NicuPocus

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! cvent.utexas.edu/mR1xka

Lovely case series from Yaginuma et al showing the potential severity of hepatic calcification with a malplaced UVC - pediatr-neonatol.com/article/S1875-…. POCUS is the answer! Watch Ben Kozyak's amazing talk here - nicupocus.com/pocus-lines.ht…

Last minute spaces available on our NICU-PICU POCUS Course in Austin on November 15th and 16th! cvent.utexas.edu/event/32d5d029…

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 cvent.utexas.edu/event/32d5d029…

Two tremendous NICU POCUS articles on training and program development out this week from the undisputed US champs Maky Fraga and Shazia Bhombal (nature.com/articles/s4137…)(nature.com/articles/s4137…). And be sure to join neopocuscollab.com for all the latest updates!

Excited to be part of this TNE breakout session at NeoHeart later this month. The speaker list for the full conference is truly extraordinary.

@iowaneohd @arbischoff Fantastic article!!

New article out! Congrats to Drs. @arbischoff , Vasquez and McNamara! "Shaping Neonatal Hemodynamics: The Journey and Future of TnECHO" sciencedirect.com/science/articl… #neohemodynamics

I'm arriving late to the lung POCUS party, but this consensus statement (with free full text!) gave me an extra nudge - bmcmedicine.biomedcentral.com/articles/10.11…. Great guidance and example images of surfactant deficiency, atelectasis, etc.

@veeraltolia @natetexsun And of course I particularly try not to fall into the trap of treating the PDA, just because they need a bit more support!

@natetexsun Want to link in Alan Groves, the PI of this project @NicuPocus

Newer paper from Pediatrix Medical group @veeraltolia and colleagues. Shows biphasic O2 requirement of Preterm babies <28 GA. In other words, all your management can be great and you will still see a trend up in FiO2 from week 2-3. Don't panic. doi.org/10.1016/j.jped… @TinyBabyCollab @EBNEO @nicupodcast

@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... pubmed.ncbi.nlm.nih.gov/39577761/

Amazing job by one of our finest medical students @CafroCarol5227 who got an @SocPedResearch award and a clear and loud ovation for her platform presentation in neonatal hemodynamics #PAS2025 @URMed_GCH @NeoHemodynamics #proudmentor

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!

'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!

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.'

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! iowa-cardiopulmonary-physiology.com #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: civco.com/products/ultra…

This should be a great session from the Neo POCUS Collab. Register at jhjhm.zoom.us/webinar/regist…