If you only read 1 paper on the PDA this year, READ THIS ONE. 'Very early(<72 hours) or early (<7-14days) routine treatment to induce PDA closure (regardless of hemodynamic significance) ... does not improve outcomes and is not recommended.'
Want to take your neonatal echo skills to the next level? The incredible Sandhya Ramlogan is running a one-day course with hands on sessions in Austin this April! https://t.co/wzp8F0D2fo
Lovely case series from Yaginuma et al showing the potential severity of hepatic calcification with a malplaced UVC - https://t.co/JkyyqO77Fo. POCUS is the answer! Watch Ben Kozyak's amazing talk here - https://t.co/yeUINO6uIA
We have places available on our 3rd UT Dell Med/CHOP Neonatology and Pediatric Critical Care Point-of-Care Ultrasound course in Austin on Saturday, November 15th - Sunday, November 16th!
Registration is now open at https://t.co/Z9H14RJp3T
Two tremendous NICU POCUS articles on training and program development out this week from the undisputed US champs Maky Fraga and Shazia Bhombal (https://t.co/35mLe6NR24)(https://t.co/YuFOPnb3Lr). And be sure to join https://t.co/Oe5C5wJjNW for all the latest updates!
I'm arriving late to the lung POCUS party, but this consensus statement (with free full text!) gave me an extra nudge - https://t.co/sZWq57tcIb. Great guidance and example images of surfactant deficiency, atelectasis, etc.
@veeraltolia@natetexsun Thanks Nathan! Agree. An increase in FiO2 at day 10-14d is the expected evolution of lung disease of prematurity. Worth bearing that in mind when kids need an escalation in support at that time. Doesn't mean they don't have an intercurrent sepsis, but I try watchful waiting...
#Nephpearls#MedEd
Thought of the day: Nobody mastered physical examination in a single day, so expecting to achieve competency from a short #POCUS course or workshop is impractical. Even the best-run sessions are only the beginning of a motivated learner’s journey. Beware of the Dunning-Kruger effect and keep practicing.
Oh, and if you start losing your nerve about ignoring the PDA at day 15-20, remember that the natural history of lung disease of prematurity is to worsen up until day 14-21, and then spontaneously improve... https://t.co/US5O0RWOxE
If you only read 1 paper on the PDA this year, READ THIS ONE. 'Very early(<72 hours) or early (<7-14days) routine treatment to induce PDA closure (regardless of hemodynamic significance) ... does not improve outcomes and is not recommended.'
Yes, of course, you can still target Rx for some PDAs, (for me, 22-23 weeks and vent dependent) but PLEASE can we stop using phrases like 'take the PDA out of the equation' A brief meta-analysis of 9 trials of early targeted treatment shows 27% INCREASED mortality with treatment!
If you only read 1 paper on the PDA this year, READ THIS ONE. 'Very early(<72 hours) or early (<7-14days) routine treatment to induce PDA closure (regardless of hemodynamic significance) ... does not improve outcomes and is not recommended.'
'It is likely that the presence of a PDA is a marker for more extreme immaturity and a biomarker for worse outcomes, but treatments to close the PDA may not significantly impact such outcomes.' If I thought I could carry off a tattoo, that's what I would get!
Save the date! The 2025 Dr. Regan Giesinger Clinical Cardiopulmonary Physiology for the Care of the Sick Newborn Course is running Nov 3-6th.
Check out the course website to learn more- registration information coming soon!
https://t.co/GJjzS5JdEo
#neotwitter#neohemodynamics
Thanks Adrianne. This is such a CRITICAL message. Yes there may be variation in response across vascular beds, across doses, across species. But we realistically have NO IDEA whether dopamine is increasing or decreasing the PVR/SVR ratio when we use it in PPHN.
Interesting new product - a hydrophilic ultrasound probe cover (or sleeve for sterile procedures) that is activated by water, and removes/reduces the need for ultrasound gel! I have no relationship with the company, just think it's a wonderful solution: https://t.co/4XCplYxLsq