 1 Comment

Placement of umbilical catheters

Posted on 18 May 2018 by Keith Barrington

This is not a very new article, but it still appears to be on-line only. I wrote the draft of this post a while ago then forgot about it, but I think it is a valuable publication. Lean WL, et … Continue reading →

Posted in Neonatal Research | Tagged | 5 Comments

Integrating families more in their babies’ care is a good thing!

Posted on 18 May 2018 by Keith Barrington

Giving families a much greater role in the care of their infants is a really important advance and much of what Karel O’Brien and the team at Mount Sinai have done is what should be done in all our NICUs.  … Continue reading →

Posted in Neonatal Research | 1 Comment

Just needle it! #NeoEBM

Posted on 16 May 2018 by Keith Barrington

I didn’t post much about last year’s PAS (and I am not sure I will have the energy in future years either) there are often disappointments and surprises, abstrracts presented as platforms in important sessions that should not have been, … Continue reading →

Posted in Neonatal Research | Tagged , | 3 Comments

PAS 2018: the wrap-up.

Posted on 14 May 2018 by Keith Barrington

A general comment about these PAS 2018 blog posts. I think we should be very careful about changing practice based on an abstract. We should respect peer review, with all its limitations, and we should always consider new research in … Continue reading →

Posted in Neonatal Research | Tagged , , , , | 2 Comments

PAS 2018 No7: Protecting tiny noses

Posted on 14 May 2018 by Keith Barrington

#NeoEBM My blog posts are automatically tweeted. A group of twitterers got together at PAS and suggested that this hashtag should become a marker of neonatal Evidence Based Medicine posts. Great initiative! Now I have to find out how to … Continue reading →

Posted in Neonatal Research | Tagged , | 1 Comment