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. #NeoSky

In the NICU, time bends — minutes can feel like eternities, and eternities can change in a single breath. #NeoSky

Although darbepoetin for newborns 23-29 weeks increased RBCs and decreased transfusions sadly it didn’t translate into better neurodevelopmental outcome The silver bullet remains elusive! #NeoSky #MedSky jamanetwork.com/journals/jam...

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 #NeoSky pubmed.ncbi.nlm.nih.gov/40753114/

Delighted to see our statement “Applications of point-of-care ultrasonography in the NICU: A Canadian perspective” in print! #NeoSky cps.ca/en/documents...

Use of postnatal betamethasone to ⬇️ hosp stay for O2. Of the infants receiving betamethasone, those weaned from oxygen were discharged home at an earlier PMA (39.6 ± 5.0 vs. 42.0 ± 3.7 week, p < 0.001) Risks of added steroids in long term? #NeoSky pubmed.ncbi.nlm.nih.gov/40671420/

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

In #preemies, furosemide did not ⬆️ adverse events, hearing loss, or nephrocalcinosis, but ⬆️ incidence of electrolyte abnormalities. Furosemide given for 28 consecutive days was not associated with a difference in mod-to-severe BPD or death at 36 weeks PMA. pubmed.ncbi.nlm.nih.gov/40306549/ #NeoSky

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 #NeoSky www.medpagetoday.com/obgyn/pregna...

Is atropine really required in addition to fentanyl & succinylcholine prior to intubation to prevent severe bradycardia in neonates? We found yes... Severe bradycardia during the whole procedure was signif > in placebo vs atropine group; RR 6.3(95% CI 1.2 - 34.1) t.co/TKJovw24BQ #NeoSky #PedSky

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/ #NeoSky #DermSky

After adjusting for preterm birth there is no association between neonatal jaundice and #autism I repeat jaundice does not cause autism #AutismAwareness #NeoSky 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 #NeoSky #MedSky

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

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/ #NeoSky

Could a little #yoga be just what the doctor ordered to reduce stress for parents in the NICU? Pilot study suggest there just might be some benefit pubmed.ncbi.nlm.nih.gov/40480276/ #NeoSky #PedSky

Delighted to announce that I have joined the board of the Canadian Paediatric Society / Société canadienne de pédiatrie as Vice President! I look forward to working with the other fantastic board members to improve the health of children nationwide! #NeoSKy #PedSky

Meta-analysis of eat, sleep, console approach to withdrawal vs Finnegan scoring Is there any reason not to adopt ESC? ESC ⬇️hospitalisation days (MD -4.11 days, p<0.0001 & the proportion treated with withdrawal medications (OR 0.36, p<0.0001 #NeoSky #PedSky pubmed.ncbi.nlm.nih.gov/40393782/

#conjoined twins are a rarity. How many types are there and how might ethics play into their separation? Starting to post longer form educational videos on YouTube. If you are interested in keeping up-to-date, please consider subscribing to the channel. youtu.be/GOxDeK63Jj4?... #NeoSky #PedSky

Even if survival is quite unlikely, I see the need of parents to at least try. You lose 100% who aren’t resuscitated in the 500g range. Parents may not know what lies ahead but they may be certain they don’t want to spend the rest of their lives asking “what if?” #NeoSky

An unusual reason for a limp baby! youtu.be/PMNQNVg4ktA #NeoSky #MedSky #PedSky Source: shorturl.at/rqKZB

In #pregnancy mothers often avoid excessive #caffeine & yet we give it so readily to #preemies after birth Why is that?👇 youtu.be/OYPP_sxQ9SY #nicu #neonatal #meded #medsky #medstudent #PedSky

Pilot study finds that fentanyl as sedation for newborns born < 28 weeks reduces diaphragmatic thickness at both end inspiration and expiration. Does sedation impact not just drive but respiratory muscle function? doi.org/10.1002/ppul... #NeoSky

It’s international #kangaroocare day again. Doing my part to represent all the kangaroo fanatics out there supporting akin to skin care for babies! #NeoSky

A device to measure how much breastmilk is fed to a baby would certainly take the guess work out & stop pre/post weights to estimate volumes! medicalxpress.com/news/2025-05... #NeoSKy #PedSky

The last decade of the war with #syphilis in Canada has not been great but is the tide starting to turn for congenital and infections? www.sciencedirect.com/science/arti... #NeoSky #PedSky #STBBI

Pre-term babies, love skin to skin care. Take a look at that smile‼️ Don’t forget to make a mother in the NICU smile today and wish them a happy Mother’s Day ! #mothersday #NeoSky #PedSky

After all these years we are still hoping that furosemide will help prevent BPD - spoiler alert, it doesn't😲 But 28 days of furosemide will give you a wee bit of electrolyte disturbance pubmed.ncbi.nlm.nih.gov/40306549/ #NeoSky #PedSky

MoCHA trial ☕️ RCT at 33-35 weeks GA extending #caffeine treatment until 28 days after discharge for babies born at 29-33 weeks did not shorten length of hospital stay (18.0 days [IQR, 10 to 30 days] for caffeine vs 16.5 [IQR, 10 to 27 days] shorturl.at/DXwsF #NeoSky #PedSky

Erythropoietin looks like it will be relegated to the history books for improving outcomes after birth asphyxia. Risk for death or disability between the erythropoietin group and the placebo group (35.3% vs. 29.4%; RR = 1.2; 95% CI, 0.85-1.7). #NeoSky #PedSky www.healio.com/news/pediatr...

Turns out for culture proven sepsis 7 days of treatment not different than 14 days Exclusions: S. Aureus, fungus & infections requiring long term abx Also what effect on the #microbiome might that have? pubmed.ncbi.nlm.nih.gov/40280737/ #IDSky #NeoSky

Contrary to recent thought in #NeoSky circles dopamine vs norepinephrine RCT for empiric treatment of shock not much different Neonates with shock reversal at 30 minutes was 32% vs 46% in NE and DA groups, (RR 0.69, 95% CI 0.39 to 1.20, p=0.19) pubmed.ncbi.nlm.nih.gov/40252959/

Nice end to another Mexican adventure Tropical Negroni Ingredients: • 1 oz gin • 1 oz Campari • 1 oz pineapple juice (fresh is best) • 0.75 oz sweet vermouth • Optional: a dash of orange bitters • Garnish: pineapple wedge or orange peel #Cancun #Mexico

Are three doses of dextrose gel better than 2? ⬇️admissions from 3.7% to 2.0% and IV dextrose fluid rates from 2.7% to 1.7% pubmed.ncbi.nlm.nih.gov/40221610/ #NeoSky #PedSky

How commonly do you hear someone suggest that giving a blood transfusion to preterm infants with help decrease their oxygen desaturation episodes. This study suggests more aggressive transfusion may not make a difference pubmed.ncbi.nlm.nih.gov/40139741/ #NeoSky #MedSky

Guidelines for detection and management of hyperbilirubinemia in term and late preterm newborns (≥35 weeks gestational age) shorturl.at/21Bgm Don't miss the Canadian "hyperbili" tool w/ the statement. Look for this link shorturl.at/h5tfG on side of the page 👇 #NeoSky #PedSky

A little neonatal humour on a dreary #tariffs dominated day. #medicalhumour #MedSky

Neonatal lupus with discoid plaques. As amazing as this was to see at 2 weeks it was gone without treatment by the two month visit. Mom was anti - Ro and La positive t.co/mSnR9Q9cxV #NeoSky #PedSky

Meconium is normally tarry & black but if thick can cause issues as w/ this baby who couldn't pass stool & had distended bowel loops & vomiting. In the OR a hard and long piece of meconium was removed Dx: Meconium Ileus 2nd dx: cystic fibrosis pubmed.ncbi.nlm.nih.gov/40138555/ #NeoSky #MedSky

Congenital melanocytic naevus with round cortical lesion (7.2×5mm) over left cerebellum w/ signal changes over left posterior fossa meninges, suggesting leptomeningeal and parenchymal melanosis Dx: Congenital neurocutaneous melanocytosis Incidence: 1 in 50000 - 200000 #NeoSky #PedSky

This can't really be happening can it? The solution is to allow 14 year old children to work overnight? #PedSky #MedSky us.cnn.com/2025/03/25/b...

Picasso’s depiction of a child with mumps. In his time you couldn’t protect children against getting it. Now we can & not doing so is leading to #measles being on the rise #vaccinate #IDSky #MedSky

We see babies in many different ways. This is how Pablo Picasso saw one. #barcelona #Picasso

A little break from medicine. At #harrypotter studios #familyfun @warnerbrospictures.bsky.social

New HyperBili guidelines out with the Canadian Paediatric Society @nicumusings.bsky.social cps.ca/en/documents...

Neurodevelopmental outcomes after fetoscopic spina bifida repair show normal outcomes in 2/3. No difference in long term developmental outcomes compared to post delivery repair. pubmed.ncbi.nlm.nih.gov/39828055/ #NeoSky #PedSky

Measuring end tidal carbon monoxide ETCOc (by-product of bilirubin breakdown) 12 of 29 DAT -ve infants who received phototherapy would have gone home with significant hemolysis at risk for readmission or kernicterus if not for the use of ETCOc. pubmed.ncbi.nlm.nih.gov/40011553/ #NeoSky

Another win for liquid gold. Longer breastfeeding for at least 6 months found to reduce blood pressure in childhood at age 6 www.healthday.com/health-news/... #NeoSky #PedSky

Serum vs continuous glucose monitoring in infants IQR 29.0-31.0 weeks], BW 1400 g [IQR 1100-1500 g] w/ min 24 hrs of CGM. The mean absolute relative difference btwn SG & POC BG was 7.1% = difference of -5.6 mg/dL [95% CI -25 to +14 mg/dl] pubmed.ncbi.nlm.nih.gov/39579867/ #NeoSky #MedSky

Maybe the best way to demonstrate opposition to this trade war between our countries 🇨🇦🇺🇸 is for us medical professionals to double our efforts to support one another with sharing of knowledge across the border... #tariff free #MedSky #NeoSky #PedSky