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

Lactoferrin and the bowel

There’s a lot of activity in Lactoferrin research recently, this protein is very promising as prophylaxis against infections and perhaps also against necrotising enterocolitis. First of all a study giving bovine lactoferrin to newborn piglets which showed a stimulatory effect … Continue reading

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The Power of Parent’s Touch.

My friend and colleague Marsha Campbell-Yeo is part of the Centre for Pediatric Pain research. She has just produced a video about controlling pain in young babies, which you can see here: My only beef is that all the parents … Continue reading

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More about Preemie Voices

For those of you who might be interested in buying the book that I blogged about a few days ago, please note that you can get the book at a big discount, by contacting Saroj directly, using the link on … Continue reading

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Toxic exposures in the NICU

I thought I’d blog about this article for two reasons. Firstly, it points out the theoretical exposure to phthalates in patients in the NICU, which are enormous and potentially with multiple toxic effects. Exposures could possibly be as high as … Continue reading

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Listening to the voices of Preemies

Or rather the voices of adults who were born very preterm. Saroj Saigal is well known to many of us in neonatology, either by reputation, or, for the lucky ones among us, as a friend. Her insights into quality of … Continue reading

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Does vitamin E make preterm babies smarter?

In this study about the potential effects of α-tocopherol on IQ in ELBW infants, there are a number of problems: Starting with the title, Long-term alpha–Tocopherol supplements may improve mental development in extremely low birth weight infants. Acta Paediatrica. 2014. (It is … Continue reading

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Let’s scrub those hubs!

‘Scrub the hub’ is a part of many catheter sepsis prevention bundles. The idea being that organisms can be introduced into the infusion solution from inadequate cleaning of connectors, so 15 seconds minimum of vigorous application of alcohol wipes should … Continue reading

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Umbilical cord flow after birth, before clamping

Well obviously before clamping, after clamping there isn’t much flow! In this study with full term babies they were delivered and placed on the mother’s chest, and then an ultrasound probe was placed to measure umbilical cord flow.  (Boere I, … Continue reading

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A CPS statement thought experiment

Its been a while since I ranted about the CPS position statement regarding decision making around extremely preterm delivery. But I am currently in Europe where certain countries have specific thresholds for willingness to provide intensive interventions, thresholds which are … Continue reading

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Brain Food for Preterms

All food is brain food when your brain is making 250,000 new neurones every minute. In a small two-center trial first published in 2013 50 very preterm babies were randomized to different parenteral nutritional intakes. The main differences between the groups … Continue reading

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