Hands-on Training to assess Pulmonary Hypertension and Shunts Across PDA and PFO using Neonatal Echocardiography Simulator

Sunday, April 30, 2023

8:00 AM – 9:30 AM ET

Location: Convention Center: 143 ABC

CE: Live CME: 1.50

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

Co-Leader(s)

Shahab Noori, MD, MS

Professor of Pediatrics
Pediatrics, Division of Neonatology
Children's Hospital Los Angeles
Los Angeles, California, United States
Yogen Singh, MD, MA (Cantab), FRCPCH

Professor of Pediatrics, Division of Neonatology
Loma Linda University School of Medicine
Loma Linda, California, United States
Shazia Bhombal, MD

Associate Professor
Children's Healthcare of Atlanta
Atlanta, Georgia, United States
Mahmood Ebrahimi, MD. RDCS

Clinical Instructor in Pediatrics
LAC+USC Medical Center
Encino, California, United States
Tai-Wei Wu, MD, MSc

Associate Professor of Pediatrics
Neonatology
Keck School of Medicine of the University of Southern California
Los Angeles, California, United States
Jennifer Shepherd, MD

Assistant Professor
University of Southern California
Los Angeles, California, United States
Mohammad Adie, MD

Assistant Professor
KECK SCHOOL OF MEDICINE
Los Angeles, California, United States
Belinda Chan, MD

Associate Professor
University of Utah
Salt Lake City, Utah, United States
Mark Weems, MD

Associate Professor of Pediatrics
University of Tennessee Health Science Center
Memphis, Tennessee, United States
MU

Merujan Uzunyan, MD (he/him/his)

Director Pediatric Cardiology
USC
CHATSWORTH, California, United States
TA

Timur Azhibekov, MD, MS

Assistant Professor of Pediatrics
MethroHealth Medical center - Case Western Reserve University
Cleveland, Ohio, United States

Disclosure(s):

Rangasamy Ramanathan, MBBS, MD.: Airway Therapeutics (Ongoing) (Products/Services: Research Support including clinical trials & the principal or named investigator); 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)

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

Yogen Singh, MD: No financial relationships to disclose

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

Mahmood Ebrahimi, MD: No financial relationships to disclose

Tai-Wei Wu, MD: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Jennifer Shepherd, MD: No financial relationships to disclose

Mohammad A. Adie, MD: No financial relationships to disclose

Belinda Chan, MD: 123sonography: Consultant (Ongoing); Chiesi USA: Research Support including clinical trials & the principal or named investigator (Ongoing); GE company: Consultant (Ongoing); Owlet BabyCare: Research Support including clinical trials & the principal or named investigator (Ongoing)

Mark F. Weems, MD: Abbott Congenital Heart: Speaker Honorarium including speakers bureau, symposia, and expert witness (Ongoing)

Merujan Uzunyan, MD: No financial relationships to disclose

Timur Azhibekov, MD, MS: No financial relationships to disclose

Workshop

Description: Targeted Neonatal Echocardiography (TnECHO) is increasingly recognized as a useful tool in the assessment of hemodynamic status and management in neonates. Widespread application of TnECHO has been hampered by several obstacles including the limited opportunity for neonatologists to learn the skill, and the need for extensive hands-on training to acquire the skills. We will have 15 mannequin-based haptic echocardiographic simulators capable of simulating a full range of neonatal 2D, color flow Doppler, spectral Doppler, and M-mode echocardiography views. The simulator screen displays the full range of echocardiography images and the side screen displays the 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. Learners will be introduced to the standard echocardiographic views with a hands-on approach using the simulator. Subsequently, the participants will learn how to visualize a patent ductus arteriosus (PDA), assess the flow direction, and assess for pulmonary hypertension, including assessment of flow across patent foramen ovale (PFO). The learner will then practice a case of Term Newborn with hypoxemic respiratory failure with acute PH and changes in shunts through a PDA and or PFO before and after pulmonary vasodilator therapy. The workshop comprises a 30-minute introduction and review of the standard views and Two 30-minute hands-on practice sessions. Each simulator will be used by 3 learners and 90 learners can participate. Leaders and Co-Leaders have extensive experience in using TnECHO and managing newborns with acute PH.

Learning Objectives:

-know the standard echocardiographic views
-able to assess PDA and PFO size, shunt and determine the shunt patterns
-able to assess systolic pulmonary artery pressure by evaluating for the presence of septal flattening or bowing into left ventricle, and tricuspid regurgitation