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

Inhaled Nitric Oxide in Preterms

Posted on 18 August 2014 by Keith Barrington

Kinsella JP, Cutter GR, Steinhorn RH, Nelin LD, Walsh WF, Finer NN, et al. Noninvasive Inhaled Nitric Oxide Does Not Prevent Bronchopulmonary Dysplasia in Premature Newborns. The Journal of pediatrics. 2014. My Cochrane review (which is in the process of being … Continue reading →

Posted in Neonatal Research | Tagged , , | 2 Comments

Diaphragmatic Hernia Stuff

Posted on 14 August 2014 by Keith Barrington

Several recent articles which have some importance for diaphragmatic hernia management Madenci AL, Sjogren AR, Treadwell MC, Ladino-Torres MF, Drongowski RA, Kreutzman J, et al. Another dimension to survival: predicting outcomes with fetal MRI versus prenatal ultrasound in patients with … Continue reading →

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Neonatal Updates

Posted on 13 August 2014 by Keith Barrington

Garel C, Moutard ML. Main congenital cerebral anomalies: how prenatal imaging aids counseling. Fetal diagnosis and therapy. 2014;35(4):229-39. An excellent review article that can assist in prenatal counselling if you have a mother whose fetus has a CNS anomaly. Baylis R, … Continue reading →

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Should we all be wearing gloves? Every time we touch a baby?

Posted on 12 August 2014 by Keith Barrington

Two new articles over the summer suggest that the answer to that question may well be yes. The first is the best quality of the studies, an RCT in a single center in the USA. Kaufman DA, Blackman A, Conaway MR, Sinkin … Continue reading →

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Neonatal Etiquette

Posted on 6 August 2014 by Keith Barrington

In 2008 a Dr Michael Kahn published an article in the Prestigious New England Journal (which I abbreviate to PNEJM, for any new readers). It was entitled ‘etiquette-based medicine’. He made the introductory comment that although patients deserve compassionate doctors, … Continue reading →

Posted in Neonatal Research | 4 Comments

Back in the Saddle

Posted on 6 August 2014 by Keith Barrington

I have had a very relaxing break, a long vacation with no blogging, indeed very intermittent internet access, and I did not even keep up with my scanning of the neonatal lierature. But now back to full speed, or at … Continue reading →

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Sniffing out lung injury

Posted on 27 June 2014 by Keith Barrington

Apparently exhaled breath analysis can be used to detect a number of pulmonary and systemic diseases. As a medical student I was taught  about some of the classical clinical signs of certain diseases (such as diabetic ketoacidosis) which make the … Continue reading →

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Non-invasive HiFi? Much more info needed.

Posted on 26 June 2014 by Keith Barrington

This is an interesting idea, I believe that initially it was thought that bubble CPAP might deliver some high frequency pressure oscillations to the lungs, as the bubbling in the circuit causes some small amplitude variations in the pressure in … Continue reading →

Posted in Neonatal Research | 1 Comment

Probiotics work in Germany also

Posted on 23 June 2014 by Keith Barrington

A new study from the German Neonatal Network Database compares the incidence of NEC between centers that used probiotics, centers that did not use probiotics, and centers that changed their practice part way through the data collection period from being … Continue reading →

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The voice of parents

Posted on 21 June 2014 by Keith Barrington

Kudos to Acta Paediatrica, for an article by a group of parents who were all faced with antenatal counseling in a situation of high risk for extremely preterm delivery. (Staub K, Baardsnes J, Hébert N, Hébert M, Newell S, Pearce … Continue reading →

Posted in Neonatal Research | 3 Comments