Welcome to the new and improved All Things Neonatal! We have graduated to our own domain name and I think you will appreciate the enhancements on this blog.
I am a Neonatologist trained in Winnipeg, Manitoba and Edmonton, Alberta. My current position is Section Head of Neonatology in Manitoba and over my career my interests have meandered from time to time. I have been a past Program Director of Neonatology and Medical Director for a level II Intensive Care Unit prior to relocating to Winnipeg become a Section Head. My current positions also include Co-Director of the Neonatal Telehealth program and assistant Medical Director for the Child Health Transport Program.
We live in the era of social media and that means that the days of turning to Medline and other medical search engines for all the latest information are behind us. We live in a global village so to speak and in that spirit I welcome you to my blog which I hope will provide a forum for discussion on topics that are of interest to Neonatologists, trainees, all health care professionals and in some cases parents of those we care for. My intent is to post opinions and analysis on both items from the media and literature that pertain to neonates. While I have many interests, my particular motivation is to find ways to reduce discomfort for the patients that we care for. Whether it is through the use of non-invasive testing or finding a way to improve the patient experience this is where I find myself most energized.
If you like what you see and would like updates to be sent to you as they are published feel free to follow the site by clicking the follow button on the sidebar to the bottom right. You can also follow both my Twitter (@NICU_Musings) and Facebook feeds for additional content and discussion by clicking the additional links found there.
My Facebook page serves as a better means of expanding dialogue on a variety of topics and posts
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Recent Posts
How non-invasive NAVA could really reduce neonatal bradycardia
Neurally adjusted ventilatory assistance or NAVA is something that has been around for awhile. Available as a mode on the Maquet ventilator it uses an esophageal probe to sense myoelectrical activity in the diaphragm and provide assistance with postive pressure when...
A new system for managing serum glucose with less pokes. This is a good thing.
Glucose metabolism in the newborn can be a tricky thing to manage. Neonates can have significant fluctuation in their serum glucose in the first few days of life which can lead heels to look like pin cushions. How many times have you been asked as a physician if there...
How long should delayed cord clamping really be?
The story around cord management after birth continues to be an evolving one. I have certainly posted my own thoughts on this before with my most recent post being Delayed cord clamping may get replaced. Time for physiological based cord clamping. While this piece...
Sedation before LISA/MIST? Is it safe?
/ I knew it was a matter of time before a study looking at this strategy came out. Whether you intubate using INSURE or a LISA/MIST technique (passing a semi-rigid catheter through the vocal cords to give surfactant while a baby is on CPAP) there would have to be...
Protecting the brain of the preterm infant
A few years ago targeted echocardiography (or functional echo) became all the rage. As trainees in this field have become spread across this country and others it is natural that attention would turn to other deficiencies in Neonatology. The new thing on the block...
Question solved? Why HFNC appears to be inferior to nCPAP for preemies.
To be sure there are fans of both HFNC and CPAP out there. I have often heard from other Neonatologists that they use HFNC and find positive results while other centres refuse to use it in favour of the tried and true CPAP. Turning to the literature you will find some...