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

Adaptation at birth and cord clamping

Posted on 28 May 2013 by Keith Barrington

The guys in Melbourne have a great set up, the 2 universities collaborate, as well as working with colleagues from Sydney also. Stuart Hopper is a very innovative thinker who has re-examined a lot of older data about what happens … Continue reading →

Posted in Neonatal Research | 3 Comments

Neonatal Updates #33

Posted on 28 May 2013 by Keith Barrington

McElroy SJ, Underwood MA, Sherman MP: Paneth Cells and Necrotizing Enterocolitis: A Novel Hypothesis for Disease Pathogenesis. Neonatology 2013, 103(1):10-20. (free access)I think this is an interesting idea that might be fruitful for the future. If the hypothesis is correct, … Continue reading →

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Travelling, again

Posted on 28 May 2013 by Keith Barrington

Posting has been light last week and will continue to be for the next week. I was at a conference in St John, New Brunswick, last week (presentations now available on the blog, under New Brunswick 2013) and I am … Continue reading →

Posted in Not neonatology | 1 Comment

Probiotics in the NICU: a ‘how-to’ guide

Posted on 22 May 2013 by Keith Barrington

I have had several communications from people interested in starting the use of probiotics in their nurseries. There are often roadblocks, and some reluctance from either infection control, or pharmacy and therapeutics committees (or both). I will recount what we … Continue reading →

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What we don’t know about neonatal endocrinology #3, the thyroid.

Posted on 20 May 2013 by Keith Barrington

To finalize this litany of the unknown… We also need to know whether low thyroxine levels are common in the preterm (they are) what the consequences are (associated with worse long term outcomes) whether they are causative (don’t know) and … Continue reading →

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What we don’t know about neonatal endocrinology #2, blood sugar regulation.

Posted on 20 May 2013 by Keith Barrington

As a follow on to the previous post, also to highlight a thoughtful review article, we could ask whether blood sugar can be too low to be good for you  (I think there is not much doubt about that) how … Continue reading →

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What we don’t know about neonatal endocrinology #1, the adrenals.

Posted on 20 May 2013 by Keith Barrington

I once wrote a paper with the last author of this article, when we were both working in Edmonton, so I will have to be nice, I guess. Seriously, we do need to know a lot more about adrenal responses … Continue reading →

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Probiotics work in Practice

Posted on 19 May 2013 by Keith Barrington

For anyone who was at the latest PAS meeting, you probably heard about the presentation of Proprems. This is the latest RCT of probiotics, from Australia and New Zealand, using ABCDophilus, which is interestingly manufactured in New Jersey. The authors … Continue reading →

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What’s up doc?

Posted on 19 May 2013 by Keith Barrington

Carrots anyone? This is interesting, but I am afraid I can’t figure out a number of things in the manuscript. The authors report that they randomized 203 babies <33 weeks to get supplemented with carotenoids, they wanted to look at … Continue reading →

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Surgeons like probiotics, breast milk, and eating quickly.

Posted on 18 May 2013 by Keith Barrington

…for their patients of course, or to be more accurate, to reduce the chances of small preterm infants becoming their patients. A review of ways to prevent necrotizing enterocolitis, and then to treat it if it occurs, was just published. … Continue reading →

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