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

Neonatal Updates

Posted on 5 February 2014 by Keith Barrington

Alderliesten T, Lemmers PMA, van Haastert IC, de Vries LS, Bonestroo HJC, Baerts W, van Bel F: Hypotension in Preterm Neonates: Low Blood Pressure Alone Does Not Affect Neurodevelopmental Outcome. The Journal of pediatrics 2014. In this observational study of … Continue reading →

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If massage is so good, how come the research is so bad?

Posted on 5 February 2014 by Keith Barrington

I think its likely that massage therapy for the preterm infant has some benefits, unfortunately much of the research is under-powered, badly designed, inappropriately analyzed and overinterpreted. A case in point is a new study in Early Human Development, which … Continue reading →

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Fundoplication, the final word for reflux… or is it?

Posted on 3 February 2014 by Keith Barrington

Infants with severe neurological impairment may have difficulty with oral feeding, and are at risk of aspiration if they regurgitate. Therefore when a feeding gastrostomy is performed, there is often an accompanying fundoplication, It even becomes sometimes so banal that … Continue reading →

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Running, skiing, skating… for a good cause

Posted on 31 January 2014 by Keith Barrington

The young leaders’ circle is a charitable organisation that is a partner with the Sainte-Justine Foundation in the winter triathlon fund-raiser that is taking place on February the 7th in Montreal. The funds raised will be going to support maternal … Continue reading →

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Osteopathy in the NICU; you’ve got to be joking!

Posted on 31 January 2014 by Keith Barrington

I didn’t mention this article when it first came out as it is so obviously nonsense. It came back to my attention as there is a really well done deconstruction on the blog ‘Science Based Medicine‘ which I strongly recommend … Continue reading →

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Neonatal Updates

Posted on 31 January 2014 by Keith Barrington

Hallenberger A, Poets CF, Horn W, Seyfang A, Urschitz MS: Closed-loop automatic oxygen control (clac) in preterm infants: A randomized controlled trial. Pediatrics 2014. This is a report of a small multicenter study of the use of a system built into … Continue reading →

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Drug approval in neonates; what to do? and what is this dexmedetty stuff?

Posted on 29 January 2014 by Keith Barrington

Most of the drugs that we routinely use in neonatology do not have a specific license for neonatal use. This is true I think in every jurisdiction around the world, the USA, Canada, Australia, and Europe, but I don’t know … Continue reading →

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A history of evidence based medicine

Posted on 29 January 2014 by Keith Barrington

If you’ve got a few minutes to spend in the virtual company of some of the greats of EBM, the JAMA network have a microsite with videos of interviews largely animated by Richard Smith (former editor of the BMJ) http://ebm.jamanetwork.com  Fairly light … Continue reading →

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Communicating with parents, and decision making for the extremely immature infant

Posted on 28 January 2014 by Keith Barrington

The other two articles that I mentioned in the last post, from the new issue of Seminars in Perinatology, were written to discuss a framework for decision making for the extremely immature infant. (Dupont-Thibodeau A, Barrington KJ, Farlow B, Janvier … Continue reading →

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Three new publications

Posted on 27 January 2014 by Keith Barrington

The latest issue of Seminars in Perinatology has just appeared on line. This is second part of the report of the NICHD, SMFM, ACOG, AAP joint workshop where Annie and I presented. I think these articles are all free access: … Continue reading →

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