Neonatal Hemodynamics Club

Saturday, April 29, 2023

9:30 AM – 11:00 AM ET

Location: Convention Center: Ballroom C

CE: Live CME: 1.50

Chair(s)

Martin Kluckow, FRACP PhD

Professor
Neonatology
University of Sydney
Sydney, New South Wales, Australia
Patrick McNamara, MB, BCH, BAO, DCH, MSc (Paeds), MRCP, MRCPCH, FASE

Professor of Pediatrics-Neonatology
Pediatrics
University of Iowa Stead Family Children's Hospital
Iowa City, Iowa, United States

Disclosure(s):

Martin Kluckow, FRACP PhD: No financial relationships to disclose

Patrick J. J. Mcnamara, MB BCH BAO MSC, McNamara: Abbott Cardiac: Speaker Honorarium including speakers bureau, symposia, and expert witness (Ongoing); Aspect Imaging: Consultant (Ongoing)

Session

Description: The Neonatal Hemodynamics Club topic for 2023 will explore the hemodynamic physiology and the evidence for varying umbilical cord clamping practices, particularly in the setting of high risk hemodynamic scenarios, such as asphyxia, extreme preterm infants, complicated twin pregnancies, IUGR, CDH and infants with congenital anomalies. Our first speaker will address the physiology of umbilical cord clamping and how different practices have their own challenges and controversies. Our second speaker will review the evidence base for different umbilical cord practices and discuss how clinical trials may help manage our patients in the future. We will discuss the possible next steps to understand what is optimal umbilical cord management particularly in high risk hemodynamic states.

Learning Objectives:

Upon completion, participants will be able to understand the hemodynamic physiology of the various umbilical cord management practices.
Upon completion, participants will be able to interpret the evidence base for umbilical cord clamping and understand the benefits and limitations of the literature.
Upon completion, participants will be able to discuss next steps in management of cord clamping at birth, particularly in relation to high risk hemodynamic groups

Presentations:

9:30 AM – 9:35 AM ET

Introduction - Umbilical Cord Clamping: Transfusion, Timing or Transition
Speaker: Martin Kluckow, FRACP PhD – University of Sydney
9:35 AM – 10:00 AM ET

Physiology of Umbilical Cord Clamping at Birth: Challenges and Controversies
Speaker: Anup Katheria, MD – Sharp Mary Birch Neoanatal Research Institute, University of California, San Diego School of Medicine
10:00 AM – 10:25 AM ET

An Evidenced Based Approach to Umbilical Cord Clamping at Birth: Are we there yet?
Speaker: Elizabeth Foglia, MD MSCE – Childrens Hospital of Philadelphia
10:25 AM – 10:35 AM ET

Umbilical Cord Clamping: Where to from here? Audience Q&A
Speaker: Patrick J. McNamara, MB, BCH, BAO, DCH, MSc (Paeds), MRCP, MRCPCH, FASE (he/him/his) – University of Iowa Stead Family Department of Pediatrics