Category Archives: Neonatal Research

What now for cerebral NIRS in the preterm?

Posted on 25 April 2023 by Keith Barrington

Previous randomized trials of routine cerebral NIRS in preterm infants have shown that cerebral hypoxia can be reduced by responding to the signal, but in an underpowered follow up of a subgroup, there was no impact on long term outcomes. … Continue reading →

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Survival after End-of-Life Discussions

Posted on 24 April 2023 by Keith Barrington

Another of the articles that have been keeping me busy over the last couple of months has just been published. Boutillier B, Biran V, Janvier A, Barrington KJ. Survival and Long-term Outcomes of Children Who Survived After End-of-Life Decisions in … Continue reading →

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Imaging after therapeutic hypothermia: when to do the MRI (if at all)

Posted on 19 April 2023 by Keith Barrington

I had thought it was well settled that imaging soon after rewarming was as good for predicting outcomes in HIE as later imaging, but it seems that the timing, and the methodology are still uncertain. Tabacaru C, et al. Diffusion … Continue reading →

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Pulmonary outcomes in the preterm: beyond BPD

Posted on 17 April 2023 by Keith Barrington

A long break since my last post. I have had a couple of trips, to Arizona and to Australia, and more recently to Washington DC. With each conference I now try, if I can, to take an extra few days … Continue reading →

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Development of oral feeding skills in the preterm infant

Posted on 22 February 2023 by Keith Barrington

For another project I have been involved in, I reviewed a lot of studies addressing how and when preterm babies develop their feeding skills. Which I thought I would share. Oral feeding is complicated! The first thing a baby has … Continue reading →

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Comment on my post about the Beneductus trial

Posted on 12 January 2023 by Keith Barrington

The authors of the Beneductus trial commented on my post about the trial, but it has somehow disappeared from the comment section of the blog, as they raise very valid points, I thought I would copy what they sent here … Continue reading →

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The PDA, will we ever know what to do?

Posted on 21 December 2022 by Keith Barrington

There are a few trials on-going, or near completion or, as this one, just published, that should give us insight into what to do about an open ductus in the very preterm. This trial has major limitations, but does give … Continue reading →

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Not Neonatology: Oh Canada…. Warbler

Posted on 23 November 2022 by Keith Barrington

Still on my trip to Ecuador, where I saw my first ever Canada Warbler. I know it is just a name, but it was most pleasing to find this bird, which does indeed migrate to Canada each year but I … Continue reading →

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Not neonatology: a trip to Ecuador

Posted on 22 November 2022 by Keith Barrington

A break in blogging for a couple of weeks, while I take a trip to Ecuador, with the main purpose of birdwatching and photography. Ecuador is the country with the greatest avian biodiversity in the world, and with and amazingly … Continue reading →

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How much protein should we provide to the preterm in the first days of life?

Posted on 11 November 2022 by Keith Barrington

Extremely preterm infants become catabolic rapidly after birth, with the sudden interruption of their trans-placental nutrient supply to the fetus, who becomes a baby that has tiny stores of fat or glycogen. We progressed in neonatology from starving preterm babies … Continue reading →

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