Michael Narvey 🇨🇦 (@nicu_musings) 's Twitter Profile
Michael Narvey 🇨🇦

@nicu_musings

A #Neonatologist in Canada. All opinions are my own #neoTwitter #neonatal #NICU

ID: 3050280361

linkhttps://www.tiktok.com/@nicu_musings calendar_today28-02-2015 16:03:29

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Michael Narvey 🇨🇦 (@nicu_musings) 's Twitter Profile Photo

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/ #IDtwitter #neoTwitter

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/
#IDtwitter #neoTwitter
Michael Narvey 🇨🇦 (@nicu_musings) 's Twitter Profile Photo

Erythropoietin looks like it will be relegated to the history books for improving outcomes after birth asphyxia. Risk for death or disability btw erythropoietin and placebo groups (35.3% vs. 29.4%; RR = 1.2; 95% CI, 0.85-1.7). healio.com/news/pediatric… #neotwitter #neurotwitter

Michael Narvey 🇨🇦 (@nicu_musings) 's Twitter Profile Photo

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 #neoTwitter

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
#neoTwitter
Michael Narvey 🇨🇦 (@nicu_musings) 's Twitter Profile Photo

It's often said that babies are not small adults. When born preterm, a dependence on caffeine is common to both. Adults may utter "I can't live without my morning coffee" while #preemies are stimulated to breathe by caffeine so they are more true to those words. 😀 #neoTwitter

It's often said that babies are not small adults.  When born preterm, a dependence on caffeine is common to both.
Adults may utter "I can't live without my morning coffee" while #preemies are stimulated to breathe by caffeine so they are more true to those words. 😀
#neoTwitter
Michael Narvey 🇨🇦 (@nicu_musings) 's Twitter Profile Photo

Never did I think up until 1.6 seconds left in the hockey game that I would be watching the Jets shake hands with St.. Louis after winning!!! #gotjetsgo Winnipeg Jets

Never did I think up until 1.6 seconds left in the hockey game that I would be watching the Jets shake hands with St.. Louis after winning!!!
#gotjetsgo <a href="/NHLJets/">Winnipeg Jets</a>
Michael Narvey 🇨🇦 (@nicu_musings) 's Twitter Profile Photo

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/ #neoTwitter

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/
#neoTwitter
Michael Narvey 🇨🇦 (@nicu_musings) 's Twitter Profile Photo

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 #neotwitter

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 #neotwitter
Michael Narvey 🇨🇦 (@nicu_musings) 's Twitter Profile Photo

The last decade of the war with #syphilis in Canada has not been great but is the tide starting to turn? doi.org/10.1016/j.jped… #IDTwitter #Neotwitter

The last decade of the war with #syphilis in Canada has not been great but is the tide starting to turn?
doi.org/10.1016/j.jped…
#IDTwitter #Neotwitter
Michael Narvey 🇨🇦 (@nicu_musings) 's Twitter Profile Photo

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-b… #neotwitter

Michael Narvey 🇨🇦 (@nicu_musings) 's Twitter Profile Photo

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

It’s international #kangaroocare day again. Doing my part to represent all the kangaroo fanatics out there supporting akin to skin care for babies!
#neotwitter
Michael Narvey 🇨🇦 (@nicu_musings) 's Twitter Profile Photo

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.7… #neoTwitter

Pilot study finds that fentanyl as sedation for newborns born &lt; 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.7…
#neoTwitter
Michael Narvey 🇨🇦 (@nicu_musings) 's Twitter Profile Photo

In #pregnancy mothers often avoid excessive #caffeine & yet we give it so readily to #preemies after birth Why is that? Link👇 youtu.be/OYPP_sxQ9SY #neotwitter

In #pregnancy mothers often avoid excessive #caffeine &amp; yet we give it so readily to #preemies after birth
Why is that? Link👇
youtu.be/OYPP_sxQ9SY
#neotwitter
Michael Narvey 🇨🇦 (@nicu_musings) 's Twitter Profile Photo

Despite use of ultrasound for lumbar puncture, what I was told as a 1st year resident may be more important. Ensure the baby is positioned well! Signif assoc of success w/ absence of pt movements (odds ratio [OR]: 6.40; 95% CI: 1.53-26.8) pubmed.ncbi.nlm.nih.gov/40322783/ #neotwitter

Despite use of ultrasound for lumbar puncture, what I was told as a 1st year resident may be more important.
Ensure the baby is positioned well!
Signif assoc of success w/ absence of pt movements (odds ratio [OR]: 6.40; 95% CI: 1.53-26.8)
pubmed.ncbi.nlm.nih.gov/40322783/
#neotwitter
Canadian Paediatric Society (@canpaedsociety) 's Twitter Profile Photo

Every year, the CPS recognizes paediatric healthcare professionals who go above and beyond in their research, advocacy, and practice. Congratulations to this year's award winners: ow.ly/emEz50VXnaY #CPS2025

Nathan Sundgren, PhD, MD (@natetexsun) 's Twitter Profile Photo

Hallelujah! Save us from the ancient APGAR score. Published protocol trying to define a new score that matters to neonatal resuscitation and newborn wellbeing. Let's hope the authors find the ANSWER. journals.plos.org/plosone/articl… Evidence-Based Neo The Incubator Podcast

Hallelujah! Save us from the ancient APGAR score. Published protocol trying to define a new score that matters to neonatal resuscitation and newborn wellbeing. Let's hope the authors find the ANSWER. journals.plos.org/plosone/articl… <a href="/EBNEO/">Evidence-Based Neo</a> <a href="/nicupodcast/">The Incubator Podcast</a>
Michael Narvey 🇨🇦 (@nicu_musings) 's Twitter Profile Photo

An unusual reason for a limp baby! youtu.be/PMNQNVg4ktA #neonatal #nicu #neonatology #neurology #pediatrics #meded #medicaleducation Source: shorturl.at/rqKZB

An unusual reason for a limp baby!

youtu.be/PMNQNVg4ktA

#neonatal #nicu #neonatology #neurology #pediatrics #meded #medicaleducation

Source: shorturl.at/rqKZB
Michael Narvey 🇨🇦 (@nicu_musings) 's Twitter Profile Photo

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?” #neoTwitter

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?”
#neoTwitter
Michael Narvey 🇨🇦 (@nicu_musings) 's Twitter Profile Photo

Conjoined twins are a rarity. How many types are there & how might ethics play into their separation? Posting longer form educational videos on YouTube. If you are interested in keeping up-to-date, please consider subscribing! youtu.be/GOxDeK63Jj4?si… #MedEd #MedTwitter

Conjoined twins are a rarity.  How many types are there &amp; how might ethics play into their separation?

Posting longer form educational videos on YouTube. If you are interested in keeping up-to-date, please consider subscribing!

youtu.be/GOxDeK63Jj4?si… 

#MedEd #MedTwitter