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

Am I conflicted?

Posted on 25 August 2015 by Keith Barrington

Are conflicts of interest a big deal? Although many of us, definitely including myself, think that conflicts of interest are a serious issue in medical and academic medical practice, a recent series of puff-pieces editorials in the previously prestigious New … Continue reading →

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Politeness pays

Posted on 24 August 2015 by Keith Barrington

Does being rude stimulate people to do better, or does it have adverse effects on performance, and team functioning? And how to prove it on way or another? This really interesting, innovative paper from a team in Israel has performed … Continue reading →

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Growth in the VLBW; could do better!

Posted on 24 August 2015 by Keith Barrington

Among over 300,000 VLBW infants in the Vermont Oxford Network database between 200 and 2013, the weights at discharge were plotted against the Fenton percentiles. Horbar JD, et al. Weight Growth Velocity and Postnatal Growth Failure in Infants 501 to 1500 … Continue reading →

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Choosing Wisely

Posted on 13 August 2015 by Keith Barrington

Many of you will have heard of the “Choosing Wisely” campaign, an attempt to improve decision making, by clarifying efficacy and risks of common procedures or therapies. Many specialty societies have come up with lists of the Top-5 questionable practices … Continue reading →

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For Father’s Day

Posted on 20 June 2015 by Keith Barrington

Two links for Father’s Day, the first a narrated graphic story by a cartoonist whose baby had HIE. A wonderfully told touching story of becoming a Dad in the most difficult circumstances: http://s.telegraph.co.uk/graphics/projects/fathers-days/index.html The other is to a website where … Continue reading →

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Long term effects of surgery in the infant

Posted on 18 June 2015 by Keith Barrington

To follow on from a study in a recent “neonatal updates”, there is a new publication from an Australian group that have been pursuing a prospective cohort of full term infants who had major surgery in the first 90 days … Continue reading →

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Cannulae for CPAP and nasal ventilation

Posted on 17 June 2015 by Keith Barrington

Mukerji A, Belik J. Neonatal nasal intermittent positive pressure ventilation efficacy and lung pressure transmission. J Perinatol. 2015. This is a lung model study, in which the authors compared the pressure transmission and CO2 elimination effects of nasal IPPV with … Continue reading →

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Neonatal Updates

Posted on 17 June 2015 by Keith Barrington

Bilgin A, Wolke D. Maternal Sensitivity in Parenting Preterm Children: A Meta-analysis. Pediatrics. 2015. “Mothers of preterm children were not found to be less sensitive or responsive toward their children than mothers of full-term children.” Quite. Boss RD, et al. … Continue reading →

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Recent pain/analgesia articles

Posted on 17 June 2015 by Keith Barrington

Several very recent articles have addressed issues of pain and analgesia in the newborn. van Ganzewinkel CJ, et al. Chronic pain in the newborn: toward a definition. The Clinical journal of pain. 2014;30(11):970-7. This article describes a consensus building expert-based … Continue reading →

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Neonatal Updates

Posted on 11 June 2015 by Keith Barrington

Deshmukh M, et al. Effect of gastric lavage on feeding in neonates born through meconium-stained liquor: a systematic review. Archives of Disease in Childhood – Fetal and Neonatal Edition. 2015. When I first went to one of the hospitals I … Continue reading →

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