IPOKRATES: Follow-up of Premature Infants

Date: November 24 – 26, 2009; starts at 09:00 a.m.
Place: Athens, Greece

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Objectives

This seminar will deal with basic mechanisms of brain injury and brain plasticity after such injury in preterm and term neonates. The early consequences will be presented in detail, especially regarding the neonatal convulsions and risk to develop future postneonatal epilepsy. The long term outcome will be presented with special concern on quality of life in survivors of neonatal intensive care and function in adulthood. Different ethical issues will also be presented, especially regarding withholding and withdrawing treatment as well as the question how far we still can go with preterm labour.

Lecturers

Mizrahi E, Baylor College of Medicine, Houston, Texas, USA
Kostović I, Croatian Institute of Brain Research, University of Zagreb, Medical School, Croatia
Casteloe K, Neonatal Unit, Homerton University Hospital, Homerton, UK
Saigal S, Neonatal Follow-UpProgramme, McMaster University, Hamilton, Ontario, Canada
Haataja L, University of Turku, Finland

Program

TUESDAY, NOVEMBER24, 2009
09:00 What is perinatal brain damage? Kostovic I
10:00 The EPIcure study: outcomes for children born at threshold of viability Casteloe K
11:00 Break
11:30 EEG, CFM and EEG-video monitoring in at-risk neonates     Mizrahi E
13:00 Lunch Time
14:30 Brain vulnerability I: leukomalacia that can damage cortical pathways    Kostovic I
15:30 How to reduce the frequency of preterm labour and increase the quality of survivors Casteloe K
16:30 Break
17:30 Outcomes of IVF pregnancies: impact on health care systems and family Saigal S
18:30   Discussion day 1
19:00 Dinner

WEDNESDAY, NOVEMBER25, 2009
09:00 Brain vulnerability II: lesions on the fronto-limbic system Kostovic I
10:00 Neonatal seizures: etiology, treatment and prognosis Mizrahi  E
11:00 Break
11:30 Withdrawal / withholding of life sustaining and limitation of treatment in Casteloe K
intensive tertiary care units
13:00 Lunch Time
14:30 Can neurological scores predict outcome? Haataja L
15:30 Promoting early brain development in high-risk infants Saigal S
16:30 Break
17:00 Neonatal seizures: characterization, classification and clinical recognition Mizrahi E
18:00 Discussion day 2

THURSDAY, NOVEMBER26, 2009
09:00 Outcomes for the VLBW infants; anything new? Haataja L
10:00 Adult functioning of very preterm infants Saigal S
11:00 Break
11:30 Quality of life in survivors of neonatal intensive care Saigal S
12:30  Final discussion
13:00  End