Tag Archives: intracranial hemorrhage

Time to abandon the Papile classification? (part 2)

As I mentioned in the last post, the initial report of outcomes by Bassan and others showed that the infants with severity score 0, (unilateral haemorrhage without midline shift affecting one zone) had reasonably good outcomes, 7 of 8 had … Continue reading

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The end of the Papile classification? (part 1)

In 1978 Lu-Ann Papile published a landmark article detailing the incidence of intraventricular hemorrhage (IVH) in 46 VLBW preterm infants using CT scanning, describing the differing extent of hemorrhage that may be seen, and developing a grading system (there are … Continue reading

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New insights on intraventricular haemorrhage

A fascinating new study has been published (Tortora D, et al. Differences in subependymal vein anatomy may predispose preterm infants to GMH–IVH. Archives of Disease in Childhood – Fetal and Neonatal Edition. 2017) looking at cerebral venous anatomy as shown … Continue reading

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Under Pressure….

Colm O’Donnell once wrote an article with a whole line from a David Bowie song embedded in the article’s title (O’Donnell CPF. Turn and face the strange – ch..ch..ch..changes to neonatal resuscitation guidelines in the past decade. Journal of Paediatrics … Continue reading

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Delayed cord clamping or cord milking for the very preterm newborn… or both?

What should we be doing, given the current state of the evidence, for the very preterm neonate? I think the evidence is now pretty clear that full-term babies have benefits, and no significant harm, from delayed cord clamping, which has … Continue reading

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Three new publications

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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The PDA, indomethacin and pulmonary hemorrhages.

In a comment on a recent post, Martin Kluckow pointed out that they have just had published a moderately sized RCT. It was supposed to be larger, but intravenous indomethacin became unavailable, so they had to stop the trial. (Kluckow … Continue reading

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