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This year’s conversations reinforced a shift that’s been building: capital is still available, but investor expectations are higher and founders must show stronger evidence, sharper strategy, and clear execution plans. https://www.nilomedicalconsulting.com/blog/fda-qmsr-now-in-effect-quality-systems monthly 0.5 2026-04-01 https://www.nilomedicalconsulting.com/blog/sales-trap-costing-consultants-clients monthly 0.5 2025-12-04 https://www.nilomedicalconsulting.com/blog/how-combined-mechanical-support-technologies-may-improve-cardiac-function monthly 0.5 2025-11-19 https://images.squarespace-cdn.com/content/v1/5830a6cd6b8f5bca573185f4/1763592810915-QZX2OY3G2YGSZSE9U8UI/VADs.webp Blog - How Combined Mechanical Support Technologies May Improve Cardiac Function: New Research from NMCG’s Kimberly Lamberti, PhD - Understanding the Heart-Lung Connection in Acute Failure In healthy physiology, increasing PEEP is often associated with reduced venous return and decreased cardiac output. But patients in cardiogenic shock—particularly those supported by percutaneous ventricular assist devices—represent a completely different physiological environment. This study asks an essential question: Can increasing PEEP actually help the failing heart when supported by a mechanical pump? 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