Hands on Training To Assess The Significance of a Patent Ductus Arteriosus Using a Neonatal Echocardiography Simulator

Friday, May 3, 2024

3:45 PM – 5:15 PM ET

Location: Metro Toronto Convention Centre: 601

CE: Live CME: 1.5

Leader(s)

Rangasamy Ramanathan, MBBS, MD

Professor of Pediatrics/ Division Chief/Program Director-NPM Fellowship
Pediatrics/Division of Neonatal Medicine
Keck School Of Medicine Of USC
Los Angeles, California, United States

Slides

Co-Leader(s)

Yogen Singh, MD, MA (Cantab), FRCPCH

Professor of Pediatrics, Division of Neonatology
Loma Linda University School of Medicine
Loma Linda, California, United States
Shahab Noori, MD, MS CBTI

Professor of Pediatrics
Children's Hospital Los Angeles, University of Southern California, United States
Shazia Bhombal, MD

Associate Professor
Children's Healthcare of Atlanta
Atlanta, Georgia, United States
Jennifer Shepherd, MD

Assistant Professor
University of Southern California
Los Angeles, California, United States
Mark Weems, MD

Medical Director, Le Bonheur Children's Hospital NICU
University of Tennessee Health Science Center, United States
BC

Belinda Chan, MD

Associate Professor
University of Utah
Salt Lake City, Utah, United States
Mahmood Ebrahimi, MD. RDCS

Clinical Instructor in Pediatrics
LAC+USC Medical Center
Encino, California, United States
MU

Merujan Uzunyan, MD (he/him/his)

Director Pediatric Cardiology
USC
CHATSWORTH, California, United States
Piyawat Arichai, MD, FAAP (he/him/his)

NPM Fellow
Pediatrics
Children's Hospital Los Angeles, LAGeneral, USC
Children's National Hospital
Pasadena, California, United States
IS

Ivonne Sierra-strum, MD (she/her/hers)

USC Keck School of Medicine
Alhambra, California, United States
TA

Timur Azhibekov, MD, MS (he/him/his)

Attending Neonatologist
Metrohealth Medical Center
Cleveland, Ohio, United States

Disclosure(s):

Rangasamy Ramanathan, MBBS, MD: Chiesi, USA. (Ongoing) (Products/Services: Speaker Honorarium including speakers bureau, symposia, and expert witness); Medtronic (Ongoing) (Products/Services: Research Support including clinical trials & the principal or named investigator); Neotech Products, Inc (Ongoing) (Products/Services: Intellectual Property including patent beneficiary and royalties)

Yogen Singh, MD, MA (Cantab), FRCPCH: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Shahab Noori, MD, MS CBTI: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Shazia Bhombal, MD: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Jennifer Shepherd, MD: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Mark Weems, MD: Abbott Congenital Heart (Ongoing) (Products/Services: Consultant, Speaker Honorarium including speakers bureau, symposia, and expert witness)

Belinda Chan, MD: GE (Terminated, September 15, 2023) (Products/Services: Consultant)

Mahmood Ebrahimi, MD. RDCS: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Merujan Uzunyan, MD: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Piyawat Arichai, MD, FAAP: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Ivonne Sierra-strum, MD: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Timur Azhibekov, MD, MS: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Workshop

Description: Targeted Neonatal Echocardiography (TnECHO) is increasingly recognized as a useful tool in assessment of hemodynamic status and management of cardiovascular compromise in neonatal and pediatric intensive care units and in cardiac intensive care units. However, the widespread use of TnECHO has been hampered by several obstacles including the limited opportunity to learn the skills. In this workshop, we will have 15 mannequin-based haptic echocardiographic simulators capable of simulating a full range of neonatal two-dimensional, color flow Doppler, spectral Doppler, and M-mode echocardiograms. Simulator screen displays the full range of all the standard echocardiographic views and the side screen displays position and motion of the cutting planes through a three-dimensional heart model. The system includes a software module to perform hemodynamic measurements from specific video clip images. In this workshop, the learner will be introduced to the 17 essential echocardiographic views with a hands-on approach using the simulator. Learners will practice echocardiographic views in a preterm infant with patent ductus arteriosus through parasternal short axis and or ductal cut to estimate the size and shunt direction, m-mode for measuring LA/Ao ratio, and color flow Doppler to assess for systemic hypoperfusion, like, flow reversal in the descending aorta or superior mesenteric artery or celiac artery The workshop comprises a 30-minute introduction and review of the standard views and 60-minute hands-on practice sessions. Each simulator will be used by 4 learners and 60 learners can participate in the workshop. Leaders and Co-Leaders have extensive experience in using TnECHO in their daily practice.

Learning Objectives:

1. know the standard echocardiographic views
2. be able to assess PDA size, shunt and determine the shunt pattern
3. be able to assess the hemodynamic significance by evaluating LA/Ao ratio, and flow reversal in the descending aorta, superior mesenteric artery, and or celiac artery