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

Sustained inflation during neonatal resuscitation? Not so fast…

Posted on 18 August 2016 by Keith Barrington

A sustained inflation at birth of an asphyxiated lamb which lasts 30 seconds leads to much more rapid restoration of heart rate and blood pressure than either conventional ventilation or a series of shorter sustained inflations of 5 seconds each. … Continue reading →

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Brave New World

Posted on 17 August 2016 by Keith Barrington

As a teen (yes I can still remember that far back) one of my favourite books was “Brave New World” by Aldous Huxley, I haven’t reread it for many years now, but I would still recommend it (and I’m not … Continue reading →

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Neonatal Updates: Recent Nutritional Publications part 2.

Posted on 16 August 2016 by Keith Barrington

Breast Milk and how to use it Colacci M, et al. Growth and Development in Extremely Low Birth Weight Infants After the Introduction of Exclusive Human Milk Feedings. American journal of perinatology. 2016(EFirst). This is a before and after study … Continue reading →

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Neonatal Updates: Recent Nutritional Publications part 1.

Posted on 16 August 2016 by Keith Barrington

As there is no way I can catch up after the break, I will post a few ‘neonatal Updates’ to point my readers to things I found interesting over the last couple of months, this first group is all about … Continue reading →

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Early neonatal outcomes in trisomy 13 and 18

Posted on 15 August 2016 by Keith Barrington

One of the things that has changed greatly over the years, in my practice and in medical practice in general, is the approach to some congenital anomalies, particularly to serious chromosomal anomalies. Trisomy 13 and 18 specifically have seen an … Continue reading →

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Two New Publications

Posted on 15 August 2016 by Keith Barrington

After a few weeks break (for a number of reasons), I’m ready to start blogging again! I’m sure you have all missed the succinct and perceptive critiques of the recent neonatal literature, but today I will start with 2 publications … Continue reading →

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Causes and Consequences of Bronchopulmonary Dysplasia

Posted on 21 June 2016 by Keith Barrington

Sullivan K, et al. The Association between Positive Tracheal Aspirate Cultures and Adverse Pulmonary Outcomes in Preterm Infants with Severe Bronchopulmonary Dysplasia. American journal of perinatology. 2016(EFirst).  This is an interesting study, with many limitations. 121 intubated VLBW preterm infants … Continue reading →

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Survival and outcomes of extremely immature babies, glass half empty or…

Posted on 17 June 2016 by Keith Barrington

Anderson JG, et al. Survival and Major Morbidity of Extremely Preterm Infants: A Population-Based Study. Pediatrics. 2016. This publication is derived from data in a public health database, the data for which comes from ICD-9 codes of the hospital discharge … Continue reading →

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Moral Distress among nurses (and others).

Posted on 15 June 2016 by Keith Barrington

This publication appeared on-line a couple of months ago, and still isn’t in print. Prentice T, et al. Moral distress within neonatal and paediatric intensive care units: a systematic review. Arch Dis Child. 2016. It is a systematic review from Melbourne, … Continue reading →

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Neonatal nurses save lives, if you have enough of them.

Posted on 13 June 2016 by Keith Barrington

In the UK an “intensive care” day for a newborn is defined as a day where the baby is intubated and ventilated, or is on non-invasive respiratory support (CPAP of non-invasive ventilation) AND parenteral nutrition, or on the day of … Continue reading →

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