Brandon Hadfield
@GentleGiantMD
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6’ 8” Neonatologist working in Global Health with 500 gm babies currently starting a Neonatology fellowship in Rwanda.
Kigali, Rwanda
Joined August 2022
The paper shows an association. Not an RCT showing causation. Yet, this paper gives me serious consideration to a change in practice. Is there a downside to more caffeine? @EBNEO @BCMNeonatal BTW, smoking and lung cancer is an association too. Does every practice change need
⬆️ average daily caffeine exposure associated with ⬇️ in neurodevelopmental impairment in #preemies "for every 10 mg/kg ⬆️ in cumulative caffeine exposure, there is a 10% ⬇️ in the odds of NDI, independent of GA at birth & CGA at follow-up" https://t.co/Bqplgf2QVj
#neotwitter
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Interesting HC worsens outcome in hypotensive HIE cases.
Warning signal about hydrocortisone use for blood pressure support in neonates with #HIE Multiple logistic regression: for every 1 mg/kg ⬆️ in cumulative HC dose, the odds of adverse cognitive outcome ⬆️ 16% (95% CI 1.01-1.37; p = 0.04). https://t.co/gsVjM8Jh3C
#neotwitter
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https://t.co/8jBgLTe2di NICU Staffing Calculator Free to use. Pleased to share with all of you an online calculator that will help NICU leaders explicitly calculate the number of FTEs required to optimally staff a unit. It can be used for physicians, advanced practice
nicustaffing.org
Calculate Full-Time Equivalent staffing requirements for hospital units. Determine optimal physician and APP staffing for 24/7 healthcare coverage.
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The vision of Rwanda as a country and @visitrwanda_now is incredible. They are an African nation that is going somewhere fast. My time as US physician living and working in Rwanda @kfaisalhospital and @RwaMilitaryHosp showed me the incredible vision of Rwanda.
From Kigali to LA! #VisitRwanda is now the official sponsor of the @LAClippers and @RamsNFL, the first African tourism brand in both the NBA & NFL. $650M tourism revenue in 2024 Goal: $1B by 2029 #VisitRwanda #RwandaInLA #NBA #NFL
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All great articles with large impacts. As a neonatologist with significant work worldwide, I’m partial to the PPaX trial. What’s your vote?
🚀 The EBNEO Impact Article of the Year 2024 is here! From 8 finalists, you decide which study moves forward. 🗳️ Voting is open for 5 days—the top 2 advance to the final round. Cast your vote now 👉 https://t.co/8B733zNVhJ
#EBNeoPolls #IAOTY
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With sorrow we announce that Russell M. Nelson, beloved President of The Church of Jesus Christ of Latter-day Saints, has died. He was 101 — the oldest president in the history of the Church. For more information on the life and ministry of President Russell M. Nelson, see
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Take a look at the new Fenton Growth Charts against the old ones.📈 The difference in these curves tells an important story. 👀Dive into the discussion in this episode of The Journal Club: https://t.co/XyeiGgzpJZ
#FentonGrowthCharts #TheIncubator #Neonatology #TheJournalClub
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Global Neonatal Journal Club 🌏 Presented by @MercyPerinatal FREE. ONLINE. LIVE. Coming soon… #neotwitter
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Very interesting study. Thanks @EBNEO for the work you do!
RCT investigating higher (60-75 mmHg & pH ≥ 7.20) vs lower (40-55 mmHg & pH ≥ 7.25) levels of pH-controlled permissive hypercapnia on mechanical ventilation duration in preterm infants 28 days after randomization. https://t.co/iqd8NO5n7G
#neotwitter #EBNeo #neoEBM #ebneoalerts
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What heart rate should REALLY trigger chest compressions in neonates? Authors suggest giving airway, airway, airway much longer time, up to 120 sec, before CC. Thoughts @EBNEO?
nature.com
Journal of Perinatology - Threshold to initiate chest compressions for bradycardia at birth: A narrative review
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📣 At #PAS2025 from JAMA: Extended Caffeine for Apnea in Moderately Preterm Infants: The MoCHA Randomized Clinical Trial. ➡️ Published today and free to read online! https://t.co/dZpRPP9nO4
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Our @PASMeeting poster on the risks of invasive infection with probiotic supplementation with @veeraltolia and @kaashif_ahmad #PAS2025 🔑 message: excess risk of probiotic-associated invasive infection is extremely low (1 per 2500 supplemented infants)
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Insightful PAS talk by Greg Valentine & mentee Olivia Brandon @seattlechildren on neonatal fluid management. Key findings: Higher enteral feeding volumes & moderate total fluid intake linked to lower BPD, shorter LOS, and better neurodevelopmental outcomes. #Neonatal #PAS2025
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Fantastic! @ravimpatelmd's talk at @PASMeeting on neonatal platelet/pRBC transfusion trends: 1. Restrictive approaches safe, may benefit in case of platelets. 2. pRBC transfusion thresholds down, platelet unchanged. 3. New findings take ~17 yrs to adopt. Act now! #PAS2025
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Huge study. Grata tô listen in on this one.
🚨 Joseph Neu @PASMeeting presents the Connection study of a lactobacillus probiotic to reduce NEC in very preterm infants (95 sites in 10 countries!) Almost 2000 babies Some reduction in NEC (NS) and… Significant reduction in mortality! No safety concerns #neotwitter
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On my way to @PASMeeting 2025! Partway through my 35 hour journey from Rwanda to Honolulu. Tired, but excited to connect with friends and hear about groundbreaking neonatology research!
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Very interesting data indeed!
New data from a single institution about oscillometric BP values from nearly 30K infants at different post-menstrual ages. Provides new 'BP charts' for evaluating NICU babies. #neotwitter
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Very interesting….
The plot thickens! Probiotic use from large Canadian study by the CNN finds ⬇️mortality (adjusted odds ratio 0.62, 98.3% CI 0.53-0.73), but not ⬇️ rates of necrotizing enterocolitis or late-onset sepsis Effect same under 1000g https://t.co/SdctJGDus8
#neoTwitter #probiotics
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Interesting study out of Nigeria. Wondering what feasibility of wider application in LMICs may be. I think we often underestimate the cost of oxygen which could drive these types of changes.
In an RCT in @LancetGH, automated titration of oxygen with a low-cost CPAP device improved time spent in the safe SpO2 range compared with manual control. https://t.co/M75CFoJ2Ou
#neotwitter #neoEBM #EBNEOalerts
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Love this. Thanks for sharing @DoctorDaphnaMd and @drnicu. Always a pleasure to follow you guys from #Rwanda
So proud to share this article in the SONPM newsletter by my colleague @drnicu with the inception story of the @nicupodcast. We’ve been asked to share the story repeatedly and I’m so pleased it’s available for all.
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