Tag Archives: IVH

Addressing Prognostic Uncertainty

I recently gave a presentation to the Pediatrix consortium which was based on our review article about the approach to take after diagnosis of a serious intracranial haemorrhage (ICH) in the very preterm infant. (Chevallier M, et al. Decision-making for … Continue reading

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Shifting the uncertainty a little further: severe early ultrasound abnormalities in the preterm. part 2

In this post, I continue to discuss some of the issues raised in our recent article: Chevallier M, Barrington KJ et al. Decision-making for extremely preterm infants with severe hemorrhages on head ultrasound: Science, values, and communication skills. Semin Fetal … Continue reading

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Shifting the uncertainty: early head ultrasound abnormalities, and counselling parents. Part 1

Routine early head ultrasound is the de facto standard of care in preterm infants. Recent statements from learned societies usually recommend head ultrasound at around 7 days of age, and many centres do them earlier than that. Older statements suggested … Continue reading

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What now for cerebral NIRS in the preterm?

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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Cardiovascular support in the preterm, how to determine adequate perfusion?

As many of you will know, I have advocated for many years for evaluation and management of very preterm babies based on their tissue perfusion rather than the blood pressure. There is little or no correlation between BP and perfusion, … Continue reading

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Platelet transfusions don’t close the PDA, but they may increase IVH

I would never have actually thought to ask the question whether platelet transfusion might close the PDA, although early thrombocytopenia is associated with persistent PDA, and platelet plugs seem to be part of the mechanism of closure. A group in … Continue reading

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