Persistent Pulmonary Hypertension of the Newborn - Mattel ...
Persistent Pulmonary Hypertension of the Newborn - Mattel ...
Persistent Pulmonary Hypertension of the Newborn - Mattel ...
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PDE-3 3 Inhibitor - Milrinone• Primary physiological disturbance in PPHN →↑RV afterload• Traditionally, physicians reluctant to treat PPHNwith afterload-reducing reducing agents because <strong>of</strong>concerns <strong>of</strong> systemic hypotension & desire tomaintain supranormal systemic BP• very high-dose vasopressors• dopamine or epinephrine may exacerbate PPHN• tachycardia, ↑ increasing myocardial O2 demand,McNamara, 2006, J Crit Care