Tag Archives: transfusion

Re-re-re-visited (delayed cord clamping of course)

Posted on 5 June 2015 by keithbarrington

I received 2 comments about the last posting re: DCC. The way I set up this blog the comments aren’t necessarily very obvious, especially if you visit the home page rather than following a link to the individual posting. So I … Continue reading →

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Delayed Cord Clamping re-re-visited

Posted on 4 June 2015 by keithbarrington

I have been trying to develop some sort of protocol for babies in our center, so I have been reading in some detail the studies about very preterm births and cord clamping that are in the literature. It seems from … Continue reading →

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Cord milking/delayed clamping at the 2015 PAS-meeting

Posted on 19 May 2015 by keithbarrington

I have tried to go through the abstracts from PAS to find those that had new information, from controlled trials, about the efficacy and safety of cord milking and/or delayed clamping. Mercer and the group from Rhode Island presented the … Continue reading →

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Public Citizen are a public danger: part 2

Posted on 24 August 2013 by keithbarrington

The other part of the criticisms of Public Citizen, included in their letter to the secretary of the HSS in the USA, in which they call for the TOP (transfusion of preterms) trial to be stopped immediately, are regarding the … Continue reading →

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Public Citizen are a public danger: part 1

Posted on 24 August 2013 by keithbarrington

They are at it again. The people in the Public Citizen health research group don’t understand evidence based practice, they don’t understand clinical research and they don’t understand neonatology. Which doesn’t stop them from making a fuss about high quality … Continue reading →

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EPO, re-introducing confusion

Posted on 4 July 2013 by keithbarrington

I thought that routine erythropoietin (EPO) treatment of preterm infants had been thrown out of the window. It is well known that EPO levels are low in preterms after birth, which is part of the multifactorial pathophysiology of anaemia of … Continue reading →

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Iron therapy for anemia of the preterm; now I’m confused!

Posted on 29 January 2013 by keithbarrington

I thought I knew, sort of, what to do about iron supplementation in the preterm. Preterm babies outgrew their iron supply, there isn’t very much in breast milk, and you need to supplement to minimize the appearance of anemia of … Continue reading →

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Fresh! New! but not any better.

Posted on 11 October 2012 by keithbarrington

A new multicenter RCT in preterm infants has just been published. The ARIPI trial which was led by Dean Fergusson from Ottawa and included our NICU as one of the sites (Christian Lachance was our local lead investigator and is … Continue reading →

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Do blood transfusions improve feeding in anemic preterm Infants?

Posted on 2 October 2012 by keithbarrington

The possible benefits of blood transfusions in anemic preterm infants have never been well investigated. There is some reliable data about the outcomes of babies randomized to different goals of hemoglobin concentration (for example the PINT study Kirpalani H, Whyte RK, Andersen C, Asztalos EV, … Continue reading →

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Reducing transfusions in the NICU

Posted on 6 July 2012 by keithbarrington

I don’t know why I didn’t think of this, but it is sort of obvious, it just takes someone to think about it and then do it. We need to reduce blood draws in preterm infants, the blood we take … Continue reading →

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