Schedule for NeoHeart: Cardiovascular Management of the Neonate

Designed to merge the neonatal and cardiac practitioners, NeoHeart is dedicated to state-of-the-art care for the neonate with congenital heart disease.  Join us for expert panel discussions, TED-talk style lectures, and dynamic & interactive sessions.

Take a glimpse into a handful of the topics:

  • Choice and timing of cardiac surgery
  • Indications and safety profile of newer medication in neonates
  • Pre-operative assessment of well-being
  • Post-operative management decision in this emerging population

Be a part of the action!

Schedule, Topics and Speakers

1:00 PM – 5:00 PM – Workshops
Workshop A: Targeted Neonatal and Pediatric Echocardiography – Max capacity is 30 people
  • Didactic and hands-on training
  • Attendees will acquire and interpret key images to guide hemodynamic management including estimation of preload, contractility, and right ventricular pressure
  • How to avoid the common pitfalls and blind spots
Workshop B: Essentials of Neonatal Cardiology and Congenital Heart Disease
  • Comprehensive review of anatomy, physiology, electrophysiology, and surgical repair
Workshop C: NP/PA/RN Perspective of Advanced Care for the Neonate with Heart Disease
  • Comprehensive review of anatomy, physiology, electrophysiology, and surgical repair with emphasis on practical bedside care
6:00 PM – 9:00 PM - DINNER: REFLECTIONS ON A LEGENDARY CAREER
  • Join us for a hosted ocean-side dinner and cocktail hour as we honor Dr. William I. Norwood, Jr. He will reflect on his inspiring career as a pioneering physician.
  • Must RSVP
8:00 AM – 12:00 PM - SESSION I: NEONATAL MYOCARDIUM AND HEMODYNAMICS
  • The Neonatal Myocardium – Andrew Redington, MD
  • Defining and Treating Shock in the Newborn – Patrick McNamara, MD
  • Expert Round Table – Keith Barrington, MBBS, Patrick McNamara, MBBS, Shazia Bhombal, MD, Andrew Redington, MD, Wyman Lai, MD
    — What is a “Normal” Blood Pressure? Is There a Role for Permissive Hypotension?
    — How Much Preload do Neonates Actually Need? How Afterload Sensitive is the Neonatal Myocardium?
    — What Should be the 1st Line Agents in Treating Hypotension? What About the 2nd Line?
    — What are the Indications for Milrinone, Vasopressin, and/or Steroids?
    — How Sensitive are Neonates to Fluctuations in Calcium?
  • The Ductus Ateriosus – Keith Barrington, MBBS
  • Expert Round Table – Keith Barrington, MBBS, Patrick McNamara, MBBS, Shazia Bhombal, MD, Andrew Redington, MD, Wyman Lai, MD
    — Prophylactic Indomethacin, is it Coming Back?
    — Defining Hemodynamically Significant: Clinical Findings vs Echo vs Biomarkers
    — Dangers of Treatment? Dangers of No Treatment?
    — To Feed or Not to Feed
    — Post Ligation Syndrome
    — How Should Cardiologists Treat in the Outpatient Setting?
  • The Most Difficult Case I had this Year…How I Could and/or Should have Optimized Cardiac Output, Hemodynamics, and Tissue Oxygen Delivery Denise Suttner, MD, Vijay Dhar, MD, Ronald Bronicki, MD, Mitchell Cohen, MD, Daniel Penny, MD
    — Severe Septic Shock
    — Cardiomyopathy Secondary to Perinatal Asphyxia
    — Refractory Arrhythmia
    — Severe Diastolic Dysfunction with Lung Hypoplasia
Echocardiography in the ICU: Cardiology vs. NICU vs. PICU
  • Expanding Point-of-Care Echocardiography into the Hands of NICU and PICU Physicians – Anup Katheria, MD, Patrick McNamara, MBBS, Ronald Bronicki, MD, Mjaye Mazwi, MD, Wyman Lai, MD, Yogen Singh, MBBS
    — What is a Targeted Echocardiogram and Who Should be Trained?
    — Release of the First Standardized TNE (Targeted Neonatal echocardiogram) Training Curriculum for Neonatologists
    — What is the Time Line for Developing a Standardized Curriculum in the PICU?
    — With 24/7 Pediatric Cardiology Coverage, What are the Benefits of Point-of-Care Cardiac Ultrasound?
12:00 PM – 5:00 PM – SESSION II: CONTROVERSIES IN CONGENITAL HEART DISEASE
  • TOF-PA with MAPCAs, How Did We Get Here and Where Are We Going? – Frank Hanley, MD
  • Tetralogy of Fallot – Denise Suttner, MD, Paul Checchia, MD, Andrew Redington, MD, Frank Hanley, MD, Gil Wernovsky, MD
    — Neonatal Repair vs BT Shunt
    — Is There Ever a Time to Stent the Neonatal RVOT?
    — In TOF-PA MAPCAs, Single or Staged Unifocalization?
    — Anticoagulation for the Neonates with BT Shunt, How Reliable is Aspirin?
    — Do We Need Home Monitoring for BT Shunt? Who Gets it and Why?
  • Update on State of Neonatal Heart transplantation – Anthony Chang, MD, MPH, MBA
  • Pulmonary Atresia with Intact Ventricular Septum (PA-IVS) – Denise Suttner, MD, Paul Checchia, MD, Andrew Redington, MD, Frank Hanley, MD, Gil Wernovsky, MD
    — Anatomic Risk Factors in PA-IVS
    — Should We Pre-Operatively Feed all Neonates with Ductal Dependent Pulmonary Blood Flow?
    — Predicative Value of Daily Troponins
    — Who Should be Listed for Neonatal Transplant?
    — Is there a Role for Systemic Vasodilators After Palliation?
    — Long Term Survival Outcomes
  • Hypoplastic Left Heart Syndrome – Ganga Krishnamurthy, MD, David Cooper, MD, Mjaye Mazwi, MD, John Lamberti, MD, Dean Andropoulos, MD, Wayne Tworetsky, MD
    — Anatomic Risk Factors in HLHS
    — Pre-Operative Feeding in Patient with Obstructive Systemic Blood Flow. Who, When, and How?
    — When is the Premature Neonate Ready for Bypass?
    — Utility of Selective Cerebral Perfusion
    — Who Should Get the BT Shunt, Sano, or Hybrid?
    — Expanded Neuro-Monitoring: Improving Outcomes or Increasing False Positives?
    — What are the Post-Operative Caloric Needs? What are the Post-Operative Caloric Needs?
  • How Computational Medicine Helps Me Predict and Prevent Cardiovascular Collapse – Mjaye Mazwi, MD
  • Heterotaxy – Ganga Krishnamurthy, MD, David Cooper, MD, Mjaye Mazwi, MD, John Lamberti, MD, Dean Andropoulos, MD, Wayne Tworetzky, MD
    — How do We Decide Who Gets a Single or Biventricular Repair?
    — Who Should We Screen for Malrotation? Should All Get Prophylactic Ladd’s Procedure?
    — How Often do We Miss Atrial Tachycardia, and Does it Matter?
    — Who Should Get a Cardiac MRI?
    — How Has the Genomic Revolution Affected This Diagnosis?
    — Are Poly-Splenic Patients Really Asplenic?
Coverage Model for Post-Op Neonates
  • Is It Time to Redesign Our ICU's? – Ganga Krishnamurthy, MD, Denise Suttner, MD, Paul Checchia, MD, Victor Levy, MD, Richard Gates, MD, Dawn Tucker, APRN
    — Is the Traditional Pediatric CVICU the Optimal Location for Neonates?
    — Do CVICU Physicians Need More Training in Neonatology?
    — Should Neonatologists be Trained in CVICU?
    — Physician-Nurse Collaboration
    — What do Care Models Look Like in 2017 from Around the Country?
5:15 PM – ABSTRACTS WALK-AROUND & NETWORK HOUR
8:00 AM – 12:00 PM – SESSION III: THE PULMONARY VASCULAR BED
  • The Neonatal Pulmonary Vascular Bed — Science Behind Our Therapies – Steven Abman, MD
  • State of the Art Management of PPHN in 2017 – John Kinsella, MD
  • Expert Round Table – Keith Barrington, MBBS, John Kinsella, MD, Patrick McNamara, MBBS, David Wessel, MD, Anthony Chang, MD, Steven Abman, MD
    — Role of iNO in the Preemie with PPHN
    — Can Combination Therapy Prevent the Need for ECMO?
    — The Effects of Whole Body Cooling on PVR and PPHN
    — Chronic Pulmonary Hypertension in BPD/CLD. When and Who to Cath?
    — Role of Endothelin Receptor Antagonists in Chronic Disease? Role of prostacyclins?
    — What Specific Strategies are Needed for the Patient with Trisomy 21?
    — Pulmonary Hypertension in Congenital Diaphragmatic Hernia
  • Pulmonary Hypertension in CHD – David Wessel, MD
  • Expert Round Table – John Kinsella, MD, David Wessel, MD, Daniel Penny, MD, Andrew Redington, MD, Frank Hanley, MD, Steven Abman, MD
    — The Right Ventricle in Chronic Disease
    — Can We Protect the Pulmonary Vasculature in Single Ventricles? Timing of Surgery in the Unprotected Pulmonary Vascular Bed
    — Effects of Cardiopulmonary Bypass on the Neonatal Pulmonary Vascular Bed
    — The Role of Gaseous Nitric Oxide During Cardiopulmonary Bypass
    — Pulmonary Vein Stenosis and CLD: A Rare Disease or Rarely Diagnosed?
    — Reflection of the 2015 PH Guidelines; What Have We Learned?
    — Strategies for Anesthesia and Sedation in the High Risk Patients
    — What Novel Therapeutics Will We Use in the Coming Years?
It Drives Me Crazy When… Cardiology vs. CT Surg vs. NICU vs. PICU vs. Anesthesia
  • In-depth Look at the Biases and Cultural Practices From Each of Our Disciplines – Christine Bixby, MD, David Cooper, MD, Daniel Penny, MD, Richard Gates, MD, Dean Andropoulos, MD, Dawn Tucker, APRN
12:00 PM – 4:30 PM – SESSION IV: ETHICS, CONTROVERSIES & LONG TERM NEURODEVELOPMENTAL OUTCOMES
  • Fragility and Resilience of Neonatal Cardiac Care – Gil Wernosvky, MD
  • How Do We Include Families in Complex Decision Making? – Annie Janvier, MD
  • Expert Round Table – Annie Janvier, MD, Wayne Tworetzky, Lisa Kohr CPNP, John Lamberti, MD, Daniel Licht, MD, Gil Wernovsky, MD
    — Values Added from a Fetal Center; Should We Build One at Our Institution?
    — Ethical Considerations of Late Diagnosis and Termination of Pregnancy
    — What Options Should We Provide for Family of Trisomy 21 and Single Ventricle?
    — Should We Ever Provide Operations for Trisomy 18? Trisomy 13?
    — Because “We Can Do This” vs “Should We Do This”? Who Decides and Why?
    — Speaking About Life and Death
  • Neurodevelopmental Outcomes of CHD: What are the Low Hanging Fruit for Improvement? – Dean Andropoulos, MD
  • Expert Round Table – Keith Barrington, MBBS, Pierangelo Renella, MD, Dean Andropoulos, MD, Gil Wernovsky, MD, Daniel Licht, MD, Lisa Kohr, CPNP
    — Cooling After Cardiac Arrest? Who and When?
    — Are We Using the Wrong Sedatives?
    — What are the Most Up-to-Date Recommendations for Sedation in Neonates?
    — Should All Pre and Post Op Neonates Get EEG? What Happens If We Begin Treating Too Many Subclinical Seizures?
    — Special Considerations for Those With DiGeorge and CHARGE Syndrome
    — How Our Decisions in the Neonatal Period Effect Their School Years
How Are We Defining and Measuring Success? Are the Present Metrics Misleading?
  • What Happens When the Best Physicians, Hospital Executives, Medical Innovators, and Industry Leaders get Together to Talk About How to Make the Lives of Neonates Better? – Vijay Dhar, MD, Mijaye Mazwi, MD, Anthony Chang, MD, John Lamberti, MD, Sam Ajizian, MD, Gil Wernovsky, MD
    — Is US News and World Report Killing Innovation?
    — How Much Transparency Should be Available for Families? For 3rd Party Payers?
    — What Models Exist for How Hospitals and Physicians Should Use Big Data?
    — What is the Appropriate Cost-2-Outcome Ratio for Our Patients? Should We Really Aspire for 0% Mortality?
    — Value Based Medicine for Neonates
    — What is the Most Important Metric for Success?
    — Are the Current National Databases Too Simple (ATS, STS, VON, etc.)?
    — Which Physicians Best Understand the Science of Improvement?
    — When Will We Stop Multi-Center, Randomized, Placebo Controlled Trials and Begin Focusing on Personalized Medicine?
4:30 PM - ADJOURN
8:00 AM – 12:30 PM - Workshops
Workshop A: Targeted Neonatal Echocardiography (TNE) – Max capacity is 30 people
  • Didactic and hands-on training
  • Attendees will acquire and interpret key images to guide hemodynamic management including estimation of preload, contractility, and right ventricular pressure
  • How to avoid the common pitfalls and blind spots
Workshop B: Essentials of Neonatal Cardiology and Congenital Heart Disease
  • Comprehensive review of anatomy, physiology, electrophysiology, and surgical repair
Workshop C: NP/PA/RN Perspective of Advanced Care for the Neonate with Heart Disease
  • Comprehensive review of anatomy, physiology, electrophysiology, and surgical repair with emphasis on practical bedside care