The Incubator #262 - 🫀 From The Heart - Neonatal Cardiology Journal Club (December 8th 2024)
Dec 8, 2024
Dr. Nim Goldshtrom, a neonatal cardiologist specialized in hemodynamics, joins to unravel recent advancements in neonatal cardiovascular care. The discussion dives deep into innovative techniques for patent ductus arteriosus (PDA) closure, comparing transcatheter options with surgical methods. Goldshtrom and Dr. Adrianne Bischoff emphasize the emerging role of lung MRIs in managing pulmonary conditions and the life-saving impact of targeted neonatal echocardiography on critically ill infants. They advocate for continuous education and a balanced training approach in neonatology.
AI Snips
Chapters
Transcript
Episode notes
Transcatheter PDA Closure
- Transcatheter PDA closure is increasingly common, showing potential benefits over surgery.
- Large registry data reveals similar overall survival, but possible improvements in length of stay and complications.
TNE Impact
- Targeted neonatal echocardiography (TNE) consultations may reduce mortality in critically ill preterm infants.
- TNE guides treatment, leading to earlier blood pressure increases without higher inotropic burden, but greater complexity.
Physiology-Based Care
- Prioritize training in physiology-based care for neonatologists, even without specialized imaging expertise.
- Focus on understanding the underlying physiology to improve treatment, regardless of access to advanced tools.