Dobutamine in Hypotensive Newborn
Dobutamine treats the pump, not the pressure gauge — the neonatal inotrope for myocardial dysfunction and high afterload. Why it improves flow even when it doesn’t lift blood pressure.
Dobutamine treats the pump, not the pressure gauge — the neonatal inotrope for myocardial dysfunction and high afterload. Why it improves flow even when it doesn’t lift blood pressure.
Hydrocortisone is the rescue for catecholamine-resistant neonatal hypotension — when adrenal insufficiency, not the heart or vessels, is the problem. Indications, dosing and the one interaction that matters.
Epinephrine or norepinephrine in the hypotensive newborn? A clinician’s guide to choosing by the lesion — the failing pump versus the dilated circulation — with the doses, risks and evidence.
Fewer needles. Fewer wires. Monitoring that follows a baby home. In this episode we look at five technologies reshaping neonatal care — from AI reading the abdominal X-ray to a needle-free silk patch and a wristband that prompts kangaroo care. None replace us; all buy attention.
Neonatal Haemodynamics Evidence Review The reflex first move for low blood pressure — yet in the preterm infant, hypotension is
Three hundred and forty-four babies. Two guidelines. Under one, 89% of the admissions were justified; under the other, 36%. Same babies, same bilirubins — different document.
A baby well enough to go home — but still needing oxygen. From that moment, the monitoring moves to a living room we’ll never see. I talk to Consultant Paediatric Pulmonologist Dr Omendra Narayan about home oxygen: targets, the home setup, safety, weaning, and preparing families
Consultant paediatric surgeon Dr Abid Qazi on how the decision to operate in NEC is really made: why he wants the call at Bell stage 1, what matters beyond pneumoperitoneum, telling NEC from SIP on the table, and why every millimetre of bowel counts.
Every newborn can now be protected against RSV — but with which route? Dr. Ahmed Elajab breaks down the maternal vaccine versus the newborn monoclonals, nirsevimab and clesrovimab, and how to choose. Essential viewing for neonatologists, NICU trainees, and paediatricians.
A 90-minute-old, asymptomatic baby reads 1.9 mmol/L — and three clinicians cite three different guidelines, all correct. This deep-dive unpacks why neonatal hypoglycaemia has no single validated number, who to screen, how to treat progressively, and why the thresholds diverge. Treat the baby, not the number.