“The newborn state is not a disease”€¦ · HLHS . CoA . DORV . TOF . December 19, 2016...

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“The newborn state is not a disease” Darren Klugman, MD MS Medical Director, Cardiac Intensive Care Unit Director of Quality & Outcomes, Children's National Heart Institute Children’s National Health System

Transcript of “The newborn state is not a disease”€¦ · HLHS . CoA . DORV . TOF . December 19, 2016...

Page 1: “The newborn state is not a disease”€¦ · HLHS . CoA . DORV . TOF . December 19, 2016 “Never take care of anything smaller than your lunch” Alan Fields, MD . Growth CICU’s

“The newborn state is not a disease”

Darren Klugman, MD MS Medical Director, Cardiac Intensive Care Unit

Director of Quality & Outcomes, Children's National Heart Institute Children’s National Health System

Page 2: “The newborn state is not a disease”€¦ · HLHS . CoA . DORV . TOF . December 19, 2016 “Never take care of anything smaller than your lunch” Alan Fields, MD . Growth CICU’s

No disclosures

December 19, 2016

Page 3: “The newborn state is not a disease”€¦ · HLHS . CoA . DORV . TOF . December 19, 2016 “Never take care of anything smaller than your lunch” Alan Fields, MD . Growth CICU’s

Top 10 neonatology diagnoses

• NEC • PPHN • MAS • CDH • HIE • ROP • Sepsis • Sepsis • Sepsis • Sepsis

December 19, 2016

TOF/MAPCA

TAPVR

d-TGA PA/IVS

Shones complex

Tricuspid atresia

DCM Truncus

arteriosus VSD CAVC

HLHS

CoA

DORV

TOF

Page 4: “The newborn state is not a disease”€¦ · HLHS . CoA . DORV . TOF . December 19, 2016 “Never take care of anything smaller than your lunch” Alan Fields, MD . Growth CICU’s
Page 5: “The newborn state is not a disease”€¦ · HLHS . CoA . DORV . TOF . December 19, 2016 “Never take care of anything smaller than your lunch” Alan Fields, MD . Growth CICU’s

December 19, 2016

“Never take care of anything smaller than

your lunch”

Alan Fields, MD

Page 6: “The newborn state is not a disease”€¦ · HLHS . CoA . DORV . TOF . December 19, 2016 “Never take care of anything smaller than your lunch” Alan Fields, MD . Growth CICU’s
Page 7: “The newborn state is not a disease”€¦ · HLHS . CoA . DORV . TOF . December 19, 2016 “Never take care of anything smaller than your lunch” Alan Fields, MD . Growth CICU’s

Growth CICU’s

21 56

2001

2015

Page 8: “The newborn state is not a disease”€¦ · HLHS . CoA . DORV . TOF . December 19, 2016 “Never take care of anything smaller than your lunch” Alan Fields, MD . Growth CICU’s

December 19, 2016

WJPCHS, 2010

Page 9: “The newborn state is not a disease”€¦ · HLHS . CoA . DORV . TOF . December 19, 2016 “Never take care of anything smaller than your lunch” Alan Fields, MD . Growth CICU’s

Circ, 2010

Page 10: “The newborn state is not a disease”€¦ · HLHS . CoA . DORV . TOF . December 19, 2016 “Never take care of anything smaller than your lunch” Alan Fields, MD . Growth CICU’s

AJC, 2013

Page 11: “The newborn state is not a disease”€¦ · HLHS . CoA . DORV . TOF . December 19, 2016 “Never take care of anything smaller than your lunch” Alan Fields, MD . Growth CICU’s

So what should neonatologists do?

• Consults • Complex delivery service • Cardiac critical care is a team

sport

Page 12: “The newborn state is not a disease”€¦ · HLHS . CoA . DORV . TOF . December 19, 2016 “Never take care of anything smaller than your lunch” Alan Fields, MD . Growth CICU’s
Page 13: “The newborn state is not a disease”€¦ · HLHS . CoA . DORV . TOF . December 19, 2016 “Never take care of anything smaller than your lunch” Alan Fields, MD . Growth CICU’s