Epinephrine and Norepinephrine in the Hypotensive Newborn
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.
Articles
Volume Expansion in the Hypotensive Newborn
Neonatal Haemodynamics Evidence Review The reflex first move for low blood pressure — yet in the preterm infant, hypotension is
One Baby, Three Guidelines: Why Jaundice Management Doesn’t Travel
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.
The Sudden Golden Age of RSV Prevention in Infants
For fifty years RSV prevention was a graveyard. Then one structural insight in 2013 changed everything. Here’s why the field suddenly accelerated — and how the maternal vaccine, nirsevimab and clesrovimab actually compare for protecting the youngest infants.
Genetic Testing in the Neonate: A practical Framework
A baby is born dysmorphic and the team asks: does this need a genetic test, and which one? Here is the diagnostic pathway from cot-side assessment to genome sequencing — and how to choose well.
Approach to Managing Asymptomatic Newborn Exposed to Genital Herpes
A mother is in labour with active genital herpes lesions. The baby is born well, completely asymptomatic. What do we actually do next? Walking through the AAP 2013 algorithm step by step.