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Dr. Michael Narvey Neonatologist MD

@nicumusings.bsky.social
3.4K followers 5.1K following 355 posts

A neonatologist in Canada.🇨🇦 Love sharing knowledge Sharing the occasional #wine or #cocktail thoughts! TikTok, Instagram: @NICU_musings Linkedin: www.linkedin.com/in/michael-narvey-… Blog: www.allthingsneonatal.com #NeoSky #MedSky #PedSky

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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 24/08/2025
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
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 08/08/2025
In the NICU, time bends — minutes can feel like eternities, and eternities can change in a single breath. #NeoSky
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 05/08/2025
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...
jamanetwork.com
Darbepoetin for Neuroprotection in Preterm Infants
This randomized clinical trial investigates if darbepoetin initiated less than 36 hours after birth improves red blood cell mass and cognitive outcome at 2 years’ corrected gestational age in infants ...
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 03/08/2025
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/
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 31/07/2025
Delighted to see our statement “Applications of point-of-care ultrasonography in the NICU: A Canadian perspective” in print! #NeoSky cps.ca/en/documents...
cps.ca
Applications of point-of-care ultrasonography in the NICU: A Canadian perspective | Canadian Paediatric Society
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 i...
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 30/07/2025
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/
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 27/07/2025
Our new statement on managing newborns at risk of neonatal abstinence/neonatal opioid withdrawal from the CPS academic.oup.com/pch/advance-... #NeoSky #Pedsky
academic.oup.com
Managing newborns at risk for neonatal abstinence syndrome (NAS)/neonatal opioid withdrawal syndrome (NOWS): Updates and emerging best practices
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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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 25/07/2025
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
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 22/07/2025
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...
medpagetoday.com
High Oxygen During Cord Clamping Helps Extremely Preterm Infants
Pilot randomized trial shows safety and reduced early hypoxemia
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 18/07/2025
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
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 09/07/2025
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
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 07/07/2025
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/
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 03/07/2025
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
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 26/06/2025
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
physiciansweekly.com
Cognitive and Motor Decline in Children With Asphyxia
Therapeutic hypothermia for NE was linked to declining motor, cognitive, and behavioral outcomes, emphasizing the need for long-term monitoring.
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 25/06/2025
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
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 16/06/2025
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
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 03/06/2025
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
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 30/05/2025
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/
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 26/05/2025
#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
youtu.be
Conjoined #twins Many varieties but timing is everything! #pediatrics #obstetrics #pregnancy
YouTube video by Michael Narvey
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 25/05/2025
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
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 24/05/2025
An unusual reason for a limp baby! youtu.be/PMNQNVg4ktA #NeoSky #MedSky #PedSky Source: shorturl.at/rqKZB
youtu.be
Case of the limp baby! What did the mother have which led to this problem? #newborn #nicu
YouTube video by Michael Narvey
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 20/05/2025
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
youtu.be
Caffeine is truly a wonder drug for #preemies and yet pregnant women avoid it. Huh? #pediatrics
YouTube video by Michael Narvey
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 20/05/2025
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
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 15/05/2025
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
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 15/05/2025
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
medicalxpress.com
Got data? Breastfeeding device measures babies' milk intake in real time
While breastfeeding has many benefits for a mother and her baby, it has one major drawback: It's incredibly difficult to know how much milk the baby is consuming. To take the guesswork out of breastfe...
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 13/05/2025
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
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 11/05/2025
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
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 07/05/2025
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
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 04/05/2025
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
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 30/04/2025
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...
healio.com
Erythropoietin does not reduce deaths among infants with birth asphyxia
HONOLULU &mdash; Erythropoietin did not reduce the risk for death or severe disability among infants with hypoxic ischemic encephalopathy already being treated with hypothermia, according to the resul...
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 29/04/2025
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
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 22/04/2025
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/
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 18/04/2025
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
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 16/04/2025
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
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 08/04/2025
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
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 07/04/2025
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
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 04/04/2025
A little neonatal humour on a dreary #tariffs dominated day. #medicalhumour #MedSky
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 04/04/2025
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
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 03/04/2025
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
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 01/04/2025
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
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 31/03/2025
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...
us.cnn.com
Florida debates lifting some child labor laws to fill jobs vacated by undocumented immigrants | CNN Business
Florida has been working for years to crack down on employers that hire undocumented immigrants. But that presented a problem for businesses in the state that are desperate for workers to fill low-wag...
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 30/03/2025
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
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 29/03/2025
We see babies in many different ways. This is how Pablo Picasso saw one. #barcelona #Picasso
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 24/03/2025
A little break from medicine. At #harrypotter studios #familyfun @warnerbrospictures.bsky.social
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Reposted by Dr. Michael Narvey Neonatologist MD
Gabriel Altit - NeoCardioLab @cardioneo.bsky.social · 19/03/2025
New HyperBili guidelines out with the Canadian Paediatric Society @nicumusings.bsky.social cps.ca/en/documents...
cps.ca
Guidelines for detection and management of hyperbilirubinemia in term and late preterm newborns (≥35 weeks gestational age) | Canadian Paediatric Society
Hyperbilirubinemia is a common condition and is usually benign in term and late preterm newborns. Developing a standardized approach for all newborns to prevent, identify, and manage those with clinic...
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 18/03/2025
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
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 11/03/2025
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
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 09/03/2025
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
healthday.com
Breastfeeding Improves Heart Health In Children
THURSDAY, March 6, 2025 (HealthDay News) -- Breastfeeding can promote lower blood pressure among children, a new study says.Longer-term breastfeeding appears to
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 05/03/2025
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
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Dr. Michael Narvey Neonatologist MD @nicumusings.bsky.social · 04/03/2025
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
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