12 march 2016 – NPMF

NPMF 2016

NPMF 2016

LECTURE

WHAT IS NEXT IN SURFACTANT DEVELOPMENT?

This lecture is an overview of the projects on-going in the field of surfactant replacement therapy ranging from new synthetic surfactant to alternative routes of administration such as MIST/LISA and aerosolisation.

WORKSHOP

PERINATAL MEDICINE: IT IS A TEAM EFFORT!

This workshop is a team presentation of an obstetrician and a neonatologist. Dr. Stammler-Safar and Dr. Kramer will present practical cases, for example, how the approach as a team towards patients and parents can improve care, outcome and satisfaction among patients and medical specialists. The presenters will also ask the audience to present their cases/situations in which this subject is of interest.

WORKSHOP

LATE PRETERM INFANTS (GA 34-36 WEEKS): WHO THEY ARE?

Newborn infants born between 239 and 259 days after the last day of menstrual period (34 0/7 and 36 6/7 weeks) are classified as Late Preterm Infants (LPIs). Nearly 10 to 12 % of live-births are LPIs. Globally, nearly 11 million babies are born as LPIs each year. Immediate morbidities include respiratory distress, TTN, apnea, jaundice, feeding difficulties, hypoglycemia, and temperature instability. Serious long-term issues include increased risk for developmental delay, school failures, and behavioral and social disabilities. In this workshop, the burden of LPIs, anticipatory guidelines for the managment of LPIs will be discussed.

WORKSHOP

IDENTIFYING ILLNESS EARLY - "NEWBORN EARLY WARNING SYSTEMS»

Newborn early warning systems have been developed to identify babies with early signs of illness, thereby, enabling early intervention and prevent significant clinical deterioration and death. They use simple methods of regular observation which can be easily taught to any healthcare worker.

This workshop will introduce the concept of newborn early warning systems, explain what they are, how they have been developed and enable the participants to develop similar systems for use in their neonatal units and maternity ward.

WORKSHOP

EARLY STABILIZATION OF PREMATURES IN THE DELIVERY ROOM

The workshop covers a demonstration of start of respiratory therapy in the delivery room, avoidance of ventilation using T-pice connector, prolonged CPAP, indications for surfactant, non-invasive surfactant administration and transportation to the unit on CPAP/non-invasive ventilation (Experience of Federal State Scientific Perinatal Center named by Kulakov V.I. Moscow, Russia).

WORKSHOP

NUTS AND BOLTS OF NON-INVASIVE VENTILATION

Podium discussion on bedside application of non-invasive support In this panel discussion a number of experts address some of the key issues in using different types of CPAP, non-invasive positive pressure ventilation and other non-invasive devices in neonatal care.

WORKSHOP

NURSE AS A TEAM MEMBER

Good teamwork is essential in all neonatal intensive care units and the nurse is an essential member of the team. She is present 24/7 and not only provides care but also acts as the baby’s advocate.

This workshop will consider how, as nurses we can work together to deliver safe and effective care to improve outcomes for these vulnerable babies.

WORKSHOP

THE ART OF FEEDING

Balanced Nutrition for the newborn infant is key to optimal growth and development. Administering adequate intakes of energy and protein to the very preterm infants can be a quite challenging task. The balance between parenteral and enteral nutrition may vary markedly depending on gestational age and birth weight but perhaps more importantly depending on sickness. Nutrient deficits as well as nutrient overload can occur in clinical practice. Auditing clinical practice is key to the understanding the growth performance of the very low birth weight infants to the recognition of problems/complications that are associated with fluid and nutrition overload. Clinical cases will be presented and discussed. Also a 12 year Clinical Audit of growth and nutrition of infants of less than 32 weeks will be presented and discussed.

The second part of the presentation will focus on optimizing the nutrition of selected clinical conditions, which are often encountered in the neonatal period such as bronchopulmonary dysplasia, sepsis, intrauterine growth retardation and short bowel syndrome.

WORKSHOP

PREVENTING LUNG INJURY, BPD - WHAT DO WE REALLY KNOW?

Bronchopulmonary dysplasia (BPD) is still the most common adverse outcome after preterm birth. The risk increases with lower gestation. In this workshop, we will discuss antenatal management, resuscitation strategy and postnatal management with respect to the outcome of BPD.

WORKSHOP

HOSPITAL AQUIRED INFECTIONS AND INFECTION CONTROL

Nosocomial infections are significant sources of morbidity, mortality and health care costs. We are going to discuss how to prevent the spread of the infection in the unit, what are predictors of the outbreak of nosocomial infection and what are optimal treatment strategies of healthcare- associated infections.

WORKSHOP

NEONATAL TRANSPORT: CHALLENGES AND PROBLEMS

This workshop will cover different approaches in organization of neonatal transport system: in the region/country, appropriate selection, solved and unsolved issues of use of medical equipment for neonatal transport, stabilization of the baby before transportation, building of the transport team and training of medical staff, as well as filling up necessary documentation for newborn transportation.

Panel discussion on the differences in organization of neonatal transport – advantages and disadvantages, major problems of neonatal transport in different regions/countries, possible solving solutions or suggestions, sharing positive and negative experience.

WORKSHOP

ELECTIVE CESAREAN SECTION IS A NEONATAL HAZARD

Cesarean delivery (CD) rates have become a major and controversial public health concern. Some studies are showing that higher rates could be linked to negative consequences such as severe maternal morbidity and mortality, neonatal intensive care unit admission, and consumption of health care resources by procedures without medical indication. At the same time, elective repeated CD rates are increasing steadily since the late 1990s in many countries, and there might be a growing trend in CDs due to maternal request. There are insufficient data to base conclusions regarding rates of neonatal morbidity and mortality between planned elective CD (ECD) and planned vaginal delivery. Nevertheless, existing data suggest that ECD is associated with greater risk for some neonatal and long-term childhood morbidity and the risk is increasing with the decrease of gestational age.

How to minimize potential neonatal risks in ECD, patient awareness and more will be discussed in this workshop.

WORKSHOP

ASPHYXIA & HYPOTHERMIA TREATMENT

Hypoxic ischemic encephaloptahy (HIE) occurs in 2-6 per 1000 live-births in developed countries. However, HIE is 5-8 times more common in developing countries (15-26/1000 live-births). Pathophysiology of HIE involves 4 stages, namely: 1. Primary Phase (minutes) – due to excess glutamate activating NMDA receptors and increase in Ca++ inﬂux, 2. Latent Phase (1-6 hours) – mitochondrial damage/apoptosis/inﬂammation, 3. Secondary Phase (hours to days) – to secondary energy failure and onset of seizures, and 4. Tertiary Phase (weeks to years) – characterized by neuronal regeneration and repair. Whole-body or selective head cooling has been extensively studied as a neuroprotective treatment. Number needed to beneﬁt is 7. In this workshop, practical issues related to use of hypothermia, aEEG monitoring and interpretation by non-neurologists, anti- convulsant treatment, positing of the infants and monitoring during HIE treatment will be discussed.

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