Tag Archives: Resuscitation

Perpetuating Prejudice against Preterms; where should we go from here?

Do we really need a position statement? There is no position statement of the CPS about counselling parents when their child presents with meningococcal disease. There is no position statement for the child with serious brain trauma. A position statement … Continue reading

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Perpetuating Prejudice against Preterms: 4. Selectively quoting the literature

Towards the end of last year the Canadian Pediatric Society published a new ‘position statement’. These are official proclamations of the society, supposedly based on the best available evidence to guide practice, and which become de facto standards of care. … Continue reading

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Perpetuating Prejudice against Preterms: 3. Misquoting the evidence.

Towards the end of last year the Canadian Pediatric Society published a new ‘position statement’. These are official proclamations of the society, supposedly based on the best available evidence to guide practice, and which become de facto standards of care. … Continue reading

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Perpetuating Prejudice against Preterms: 1. Inappropriate simplistic rules are unethical.

Towards the end of last year the Canadian Pediatric Society published a new ‘position statement’. These are official proclamations of the society, supposedly based on the best available evidence to guide practice, and which become de facto standards of care. … Continue reading

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Preterm Babies are Human Beings Too

The Canadian Medical Association Journal has just published a Commentary by 2 neonatologists from the USA. Batton D, Batton B: Advocating for equality for preterm infants. Canadian Medical Association Journal 2013. The commentary is in response to the CPS recent … Continue reading

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How to deliver CPAP

Two almost simultaneous articles, one from the Melbourne group. One from Colm O’Donnell in Dublin who has worked with the Melbourne group in the past Kamlin COF, Schilleman K, Dawson JA, Lopriore E, Donath SM, Schmölzer GM, Walther FJ, Davis … Continue reading

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Intensive care for the extremely preterm infant requires intensive care, and working with Obstetricians

Alleman BW, Bell EF, Li L, Dagle JM, Smith PB, Ambalavanan N, et al. Individual and Center-Level Factors Affecting Mortality Among Extremely Low Birth Weight Infants. Pediatrics. 2013. This paper from the NICHD network shows substantial variation in survival between … Continue reading

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We can stop routine suctioning at birth!

I never understood why it was thought to be so important, (indeed by some essential) to stick some sort of suctioning device into the babies mouth, usually right back to the posterior pharyngeal wall, and suck out amniotic fluid. It … Continue reading

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How to Improve Ventilation of Babies during Resuscitation

So how do we improve resuscitation of newborn babies, and specifically of the preterm? Although I am a “true believer (TM)”  in evidence based practice it is obvious that every individual change in neonatal practice will not (and cannot) be … Continue reading

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