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Editor—We note with interest the paper by Bourchier and Weston.1 Their study concluded that both hydrocortisone and dopamine were effective treatments for hypotension in very low birthweight (VLBW) infants. The use of steroids in the management of hypotension in very low birthweight infants has already been shown to be effective anecdotally or in small uncontrolled studies.2 3 …