hehady

Dear Stefan' I don not have a "googl wave" yet please send invitation

Just few additions schedule_3ds.[1]..doc

I do agree on this schedule

I think a 3 day schedule will be more comfortable. Adding time for discussions adding some topics on basis of EBM in the first day will be valuable addition. 30 minutes lectures is OK. Podcasting of these lectures on ourwebsite will be another intersting option.

Idea: excellet Timing: January-March or June-July would be better Topics: Hypothermia therapy for HIE Erythropoietin and neuroprotection Shoud we close the PDA? Inotropic therapy for preterm Non-invasive ventilation Prevetion of BPD INO and preterm oxygen and resuscitation Prevetion of CRBSI INO for preterm neurodevelopmental outcome of ELBWI CS related morbidities NIDCAP Neonatal pain assessment and management Speakers: Roger Soll David Edwards Denis Azzopardi Alan Jobe Durand Ola saugstadt Christian Speer Gorm Greisen Barbara Schmidt Martin Kezler Helmot Hummler Joseph Neu Zeigeler Nick Evans Martin Kluckow Hugo Lagerhans Gorm Greisen

Hello Dr Osama we have two workshops. 6/4: Non -invasive ventilation workshop 9:00 – 9:30 Registration and Pretest 9:30 – 10:00 CPAP: History Physiologic effects Indications Contraindications 10:00 – 10:30 CPAP in preterm infants: What is the evidence? 10:30 – 11.00 CPAP: Methods of application Maintenance Complications Failure criteria 11:00 – 12.30 Administration of nasal-CPAP (Parallel Practical Sessions) Arabella CPAP Fisher and Paykel bubble CPAP CPAP administration (video) 12:30 – 13:00 Delivery room CPAP 13:00 – 14:00 High flow oxygen delivery 14:00 – 14:30 CNEP, SIPAP, and BiPAP 14:30 – 15:00 Non-invasive ventilation 15:00 – 15:30 Post test 15:30 – 16:00 Closing ceremony 7/4 TPN: workshop

Final Programme

Please refer to the latest report from AAP about premedications for non-emergency intubation it has just been published this week and you can download it for free from "Pediatrics". I think morphine (fentanyl) + Atropine + Pancruminm will be our chioce in Mansoura in our new guidelines.

We are now preparing the program of the conference, Still more topics will be added and two more international experts are sharing: Prelimenary program: DO WE KNOW HOW TO TREAT RDS? Christian Speer (Wuerzburg, Germany) BASICS OF MECHANICAL VENTILATION: ART OR SCIENCE? Hany Aly (Washington DC, USA) OXIDATIVE LUNG INJURY Mohamed Nagy (New York, USA) MECHANICAL VENTILATION AND THE BRAIN Gorm Greisen (Copenhagen, Denmark) ARE THERE STRATEGIES TO PREVENT OR TO TREAT BPD? Christian Speer (Wuerzburg, Germany) ANTI-OXIDANT AND ITS PROTECTIVE FUNCTION AGAINST HYPEROXIA-INDUCED ACUTE LUNG INJURY Mohamed Nagy (New York, USA) UPDATE ON CPAP AND NON-INVASIVE POSITIVE PRESSURE VENTILATION Hany Aly (Washington DC, USA) THE HISTORY OF MINIMAL HANDLING OF IMMATURE INFANTS IN SCANDINAVIA Gorm Greisen (Copenhagen, Denmark) TRANSIENT TACHYPNEA OF THE NEWBORN: AN UPDATE Hesham Abdel-Hady (Mansoura, Egypt) SURFACTANT TREATMENT FOR NEONATAL ARDS Christian Speer (Wuerzburg, Germany) VENTILATORY SUPPORT AS A RISK FACTOR FOR NEURODEVELOPMENTAL DEFICIT Gorm Greisen (Copenhagen, Denmark) Brain cooling for HIE

The 3rd International Neonatology Conference NEONATAL Respiratory problems: Where we stand? Neonatal Care Unit, Mansoura University Children's Hospital 8-10 April 2010 Porto Marina, North Coast - Egypt http://www.nicu2010.com Invited speakers Prof. Christian P. Speer Director and Chairman University Children's Hospital Wuerzburg / Germany Prof. Hany Aly Director, Division of Newborn Services The George Washington University Hospital, USA. Prof. Gorm Greisen Head of the Department of Neonatology, Rigshospitalet, Copenhagen, Denmark. Prof. Mohamed Nagy Ahmed Department of Neonatology, Schneider Children's Hospital, NY, USA. Main Topics: Basics of Mechanical ventilation: Art or Science. Physiology of oxygenation and ventilation. Scandinavian experience in minimal handling of premature infants. Mechanical ventilation and the brain. Oxidative injury of lung. Surfactant Therapy. Bronchopulmonary Dysplasia. Update on CPAP and Non-Invasive Positive Pressure Ventilation. Air leak, atelectasis and one lung ventilation.

In my practice I noticed similar findings. What is the underlying mechanism? . It worth a study, but sheilding the chest may decrease the efficacy of phototherapy!.

How about using UVCs? We have exprience with long-term UVCs use as alternative to PICCs in preterm infants.

The 4th International Basic Neonatology Workshop Mansoura University Children’s Hospital, Neonatal Intensive Care Unit Mansoura, Egypt December 20 -24 , 2009 Sunday December 20, 2009 09:00 – 10:00 Registration and pretest 10.00 -15.30 Neonatal Resuscitation (Day 1) Monday December 21, 2009 09.00 -15.30 Neonatal Resuscitation (Day 2) Tuesday December 22, 2009 09:00 – 10:00 Management of preterm babies 10:00 – 11:00 Fluids & electrolytes in the neonates 11:00 – 11:30 Break 11:30 – 12:30 Neonatal Metabolic derangements 12:30 – 13:30 Venous access (Umbilical vessels catheterization & exchange transfusion) “practical” 13:30 – 14: 30 Clinical Round in the NCU 14:30 – 15:30 Lunch Wednesday December 23, 2009 09:00 – 10:00 Neonatal Sepsis 10:00 – 11:00 Infection control 11:00 – 11:30 Break 11:30 – 12:30 Neonatal Jaundice 12:30 – 13:30 Hands on infection control “practical” 13:30 – 14:30 Clinical Round in the NCU 14:30 – 15:30 Lunch Thursday December 24, 2009 09:00 – 10:00 Neonatal transport 10:00 – 11:00 Neonatal asphyxia 11:00 – 11:30 Break 11:30 – 12:30 Oxygen therapy 12:30 – 13:30 Case Scenarios 13:30 – 14:30 Clinical Round in the NCU 14:30 – 15:30 Post test and closing Ceremony 15:30- 16:30 Lunch

The 4th International Basic Neonatology Workshop Mansoura University Children’s Hospital, Neonatal Intensive Care Unit Mansoura, Egypt December 20 -24 , 2009 Sunday December 20, 2009 09:00 – 10:00 Registration and pretest 10.00 -15.30 Neonatal Resuscitation (Day 1) Monday December 21, 2009 09.00 -15.30 Neonatal Resuscitation (Day 2) Tuesday December 22, 2009 09:00 – 10:00 Management of preterm babies 10:00 – 11:00 Fluids & electrolytes in the neonates 11:00 – 11:30 Break 11:30 – 12:30 Neonatal Metabolic derangements 12:30 – 13:30 Venous access (Umbilical vessels catheterization & exchange transfusion) “practical” 13:30 – 14: 30 Clinical Round in the NCU 14:30 – 15:30 Lunch Wednesday December 23, 2009 09:00 – 10:00 Neonatal Sepsis 10:00 – 11:00 Infection control 11:00 – 11:30 Break 11:30 – 12:30 Neonatal Jaundice 12:30 – 13:30 Hands on infection control “practical” 13:30 – 14:30 Clinical Round in the NCU 14:30 – 15:30 Lunch Thursday December 24, 2009 09:00 – 10:00 Neonatal transport 10:00 – 11:00 Neonatal asphyxia 11:00 – 11:30 Break 11:30 – 12:30 Oxygen therapy 12:30 – 13:30 Case Scenarios 13:30 – 14:30 Clinical Round in the NCU 14:30 – 15:30 Post test and closing Ceremony 15:30- 16:30 Lunch

A prelimenary report just published this year: Horn A, Thompson C, Woods D, Nel A, Bekker A, Rhoda N, Pieper C. Induced hypothermia for infants with hypoxic- ischemic encephalopathy using a servo-controlled fan: an exploratory pilot study. Pediatrics. 2009 Jun;123(6):e1090-8. Epub 2009 May 11. Division of Neonatal Medicine, School of Child and Adolescent Health, University of Cape Town and Groote Schuur Hospital, Cape Town, South Africa. alan.horn@uct.ac.za OBJECTIVE: Several trials suggest that hypothermia is beneficial in selected infants with hypoxic-ischemic encephalopathy. However, the cooling methods used required repeated interventions and were either expensive or reported significant temperature variation. The objective of this pilot study was to describe the use, efficacy, and physiologic impact of an inexpensive servo-controlled cooling fan blowing room-temperature air. PATIENTS AND METHODS: A servo-controlled fan was manufactured and used to cool 10 infants with hypoxic-ischemic encephalopathy to a rectal temperature of 33 degrees C to 34 degrees C. The infants were sedated with phenobarbital, but clonidine was administered to some infants if shivering or discomfort occurred. A servo-controlled radiant warmer was used simultaneously with the fan to prevent overcooling. The settings used on the fan and radiant warmer differed slightly between some infants as the technique evolved. RESULTS: A rectal temperature of 34 degrees C was achieved in a median time of 58 minutes. Overcooling did not occur, and the mean temperature during cooling was 33.6 degrees C +/- 0.2 degrees C. Inspired oxygen requirements increased in 6 infants, and 5 infants required inotropic support during cooling, but this was progressively reduced after 1 to 2 days. Dehydration did not occur. Five infants shivered when faster fan speeds were used, but 4 of the 5 infants had hypomagnesemia. Shivering was controlled with clonidine in 4 infants, but 1 infant required morphine. CONCLUSIONS: Servo-controlled fan cooling with room-temperature air, combined with servo-controlled radiant warming, was an effective, simple, and safe method of inducing and maintaining rectal temperatures of 33 degrees C to 34 degrees C in sedated infants with hypoxic-ischemic encephalopathy. After induction of hypothermia, a low fan speed facilitated accurate temperature control, and warmer-controlled rewarming at 0.2 degrees C increments every 30 minutes resulted in more appropriate rewarming than when 0.5 degrees C increments every hour were used.

Dear Dr Shimaa You can join any of the courses we do in Mansoura University Children;s Hospital each year. We have NRP courses, Basic and advanced neonatology course and of course you can attend our annual conference. Our next activities include basic neonatology course in November and our conference this year (April) will be devoted to mechanical ventilation, we have 4 distinguished speakers this year from USA, Denmark and Germany and hopefully we will have two precongress courses. Please fee free to contact me on my e-mail (hehady@yahoo.com) or mobile (0105278051).

Dear Colleagues This is an invitation for a neonatology staff nurse to visit Egypt for two weeks. She is expected to give training to the nursing staff in a level 3 NICU in Mansoura University Children's Hospital. Teaching activities will include lectures, on the job training. The idea is to improve the quality of care given by the nursing staff in our NICU. The visit is totally covered, including travelling tickets, full board accomodation in hospital facilities as well as visit to tourist attraction sites in Cairo. Priorities will be given to staff nurses in Nursing Faculties in US or European countries, fleuncey in English and experience in teaching nursing staff in level 3 NICUs is a must. If you are intersted to share your experience with nurses in a developing country, pleaase send your CV to my e-mail: hehady@yahoo.com.

Dear Colleagues This is an invitation for a neonatology staff nurse to visit Egypt for two weeks. She is expected to give training to the nursing staff in a level 3 NICU in Mansoura University Children's Hospital. Teaching activities will include lectures, on the job training. The idea is to improve the quality of care given by the nursing staff in our NICU. The visit is totally covered, including travelling tickets, full board accomodation in hospital facilities as well as visit to tourist attraction sites in Cairo. Priorities will be given to staff nurses in Nursing Faculties in US or European countries, fleuncey in English and experience in teaching nursing staff in level 3 NICUs is a must. If you are intersted to share your experience with nurses in a developing country, pleaase send your CV to my e-mail: hehady@yahoo.com.

Newborn Lung: Neonatology Questions and Controversies Edited by Eduardo MD Bancalari, Richard A. Polin. 512 pp., Publisher: W B Saunders Co Pub. Date: March 2008; 82.95 $ ISBN-13: 978-1-4160-3166-6. Included in series Neonatology: Questions & Controversies Most of the improvement in neonatal outcomes has been related to advances in respiratory care of the preterm infant. This book is a collection of state of the art comprehensive contributions from 39 leading scientists and clinicians in the field of neonatal pulmonology, each author was carefully selected to cover his topic in a perfect way. Every chapter contains a wealth of information compiled in a clear and readable fashion. that most readers will find novel and many interesting tidbits that will be new even to experienced clinicians. While the early chapters deal primarily with developmental issues, the subsequent chapters address some of the most important clinical problems facing the neonatologist today. The book confidently tackles these subjects and gives seasoned advice on the latest diagnostic and treatment strategies using evidence-based medicine wherever possible. Although this book does not cover all aspects related to the newborn lung, it gives a complete, critical, and contemporary review of those areas that are more novel or controversial or have been of greater relevance in the progress of neonatal respiratory care. There are four major sections: lung development; injury in the developing lung; management of respiratory failure; and respiratory control and apnea of prematurity. A chapter on the role of inflammation in the pathogenesis of acute and chronic lung disease by Christian P. Speer is a remarkably concise, detailed, and informative mini-monograph on this topic. The goal of the editors is achieved admirably in chapters that cover lung fluid balance, non-invasive respiratory support, HFOV in neonatal respiratory failure, new developments in the management of neonatal pulmonary hypertension and new modalities of mechanical ventilation. The section on respiratory control and apnea of prematurity is outstanding; it combines a readable discussion of neonatal respiratory control with a review of strategies for prevention of apenic episodes in preterm infants. I’m not aware of any other book that had covered these topics in such a way. One of the strengths of this book is that most of its chapters provide information on the latest research, combined with up-to-date information on the management of patients’ care. The chapters organized according to clinical category present information clearly and in a format that will be appreciated by neonatologists. An interesting point is that the authors challenged to combine discussions of fetal and neonatal physiology with disease pathophysiology making this book an excellent reference for the developmental biologists as well as for clinician caring for sick newborns. Neonatologists and nurse practitioners in training and generalist pediatricians who care for newborn infants should refer to this book frequently and will use the book as a reference for their work with individual patients. I enjoyed the clear illustrations and figures demonstrating early lung development, lung fluid balance, surfactant production and metabolism, pathogenesis of BPD, optimal oxygen levels in preterm infants and pulmonary graphics; the tables on surfactant replacement therapy and management of apnea of prematurity; as well as the algorithms for HFOV. The editor of this book is Prof. Eduardo Bancalari, MD, Professor of Pediatrics, Obstetrics, and Gynecology, Director Division of Neonatology, Chief Newborn Service, University of Miami School of Medicine, Miami, FL, USA ; one of the leading scientists in neonatal pulmonology. This book comes in a series “Neonatology: Questions and Controversies” edited by Richard A. Polin, Professor of Pediatrics, College of Physicians and Surgeons, Columbia University, Director, Division of Neonatology, Morgan Stanely Children’s Hospital of New York-Presbyterian, Columbia University Medical Center, New York; one of the pioneers of neonatology, an influential teacher to neonatal students, residents and colleagues all over the world, is the co-editor of one of the most frequently used textbooks in neonatology, "Fetal and Neonatal Physiology." In summary, this is a well-written, easy-to-use reference book that fills a well-defined need. It is interesting enough to read straight through but well organized enough to read a chapter at a time. Hesham Abdel-Hady, M.D., Ph.D. Associate Prof. of Pediatrics/Neonatology Mansoura University Children’s Hospital Mansoura 35516 Egypt

happy birth day. Now it is one of the best interactive resources for neonatologists, We still need efforts and new ideas

We give 5 mg/kg/d divided into two doses. In some cases we give up to 8 mg/kg/d.

Please see final program, Welocme in Mansoura/Alexandria Mansoura meeting program.doc

Please see attached prelimenary program Mansoura meeting program.doc

Register in this website: https://www.5starmeded.org/forms/pda4637/ for a free webcast on PDA management (Very intersting)

Dear Stefan It is true most of us are now more and more restrictive on using NaHCo3. I think the next version of NRP will also decrease their role in resuscitation. Personally in our unit we started a restrictive policy about 1 year ago, I do agree the treatment of acidosis should be directed to the cause rather than giving NaHCO3. We do not have tribonat or THAM in our country and I do not have experience in there use. Thanks for this hint from hot topics, would you also elaborate more on therapeutic hypothermia in HIE (hot topics 2008 had a session on this issue)