Michael Narvey 🇨🇦

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

[Michael Narvey 🇨🇦 @NICU_Musings]

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

[Dr. Mohammed Hassan-Ali, MSc, MD, FAAP, FRCPC @DrPaedsPatrol]

RSV is still around!

MOM
- You should be eligible for Abrysvo which is the RSV vaccine from 32-36 weeks.

BABY
- Should get Beyfortus if MOM didn't get Abrysvo for RSV.

Source: @nicu_musings

#baby #newborn #ParentingTips #KidsHealthMatters #NewMomSupport

[Dr. Mohammed Hassan-Ali, MSc, MD, FAAP, FRCPC @DrPaedsPatrol]

Infections in babies less than 1 month!

A - Activity
B - Breathing
C - Color
D - Dehydration
T - Tone
T - Temp

🚩🚩🚩🚩🚩🚩

Source: @nicu_musings

#baby #newborn #ParentingTips #KidsHealthMatters #NewMomSupport

[Dr. Mohammed Hassan-Ali, MSc, MD, FAAP, FRCPC @DrPaedsPatrol]

Infections in babies! This is a big deal! Let's talk with @nicu_musings to find out why!

Temp - fevers can be > 37.5 C or < 36.5 C. These are red flags. If your baby is less than 28 days then call 911 or head to the ER.

#baby #newborn #ParentingTips #KidsHealthMatters

[Michael Narvey 🇨🇦 @NICU_Musings]

Pneumocephalus in a 30 week #preemie infected with citrobacter koseri
Died at 17 days of age from destruction of brain tissue.
3D color reconstruction: air collections in grey/black.
At autopsy: gush of air heard upon entering the cranial vault
https://t.co/y2uiO9jBaR
#neotwitter

[Michael Narvey 🇨🇦 @NICU_Musings]

@TallRichDoctor Always difficult to say with certainty and retrospective studies, but can hopefully agree that being out of range is not a good sign

[Michael Narvey 🇨🇦 @NICU_Musings]

Much like the porridge in the Goldilocks and the Three Bears you don't want a #preemie to be too hot or too cold but rather just right.

Rates of morbidity/mortality higher on both ends.

36.5 - 37.5 degrees C is just right (94.1°F to 99.5°F)
https://t.co/3ebN5ceXcv
#neotwitter

[Nathan Sundgren, PhD, MD @natetexsun]

What does a Starbuck's addict and a premature baby have in common? The need for more caffeine. Higher maintenance caffeine dose associated with higher Bayley scores and less severe BPD. #NICU https://t.co/mTvsxOl7H2

[Michael Narvey 🇨🇦 @NICU_Musings]

If a little #caffeine for #preemies is good, is more better?

Study compared low (<6 mg/kg/d) to high dose of caffeine citrate (> 6 mg/kg/d)
✅ Led to less severe BPD
❌ Better neurodevelopmental outcome at 6 months but did not persist

https://t.co/OrnLJqf0aY

#neotwitter

[Michael Narvey 🇨🇦 @NICU_Musings]

Glad to hear the ByHeart formula #botulism outbreak is over but 48 babies were sickened since 2023. Thankfully no new cases since December 2025
https://t.co/SnolF7Dzz4

#pediatrics #neonatal

[Michael Narvey 🇨🇦 @NICU_Musings]

@addensri Interesting way to look at it

[Michael Narvey 🇨🇦 @NICU_Musings]

Delayed cord clamping (DCC) for 1 minute transfers about 80 mL of blood from placenta to newborn.

New study finds that on average #preemies given DCC weigh about 24g more vs those who did not have delay.

Where did the extra grams go? 🤔

https://t.co/43GiAKhlx4
#neotwitter

[Michael Narvey 🇨🇦 @NICU_Musings]

Interesting finding that provision of 100% oxygen to newborns undergoing deferred cord clamping does not increase fetal pO2 in the umbilical cord vs provision of 30% FiO2.

https://t.co/sSP3uim0No

#neonatal #nicu

[Michael Narvey 🇨🇦 @NICU_Musings]

I am excited to share my research is now published! 📚
First do no harm: re-evaluating routine car seat testing before discharge
Timely commentary @BrianKingNeo
https://t.co/5sulXu0ffF
@SN and #SNAuthor
#neotwitter

[Michael Narvey 🇨🇦 @NICU_Musings]

@DrKhorshidM Congratulations and very well deserved!

[Michael Narvey 🇨🇦 @NICU_Musings]

Well done @BrianKingNeo
Systematic review finds no benefits to o difference in 30-day mortality or 30-day readmissions for #preemies who had or didn't have car seat tests prior to discharge
Cost to system: 💰25-50 million per year
https://t.co/LhqV0zFn52
#neotwitter

[Michael Narvey 🇨🇦 @NICU_Musings]

If you needed a reason to try and reduce late onset sepsis in #preemies...
#neotwitter

[Abhay Lodha @Drabhaylodha]

Research paper just published
@D8Neonatal @CNN_EPIQ @AmerPedSociety @AmerAcadPeds @CanPaedSociety

[Michael Narvey 🇨🇦 @NICU_Musings]

@DrVivekKarn follow the first box in the flow diagram to the right. If the answer is no to the cords babies can still qualify with only one criterion. No need for two

[Michael Narvey 🇨🇦 @NICU_Musings]

https://t.co/6NsKKrW18N

[Michael Narvey 🇨🇦 @NICU_Musings]

Do attendings make students who are intubating more nervous or are attendings present for more difficult intubations?

The presence of an attending found to ⬆️the risk of intubation failure on the 1st attempt (aOR 0.78) & requiring ≥3 intubation attempts aOR 1.39
#neontwitter

[Michael Narvey 🇨🇦 @NICU_Musings]

Virtual attendance of families for NICU rounds may have long lasting benefits in an RCT vs conventional visiting.

Benefit seen as odds of an ER visit within 30 days of discharge was 0.37 (95% CI 0.18-0.75) vs. 0.48 [95% CI 0.25-0.91]).
https://t.co/JRniE12p4h
#neotwitter