Michael Narvey 🇨🇦

#breastfeeding in an #mri ‼️ Ever wondered what this might look like? #neoTwitter #medTwitter Credit: MRIology

Pilot study giving 100% O2 during deferred cord clamping for extreme #preemies ⬇️ risk of hypoxemia 5 min after birth compared with 30% oxygen No ⬆️ risk of severe IVH or death medpagetoday.com/obgyn/pregnanc… #neotwitter

Our new statement on managing newborns at risk of neonatal abstinence/neonatal opioid withdrawal from the CPS academic.oup.com/pch/advance-ar… #neotwitter

In #preemies, furosemide did not ⬆️ AEs, hearing loss, or nephrocalcinosis, but ⬆️ 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. pubmed.ncbi.nlm.nih.gov/40306549/ #neotwitter

Etilefrine a sympathomimetic drug used for orthostatic hypotension shows promise as a new tool to treat chylothorax. Promising initial cases series that seems to stop drainage relatively fast! pubmed.ncbi.nlm.nih.gov/40664399/ #neotwitter #pediatrics

Quality improvement project using less invasive surfactant administration (LISA) for GA 25 - 31+6 wks in the delivery room led to: ⬇️DR intubations (65.5 to 52.6%) ⬆️Never requiring intubation (22.8 to 38%) ⬇️Grade 2 or 3 BPD (12.9 to 8.8%) pubmed.ncbi.nlm.nih.gov/40640548/ #neoTwitter

Distal limb ischemia in a 26 week infant treated with topical nitroglycerin. Toes saved! Pretty amazing before and after results pubmed.ncbi.nlm.nih.gov/40589288/ #neoTwitter #dermatology

Today at @KawempeNRH, over 300 mothers above 25 attended antenatal care and learned about the causes of prematurity. 🙌 With over 600 mothers receiving antenatal services every week, we're committed to providing quality care and education to ensure healthy pregnancies and babies.

After adjusting for preterm birth there is no association between neonatal jaundice and #autism I repeat jaundice does not cause autism #AutismAwareness #neotwitter pubmed.ncbi.nlm.nih.gov/40590769/

Pilot study finds diaphragmatic thickness worsens with intubation in infants born < 28 wks but even > when sedation is given. Pause & consider if sedation is required on the ventilator & ask if non-pharmacological strategies are maximized? pubmed.ncbi.nlm.nih.gov/40365938/ssss #neoTwitter

Ecthyma Gangrenosum in an 8 month old Cultures from the blood and lesion grew Pseudomonas aeruginosa At 14 days of treatment completely resolved pubmed.ncbi.nlm.nih.gov/40555461/ #IDTwitter #neoTwitter

Concerning signal ☹️ Serial f/u of neurodevelopment up to 8-10 years following NE treated w/ TH. Motor Z-scores ⬇️ nonlinearly throughout visits, & cognitive Z-scores ⬇️ linearly inchildren with mammillary body abnormalities on neonatal MRI physiciansweekly.com/cognitive-and-… #neoTwitter

Permissive hypercapnia (60-75 mmHg & pH ≥ 7.20 vs (40-55 mmHg and pH ≥ 7.25) for 28 days from day 7-14 in #preemies may shorten the total days of ventilation but doesn't change the big outcome of survival without moderate to severe BPD pubmed.ncbi.nlm.nih.gov/40525736/ #neoTwitter