Canadian COVID-19 Practice Resources

We are living in challenging times but, as a community caring for neonates and their families, we will get through this together.  Canadians and others around the world are digesting a great deal of information in order to come up with a best...

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Cord milking and IVH. What you need to know.

Delayed cord clamping has been written about before on this blog. In fact between the blog and facebook posts I think it has been discussed many times. What hasn’t really been touched upon whether one type of cord management is superior to another. Is delayed cord...

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Newborn Brains After Hypoxia Don’t Like Hyponatremia

The newborn brain could be described as finicky at best. One of the most difficult things to treat are those things that we can't see. When a baby is delivered and goes on to develop neurological manifestations, it remains a difficult puzzle to sort out as to what the...

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How much does rate matter with NIPPV?

When it comes to non-invasive ventilation the field has become a little more crowded in recent years at least in our institution. In the recent past if one decided to extubate an ELGAN the biggest decision was what CPAP pressure to use. These days we have the option...

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When it comes to HIE, keep your eyes on the CO2!

Hypoxic ischemic encephalopathy is a very scary condition for both families and health care providers.  In my career as a Neonatologist one of the greatest accomplishments has been the recognition that 72 hours of moderate...

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Surfactant administration: LMA vs INSURE

Over the last number of years clinicians have sought more and more to limit the experience of babies to painful stimuli.  In the area of surfactant administration this has focused on “less invasive” strategies such as use of small catheters while on CPAP (LISA or...

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Skull fractures after birth. Don’t be so quick to blame.

Anyone who has watch the delivery of a baby knows that in some cases things go very smoothly and in others every care provider in the room would likely have tachycardia themselves. In some cases where labour is quite prolonged and some degree of cephalopelvic...

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Can we time a hypoxic event by meconium staining?

This is one of the most difficult things to determine. Families being given a diagnosis of asphyxia in their baby often ask the question when did this happen? For sure this is not an exact science and in my opinion it is often difficult to answer the question with...

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Do antenatal steroids really benefit 22 and 23 weekers?

. It's been a while since my last post. Like many centers across North America and worldwide the resuscitation of premature infants as young as 22 weeks is becoming more commonplace. Our own center is in the process of working towards coming up with evidence-based...

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