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 is a perfect baby?

Posted on 22 May 2015 by Keith Barrington

With the recent publication from the NICHD network concerning survival rates of the most immature infants, there has been a lot of discussion. Including a strange article in “the Daily Beast”, by Jeff Perlman. Why he would publish something there … Continue reading →

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Genetic variants and NEC risk

Posted on 19 May 2015 by Keith Barrington

This post is out of my usual comfort zone, but I thought I’d write about it as it is fascinating, and might lead to something clinical. I don’t understand any of the lab methodology of this study, except to say … Continue reading →

Posted in Neonatal Research | Tagged , | 1 Comment

Cord milking/delayed clamping at the 2015 PAS-meeting

Posted on 19 May 2015 by Keith Barrington

I have tried to go through the abstracts from PAS to find those that had new information, from controlled trials, about the efficacy and safety of cord milking and/or delayed clamping. Mercer and the group from Rhode Island presented the … Continue reading →

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Does gestational age matter?

Posted on 19 May 2015 by Keith Barrington

Gagliardi L. On the importance – and unimportance – of gestational age. Acta Paediatrica. 2015;104(6):544-6. This article by Luigi Gagliardi discusses the incidence of white matter injury on head ultrasound across extremely low gestational ages. He was intrigued by Bree … Continue reading →

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Delayed cord clamping or cord milking for the very preterm newborn… or both?

Posted on 18 May 2015 by Keith Barrington

What should we be doing, given the current state of the evidence, for the very preterm neonate? I think the evidence is now pretty clear that full-term babies have benefits, and no significant harm, from delayed cord clamping, which has … Continue reading →

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A letter from a mother to neonatologists

Posted on 18 May 2015 by Keith Barrington

From the blogger Alison Epps, a mother of an extremely preterm boy, who writes at the blog 22w6d. Below the letter on her blog there are before and after photos of her son James at the age of 4 1/2. Dear NICU … Continue reading →

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Paracetamol for the PDA? Maybe not, this time.

Posted on 15 May 2015 by Keith Barrington

Roofthooft DW, et al. Limited effects of intravenous paracetamol on patent ductus arteriosus in very low birth weight infants with contraindications for ibuprofen or after ibuprofen failure. Eur J Pediatr. 2015:1-8. In contrast to the previous study that I blogged … Continue reading →

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Neonatal Updates

Posted on 14 May 2015 by Keith Barrington

Gaynor JW, et al. Neurodevelopmental Outcomes After Cardiac Surgery in Infancy. Pediatrics. 2015. This is an important study of the issue detailed in the title including 1770 infants who had surgery between 1996 and 2009, and who had Bayley II tests performed … Continue reading →

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Keeping Central Lines clean, very clean.

Posted on 14 May 2015 by Keith Barrington

Shepherd EG, et al. Significant Reduction of Central-Line Associated Bloodstream Infections in a Network of Diverse Neonatal Nurseries. The Journal of pediatrics. 2015. This is an observational study from a group which includes a large number of neonatal beds. They … Continue reading →

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Annie on the Radio

Posted on 11 May 2015 by Keith Barrington

Annie was interviewed live on air this morning on a CBC radio show called ‘The Current’. She was asked to discuss the NEJM publication from the Neonatal Research Network that I have been blogging about. I don’t know if this … Continue reading →

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