
Michael Narvey π¨π¦
@NICU_Musings
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A #Neonatologist in Canada. All opinions are my own #neoTwitter #neonatal #NICU
Winnipeg, Canada
Joined February 2015
#breastfeeding in an #mri βΌοΈ.Ever wondered what this might look like?.#neoTwitter #medTwitter .Credit: MRIology
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The country where you are born matters a lot to outcome at 22-23 weeks gestation. Across 11 neonatal networks survival and outcomes vary widely In terms of survival #Japan & #Swedenseem to come out on top. #neotwitter.
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Hyperglycemia in ELGANS associated with worse neurodevelopmental outcomes at 18 months of age. π OR π₯.Do sicker ELGANS have more glycemic instability and worse outcomes from their morbidities or is hyperglycemia damaging itself?.#neotwitter
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26 weeks gestation. Respiratory deterioration after NG insertion on day 6. What happened?.#neotwitter
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I never met a baby I didn't like. I didn't always appreciate how they behaved in the #NICU but with age I learned not to take it too personally. #neotwitter
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Put one in the win column for #probiotics. Receipt of probiotics in #preemies may suppress antimicrobial resistance. #IDTwitter #neotwitter.
cidrap.umn.edu
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Myofibromatosis."most common fibrous tumour of childhood" I had never heard of. A benign spindle cell tumour of the soft tissues with fibrous proliferation of skin, bone or muscle & must be present at multiple sites to be diagnostic. #neotwitter
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HIE and acute kidney injury are a bad combination.Follow-up assessments of 33 survivors revealed β¬οΈ blood pressure in 12%, hyperfiltration in 18%, & proteinuria in 6%. Not sure how long f/u though but should they be targeted for CKD screening?.#neotwitter
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In the NICU, time bends β minutes can feel like eternities, and eternities can change in a single breath. #neotwitter
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Although darbepoetin for newborns 23-29 weeks increased RBCs and decreased transfusions sadly it didnβt translate into better neurodevelopmental outcome.The silver bullet remains elusive!.#neotwitter .
jamanetwork.com
This randomized clinical trial investigates if darbepoetin initiated less than 36 hours after birth improves red blood cell mass and cognitive outcome at 2 yearsβ corrected gestational age in infants...
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Study finds that non-pharmacological care prior to LISA for surfactant administration may be enough without giving fentanyl. No difference between saline or fentanyl on COMFORTNeo score. @neo_twiter
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Breastfeeding doesn't just benefit the baby - it protects the mother too, lowering the riskΒ of breast and ovarian cancer. π Let's raise awareness so more babies get a healthy start they deserve. Learn more:.
who.int
The theme for 2025 is Invest in breastfeeding, invest in the future.
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This #WorldBreastfeedingWeek, celebrate the powerful benefits of breastfeeding.Breast milk is all a baby needs for the 1st 6 mths.β
β¬οΈ newborn mortality.β
Provides the perfect balance of nutrients.β
Strengthens immunity against illnesses.β
Reduces risk of obesity. #WHOFides
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Delighted to see our statement βApplications of point-of-care ultrasonography in the NICU: A Canadian perspectiveβ in print!.#neotwitter @CanPaedSociety .
cps.ca
Point-of-care ultrasonography (POCUS) is an adjunctive, portable clinical assessment tool that in the hands of trained clinicians can support differential diagnosis, clarify therapeutic options, and...
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Use of postnatal betamethasone to β¬οΈ hosp stay for O2. Of the infants receiving betamethasone, those weaned from oxygen were discharged home at an earlier PMA (39.6 Β± 5.0 vs. 42.0 Β± 3.7 week, p < 0.001).Risks of added steroids in long term?.#neotwitter .
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Our new statement on managing newborns at risk of neonatal abstinence/neonatal opioid withdrawal from the CPS.#neotwitter.
academic.oup.com
Abstract. The incidence of newborns at risk for withdrawal due to antenatal substance exposure has increased rapidly, presenting significant health and ear
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In #preemies, furosemide did not β¬οΈ AEs, hearing loss, or nephrocalcinosis, but β¬οΈ the incidence of electrolyte abnormalities. Furosemide given for 28 consecutive days was not assoc with a diff in mod-to-severe BPD or death at 36 weeks PMA. #neotwitter
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