CPS Vancover 2020

This message is from our Neonatal-Perinatal Section President Dr. Chloe Joynt! Here we are together at last year’s CPS meeting! At the end of this page you will find the full program for this year’s conference in beautiful Vancouver. It would be great to have some of you readers attend and meet you face to face!

Good day to you all! Bonjour!

As the days get longer and the snow melts (or flower buds start sprouting depending on your location in Canada),  just wanted to send along the agenda for our Neonatal Programming at the CPS Annual Meeting in Vancouver this year! In response to section member feedback, the Neonatal program is now on one day : Thursday June 4. It is a jam packed day (truly) full of scientific abstract presentations from colleagues across Canada, invited speakers (both national and international), as well as time to have lunch/ breaks to chat and network with colleagues and friends from across Canada. Registration is open online and the early bird rates are available until March 31. Feel free to join us for the day (1 day rate available) or for the whole conference to enjoy the other great programming offered by the CPS. Our Neonatal Life Support Club (NRP and ACoRN) is on June 3 evening and all are welcome (no special registration required).

Our Section business meeting is bright  and early (7 am – feelin’ like a work day)  prior to the Opening Day Plenary. Join us for coffee, pastries, updates and dialogue surrounding section activities, Royal College training program updates, Fetus and Newborn Committee activities/ statements, and our special interest groups (Folllow up, TnEcho, etc).

Meet the Professor!

Last year, the Resident Representative on our Section Executive, invited all section members to the  “Meet the Professor” session. During this session, neonatal trainee volunteers presented cases of interest with the attendance of our invited speakers as well as section members. What followed was a very rich dialogue around management and philosophies of care spanning the Canadian and International Centers in a supportive and educational environment for our neonatal trainees. We would like to extend this invitation to all again.

Come For Dinner!

From the Meet the Professor, we can all walk over to Glowbal Restaurant for a great meal, fun conversations and to celebrate the achievements of an Emerging Leader in Neonatology at our Section Dinner. Tickets are available on line and this is a great way to meet or catch up with people from different places across Canada and beyond!

This information will also be available on the CPS Annual Conference App closer to the Conference dates.

More information to follow on this and other section matters in the near future! The CPS eForums has been unavailable for the last few months (and continues to be), so I apologize for the lack of emails. We now have other arrangements to facilitate communication! Hope to see many of you at the CPS annual conference! As always, please feel free to reach out to me or members of your section executive!

Sincerely/ Cordialement,  


Dr. Chloe Joynt

CPS NPM Section President

What are these histograms I hear about on rounds?

What are these histograms I hear about on rounds?

Once upon a time we would use our gut instinct to inform our decisions as to whether it was reasonable to try and extubate (take out a breathing tube) or to lower or stop CPAP (continuous positive airway pressure). We used to look at home much oxygen a baby needed and what the pressures were on the machine offering them support and combined with what we saw on the patient monitor for oxygen saturation make a decision as to what to do next.

In the last decade or so people realized (as did one of our own respiratory therapists) that buried within all of this data on the patient monitor one could get a report on what percentage of time each infant has spent at different levels of systemic oxygen saturation. A sample report might look like this.

>95% – 10%

90 – 94% – 55%

85-89% – 20%

80 – 84% – 10%

<80% – 5%

Seeing this report though is only half the story. Without knowing how much oxygen on average an infant has received in the last twenty four hours to achieve this range it is somewhat meaningless. The amount of oxygen given may show that we the baby is doing better or worse. For example, if the above histogram was achieved using a range of 25-35% oxygen and was no different than the day before but the infant had been on 30-40% oxygen and pressure the day earlier then we have gotten somewhere! This infant has actually improved. The histogram is unchanged but we have given less oxygen on the same amount of pressure. If the histogram was unchanged but the amount of oxygen was 21-25% the day before, the lungs have gotten worse assuming the same pressure.

It is also worth noting that higher numbers are not alway indicative of a good thing. Take for example this histogram:

>95% – 50%

90-94% – 35%

85-89% – 8%

80-84% – 7%

<80% – 0%

If this infant was on room air and having these numbers I would be overjoyed. What if this was a baby though who was on 30-40% oxygen? These numbers are too good! We know that too much oxygen can be bad for the lungs and eyes. For babies on oxygen we typically target 88-92 % oxygen saturation (others use 90-94%). If we have 50% of the time above 95% oxygen we clearly are using too much and have to cut it back.

As parents you will hear us talk about histograms on rounds and use the information to make decisions about oxygen and the amount of breathing support your baby needs. If you have wondered how we use this information and what this seemingly random assortment of numbers really means, this is how we interpret it. The next time someone says that your infant needs more or less support ask for the histogram information if your unit uses it and you will see whether the data support the change.