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From the Heart l It's Complicated

The Incubator Channel · 22 Jul 2025 · 53 min

Summary

Two neonatologists work through a case of sudden decompensation shortly after birth as a reverse journal club, covering circulatory shock, distinguishing pulmonary hypertension from congenital heart disease, prostaglandin and epinephrine use, and the limits of relying on MAP. They also discuss the cardiovascular effects of therapeutic hypothermia, left ventricular dysfunction, ductal-dependent circulation, and using lactate and perfusion to guide treatment before echo is available.

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