What is Chronic Lung Disease and why does it matter?

By now if you have a preterm infant in particular who has been born before 36 weeks you will have heard people talking about chronic lung disease (CLD). Sometimes they may also refer to it as bronchopulmonary dysplasia (BPD). The terms are really for all intents and...

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What is apnea of prematurity and will it ever end?

Our ability to breathe regularly is something most of us take for granted. We owe this function to a tiny area in the brain located in the medulla oblongata. This area of the brain sends signals via nerves to the lung telling it to breathe in and out on a regular...

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Is inhaled nitric oxide at birth good for all ELGANs?

Inhaled nitric oxide has been around for some time now. I recall it being called at one point in medical school "endothelial relaxation factor" and then later on identified as nitric oxide. Many years later it finds itself in common usage in NICUs all over the world....

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Simple Strategy Prevents Cow’s Milk Protein Allergy.

Breast milk is certainly a hot topic these days. Allergies in childhood are almost equally hot in the media as food allergies seem to be on the rise (not my specialty by a long shot) as well as rates of other atopic illness. Given what is known about the modifiable...

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Can Human Milk Oligosaccharides Prevent NEC?

Any regular reader of this blog will know that human milk and the benefits derived from its consumption is a frequent topic covered. As the evidence continues to mount it is becoming fairly clear that the greater the consumption of mother's own milk the better the...

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Is the hip exam painful?

The Ortolani and Barlow manouvers are probably the two most requested parts of the physical exam that students ask to be shown. We line up several medical students who take turns applying the steps of abduction and then adduction, testing the stability of the hips. We...

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Can provision of colostrum prevent late sepsis in infants <1500g?

Oral immune therapy (OIT) has really taken off at least in our units. The notion here is that provision of small amounts (0.2 mL intrabucally q2or 24 hours) can prime the immune system. Lymphoid tissue present in the oropharynx and intestine exposed to this liquid...

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