Veidlapa Nr. M-3 (8)

Study Course Description

Neonatology II

Main Study Course Information

Course Code

RNO_004

Branch of Science

Clinical medicine; Paediatrics

ECTS

55.00

Target Audience

Medicine

LQF

Level 8

Study Course Implementer

Course Supervisor

Amanda Smildzere

Residency Speciality

Speciality

Neonatologist

Supervisor of Medical Speciality

Amanda Smildzere

Contacts

About Study Course

Objective

To ensure the acquisition of theoretical knowledge and practical skills in the examination of newborn children of different gestational ages, diagnosis of pathologies, recognition of critical situations and appropriate treatment, synthesising the clinical picture with the results of laboratory, visual and invasive examinations in the diagnostic process. To prepare the specialist doctor for the recognition and treatment of an acute and urgent condition, choosing and applying various technical options according to the patient’s condition and diagnosis – non-invasive ventilation, artificial lung ventilation, high-frequency ventilation, inhaled NO, therapeutic hypothermia, as well as learning to control the condition of these patients using monitoring options of various systems – monitoring of vital functions, aEEG, NIRS. To become skilful in resuscitation and stabilisation of a newborn in the delivery room, as well as in the subsequent newborn period. To form an understanding of the different physiology of newborns with extremely low birth weight and the specifics of care that must be followed to ensure the quality of life of these patients and the dynamic monitoring of these patients in the first years of life, controlling and timely correcting any metabolic and developmental deficits. To learn practical skills – umbilical vein and artery catheterisation, arterial puncture, intubation in newborns, including children with extremely low birth weight, connection to lung ventilation machines, lumbar puncture, puncture of the Ommaya reservoir. To teach ECHO, NSG as part of screening. To acquire the ability to work in a team, individually, involving specialists as necessary.

Learning Outcomes

Knowledge

1.As a result of studies in the specialty of neonatology, one acquires knowledge on the theory of physiology and pathology of the foetus and newborn child, as well as diagnostic, treatment and care measures.

Skills

1.As a result of studies, one is able to assess the state of health of a newborn child, risk factors and potential pathologies, diagnose pathologies, perform examinations and provide treatment, care, analyse the results of treatment and care.

Competences

1.The level of theoretical and practical knowledge will allow to take the neonatologist certification exam to obtain a neonatologist certificate, with further opportunities to practice as a specialist in neonatology, to carry out scientific research work in neonatology in accordance with the regulatory documents of the Republic of Latvia, to continue studies at the doctoral level.

Assessment

Individual work

Title	% from total grade	Grade
1. Individual work	-	-
- Preparation of theoretical information for seminars (MS PowerPoint presentations) - Pedagogical work (pedagogical work with medical students) - Research work

Examination

Title	% from total grade	Grade
1. Examination	-	-
Testing of theoretical and practical knowledge (written test, solving situational tasks, resuscitation situation of a newborn child on a dummy). Clinical case analysis, research.

Study Course Theme Plan

FULL-TIME

Part 1

Seminar

Modality	Location
On site	Specialized room

Topics

Dynamic monitoring of preterm children. Specifics of feeding a preterm child after discharge from the hospital. Assessment of psychomotor development according to the Munich Functional Developmental Diagnostics up to 12 months of age.

Seminar

Modality	Location
On site	Specialized room

Topics

The role of Na in the regulation of fluid balance. Causes of hyponatremia and hypernatremia in newborns and correction tactics. Hereditary pathologies of the urogenital system. Acute kidney damage.

Seminar

Modality	Location
On site	Specialized room

Topics

Congenital facial defects. Antenatal development, diagnostics, managment. Pierre Robin sequence.

Seminar

Modality	Location
On site	Specialized room

Topics

Neurosonography method, basic principles of examination, evaluation.

Seminar

Modality	Location
-	-

Topics

The latest existing and future therapeutic options in neonatology (stem cells, genetic engineering, family presence in the neonatal intensive care unit, etc.)

Seminar

Modality	Location
On site	Specialized room

Topics

Dynamic monitoring programme. Assessment of psychomotor development according to the Munich Functional Developmental Diagnostics from 12 to 24 months of age.

Seminar

Modality	Location
On site	Auditorium

Topics

Antenatal and early postnatal diagnosis of congenital obstructions of the gastrointestinal tract (oesophagus, duodenum, large intestine), tactics in the delivery room, during transportation to the Children's Clinical University Hospital and in the preoperative period in the neonatal intensive care unit.

Seminar

Modality	Location
On site	Specialized room

Topics

Newborns with short bowel syndrome – care, ensuring feeding, taking into account losses, stoma care.

Seminar

Modality	Location
On site	Specialized room

Topics

Conventional mechanical ventilation.

Seminar

Modality	Location
On site	Specialized room

Topics

Children born to mothers with impaired glucose tolerance, various types of diabetes mellitus. Aetiology, differential diagnosis and correction of hypoglycemia. Aetiology, diagnosis, correction of hyperglycemia.

Seminar

Modality	Location
On site	Specialized room

Topics

Conventional mechanical ventilation.

Seminar

Modality	Location
On site	Specialized room

Topics

Shock in newborns. Differential diagnosis. Emergency assistance.

Seminar

Modality	Location
On site	Specialized room

Topics

Ductal-dependent congenital heart diseases. Possibilities of antenatal diagnosis, early recognition of heart disease symptoms, stabilisation and therapy tactics. Clinical pathway – diagnosis of ductal-dependent heart diseases (Centre for Disease Prevention and Control)

Seminar

Modality	Location
On site	Auditorium

Topics

Metabolism of calcium un phosphorus in newborns. osteopenia of preterms, prophylaxis, management. Importance of Vit.D, Ca and P.

Seminar

Modality	Location
On site	Specialized room

Topics

Hypoxic-ischemic multiorgan damage – aetiology, pathogenesis. The most important markers – organ damage criteria. Therapeutic hypothermia.

Seminar

Modality	Location
On site	Specialized room

Topics

Inherited metabolic diseases, symptoms in the newborn age, diagnosis, possible treatment.

Seminar

Modality	Location
On site	Specialized room

Topics

Liver diseases – hereditary pathologies, infections, hepatitis syndrome. Differential diagnosis of jaundice.

Seminar

Modality	Location
On site	Specialized room

Topics

aEEG monitoring, indications, evaluation.

Seminar

Modality	Location
On site	Specialized room

Topics

NIRS monitoring, indications for neonates, evaluation.

Seminar

Modality	Location
On site	Specialized room

Topics

Heart rhythm disorders in newborns. Clinic, diagnosis, treatment tactics.

Seminar

Modality	Location
On site	Specialized room

Topics

Cardiology, ECHOKG screening for newborns in the neonatal intensive care unit

Seminar

Modality	Location
On site	Specialized room

Topics

Congenital anomalies of the CNS, development thereof in the antenatal period, diagnosis, treatment options.

Seminar

Modality	Location
On site	Specialized room

Topics

High frequency ventilation mode.

Seminar

Modality	Location
On site	Specialized room

Topics

Risks of thrombosis in newborns. Clinics, diagnostics and treatment.

Seminar

Modality	Location
On site	Auditorium

Topics

Anemia in preterm infants - ethyology, pathogenesis, prophylaxis, management. Development of hemopoetic system in antenatal period.

Seminar

Modality	Location
On site	Auditorium

Topics

AAnaemia in full-term babies – aetiology, pathogenesis, principles of therapy.

Seminar

Modality	Location
On site	-

Topics

Congenital skin diseases (ichtiosis, aplasia cutis etc.), diagnostics, management.

Seminar

Modality	Location
On site	Specialized room

Topics

Primary and secondary immunodeficiencies. HIV infection.

Seminar

Modality	Location
On site	Specialized room

Topics

Non-invasive respiratory support methods – NIV, CPAP, BiCPAP, DuoPAP, high-flow nasal cannulas.

Seminar

Modality	Location
On site	Specialized room

Topics

Cardiology II

Seminar

Modality	Location
On site	Specialized room

Topics

Persistent pulmonary hypertension of the newborn (PPH)

Seminar

Modality	Location
On site	Specialized room

Topics

Congenital defects of the anterior abdominal wall – antenatal, postnatal diagnosis, tactics in the delivery room, during transportation to the Children's Clinical University Hospital and in the preoperative period in the neonatal intensive care unit

Seminar

Modality	Location
On site	Specialized room

Topics

Stabilisation of children with extremely low birth weight in the delivery room and after transfer to the neonatal intensive care unit (respiratory support immediately after birth, LISA, INSURE, temperature stabilisation, early initiation of enteral feeding)

Total ECTS (Creditpoints):

55.00

Number of Residency Seminars:

Length (weeks):

Final Examination:

Residency exam (Theory and practice)

Bibliography

Required Reading

Neonatal Perinatal Medicine. 2 volume set. Richard J. Martin & Avroy A. Fanaroff & Michele C. Walsh, 05/2019

Avery's Diseases of the Newborn. 10th Edition, 01/2018

Klaus and Fanaroff's Care of the High-Risk Neonate. 7th Edition, Avroy A. Fanaroff & Jonathan M Fanaroff, 10/2019

Neonatology. 8th Edition. T. Gomella, F.Eyal, Fayez Bany-Mohammed, 2020

Physical Assessment of the Newborn. 6th Edition: A Comprehensive Approach to the Art of DNP Physical Examination - Revised 25th Anniversary Edition. E. P. Tappero, M.E.Honeyfield, July, 2018

Manual of Neonatal Respiratory Care. S.M. Donn, S.K. Sinha, 4th Edition. 2017

Assisted Ventilation of the Neonate. 7th Edition, Martin Keszler & Gautham Suresh & Jay P. Goldsmith, 03/2022

Neonatal Cardiology, by Michael Artman, Lynn Mahony, David F. Teitel, June/2016

Neonatal Cerebral Investigation. Janet M Rennie, Cornelia F.Hagmann, Nicola J. Robertson. December, 2009, Cambridge Univerity Press

Additional Reading

Pediatric Nutrition Handbook. 8th Edition. R.E. Kleinman Editior. USA, 2020

Smith's Recognizable Patterns of Human Malformation. 8th Edition. K.L. Jones by W.B. Saunders Company, 07/2021

Other Information Sources

Pediatric & Neonatal DosageHandbook by Lexicomp. 27th Edition, 09/2020

Neonatal Formulary: Drug Use in Pregnancy and the First Year of Life. Sean Ainsworth. March, 2020. Oxford University Press.