The University of Southampton
Courses

HLTH6169 Neonatal Haemodynamics

Module Overview

The module is designed to provide you with the neonatal haemodynamic theoretical basis you need for senior decision-making roles in neonatal clinical practice. The module will include clinical problem-based elements and will afford you the opportunity of considering different approaches and perspectives to the management of haemodynamic clinical problems by engagement and involvement in online case-based discussions.

Aims and Objectives

Module Aims

To provide you first, with an understanding of how the underpinning anatomy and physiology, some features of which are specific to the neonate, relate to the pathophysiology of haemodynamic conditions and, second, the knowledge and understanding required to select appropriate evidence based therapeutic interventions.

Learning Outcomes

Learning Outcomes

Having successfully completed this module you will be able to:

  • develop a critical understanding of fetal circulation, transitional changes at birth and the specific characteristics of the circulatory system at different post- conceptional ages
  • demonstrate your understanding of the detailed specialist knowledge and understanding of the anatomy and development physiology of the circulatory system
  • increase your detailed knowledge and understanding of therapeutic interventions which are available to manage the neonatal circulatory system and those neonates with circulatory compromise
  • critically apply your knowledge and understanding to complex clinical situations
  • demonstrate insight into the processes and considerations required for collaborative ethical complex
  • clinical decision-making with regard to neonatal haemodynamics

Syllabus

The following topic areas will be included: Fetal Circulation and Early Transition - Fetal Physiology of the Cardiovascular system - Transitional Changes at birth (Term and Preterm infants) - Regulation of Vascular Tone during Transition - Consequences of early umbilical cord clamping - The Role of Shunts in determining cardiac output - Myocardial Function and the preterm neonatal circulation Low Blood Flow States (Includes management of septic shock - Relationship between arterial blood pressure and systemic blood flow - Causes of low blood flow states in neonates - Clinical assessment of the adequacy of the cardiovascular system - Use of neonatal echocardiography to guide management of low blood flow states - Approach to a preterm infant with circulatory compromise Patent Ductus Arteriosus in the Preterm Infant - Physiology and Pathophysiology of the Ductus Arteriosus (DA) - Association between a patent ductus arteriosus (PDA) and morbidity/mortality. - Haemodynamic and Clinical Effects of a PDA - Diagnosis of a PDA (Clinical, Echocardiography and Biomarkers) - Management of the preterm PDA (conservative, medical prophylactic/early, surgical) Pulmonary Hypertension of the Newborn (PPHN) - Mediators of circulatory transition at birth - Pathophysiology of PPHN - Aetiology and classification of PPHN - Clinical and Echocardiography diagnosis of PPHN - Management of PPHN (Supportive, iNO, adjuvant medical therapy) - ECMO in PPHN - Management of PPHN in infants with HIE - Management of hypotension in PPHN - Management of pulmonary hypertension in preterm infants - Long-term outcome Approach to an infant with suspected congenital heart disease (CHD) - Clinical features and assessment of CHD in Neonates - Echocardiography and term preterm CHD - Approach to management (Term and Preterm) - Outcome of infants with CHD - Common neonatal arrhythmias - Neonatal cardiomyopathies Targeted Neonatal Echocardiography (TNE) - Role of TNE in neonatal intensive care - Indications of TNE - Basic echocardiography windows and views

Special Features

The module will take a broad-based learner centred approach to teaching and learning methods, intending to promote deeper learning whilst meeting a range of learning styles. The core theoretical material will be delivered as online text “lectures” within a “Virtual Learning Environment” (VLE) and you will be allocated to discussion groups (“Discussion Forums”) which will be tasked with reflecting on, and discussing within the VLE, clinical scenarios which relate to the theoretical material. The groups will each include about 10 participants and discussions will be directed and modulated by experienced tutors – two per group. While most of the discussions will be asynchronous – by leaving comments within the Discussion Forums - each group will also hold synchronous discussions, possibly once every two or three weeks, when they will “meet” together either online or using media such as Skype. Where appropriate, “Plenary Sessions” will be included, which will allow you to share in discussions on specific topics. A range of resource material, including links to relevant online sites, will be made available on the VLE.

Learning and Teaching

Teaching and learning methods

The module will take a broad-based learner centred approach to teaching and learning methods, intending to promote deeper learning whilst meeting a range of learning styles. The core theoretical material will be delivered as online text “lectures” within a “Virtual Learning Environment” (VLE) and you will be allocated to discussion groups (“Discussion Forums”) which will be tasked with reflecting on, and discussing within the VLE, clinical scenarios which relate to the theoretical material. The groups will each include about 10 participants and discussions will be directed and modulated by experienced tutors – two per group. While most of the discussions will be asynchronous – by leaving comments within the Discussion Forums - each group will also hold synchronous discussions, possibly once every two or three weeks, when they will “meet” together either online or using media such as Skype. Where appropriate, “Plenary Sessions” will be included, which will allow you to share in discussions on specific topics. A range of resource material, including links to relevant online sites, will be made available on the VLE.

TypeHours
Preparation for scheduled sessions80
Follow-up work20
Tutorial10
Completion of assessment task30
Revision20
Seminar20
Wider reading or practice50
Lecture20
Total study time250

Resources & Reading list

Neonatal Resuscitation. emedicine.

Hemodynamics and Cardiology: Neonatology Questions and Controversies (Second Edition).

Physiology podcasts.

Handbook of Pediatrics and Neonatology (Cardiology Chapter 32).

Common Hemodynamic Problems in the Neonate. Barrington KJ Neonatology, 103:335–340.

Rudolph’s Pediatrics (Neonatal Cardiology Chapter 56.

A comprehensive online library will be available which provides access to generic resources (e.g. basic sciences, physiology, pharmacology, genetics, evidence based medicine) and specific neonatology resources.. 

Online Neonatal Cardiology Textbook.

Neonatal echoskills.

Assessment

Assessment Strategy

Method of repeat year: Repeat the referred element of the assessment internally. The examination and the written assignment can be taken as a standard second attempt however as it is not possible to have a second attempt at the discussions this element of the assessment strategy will be substituted with an alternative method of assessment. For this second attempt you will be required to submit a written assignment (1,500 words), which will critically debate the international differences in the approach to the management of neonatal cardiac conditions in the neonate.

Summative

MethodPercentage contribution
Multiple choice question 60%
Qualitative evaluation 20%
Written assignment  (1500 words) 20%

Referral

MethodPercentage contribution
Multiple choice question %
Qualitative evaluation %
Written assignment %

Repeat Information

Repeat type: Internal

Share this module Facebook Google+ Twitter Weibo

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×