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Romanian Association of Neonatology

29 and 30 June 2020, from 18.00 to 19.45 EEST

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The topics of the present webinar, is generated by the fact that, with the development of neonatal medicine, the survival rate of preterm infants with extremely/ultra-low birth weight has increased yearly, and the incidence of respiratory distress syndrome (RDS) has also increased over year.

Mechanical ventilation can quickly and effectively improve the clinical symptoms of preterm infants with severe RDS, but long-term invasive ventilation may increase the risks for ventilator-associated lung injury and infection.

Therefore, the mechanical ventilation in preterm infants with severe RDS should be switched to non-invasive respiratory support as soon as their spontaneous breathing becomes stable and symptoms are improved. For this reason, prof. Ramanathan will provide us lectures about both invasive and non-invasive support therapies.

Invasive ventilation modes: VG, HFOV/iNO with IMV

29 June

At this presentation, indications, settings, weaning from volume controlled/volume guarantee mode, changing ventilatory settings in response to baby’s clinical course and weaning off to NIV mode will be presented.

Advantages of VG mode over pressure controlled mode will be presented. Use of inhaled Nitric Oxide in preterm infants will be discussed.

Disease specific ventilatory strategies using Invasive ventilation mode will be presented based on evidence.

Non-Invasive Ventilation: NIV-NAVA/NCPAP/NIPPV/NHFV

30 June

At this presentation, I will discuss respiratory management and NIV support strategies in ELBW infants and current evidence on commonly used NIV modes including nasal continuous positive airway pressure (NCPAP), nasal intermittent positive pressure ventilation (NIPPV), bi-level positive pressure (BI-PAP), high flow nasal cannula (HFNC) and newer NIV strategies currently being studied including, noninvasive high frequency ventilation (NHFV) and noninvasive neutrally adjusted ventilatory assist (NIV-NAVA). Randomized, clinical trails have shown that early NIPPV is superior to NCPAP alone to decrease the need for intubation and IMV in preterm infants with respiratory distress syndrome. Ventilator generated NIPPV results in significantly lower rates of extubation failures when compared to NCPAP or Bi-PAP. Settings for initiation and weaning will be presented fro all modes of NIV.


Rangasamy Ramanathan, MBBS MD

Professor of Pediatrics. Chief, Division of Neonatology, LAC+USC Medical Center

Rangasamy Ramanathan is Professor of Pediatrics, Division Chief of Neonatology, and Director of NICU at LAC+USC Medical Center, Keck School of Medicine of the University of Southern California. Dr. Ramanathan directs one of the largest fellowship programs in Neonatal-Perinatal Medicine in the Country, with 18 fellows in the program. Read more »

Frequently Asked Questions

How do I participate?

The symposium will take place using Zoom app.

Is there any fee?

No, the participation is free of charge!

Why do I need to register?

The event is for doctors only.