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

Retinopathy: up or down?

Posted on 17 November 2015 by Keith Barrington

The oxygen saturation targeting trials showed more retinopathy with higher oxygen saturation targets. Will this translate into more retinopathy in actual practice? Many units have increased their saturation targets as a result of those studies. This may indeed lead to … Continue reading →

Posted in Neonatal Research | Tagged , , | 3 Comments

Neonatal Updates

Posted on 17 November 2015 by Keith Barrington

Gschließer A, et al. Inter-expert and Intra-expert Agreement on the Diagnosis and Treatment of Retinopathy of Prematurity. American Journal of Ophthalmology. 2015;160(3):553-60.e3. The investigators showed 52 retinal photographs to 7 expert ophthalmologists, and then 8 weeks later showed them to … Continue reading →

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International Prematurity Day

Posted on 17 November 2015 by Keith Barrington

A Quebecois photographer, Red Methot has been taking photos of prematurely born children, each one is holding a photo of themselves as a preterm baby. He has now made a youtube video of his project. And here is his photo of my … Continue reading →

Posted in Neonatal Research | 3 Comments

Endotracheal intubation is hazardous

Posted on 15 November 2015 by Keith Barrington

Which is no surprise, I hope, to any of us. Neil Finer has been a leader in the field of recognizing and quantifying the adverse physiologic effects of endotracheal intubation, and of finding ways to reduce those effects using premedication. … Continue reading →

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Another amazing publication (insert jokey emoticon here)

Posted on 29 October 2015 by Keith Barrington

This one’s just me, and is a bit of a “how do I do it” article. I recount how I try and keep up with the emerging literature, and then some simple rules for determining if a new publication is … Continue reading →

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Late Surfactant may not be effective, probably.

Posted on 29 October 2015 by Keith Barrington

A large multi-center trial (n=511) led by Roberta Ballard has just been published. (Ballard RA, et al. Randomized Trial of Late Surfactant Treatment in Ventilated Preterm Infants Receiving Inhaled Nitric Oxide. J Pediatr 2015.) In this trial infants had similar … Continue reading →

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When should we treat hyperbilirubinemia in preterm infants?

Posted on 28 October 2015 by Keith Barrington

I missed this when it was first published, but it came up on one of my regular searches at the weekend. Hulzebos CV, et al. The bilirubin albumin ratio in the management of hyperbilirubinemia in preterm infants to improve neurodevelopmental outcome: … Continue reading →

Posted in Neonatal Research | 3 Comments

A new book, with great chapters!

Posted on 27 October 2015 by Keith Barrington

A new book about neonatal clinical ethics has just been released. Eduard Verhagen and Annie Janvier are the editors. Here is the blurb: Ethical Dilemmas for Critically Ill Babies Editors: Verhagen, Eduard, Janvier, Annie. Series: International Library of Ethics, Law, … Continue reading →

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A step forward in neonatal resuscitation. And Oh So Simple.

Posted on 27 October 2015 by Keith Barrington

When you are resuscitating a baby, and you ask, how is the heart rate? What kind of answer do you get? “It’s good” “pulse is a bit slow” “I think its around 80”? As Lou Halamek and his team recount … Continue reading →

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Also, still no parents!

Posted on 27 October 2015 by Keith Barrington

My previous post was long enough without addressing another serious deficiency in these guidelines. It is worth its own post. The guidelines are written by doctors. And only doctors (actually only Obstetricians). There is no input mentioned from any other … Continue reading →

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