angelanika

I am a Neonatologist in a Children's Hospital in Athens, Greece. We offer a full range of medical and surgical care in outborn newborns. Accepting for care premature babies - sick newborns from Ukrain will need to be coordinated by our Ministry of Health. Iam sure that if there is a need this will be done with fast tract procedures that i am willing to raise. In any case i can assist with transportation - work in the area Pls contact Angela at angelanika@doctors.net.uk

Please include me as well

Thanks for your response. I have recently attended a joint liver – gastro meeting in the UK and they will use omegaven in the event of sepsis in children – neonates with intestinal failure liver disease. Because of issues regarding EFA requirements this is used for limited time and the role i understood is anti inflammatory + hepatoprotective. We use Soy-MCT-Olive oil- Fish oil mixed lipid emulsion in premature infants and those with SB on total TPN. We have however experienced a few cases and deaths of infants with intestinal failure and preexisting liver disease who developed ALF following complicated sepsis. In my country there is no license agreement for the use of omegaven in this age group and it will be hard to get permission. On the other hand however we have neither a liver unit nor liver specialist support for these children so from a clinical perspective anything that might protect or delay further liver damage in selected cases has to be considered. Many thanks once again

Our unit is a regional center for neonatal surgery so we care for newborns and infants with SBS on long term TPN who undergo sepsis and can develop liver impairment. We use SMOF lipid solution but there are reports on the use of Omegaven with promising results. http://archpedi.jamanetwork.com/article.aspx?articleid=1151637 If you have any experience/recommendations on this I would appreciate your input.

Thank you Do you have any experience in the use of Omegaven? And if so for how long you will use it?