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Statistical analysis was performed with Fisher\u2019s exact, unpaired\n                      <jats:italic>t<\/jats:italic>\n                      -test, and Mann Whitney\n                      <jats:italic>U<\/jats:italic>\n                      -test.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Survival improved from 68.6% to 88.7% (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.016) and ECMO utilization decreased, 51.0% to 26.4% (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.015). Infants with cardiac dysfunction had increased survival (47.3% vs. 81.8%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.014) and less ECMO utilization (68.4% vs. 36.3%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.043). Vasoactive choices evolved with dopamine replaced by norepinephrine, low-dose epinephrine, or calcium gluconate. Inhaled nitric oxide (iNO) use in the first 48\u2009h decreased significantly while prostaglandin E1 (PGE1) use increased.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>We implemented a core CDH team focused on a generalizable, physiology-driven approach to identify and treat cardiac dysfunction using standard neonatal echocardiography to improve outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1038\/s41372-026-02841-4","type":"journal-article","created":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T13:24:20Z","timestamp":1785245060000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Team-based care with early recognition and treatment of cardiac dysfunction for infants with CDH"],"prefix":"10.1038","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6546-5069","authenticated-orcid":false,"given":"Patrick E.","family":"Sloan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4185-2686","authenticated-orcid":false,"given":"Lila S.","family":"Sanning","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2007-6577","authenticated-orcid":false,"given":"Caren","family":"Liviskie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristen","family":"Clark","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0652-8220","authenticated-orcid":false,"given":"Kylie","family":"Bushroe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3339-8639","authenticated-orcid":false,"given":"Melissa","family":"Riley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Lijowska","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jesse","family":"Vrecenak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tasnim","family":"Najaf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,28]]},"reference":[{"key":"2841_CR1","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1007\/s00383-018-4375-5","volume":"35","author":"L Montalva","year":"2019","unstructured":"Montalva L, Zani A. 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