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 to do with mild encephalopathy?

Posted on 13 November 2017 by Keith Barrington

Therapeutic hypothermia improves the chances of babies with moderate or severe hypothermia of surviving without serious disability; referrals for evaluation for therapeutic hypothermia have exploded in our center, and many others, now that this advance is widely acknowledged. Many of … Continue reading →

Posted in Neonatal Research | Tagged , , | 7 Comments

The last word on delayed cord clamping in the preterm? part 3.

Posted on 10 November 2017 by Keith Barrington

Lo and behold. Fogarty M, et al. Delayed Versus Early Umbilical Cord Clamping for Preterm Infants: A Systematic Review and Meta-Analysis. Am J Obstet Gynecol. 2017. Some of the authors of the APTS trial have performed an updated systematic review, … Continue reading →

Posted in Neonatal Research | Tagged , , , | 6 Comments

The last word on delayed cord clamping in the preterm? Part 2.

Posted on 8 November 2017 by Keith Barrington

I mentioned the second trial I wanted to discuss at the beginning of part 1. Duley L, et al. Randomised trial of cord clamping and initial stabilisation at very preterm birth. Archives of disease in childhood Fetal and neonatal edition. … Continue reading →

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The last word on delayed cord clamping for preterms? Part 1.

Posted on 7 November 2017 by Keith Barrington

The APTS (Australian placental transfusion study) trial has just appeared on line. This was a high-quality multicenter, international RCT of immediate cord clamping (less than 10 seconds) compared to delayed clamping (60 seconds) for babies born less than 32 weeks … Continue reading →

Posted in Neonatal Research | Tagged , , | 2 Comments

Guidelines to help parents who have lost one of twins

Posted on 5 November 2017 by Keith Barrington

Many readers of this blog will recognize the name of Nick Embleton as someone who has done a great deal of nutrition research, and research into the intestinal microbiome of very preterm infants. He also has a major interest in … Continue reading →

Posted in Neonatal Research | Tagged , , | 2 Comments

Antibiotics are dangerous, unless you actually need them.

Posted on 3 October 2017 by Keith Barrington

In response to my previous post Claus Klingenberg wrote a comment in which he mentioned a recent systematic review that he had published with a group of colleagues. This review of a small number of RCTs (9) and a larger … Continue reading →

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A negative view of culture-negative sepsis

Posted on 27 September 2017 by Keith Barrington

I have now posted quite a few times about ways to reduce antibiotic use in the NICU, and in the term baby nursery. One thing that would help to reduce unnecessary usage is to abandon the idea that culture-negative sepsis … Continue reading →

Posted in Neonatal Research | Tagged , | 7 Comments

Volume guarantee, does it guarantee volume?

Posted on 22 September 2017 by Keith Barrington

I published an abstract somewhere, a while a go, that was called “Volume guarantee does not guarantee volume”. It was a summary of the results of a short-term cross-over trial which showed that tidal volumes stays quite variable when you … Continue reading →

Posted in Neonatal Research | 1 Comment

When good journals print nonsense. (And good doctors too).

Posted on 31 August 2017 by Keith Barrington

It is hard to believe the drivel some people are prepared to countenance just because it is supposed to be very old drivel. Chen KL, et al. Acupuncture in the neonatal intensive care unit-using ancient medicine to help today’s babies: … Continue reading →

Posted in Neonatal Research | Tagged | 1 Comment

Not neonatology; trip to Western Canada.

Posted on 14 August 2017 by Keith Barrington

I have just returned from summer vacation, we were very fortunate with the weather and with the wildlife viewing. I have put 2 new pages up of my photos under the “Photos” item on the menu at the top of … Continue reading →

Posted in Not neonatology | 4 Comments