NPMF 2018

WELCOME BY CHAIRMAN

Prof. Tamara Chuvakova, MD

Leading Researcher, Consultant of the Department of Neonatology National Scientific Center of Maternity and Childhood
Astana, Kazakhstan

Experience of Kazakhstan in Implementation of the 4th Millennium Development Goal to Reduce Child Mortality

Room № 4+5

09:00-09:15

LECTURE BY INTERNATIONAL CHAIRMAN

Prof. Boris W. Kramer, MD, PhD

Neonatologist, Professor of Experimental Perinatology Director of Pediatric Research Maastricht University Medical Center
Maastricht, Netherlands

NEC - New Ideas About an Old Disease?

Necrotizing enterocolitis (NEC) is a multifactorial disease with a high mortality. Prof. Kramer will review the current understanding of the pathomechanisms and discuss new approaches. He will present data from the NECnose study, in which an electronic nose was used to monitor the metabolic activity and thus the composition of the microbiome of the gut in preterm babies. He will discuss the results of the patients with sepsis and NEC and outline new ideas on the pathomechanism of NEC based on these studies.

Room № 4+5

09:15-10:00

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

ROP and Oxygen Saturation Targeting:
Low, High or Graded Saturation Targeting?

Optimal oxygen saturation targeting remains elusive and controversial. Several larger RCTs on using Low (85-89 %) vs. High (91-95 %) have shown that in some of the studies, mortality was higher in the Low target group. ROP is a bi-phasic disease and targeting one target, like Low or High during the 2 diferent phases of ROP is not based on the pathophysiology of ROP. Experts recommend using High target, and after adapting these recommendations, studies from Australia, Germany, United States and Sweden have reported signifcant increase in severe ROP and ROP needing Laser therapy. Use of a graded oxygen saturation, that is, low during Phase I ROP and High during Phase II ROP has been shown to decrease ROP without increasing mortality.

Room № 4+5

10:10-10:40

WORKSHOP

Prof. Virgilio P. Carnielli, MD, PhD

Director of Neonatal Medicine G. Salesi Hospital, Polytechnic University of Marche
Ancona, Italy

Pre - and Postnatal Lung Growth and Function

The workshop will cover 3 main topics:

Intra and extra uterine growth retardation (IUGR and EUGR) Poor growth has been associated with suboptimal neurodevelopmental outcomes. We will critically review the evidence for these fnding as it is very difcult to disentangle from the existing studies the efect of growth, nutrition and associated illness.

Risk factors for poor lung growth Bronchopulmonary Dysplasia is likely a syndrome with multiple etiologies and the hallmark of disease is poor lung size/growth which requires prolonged oxygen supplementation. We will critically review the evidence of several associations with poor lung growth. We will try to separate out, as much as possible, causation factors from association. 

Corticosteroids (CS) for Bronchopulmonary Dysplasia (BPD) The use of corticosteroids for the mitigation of the risk of developing poor lung growth/BPD remains still controversial. Over the last 3 decades there has been signifcant change in popularity for this treatment.

Room № 10

10:10-11:40

WORKSHOP

Dr. David Sweet, MD, FRCPCH

Consultant Neonatologist Royal Maternity Hospital, Belfast
Northern Ireland, United Kingdom

Delivery Room Stabilisation of the Preterm Infant – Early Respiratory Care

The workshop will take the candidates through an evidence based approach to delivery room stabilisation in terms of equipment preparation, timing of cord clamping, early thermal care, stabilisation using CPAP/Neopuf, then decision making about intervention with surfactant. It may also talk them through one or two diferent methods of surfactant administration.

Room № 11

10:10-11:40

WORKSHOP

Liis Toome, MD, PhD

Head of the Department of Neonatal and Infant Medicine Tallinn Children's Hospital Vice-president of the Estonian Paediatric Association
Tallinn, Estonia

Heili Varendi, MD, PhD

Associate Professor in Pediatrics, University of Tartu Head of Neonatal Department Children´s Clinic, Tartu University Hospital
Tartu, Estonia

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

Prof. Anna Karpova, MD, PhD

Deputy Chief Doctor for Childhood of the Kaluga Regional Clinical Hospital Associate Professor of the Institute of Postgraduate Education of Yaroslavl State Medical University Chief Neonatologist of the Kaluga Region
Kaluga, Russia

Family Centered Neonatal Care: Why and How?

The care approach that supports parent-infant closeness and parent participation in neonatal care is called Family Centred Care (FCC). FCC is gaining fastly more and more evidence and is becoming a golden standard of care to improve outcome of high risk infants and wellbeing of their families.

Practices and policies limiting parental participation in the care of their infant have their roots in the introduction of hospital-based neonatal care and related technical equipment, which improved infant survival but could lead to emotional-behavioral and cognitive problems of the infants, parent-infant attachment problems, and stress, depression and anxiety of the parents. Care practices may depend on the culture, context and resources of neonatal care.

The aim of the workshop is to demonstrate why FCC should be a part of every neonatal unit practices: provide the relevant theoretical background and give simple tips, based on experiences from Estonia and Kaluga, Russia, how to implement the FCC in each neonatal unit for the well-being of the infant and family and improvement of later child development.

Room № 4+5

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

Neonatal Pain- Evaluation and Treatment

Pain evaluation in the newborn is still challenging, complex and difcult issue due to physiological and behavioral peculiarities of the neonatal period as well as limited capacity of the newborn baby to express pain and stress. Although the number of pain scales for assessing pain and stress in term and preterm newborn infants are available, but many of them are validated for assessment of pain and discomfort in particular clinical situations. Moreover, appropriate use of these scales very much depends on skills of the staf, is time consuming and momentary, therefore little progress has been made on wide use them in daily clinical practice. Non-invasive, easy and accurate instrument for continuous assessment of prolonged pain and stress in the neonatal population, especially in NICU setting, is still needed.

Appropriate analgesia should be provided before, during and after painful procedure or intervention to every newborn baby. The best result could be achieved with the combination of non-pharmacologic and pharmacologic techniques. Selection of the best possible method of pain relieve should be based on type of intervention and evaluation of pain intensity in the newborn.

The workshop will cover the basic pain physiology and peculiarities in the newborn, advantages and disadvantages of pain assessment tools, evidence based non-pharmacologic and pharmacologic treatment of the neonatal pain.

Room № 10

12:00-13:30

WORKSHOP

Dr. Oleg Ionov, MD

Head of NICU, "Research Center for Obstetrics, Gynecology and Perinatology named by V.I. Kulakov" Ministry of Health
Moscow, Russia

Infection Control - Prevention and Monitoring

The seminar is about the system of prevention and monitoring of nosocomial infection in the NICU, key point of aseptic non-touch technique.

Room № 11

12:00-13:30

WORKSHOP

Assoc. Prof. Katrin Klebermass-Schrehof, MD, PhD

Senior Neonatologist, Department of Neonatology, Pediatric Intensive Care and Neuropediatrics Medical University Vienna
Vienna, Austria

Prof. Virgilio P. Carnielli, MD, PhD

Director of Neonatal Medicine G. Salesi Hospital, Polytechnic University of Marche
Ancona, Italy

Optimising Neurodevelopmental Outcome in the NICU

The workshop is discussing most recent data and experiences in diferent international NICUs (Italy, Austria by personal experience and international data) referring to strategies for optimizing neurodevelopment outcome in the NICU. Especially pre- and perinatal management will be discussed (lung induction therapy, delayed cord clamping, Magnesium for neuroprotection), respiratory support after delivery (non-invasive RDS treatments/surfactant administration strategies, avoiding mechanical ventilation, non-invasive ventilation), sepsis prevention and nutrition (central lines, special infection prevention care bundle, aggressive enteral feeding strategies).

Participants are welcome to bring own data and discuss own ideas!

Room № 4+5

14:30-16:00

WORKSHOP

Kathy Mellor, MBE, BSc, RN

Advanced Neonatal Nurse Practitioner Founder & Director – BirthLink NGO
London, United Kingdom

Bite-size Teaching in the NICU – an Efective Way to Deliver Knowledge and Education

Bite-size teaching has been developed as a ward-based method of providing efective training in core aspects of essential neonatal care. The focus is on nurses who don’t get the same opportunities for learning, as other health professionals. Developed as individual modules, they include lactation and breast feeding, thermoregulation, essential care for keeping babies ‘warm, sweet, pink and safe’, and family-centred care. They can also be used for supporting families in caring for their babies.

Teaching sessions are short and facilitated in the clinical environment. They incorporate a variety of teaching methods, but the materials are very visual, and teaching methods include simulations, role play and refective practice all in a box!

Room № 10

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

Dr. Daniele Trevisanuto

Department of Woman's and Child's Health Azienda Ospedaliera di Podova, University of Podova
Podova, Italy

Resuscitation of Term and Preterm Newborn

Resuscitation or support of transition is more likely to be needed by babies with intrapartum evidence of signifcant fetal compromise, babies delivering before 35 weeks gestation, babies delivering vaginally by the breech, maternal infection and multiple pregnancies. Furthermore, caesarean delivery is associated with an increased risk of problems with respiratory transition at birth requiring medical interventions especially for deliveries before 39 weeks gestation. Moreover, resuscitation is also provided in newborn after transitional period with established functional residual capacity and circulatory transition.

The aim of the workshop is to demonstrate the diferences in resuscitation of newly born infants at the delivery room and newborn with sudden unexpected postnatal collapse (SUPC) at delivery room or postnatal ward. SUPC is devastating neonatal event. A well-appearing, full-term or late preterm newborn suddenly crashes, often with full respiratory and cardiac arrest. Up to half of newborns with SUPC die, with many survivors sufering serious neurological damage.

Scenarios of term and preterm newborns will be established to show the practical approach to these serious entities.

Room № 11

14:30-16:00

SESSION
logo-photo

moderated by
Prof. Boris KRAMER, MD, PhD, Prof. Rangasamy RAMANATHAN, MB and Dr. Merran THOMSON MB ChB, FRCPCH, MRCP

Dr. Vanda Adaska, Minsk, Belarus
Dr. Marina Chagay, Almaty, Kazakhstan
Dr. Bekturgan Karin, Astana, Kazakhstan
Prof. Dr. Gabriela Corina Zaharie, Cluj, Romania
Dr. Diana Rodica Ungureanu, Brasov, Romania

Present Your Own Case - RDS And Infection

Case reports from participants of the NPMF have been submitted and reviewed. The topics cover a wide range of clinical problems. The authors will give 5 min presentations and the audience will discuss the case for 10 min.

Room № 4+5

16:30-18:00

Bulgaria, Burgas, community Nesebar, VSG Siyana south, Svety Vlas st. 8256

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