The last decade has witnessed significant advancement in the assessment, understanding and management of neonatal hemodynamics. One of the aims of the PanAmerican Hemodynamic Collaborative is to advance the quality of neonatal hemodynamic care globally through the provision of an educational forum which is controversial, thought-provoking, innovative and fosters scientific collaboration through the sharing of ideas and state-of-the-art technical skills. We believe this symposium represents an excellent opportunity for neonatal clinicians to interface with experts in neonatology and support the advancement of scientific growth in this rapidly growing field.