Developmental care and modern technologies

Moscow, Russia – December 14, 2015 – From November 23 to 25, Moscow hosted the VIII All-Russian Educational Congress “Anesthesia and Resuscitation in Obstetrics and Neonatology”, one of the key industry events for anesthesiologists-resuscitators, neonatologists, obstetricians-gynecologists, transfusiologists and neonatal nurses.

The specialists discussed the key current trends in the care of premature babies, ways to improve the physiological prognosis and developmental care in intensive care units for newborns. As part of the congress, GE Healthcare presented an innovative set of equipment for premature babies and organized a master class on ultrasound diagnostic methods in anesthesiology and resuscitation.

Participants reviewed critical clinical issues related to the care of preterm infants and the foundation of neonatal health. So, in the report of Irina Vinogradovite, MD, head. Department of resuscitation and intensive care of newborns of the Presidential Perinatal Center of Cheboksary, Cheboksary, the chief freelance neonatologist for the Volga Federal District and the Ministry of Health and Social Development of Chuvashia “Family-oriented care for newborns in the conditions of the perinatal Center” covered such aspects as developmental care for the newborn.

the need to involve  “The modern strategy for managing premature newborns includes not only the actual nursing of the child, but also the development of the brain, which largely determines the quality of life in the future. The possibility of tactile contact with the mother, the psychological calmness of both the mother and the child are one of the important conditions for the successful development of a premature baby,” said Irina Vinogradovite.

Also, advanced medical technologies and innovative methods of resuscitation play a significant role in improving the survival of children with low and extremely low body weight, adequate physical and mental development. The main problem faced by neonatologists is unstable breathing, apnea and short-term apnea. In these situations.

the oxygen metabolism of the body is disturbed, hypoxia may develop. To stabilize the breathing of newborns, ventilators, breathing circuits with monitors, etc. are used. The parameters of comfortable temperature, humidity, and the required level of oxygen are extremely important for the normal development of the body of a premature baby – these conditions can be created using modern incubators, which make it possible to eliminate any stressful effects of the environment.

As part of the congress, GE Healthcare presented solutions for intensive care units and intensive care units – a full-featured set of equipment for developing newborn care: the Giraffe Combined resuscitation system for newborns, the Engstrom Care station respiratory ventilator and the CARESCAPE B650 patient monitor. This set of equipment represents an innovative high-tech solution for medical institutions specializing in nursing very preterm newborns. Such innovative solutions allow creating optimal conditions in intensive care units for newborns to improve the physiological prognosis and contribute to the further psychophysiological development of the child.

As part of the congress, GE Healthcare also held a scientific and practical session “Visual methods in neuraxial techniques in obstetrics.” Modern anesthesiology in obstetrics goes beyond the elimination of pain during childbirth: the latest pain relief techniques help prevent or correct anomalies during labor, normalize uteroplacental circulation, external respiration and kidney functions, and this determines a favorable outcome of childbirth for both the woman in labor and for a newborn.

In recent years, there has been a surge of interest in the methods of neuraxial anesthesia, which provide the most reliable protection for a woman in labor from pain stress, which can reduce blood loss and avoid a number of other complications. To correctly determine the safe method of anesthesia, high-precision visualization is necessary – today, such a method is ultrasound. A master class on the use of equipment, ultrasound diagnostics in anesthesiology and resuscitation was conducted by Roman Evgenievich Lakhani, Associate Professor of the Department of Anesthesiology and Resuscitation of the Federal State Budgetary Educational Institution of Higher Professional Education “Military Medical Academy named after M.V. CM. Kirov.

The possibilities of ultrasound as the best auxiliary tool for visualizing neuraxial structures were demonstrated on the GE Healthcare Logic e ultrasound machine, which allows the anesthesiologist to feel confident in his actions and minimize risks both in routine work and in complex clinical cases. It is important to note that the use of ultrasound examination allows you to accurately select the puncture angle, determine the depth of the dura mater in transverse or parasagittal scanning.

reduce the number of attempts and reduce the likelihood of injuries caused by neuraxial anesthesia. “Ultrasound control should become an indispensable element in anesthesiology and resuscitation,” notes Roman Lakhani. – With the help of linear sensors, we can fix many problems accurately. For example, transcranial ultrasound examination of cerebral vessels confirms the presence or absence of pathology. In patients with prematurity, underweight, the cost of an error can be fatal, and high-precision ultrasound examinations will help the doctor diagnose the problem and determine treatment tactics.”

Help about the equipment

The Giraffe Combined neonatal resuscitation system combines the advantages of an incubator and an open resuscitation system. This complex allows to reduce the negative impact on a premature baby by 50% when using the patented 360° rotating mattress Babul Susan ™, which allows you to carry out the necessary position of the child during all procedures without disturbing his peace. The Giraffe Omnibus system, together with the Giraffe Shuttle mobile resuscitation complex, is an innovative perinatal center solution for in-hospital transport of newborns, which reduces the trauma of the child that occurs when transferring to and from the transport incubator: one child – one bed.

The Engstrom Care station (CS) Respiratory Station is an expert grade ventilator. Features a simple user interface, paramagnetic oxygen sensor, built-in advanced drug nebulization system, and monitors the gas mixture to determine metabolism and energy consumption. Thanks to the battery. The high level of reliability of the device guarantees stable operation even during power outages. It can operate in nine different modes and monitor parameters such as airway pressure, patient circuit flow, tidal volume, minute volume, CO2, resistance, respiratory rate, O2 concentration, spirometry. Thanks to a high-precision proximal flow sensor and a wide range of ventilation modes, it allows artificial ventilation of the lungs in newborns weighing 250 g or more.