NPMF 2017
SESSION
Prof. Virgilio P. Carnielli, MD, PhD
Director of Neonatal Medicine
G. Salesi Hospital, Polytechnic University of Marche
Ancona, Italy
Present Your Own Case! - Focus ELBW & PDA
This session offers the opportunity to present prepared clinical cases on the
selected topic: management of extremly low birth weight (ELBW) infant in the
first 6 hours or at the age of one month when it was found out to have a PDA.
Cases will be described by the authors followed by interactive discussion of
opportunities to improve outcome by using a different approach.
Gabriela Zaharie, Cluj, RO
Melinda Baizat, Cluj RO
09:00-09:40
LECTURE
Prof. Rasa Tameliene, MD, PhD
Head of the Department of Neonatology
Lithuanian University of Health Sciences
President of Lithuanian Neonatology Association
Kaunas, Lithuania
Comparison of Surfactants - Curosurf and Alveofact for Treatment of RDS in Preterm Infants in a Tertiary Level Neonatal Intensive Care Unit
There are limited studies comparing efficacy of natural surfactants Curosurf and Alveofact in treatment of RDS. The aim of the study was to compare early effects of two surfactants: the need for oxygen supplementation and respiratory support, redosing of surfactant, length of hospital stay, BPD and mortality before discharge.
09:40-10:00
WORKSHOP
Prof. Virgilio P. Carnielli, MD, PhD
Director of Neonatal Medicine
G. Salesi Hospital, Polytechnic University of Marche
Ancona, Italy
The Very New BPD?
In this workshop I will emphasize the role of other risk factors then surfactant deficiency in causing persistent respiratory failure after neonatal respiratory distress syndrome. Data will be presented on the profound negative effect of intra-uterine growth retardation on lung growth, the association with respiratory deterioration during the hospital stay and the protective effect of fresh on mother’s milk feeding. The role of future strategies for improving lung growth will also be discussed.
10:10-11:40
WORKSHOP
Prof. Daniele De Luca, MD, PhD
Director, Division of Pediatrics and Neonatal Critical Care
South Paris University Hospitals, Medical Center “A.Beclere”, Paris, France
& Dept of Anesthesia and Critical Care, Catholic University of the Sacred Heart,
Rome, Italy
Optimal Use of Surfactant:
From the Physiology to the Clinical Side
Surfactant is a cornerstone of neonatal critical care but its use need a deep knowledge of surfactant physiology and physiopathology which are quite complex. We will explain the best use of surfactant in terms of dose and administration, based on physiology and available pharmacokinetic data.
10:10-11:40
WORKSHOP
Assoc. Prof. Katrin Klebermass-Schrehof, MD, PhD
Senior Neonatologist, Department of Neonatology,
Pediatric Intensive Care and Neuropediatrics
Medical University Vienna
Vienna, Austria
Update on Neonatal Seizures
This workshop includes new diagnostic approaches (e.g. continuous simplified monitoring tools) for neonatal seizures especially during neonatal intensive care therapy, presents new classification system and main causes/etiology of neonatal seizures; also differences in term and preterm infants should be outlined. Most common and also new therapies will be discussed. So this workshop aims for neonatologists, electrophysiologists, neuro- pediatricians and neonatal and pediatric nursing staff.
10:10-11:40
WORKSHOP
Dzmitry Sankavets, MD
Neonatal Intensive Care Unit
National Research and Practical Center "Mother and child"
Minsk, Belarus
Near-Infrared Spectroscopy: Applications in NICU
Near-infrared spectroscopy (NIRS) offers non-invasive, in-vivo, real-time monitoring of tissue oxygenation. Changes in regional tissue oxygenation as detected by NIRS may reflect the delicate balance between oxygen delivery and consumption. We will discuss theoretical principles and practical aspects of NIRS clinical applications in real-life at the NICU.
10:10-11:40
WORKSHOP
Maria Stammler-Safar, MD, MA
Senior Specialist
Obstetrics and Gynaecology Department of Feto-Maternal Medicine
University Clinic of Vienna
Vienna, Austria
Prof. Boris W. Kramer, MD, PhD
Neonatologist, Professor of Experimental Perinatology
Director of Pediatric Research Maastricht University Medical Center
Maastricht, Netherlands
Antenatal Neuroprotection
In this workshop we will discuss antenatal strategies for neuroprotection such as magnesium, intrapartum monitoring and delivery service.
12:00-13:30
WORKSHOP
Prof. Arunas Liubsys, MD, PhD
Director of Neonatal Center of Vilnius University
Head of NICU, Vilnius University Children's Hospital
Vilnius, Lithuania
Antibiotic Use and Misuse in Neonatology
Antibiotics are the most commonly prescribed medications in neonatal intensive care units. Although over 95 % of infants admitted to NICU receive empirical antibiotics in the first postnatal days, only 1–5 % have positive initial blood cultures. Many preterm infants who do not have infection receive antimicrobial agents during hospital stay and antibiotic treatment in the setting of negative cultures can have serious adverse effects, especially in case of a long term expose to broad spectrum antibiotics.
Current and future efforts focused on antimicrobial stewardship in the NICU, as well as ongoing research in the area of the preterm infant microbiome, are likely to further enhance best practices associated with antibiotic administration and, in turn, optimize microbial health of the preterm infant.
12:00-13:30
WORKSHOP
Prof. Rangasamy Ramanathan, MD
Division Chief, Division of Neonatal Medicine, LAC+USC Medical Center
Director, NPM Fellowship Program
Keck School of Medicine of USC
Los Angeles, California, USA
Oxygen and Hypoxic Respiratory Failure:
Is Oxygen Too Much of a Good Thing?
Newborns with Hypoxic Respiratory Failure (HRF) are often treated with
supplemental oxygen. It is well known that hypoxia causes pulmonary
vasoconstriction and normoxia causes pulmonary vasodilation. However,
paradoxically, hyperoxia causes pulmonary vasoconstriction, rather than further
pulmonary vasodilation. Hyperoxia blunts the response to both endogenous and
exogenous nitric oxide, a potent pulmonary vasodilator. This effect is mediated
by free radicals generated during oxygen therapy, resulting in decreased
expression of endothelium derived nitric oxide synthase (eNOS) activity and
increased activity of phosphodiesterase-5 (PDE-5), an enzyme responsible for
metabolism of nitric oxide. Clinicians should be extremely careful to avoid
hyperoxia in patients with HRF. Suggested target range for pre-ductal oxygen
saturation range is between 93 % and 97 %.
12:00-13:30
WORKSHOP
Kathy Mellor, MBE, BSc, RN
Advanced Neonatal Nurse Practitioner
Founder & Director – BirthLink NGO
London, United Kingdom
Dr. Merran Thomson, MB ChB, FRCPCH, MRCP
Honorary Consultant Neonatologist, The Hillingdon Hospital
London, United Kingdom
Family Centred Care – Making It a Reality in Your Hospital
In this joint workshop a panel of nurses and doctors from 3 countries, Estonia, Russia and the United Kingdom will share their experiences of family centred cared (FFC). In Estonia FCC is established, successful and embedded in everyday practice, while is Russia and the UK FCC is gaining acceptance. Each country will provide a short overview of successes, challenges and how these were overcome. This will be followed by plenty of time for questions, attendee interaction and the opportunity to share your experiences of FCC. The workshop will have both Russian and English panellists to optimise the opportunities for attendee participation (moderators: Kathy Mellor and Merran Thomson). Who should attend: doctors and nurses interested in improving the quality of care and outcomes for babies and their families.
12:00-13:30
WORKSHOP
Dr. Mark Prutkin, MD
Chief of NICU, Regional Children Hospital #1 Ekaterinburg
Director International Center for Medical Information
Consultation and Training Medical Professionals MedICOS Ltd.
Ekaterinburg, Russia
NEC - A Sound Clinical Judgement
I am going to talk about several aspects of diagnosis and treatment of NEC. We
will discuss whether we talk about one disease or a group of diseases when we
make a diagnosis of NEC. We will also talk about possible ways of treatment and
preventive measures. Do we have enough evidence to use them and why we
don’t widely use probiotics to prevent NEC.
14:30-16:00
WORKSHOP
Dr. Merran Thomson, MB ChB, FRCPCH, MRCP
Honorary Consultant Neonatologist, The Hillingdon Hospital
London, United Kingdom
Dr. Oleg Ionov, MD
Head of NICU, "Research Center for Obstetrics, Gynecology
and Perinatology named by V.I. Kulakov"
Ministry of Health
Moscow, Russia
Neonatal Practices - Changes That Improve Outcome: Challenges & Solutions
Every invention or change in practice has its consequence. Implementing improvements often brings challenges, success depends on the ability to anticipate and resolve problems. This workshop will identify ways to improve care using real examples of successful practice improvements, the problems encountered, consequences and solutions.
14:30-16:00
WORKSHOP
Prof. Zbynek Stranak, MD, PhD
Head of the Department of Neonatology
Institute for the Care of Mother and Child
Prague, Czech Republic
Golden Hours in Very Low Birth Weight Infants after Admission to NICU
The workshop will have main focus on:
• Thermomanagement of VLBW infants after admission
• First steps after admisson – invasive monitoring, arterial and venous access,
parenteral nutrition, prevention of apnoe
• Ventilatory support – indications for non-invasive ventilation and arteficial
ventilation: European Consensus Guidelines on the Managementof Neonatal
Respiratory Distress Syndrome in Preterm Infants
• Surfactant replacement therapy – methods of administration (INSURE, LISA)
• Initiation of enteral feeding
• Circulatory disturbances within first hours – monitoring and management:
Targeted Neonatal Echocardiography
14:30-16:00
WORKSHOP
Prof. Aleksei Mostovoi, MD, PhD
Head of the Neonatal Intensive Care Unit, Regional Perinatal Center Kaluga
Associate Professor of Institute of Postgraduate Education of Yaroslavl State Medical University
Chief Neonatologist, Ministry of Health in the North Caucasian Federal District
Kaluga, Russia
Controversial Respiratory Strategies Used at NICU Today
Existing guidance of treatment of the respiratory distress syndrome offers the use of different strategies for respiratory therapy. Sometimes respiratory strategies do not have strong evidence of effectiveness. The analysis of a number of treatments: sustained inflation of lungs in the delivery room, delayed cord clamping or milking (when, why, under what circumstances), surfactant administration via the endotracheal tube or small catheter (what type of catheter is best, why, if there is evidence, how to use a LISA catheter). What type of respiratory support is better after the administration of surfactant: CPAP or non-invasive ventilation? Overview of new articles, our thoughts, our experience, our researches.
14:30-16:00
SESSION
Prof. Boris W. Kramer, MD, PhD
Neonatologist, Professor of Experimental Perinatology
Director of Pediatric Research Maastricht University Medical Center
Maastricht, Netherlands
Present Your Own Case! - Focus HIE & NEC
This session offers the opportunity to present prepared clinical cases on the selected topics necrotizing enterocolitis (NEC) and Hypoxic Ischemic Encephalopathy (HIE). Cases will be described by the authors followed by interactive discussion of opportunities to improve outcome by using a different approach.
Anastasiya Infarovich, Minsk, BY
Gabriela Ildiko Zonda, Iasi, RO
Vesna Pavlović / Dusanka Subotic, Novi Sad, RS
Ligita Federiene, Vilnius, LT
16:30-18:00