Tag Archives: mortality

Early neonatal outcomes in trisomy 13 and 18

Posted on 15 August 2016 by Keith Barrington

One of the things that has changed greatly over the years, in my practice and in medical practice in general, is the approach to some congenital anomalies, particularly to serious chromosomal anomalies. Trisomy 13 and 18 specifically have seen an … Continue reading →

Posted in Advocating for impaired children, Neonatal Research | Tagged , | 1 Comment

Two New Publications

Posted on 15 August 2016 by Keith Barrington

After a few weeks break (for a number of reasons), I’m ready to start blogging again! I’m sure you have all missed the succinct and perceptive critiques of the recent neonatal literature, but today I will start with 2 publications … Continue reading →

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Neonatal nurses save lives, if you have enough of them.

Posted on 13 June 2016 by Keith Barrington

In the UK an “intensive care” day for a newborn is defined as a day where the baby is intubated and ventilated, or is on non-invasive respiratory support (CPAP of non-invasive ventilation) AND parenteral nutrition, or on the day of … Continue reading →

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Which Surfactant is best?

Posted on 5 May 2016 by Keith Barrington

Singh N, et al. Comparison of animal-derived surfactants for the prevention and treatment of respiratory distress syndrome in preterm infants. Cochrane database of systematic reviews (Online). 2015;12:CD010249. This is the sort of systematic review that I find really helpful. Some … Continue reading →

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Follow up of the PREMILOC post

Posted on 12 April 2016 by Keith Barrington

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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Death of a twin

Posted on 6 April 2016 by Keith Barrington

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

Posted on 11 March 2016 by Keith Barrington

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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Still more doubts about BOOSTing saturations?

Posted on 22 February 2016 by Keith Barrington

I won’t make a point-by-point response to Reese’s comments, mostly because I agree with most of them! Oxygen is toxic. Minimizing oxygen toxicity is a vitally important issue. Alarm fatigue is a major problem. In our NICU we performed an … Continue reading →

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More Doubts about BOOSTing saturations?

Posted on 22 February 2016 by Keith Barrington

As I just mentioned I received another thoughtful comment from Reese Clark, which I reproduce in its entirety below: “After re-reading my post and at the risk of being a bit redundant with what Dr Barrington has already carefully presented … Continue reading →

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Doubts about BOOSTING saturations?

Posted on 22 February 2016 by Keith Barrington

I received a very thoughtful comment from Reese Clark, who many of you will know as a leader in neonatology whose many years of experience and important scientific contributions to neonatology make him someone worth listening to. He has doubts … Continue reading →

Posted in Neonatal Research | Tagged , , , | 3 Comments