Day 2 :
Amin Gohary completed his MB BCh in 1972 and his Diploma in General Surgery in 1975 at Cairo University, Egypt. Prof. Dr. Amin is well known in Abu Dhabi for his extensive interest and involvement in scientific activities. He is the President of Pediatric Surgical Association of UAE. Prof. Dr. Amin is also the founder and member of the Arab Association of Pediatric Surgeons. Currently, he is an external examiner for the Royal College of Surgeons.
In this presentation we are going to cover neonatal surgical emergencies with special references to gastrointestinal diseases. The role of the neonatologists and nurses will be highlighted together with details of the clinical presentations, radiological investigations and surgical management. We will cover our experience from 1995 to 2019 and discuss the importance of early referral for good outcome. Preterm babies need special care and this will be discussed separately
Saint Mary’s Hospital, UK
Anupam Gupta is a Consultant Neonatologist at Saint Mary’s Hospital, Manchester UK. He have trained and worked in world famous and prestigious pediatric and neonatal centers in India and UK and developed an expertise in neonatal ventilation and research. He was awarded his PhD by Durham University and he has carried out award winning projects and presented in prestigious international conferences like PAS, EAPS, ESPID, UENPS and helped to organize neonatal conferences here in the UK.
Introduction: Newborn infants often require support for their respiratory management. Ventilatory management of term and preterm infants is the most important and arguably most challenging part of NICU care. While it is a lifesaving modality, use of ventilation comes with its own risk of lung damage associated with ventilator induced lung injury. With the development of technology and increased resources, we are in a position to save very premature infants to babies with severe meconium aspiration syndrome. With increase in number of neonatal units a need for improvement in understanding of neonatal ventilation is more acute than ever.
Aim: To present and discuss a practical approach to neonatal ventilation based on current scientific and evidence base.
Method: By the end of the workshop, participants would be able to:
- Learn about historical evolution of ventilation in newborns.
- Learn about scientific principles underlying the different ventilation strategies.
- Learn about different modes of ventilation and how to choose the most suitable one.
- Learn about practical approaches to initiating, titrating and terminating mechanical ventilation in newborns.
- Learn about Pulmonary graphics and how their understanding can help in optimizing ventilation.
- Learn about high frequency ventilation in newborns and its use in difficult situations.
- Learn about ventilator induced lung injury and current evidence on strategies to reduce the impact.
- Learn about non-invasive ventilations – BIPAP/CPAP/HF
- Learn about less invasive surfactant administration (LISA) and its role in current practice
- Clarify practical dilemmas and difficulties with help of question and answer session
NMC Royal Hospital, UAE
Brankica Vasiljevic is the Head of Maternity and Child Health Services in NMC Royal Hospital DIP in Dubai, UAE. After completing her MD, she had completed her clinical postgraduate education (Pediatric and after that Neonatology fellowship) and academic postgraduate education (MSc in Pediatric and Ultrasonography field and PhD in Neonatology field) at Belgrade University School of Medicine in Belgrade, Serbia. She also completed Safety, Quality, Informatics and Leadership Program at Harvard Medical School in Boston, USA. She had won the ESPNIC Educational Grant at 5th World Congress on Pediatric Intensive & Critical Care in Geneva Switzerland (2007). She was a local coordinator for International Neonatal Immunotherapy Study-INIS for Serbia and Montenegro and participated in SIOP 93-01 Study, ITP Study and Twin Birth Study. She has published more than 35 international publications in international indexed journals (100 citations), 5 chapters in various fields of neonatal medicine and has more than 30 presentations in international conferences. She is a Member of Editorial Board of different international journals.
Each year 15 million babies are born preterm (<37 weeks of gestation (GA)) worldwide and their survival chances vary dramatically around the world. Most premature babies (>80%) are between 32 GA and 37 GA (moderate/late preterm). About 10% of preterm babies are born 28 to <32GA. Survival gap for preterm babies born in high-income countries and babies born in the low-income countries has widened dramatically. Multiple gestations are at increased risk for preterm delivery, intrauterine growth restriction, congenital anomalies and higher incidence of perinatal death. Prematurity is the leading cause of neonatal mortality and morbidity. Over 1 million children die each year due to complications of prematurity. Mortality is inversely proportional to birth weight (BW) and GA. Advances in neonatal intensive care during the last decades has decreased mortality in premature babies but morbidity is still high (at least 20-50%), especially in extreme preterm babies (<28 GA). The major neurodevelopmental morbidities (mental retardation, cerebral palsy, seizure disorders, hydrocephalus, visual or auditory impairment) in extreme preterm infants occur in approximately 20-30% survivors. Neonatal mortality rate for twins is 5 times more than in singletons. Discordant twins are present in 25% twins pregnancy (10x greater than singletons). In discordant small twins (IUGR) mortality is 6 times more than in concordant twins. Incidence of congenital anomalies is significantly related to the level of discordance (IUGR). Systematic team approach and safe and effective transport of high-risk mothers and newborns is an essential component of regional perinatal care and the goal is to provide the required level of specialized care.