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

Necrotizing Enterocolitis: manipulating the microbiome, part 2

The Newcastle, UK, group has published an article about the intestinal microbiome of babies receiving routine probiotic prophylaxis. Abdulkadir B, et al. Routine Use of Probiotics in Preterm Infants: Longitudinal Impact on the Microbiome and Metabolome. Neonatology. 2016;109(4):239-47. The authors studied 7 … Continue reading

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Necrotizing Enterocolitis: manipulating the microbiome, part 1

Some very interesting recent publications about NEC, so I will post a multi-part bumper posting. The first has just been published (in tomorrow’s Lancet) Warner BB, et al. Gut bacteria dysbiosis and necrotising enterocolitis in very low birthweight infants: a prospective … Continue reading

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Which Surfactant is best?

Singh N, et al. Comparison of animal-derived surfactants for the prevention and treatment of respiratory distress syndrome in preterm infants. Cochrane database of systematic reviews (Online). 2015;12:CD010249. This is the sort of systematic review that I find really helpful. Some … Continue reading

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Blood pressures in very immature babies

One recent publication initially looked very interesting from the title, Vesoulis ZA, et al. Empirical estimation of the normative blood pressure in infants <28 weeks gestation using a massive data approach. J Perinatol. 2015. Unfortunately the authors interpretation of ‘massive data’ is … Continue reading

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Unilateral DNR orders?

A paper from Mark Mercurio and colleagues has been making some waves. In it they address the question of unilateral DNAR orders (previously called Do Not Resuscitate DNR orders, but now often referred to, more accurately as Do Not Attempt … Continue reading

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New achievements!

Neonatal research has now passed a total of 400,000 page views since it started, thanks to many people for their encouragement My researchgate profile now shows over 5,000 citations of articles I have authored, or co-authored. Sometimes when you publish … Continue reading

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Death of a twin, further resources.

I recently wrote about the work from Newcastle in the UK about supporting parents who lose one of a pair of twins during the perinatal period. Nick Embleton wrote a comment about that post noting that they now have put … Continue reading

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Follow up of the PREMILOC post

Further to my post about the PREMILOC trial of routine hydrocortisone supplementation in extremely preterm infants, I received an email response from Olivier Baud, who was generally in agreement with my comments, but doubts the validity of adding the data … Continue reading

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Inhaled steroids to prevent BPD, another trial.

This time from Japan, Nakamura T, et al. Early inhaled steroid use in extremely low birthweight infants: a randomised controlled trial. Archives of Disease in Childhood – Fetal and Neonatal Edition. 2016. 211 babies with a birth weight less than 1000 … Continue reading

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Late surfactant supplementation

After the initial phase of surfactant deficiency of the very preterm infant, inhibition and destruction of surfactant are common, the inflammation of the oxygen exposed preterm lung is probably important in the pathophysiology of bronchopulmonary dysplasia, and the adverse effects … Continue reading

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