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

Dying Later

Posted on 19 September 2014 by Keith Barrington

Several people have noted that the enormous gains in neonatal survival between the 60’s and the 90’s have levelled off. A new publication from our group (not me this time, but Amélie, Rosalie, and Annie, and no, all french-canadian women … Continue reading →

Posted in Neonatal Research | 1 Comment

Does massage help preterm infants?

Posted on 19 September 2014 by Keith Barrington

I think the answer to the question posed in the title of the post is the usual answer: ‘it depends‘. In this case it depends on what you mean by massage, and what you mean by ‘help’. All massage is … Continue reading →

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Spitzer’s rules

Posted on 9 September 2014 by Keith Barrington

Alan Spitzer is a name well known to most neonatologists.  For several reasons: he has been a vital force in neonatology for many years, he is one of those good-natured, but intellectually rigorous physicians that neonatology has been blessed with. … Continue reading →

Posted in Neonatal Research | 2 Comments

How should we feed preterm babies?

Posted on 8 September 2014 by Keith Barrington

Two new interesting articles to address this important question. Corvaglia, L., et al. (2014). “Cardiorespiratory Events with Bolus versus Continuous Enteral Feeding in Healthy Preterm Infants.” J Pediatr. The authors evaluated the effects of bolus vs continuous tube feeding in … Continue reading →

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NO, not diaphragmatic Hernias!

Posted on 8 September 2014 by Keith Barrington

Many of you will know that I am responsible for the inhaled NO systematic review in the Cochrane database.  One part of that review examines the data for iNO use in infants with diaphragmatic hernia. Unfortunately there were only about … Continue reading →

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Babies with Super Powers

Posted on 8 September 2014 by Keith Barrington

Rachel Callander is a professional photographer from New Zealand who had a baby with a congenital problem that led to disability, and a sadly brief life. Like many parents in such a situation, Rachel was totally honest about her daughter, … Continue reading →

Posted in Advocating for impaired children, Neonatal Research | Tagged | 2 Comments

Pain control for intubation by trainees

Posted on 4 September 2014 by Keith Barrington

Because of my research interest in premedication for endotracheal intubation I have been asked several times to talk to groups about the subject, I have often been asked whether intubations by trainees should be premedicated, because their risk of failed … Continue reading →

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Necrotizing Enterocolitis and Surgery

Posted on 28 August 2014 by Keith Barrington

Hull MA, Fisher JG, Gutierrez IM, Jones BA, Kang KH, Kenny M, et al. Mortality and Management of Surgical Necrotizing Enterocolitis in Very Low Birth Weight Neonates: A Prospective Cohort Study. Journal of the American College of Surgeons. 2014;218(6):1148-55. This data is … Continue reading →

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Can we share decisions?

Posted on 27 August 2014 by Keith Barrington

I found this article quite insightful. (Joseph-Williams N, Edwards A, Elwyn G: Power imbalance prevents shared decision making. Bmj 2014, 348). Shared decision making is a buzz-word (buzz-phrase I guess) to describe how to pursue good decision making with patients (or in our … Continue reading →

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Gastric acid is good for you

Posted on 19 August 2014 by Keith Barrington

I might have used that title previously, but new data published in JAMAPediatrics supports the concept. In a prospective cohort study the authors cultured fluid from gastroscopies, and bronchoscopies in children, and compared the results between those who were on … Continue reading →

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