Cardiovascular Problems

Hello everyone! I'd love to hear your thoughts on the management of hemodynamically significant patent ductus arteriosus (PDA). This new article and its recommendations have left me with many questions. before the releae of these news recommendation , in our service, we only treat hemodynamically significant PDA within the first 7 days of life, primarily in patients under 28 weeks' gestational age. We know that the efficacy of medical treatment drops significantly after this age. Our approach is to opt for surgery only if the PDA doesn't close after two series of medical treatment, and we try not to delay the surgical intervention too much. I'm very interested in learnin…

There is a growing body of data suggesting that pulse oximetry before discharge from maternity wards can identify complex but yet asymptomatic cardiac malformations. It would be interesting to hear how common such screening has become. Please comment below too! The poll is open until 31 Jan 2012.

Hi, A case of ex micropremmie with IUGR who has severe PPHN and BPD. Following a severe PPHN crisis experts suggested trial of Bosentan in additional to the sildenafil already started. further course of oral steroids also started. Worked well and weaned ventilation over two weeks. I have minimal experience with Bosentan and wondered how much it is being used as an adjunct? Recognising used as a second line agent when things are in extremis. (no response to iNO). Questions such as typical length of courses being used? Successes? issues? no hepatic impairment at present. Thanks!

Dear Respected Colleagues: Greetings. I would like to know your opinion about using “Ibuprofen as prophylaxis for PDA in preterm babies”. Thanks.

I just wanted to share a link about inotropes, a blog post on a British FOAMed* web site: https://www.paediatricfoam.com/2017/01/inotropes-made-simple/ Managing circulatory failure with potent cardio- and vasoactive drugs can be a challenge, and it is necessary to understand the pathophysiology of the problem to choose the right set of interventions and drugs. *FOAMed = Free Open Access Medical Education

POCUSNEO Canada is pleased to announce the first e-workshops in advanced hemodynamics starting from 1️⃣5️⃣ August 2️⃣0️⃣2️⃣0️⃣ https://pocusneo.org/e-workshops/ https://pocusneo.org/e-conferences/ Yasser Elsayed (University of Manitoba) Muzafar Gani (McMaster University) Emailing E-conference Flyer final R.pdf

Dear doctors I need help in providing me with percentile charts for blood pressure readings in neonates preterms and full term ...i need to judge baby is hypertensive or not Thanks in advance 😊

https://neoreviews.aappublications.org/content/21/3/e165?sso=1&sso_redirect_count=1&no-redirect&nfstatus=200&nftoken=3677b4da-bef4-4313-bdde-60cd616e386e&nfstatusdescription=SUCCESS%3a+Local+token+is+valid Hi everyone, I just read this article and wanted to ask about your opinion. Do you have any experience using Milrinone in cases of PPHN In my NICU we don't have nitrous oxide and we recently had a case of PPHN I used Dopamine and Dobutamine but after reading this article I am not sure whether that was the optimal therapy. I highly appreciate your input.

Hello guys I am currently looking into the use of Dexmedetomidine in the pediatric population especially as an adjunct in managing hypertension after surgery, specifically post coarctation repair. ANY FEEDS? JOURNALS? or evidence base research? Thank u

I am a neonatologist working in a low-income country in a hospital with 6000 + births a year. The hospital also functions as the only neonatal referral center for a region that has 17,000 births a year. Due to being a public institution the mothers of our newborns are mostly from extremely low-income households thus we have high rates of congenital malformations and premature births with the corresponding elevated rates of morbidity and mortality. We are interested in implementing Point of Care Echocardiagram for monitoring pulmonary pressure, cardiac function and PAD as well as implementing Point of Care Ultrasound for pleural effusions, line placement, and to perform tr…