Tag Archives: endotracheal intubation

Face masks for resuscitation?

Posted on 12 November 2025 by Keith Barrington

Blank DA, et al. Face mask versus nasal mask device use for initial resuscitation in extremely and very preterm infants (FONDUE): an open-label, single-centre, randomised, controlled trial. Lancet Child Adolesc Health. 2025;9(10):715–23. An excellent acronym for this trial. Hopefully it … Continue reading →

Posted in Neonatal Research | Tagged , , , , | Leave a comment

Neonatal Research Shorts : October 2025

Posted on 2 October 2025 by Keith Barrington

Afifi J, et al. Atropine Versus Placebo for Neonatal Nonemergent Intubation: A Randomized Clinical Trial. J Pediatr. 2025;286:114719 I had thought this was a settled issue, Neil Finer showed many years ago that atropine alone decreased bradycardias during intubation. But … Continue reading →

Posted in Neonatal Research | Tagged , , , , , , , , , | 2 Comments

Nasal intubation improves feeding outcomes

Posted on 15 May 2024 by Keith Barrington

The title of the post sneakily did not mention that I am referring to a study in a specific subgroup of babies, the paper is a report of an RCT in newborn infants who had heart surgery. Yildirim MI, et … Continue reading →

Posted in Neonatal Research | Tagged , , | Leave a comment

When you can see what you are doing, you can see what you have done: Video-Laryngoscopy in the newborn

Posted on 8 May 2024 by Keith Barrington

I have been increasingly using video laryngoscopy in my practice, both when I myself perform the intubation, and when I am supervising a resident or other trainee. I usually ask them to use a VL when it is a nurse … Continue reading →

Posted in Neonatal Research | Tagged , , , , | 9 Comments

Making intubation safer for the most fragile babies

Posted on 31 October 2022 by Keith Barrington

Many, many years ago, when I was a young trainee physician, we learned almost everything “on the job”. I can’t remember the first patient I intubated, but there were no mannequins, and no simulations, the phrase “see one, do one, … Continue reading →

Posted in Neonatal Research | Tagged , | 3 Comments

Preventing desaturation during intubation. Shine on, you crazy….

Posted on 26 May 2022 by Keith Barrington

Recommendations for older children and adults during endotracheal intubation frequently include the use of free flow oxygen, indeed when I was a fellow with Neil Finer we routinely provided additional free flow oxygen from a catheter placed near the nose, … Continue reading →

Posted in Neonatal Research | Tagged , , | 11 Comments

Three trials with null results, how should we respond?

Posted on 10 December 2020 by Keith Barrington

These 3 articles have just been published, all show no difference in long term outcomes between the randomized groups. What does that mean for the impact on therapeutic decision-making? Natalucci G, et al. Neurodevelopmental Outcomes at Age 5 Years After … Continue reading →

Posted in Neonatal Research | Tagged , , , , , | 1 Comment

High-flow in non-tertiary neonatal units: Hunting for answers. #EBNEO

Posted on 27 May 2019 by Keith Barrington

I think Brett Manley is going for the record as the person with the highest proportion of his publications in the FPNEJM, he now has 3, with 2 of them as first author. This is the HUNTER trial where babies … Continue reading →

Posted in Neonatal Research | Tagged , , , | 1 Comment

PAS 2018: the wrap-up.

Posted on 14 May 2018 by Keith Barrington

A general comment about these PAS 2018 blog posts. I think we should be very careful about changing practice based on an abstract. We should respect peer review, with all its limitations, and we should always consider new research in … Continue reading →

Posted in Neonatal Research | Tagged , , , , | 2 Comments

Endotracheal intubation, making it safer for babies

Posted on 5 February 2018 by Keith Barrington

Many of our patients need invasive ventilatory support, for which endotracheal intubation is required, but we intubate many fewer babies than in the past. We also very rarely intubate babies for endotracheal suction to remove meconium any longer. Which means … Continue reading →

Posted in Neonatal Research | Tagged , | 1 Comment