Tag Archives: long term outcomes

PAS meeting 2024: The Silverman Lecture

Posted on 11 May 2024 by Keith Barrington

For those who are unaware, the Silverman Lecture is an annual honour bestowed by the AAP. A neonatologist who has made. or is making, major impacts in neonatology is asked to deliver the lecture. Bill Silverman was one of the … Continue reading →

Posted in Neonatal Research | Tagged | 2 Comments

Donor human milk, not toxic after all!

Posted on 31 January 2024 by Keith Barrington

It was fairly recently that I deconstructed a truly terrible database analysis which claimed that neonatal mortality was dramatically increased among very preterm infants who received mother’s own milk (MoM) and donor human milk (DHM), without any formula or fortifier, … Continue reading →

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

On which Planet? Reducing platelet transfusions in the newborn.

Posted on 24 October 2023 by Keith Barrington

Recent publications about platelet transfusions in the newborn. Hopefully, everyone has integrated the findings of Planet-2 into their protocols and guidelines. Curley A, et al. Randomized Trial of Platelet-Transfusion Thresholds in Neonates. N Engl J Med. 2019;380(3):242-51. This trial, in … Continue reading →

Posted in Neonatal Research | Tagged , , | 2 Comments

Addressing Prognostic Uncertainty

Posted on 23 October 2023 by Keith Barrington

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 →

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

Long break, same preoccupations!

Posted on 10 October 2023 by Keith Barrington

I had a long break from blogging over the summer, and, as I return to action, I note that there are some really high quality studies which have been performed or are in progress. But I continue to lament some … Continue reading →

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

“Death or NDI” does it matter… to anybody?

Posted on 30 May 2023 by Keith Barrington

Despite the evidence that “NDI” is of little interest to parents, we continue to focus on it in outcome studies, and even equate it with death. Unfortunately, this new study, using the substantial resources of the NICHD NRN and their … Continue reading →

Posted in Neonatal Research | Tagged , , | 1 Comment

What outcomes matter to parents?

Posted on 25 May 2023 by Keith Barrington

Following on from my 2 recent posts, a new publication from the CHILD-BRIGHT network in Canada, (Synnes A, et al. Redefining Neurodevelopmental Impairment: Perspectives of Very Preterm Birth Stakeholders. Children. 2023;10(5) Open Access). CHILD-BRIGHT being a slightly tortuous acronym derived … Continue reading →

Posted in Neonatal Research | Tagged , | 1 Comment

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

Posted on 18 May 2023 by Keith Barrington

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 →

Posted in Neonatal Research | Tagged , , | 3 Comments

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

Posted on 17 May 2023 by Keith Barrington

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 →

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

PAS 2023, some supplemental selected stuff

Posted on 8 May 2023 by Keith Barrington

As usual, the annual meeting of PAS had too many things going on simultaneously to be able to get to all the interesting looking neonatal research. But here are a few things, that were of interest to me, and which … Continue reading →

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