Teaching Topics:
Introduction to NH-TNE - orientation
Ultrasound Physics, Knobology and Image Optimization
Cardiovascular Physiology concepts.
Blood Pressure, Heart Rate, SVR and PVR Physiology
TNE Protocol and Standard Views
Standardized Measurements and Normative Data, Reporting
Advanced Imaging: Strain (2D), TDI, 3D Echocardiography
Right Ventricle: Geometry and Function
Left Ventricle: Geometry and Function
Hypertrophy, IDM, Diastolic dysfunction
Shock: Hypovolemia, Distributive Shock, Sepsis, NEC
Cardiogenic and Obstructive Shock, Pericardiocentesis
Pharmacotherapy (cardiovascular agents, pulmonary vasodilators, PGE, antihypertensive agents)
Transition Physiology in Term and Preterm, acute PH and phenotypes
BPD-Associated PH
Post-Capillary PH, LV dysfunction, Inter-atrial shunting & Pulmonary Vein Stenosis
Atypical PH Syndromes, Understanding a PH Cath Report
Cardiac Morphology Session at Maude Abbott Museum
CDH and PH
PDA physiology, management strategies, caveats, directionality
Post-ligation/Cath syndrome, Conservative Management of PDA
Cerebrovascular Hemodynamics, NIRS in the NICU, Neuro-TNE Integration
Neonatal ECG and Arrhythmias, Lupus/Heart Block, Pacing, Defibrillation, Cardioversion.
Growth Restriction, Placental Dysfunction, Effect of PPROM, Pulmonary Hypoplasia
Hypertensive Crisis and Cardiorenal Interactions, Twin-Twin Transfusion Syndrome
Vein of Galen Malformation or Hepatic Arteriovenous malformation
Establishing a TNE Program, Research and Career Planning.
Ethical considerations, safety, multidisciplinary work in Neonatal Hemodynamics
Cardiac MRI and Advanced Diagnostics
Pulmonary Hemorrhage
ECMO: Physiology and Clinical Application
June 26, 2025 — Orientation to NH-TNE program Part 1
June 27, 2025 — Orientation to NH-TNE program Part 2
July 8, 2025 — Ultrasound Physics, Knobology and Image Optimization
July 22, 2025 — Cardiovascular Physiology concepts. Blood Pressure, Heart Rate, SVR and PVR Physiology
August 5, 2025 — TNE Protocol and Standard Views Standardized Measurements and Normative Data, Reporting
August 12, 2025 — TNE Protocol and Standard Views Standardized Measurements and Normative Data, Reporting - Part 2
August 19, 2025 — Right Ventricle: Geometry and Function
August 26, 2025 — Left Ventricle: Geometry and Function
September 2, 2025 — Shock: Hypovolemia, Distributive Shock, Sepsis, NEC
September 16, 2025 — Pharmacotherapy (cardiovascular agents, pulmonary vasodilators, PGE, antihypertensive agents)
September 23, 2025 — Hypertrophy, IDM, Diastolic dysfunction
September 30, 2025 — Transition Physiology in Term and Preterm, acute PH and phenotypes
October 14, 2025 — BPD-Associated PH
October 28, 2025 — Post-Capillary PH, LV dysfunction, Inter-atrial shunting & Pulmonary Vein Stenosis
November 25, 2025 — Cardiogenic and Obstructive Shock, Pericardiocentesis
December 9, 2025 — Advanced Imaging: Strain (2D), TDI, 3D Echocardiography
January 6, 2026 — Congenital Diaphragmatic Hernia
January 13, 2026 — PDA physiology, management strategies, caveats, directionality
January 22, 2026 — PDA pharmacotherapy and side effects, ligation/cath and post-effect, conservative policy, trials
February 3, 2026 — Cerebrovascular Hemodynamics, NIRS in the NICU, Neuro-TNE Integration
March 12, 2026 — Neonatal ECG and Arrhythmias, Lupus/Heart Block, Pacing, Defibrillation, Cardioversion
March 24, 2026 — Vein of Galen Malformation or Hepatic Arteriovenous malformation
March 31, 2026 — Establishing a TNE Program
April 7, 2026 — Pulmonary Hypertension - Atypical, Genetics, Cath, AVT testing
April 21, 2026 — Cyanotic Cardiac Conditions
May 12, 2026 - Open Session
May 19, 2026 - Open Session
May 26, 2026 - Pharmacology of pulmonary vasodilators
June 2, 2026 - Teaching: Pulmonary Hemorrhage - physiology, management
June 16, 2026 - Open Session
June 23, 2026 - Open Session
Please read on the topic prior to the session using the resources provided by the program. I have provided links to guide you in your reading.
June 26, 2025 — Orientation to NH-TNE program Part 1
Introduce the structure, expectations, and competencies of the NH-TNE curriculum.
Review the core principles of neonatal hemodynamics and TNE integration in clinical care.
Familiarize fellows with key resources, logbooks, and assessment tools.
June 27, 2025 — Orientation to NH-TNE program Part 2
Discuss the EPAs and milestones for performance evaluation in the TNE program.
Provide practical guidance on case selection, documentation, and feedback.
Review protocols for image acquisition, storage, and case submission.
July 8, 2025 — Ultrasound Physics, Knobology and Image Optimization
Explain the basic physics principles of ultrasound relevant to TNE.
Identify the impact of probe settings and machine controls on image quality.
Demonstrate techniques for optimizing 2D, M-mode, and Doppler images.
July 22, 2025 — Cardiovascular Physiology Concepts
Review determinants of blood pressure, heart rate, systemic and pulmonary resistance.
Discuss fetal-to-neonatal circulatory transition and autonomic regulation.
Correlate physiological parameters with echocardiographic findings.
August 5, 2025 — TNE Protocol and Standard Views - Part 1
Master standard TNE imaging planes and anatomical landmarks.
Learn how to perform and document a comprehensive TNE exam.
Understand the importance of consistency and reproducibility in views.
August 12, 2025 — TNE Protocol and Standard Views - Part 2
Apply standardized measurement techniques with reference to normative data.
Develop skills in report generation and diagnostic synthesis.
Review common errors in measurement and reporting.
August 19, 2025 — Right Ventricle: Geometry and Function
Describe RV anatomy, shape, and adaptation in neonatal disease.
Perform and interpret RV dimensional and functional parameters (TAPSE, FAC, RVO, TDI).
August 26, 2025 — Left Ventricle: Geometry and Function, Mass
Analyze LV systolic and diastolic function in the neonatal population.
Understand geometric assumptions and their limitations in neonates.
Use echocardiography to assess volume loading and contractility.
September 2, 2025 — Shock: Hypovolemia, Distributive Shock, Sepsis, NEC
Recognize the echocardiographic features of different shock phenotypes.
Integrate clinical and imaging data for timely diagnosis and management.
Understand the cardiovascular impact of systemic inflammation and NEC/sepsis.
September 16, 2025 — Pharmacotherapy
Review the mechanisms and uses of common vasopressors, inotropes, PGE, pulmonary vasodilators, PDA modulation, antihypertensive.
Recognize echocardiographic responses to PGE, milrinone, and vasodilators.
Discuss risks, dosing, and weaning strategies.
September 23, 2025 — Hypertrophy, IDM, Diastolic Dysfunction - also here, here, here, here
Identify echocardiographic patterns of hypertrophy in neonates.
Understand the physiology of impaired relaxation and filling.
Review cases of IDM and their management implications.
September 30, 2025 — Transition Physiology, Acute PH - see also here
Review circulatory changes during transition in term and preterm infants.
Identify acute PH phenotypes and mechanisms of maladaptation.
Discuss implications for ventilation, oxygenation, and support.
October 14, 2025 — BPD-Associated PH and here
Understand the pathophysiology of vascular remodeling in BPD.
Learn how to screen and monitor PH in infants with evolving BPD.
Integrate TNE and clinical markers for disease severity and progression.
October 28, 2025 — Post-Capillary PH, LV Dysfunction, PVS
Differentiate post-capillary from pre-capillary PH on TNE.
Assess LA pressure and pulmonary venous flow patterns.
Recognize signs of pulmonary vein stenosis in preterms.
November 25, 2025 — Cardiogenic and Obstructive Shock
Diagnose structural and acquired causes of cardiogenic shock
Identify pericardial effusion and tamponade physiology.
Review indications and technique for pericardiocentesis.
December 9, 2025 — Advanced Imaging: Strain, TDI, 3D
Introduce strain imaging and tissue Doppler in neonatal TNE.
Understand principles and limitations of deformation analysis.
Explore the role of 3D echo in structural and volumetric assessment.
January 6, 2026 — Congenital Diaphragmatic Hernia and here
Understand the hemodynamic impact of CDH on cardiac function.
Review RV/LV interaction and PVR assessment in CDH infants.
Discuss TNE utility in management of CDH
January 13, 2026 — PDA physiology, caveats, directionality and here
Classify PDA hemodynamic significance using TNE.
Recognize patterns of PDA: bidirectional, right to left, and the information it provides.
January 22, 2026 — PDA Pharmacotherapy, Ligation, Trials
Understand the pharmacodynamics of ibuprofen, indomethacin, and acetaminophen.
Review TNE before and after ligation or cath-based closure.
Discuss evidence from PDA trials and evolving conservative approaches.
February 3, 2026 — Cerebrovascular Hemodynamics, NIRS
Describe cerebral circulation and autoregulation in neonates.
Review NIRS principles, placement, and interpretation.
Integrate neuro-TNE findings in infants at risk of brain injury.
March 12, 2026 — Neonatal ECG and Arrhythmias, Lupus/Heart Block, Pacing, Defibrillation, Cardioversion
Interpret neonatal ECGs, heart block patterns, and QTc.
Recognize arrhythmias and correlate with hemodynamic compromise.
Review pacing, cardioversion, and defibrillation indications.
March 24, 2026 — Vein of Galen / Hepatic AVM
Recognize echocardiographic clues to AVMs (high output states).
Understand shunting physiology and multisystem involvement.
Discuss postnatal management and timing of embolization.
March 31, 2026 — Establishing a TNE Program
Review the components needed for a sustainable TNE service.
Discuss training, credentialing, and QA processes.
Explore institutional pathways and research integration.
April 7, 2026 — Pulmonary Hypertension - Atypical, Cath, Genetics
Identify genetic and syndromic causes of neonatal PH.
Discuss cath-based diagnostic strategies and AVT testing.
Understand challenges in classifying mixed PH phenotypes.
April 21, 2026 — Cyanotic Cardiac Conditions
Review the physiology of cyanosis and differential diagnoses.
Recognize ductal-dependent lesions on TNE.
Plan stabilization and referral strategies using echo findings.
May 12, 2026 — Open Session
Case-based review and discussion.
Opportunity for fellows to present and receive feedback.
May 19, 2026 — Open Session
Address troubleshooting and uncommon scenarios in TNE.
Peer-to-peer learning and reflection on clinical application.
May 26, 2026 — Pharmacology of Pulmonary Vasodilators
Review sildenafil, bosentan, and inhaled NO in neonates.
Understand TNE markers of response and safety monitoring.
Integrate pharmacologic strategies with other supportive therapies.
June 2, 2026 — Pulmonary Hemorrhage: Physiology and Management
Understand pathophysiology and echocardiographic clues to pulmonary hemorrhage.
Distinguish hemorrhage from cardiogenic pulmonary edema.
Review ventilatory and pharmacologic strategies.
June 16 & 23, 2026 — Open Sessions
Focus on complex cases and integration of multimodal monitoring.
Consolidate learning through fellow-led presentations and reflective discussions.