Milrinone in Hypotensive Newborn
Milrinone, the inodilator: strengthens the heart and unloads it at once. Where it shines (post-ligation syndrome, pulmonary hypertension) — and where it fails and harms.
Milrinone, the inodilator: strengthens the heart and unloads it at once. Where it shines (post-ligation syndrome, pulmonary hypertension) — and where it fails and harms.
Dopamine is the NICU’s default inotrope — reliable at raising blood pressure, but with no proven outcome benefit. Its dose ladder, hidden costs and the “renal-dose” myth.
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.