Category Archives: Neonatal Research

New achievements!

Neonatal research has now passed a total of 400,000 page views since it started, thanks to many people for their encouragement My researchgate profile now shows over 5,000 citations of articles I have authored, or co-authored. Sometimes when you publish … Continue reading

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Death of a twin, further resources.

I recently wrote about the work from Newcastle in the UK about supporting parents who lose one of a pair of twins during the perinatal period. Nick Embleton wrote a comment about that post noting that they now have put … Continue reading

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Follow up of the PREMILOC post

Further to my post about the PREMILOC trial of routine hydrocortisone supplementation in extremely preterm infants, I received an email response from Olivier Baud, who was generally in agreement with my comments, but doubts the validity of adding the data … Continue reading

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Inhaled steroids to prevent BPD, another trial.

This time from Japan, Nakamura T, et al. Early inhaled steroid use in extremely low birthweight infants: a randomised controlled trial. Archives of Disease in Childhood – Fetal and Neonatal Edition. 2016. 211 babies with a birth weight less than 1000 … Continue reading

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Late surfactant supplementation

After the initial phase of surfactant deficiency of the very preterm infant, inhibition and destruction of surfactant are common, the inflammation of the oxygen exposed preterm lung is probably important in the pathophysiology of bronchopulmonary dysplasia, and the adverse effects … Continue reading

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Death of a twin

Twins are much more likely to end up in the care of the NICU than singletons, and much more likely to be extremely preterm, and as a result the phenomenon of having one of twins die, while the other remains … Continue reading

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TPN toxic?

Humans, after they are born, are supposed to receive their nutrition via the gut. Before that of course, they receive a continuous infusion of nutrition via the umbilical vein. We are far from having an intravenous nutrition mixture for sick … Continue reading

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Neonatal Updates

Sehgal A, et al. Systemic arterial stiffness in infants with bronchopulmonary dysplasia: potential cause of systemic hypertension. J Perinatol. 2016. Elevated systemic pressures are common in infants with moderate or severe BPD; why? Dr Sehgal and his colleagues performed vascular ultrasound … Continue reading

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Does erythropoietin improve preterm babies development?

Ohls RK, et al. Preschool Assessment of Preterm Infants Treated With Darbepoetin and Erythropoietin. Pediatrics. 2016;137(3):1-9. Robin Ohls has been working on Erythropoietin, and its longer acting analogue darbepoietin, for many years now. As well as demonstrating that it stimulates … Continue reading

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Early low dose systemic hydrocortisone to prevent death or chronic lung disease? Hold on a bit.

An important high quality trial has just been published, it has taken me a bit longer than usual to process the new info. Among other reasons a nice review was posted on the “other neonatal blog“, but I wanted to … Continue reading

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