Part I. Newborn Diseases and Care.- 1. Why special concern and care in Newborn, Premature and Neonate?.- 2. Maternal Health and disease and impact on Fetal, Newborn and neonatal well being.- 3. Common Medical diseases including allergies.
- 4. Newborn and Neonatal screening.- 5.Common Surgical diseases.- 6. Opthalmological surgical conditions.- 7. Blood/ Blood Product Transfusion - Guidelines, indications, common Hematological disturbances (Neutropenia, Anemia, Thrombocytopenia, Thalassemia, Sickle cell anemia).
- 8. Resuscitation in newborn and neonates.- 9. Neonatal Rehabilitation and Motor Performance as tool to Neonatal outcome.- Part II. Developmental PhysioAnatomy and Anesthesia.- 10. Anatomical & Physiological considerations in the NB - fetal circulation and adaptation at birth, birth weight and gestational age, airway anatomy, cardiopulmonary and other organ functions and parameters, thermoregulation, anesthesia risk and morbidity and mortality.
- 11. Prematurity -anesthetic considerations.- 12. Pharmacological Principles in NB/ NN - Pharmacokinetics / Pharmacodynamics - Anesthetic Drugs, Narcotics, IV & Inhalational agents, relaxants, drugs, vasomimetics and Anticholinergics.- 13. Brain development and Effects of Anesthesia and drugs on developing brain.- 14. Respiratory system development & physiology, normal parameters, Lung volumes and capacities, gas exchange, hypoxia Hyperoxia, Hypercarbia Hypocarbia, importance of FiO2.
- 15. The Airway- Assessment, Airway Equipment, Airway management (ETI, RSI, FOI), alternative Airway (LMA, Tracheostomy), Difficult airway (Choanal atresia, laryngeal web/ stenosis, Laryngomalacia).- 16. Ventilation and Ventilatory modes for Newborn and Neonates.- 17. Thermoregulation in newborn, neonate and premature, and perioperative temperature control - hypothermia, hyperthermia and adverse effects.- 18. Intraoperative Fluids and Blood Transfusion management.
-19. Achieving Vascular access - Arterial, venous - one time / continous, and management.- 20. Pain pathways, development, nociception, analgesics, periop pain management.- 21. Regional Anesthesia - Neuraxial blocks, Nerve blocks.- 22. Perioperative Fasting and NPO.
Recovery after anesthesia and surgery.- 23. Choice of Anesthesia Technique, Preop Workup, Preparation, Anesthetic management.- 24.Monitoring - Non-invasive / Invasive.- Part III- System / Case Based Anesthesia.- 25. Diseases of the GI system - Pyloric stenosis, NEC, GI atresia, Intestinal obstruction, Hirschprungs ds, Colostomy and Colostomy closure.
- 26. TEF.- 27. CDH.- 28. Congenital defects of abdominal wall - Exomphalos, Omphalocele, Gastroschisis.- 29. Thoracic surgery - General, Lung Cyst / Abscess, Thoracotomy /Thoracoscopy, Lobectomy / Pneumonectomy.
-30. Anesthesia for Laparoscopic Surgery.-31. Anesthesia for PDA ligation.- 32. Neural tube development and defects- anesthesia for MMC, Encephalocoel, congenital hydrocephalus, shunt (VP/ VA).- 33. Anesthesia for Kidney / bladder related procedures - General, Ectopia Vesicae, bladder Exostrophy, Wilm''s tumor, Nephrectomy, Congenital Hydronephrosis, Obstructive Uropathy.
- 34. Anaesthesia for Ophthalmic Procedures in NN NB & Premature - syringing Probing, EUA, Cryosurgery, Laser surgery, Vitreal Injections.- 35. Anesthesia for Esophagoscopy, Bronchoscopy, Chest Tube Placement.- 36. Anesthesia for Hydrocele / Orchidopexy, Hypospadia / Epispadia, Inguinal/Umbilical Hernia, Cystoscopy, PUV Fulgration.-37. Anesthesia for Orthopedic procedures - Close / Open reduction, Hip/ Shoulder Dislocation, CTEV.
- Part 3 - Special / Advances in care in Newborn, Neonate and Premature and anesthesia implications.- 38. Hemoglobin, Hemoglobinopathies (Thallasemia, Sickle cell disease) O2 Carrying Capacity, ODC, Hypoxia, Hyperoxia - Risks, safety measures and Anesthetic considerations and management.- 39. Perioperative management of hemodynamicaly unstable Neonate- Technical and Practical considerations, Invasive Monitoring, advanced Hemodynamic tools as guide to fluid management in a Surgical Neonate.- 40. Neuro Muscular dystrophy / Myopathy / Malignant Hyperpyrexia and anesthesia.-41.
Anesthetic considerations in NB and NN with CHD (Cyanotic / Acyanotic) for non cardiac surgery - ASD, VSD, TAPVD, PDA, TOF, Persistent LSVC, cardiac failure, role of non invasive biventricular assist.-42. Use of Ultrasound in Newborn and Neonate - Airway assessment and management, ET Placement / Vascular (venous, arterial) access , Nerve Access.-43. Anesthesia / Sedation for procedures outside the OT - CT Scan, MRI, ECHO, Angiography, Ultrasound.-44. Birth Injuries and Neonatal Care Injuries.- 45.
Intraoperative and postoperative complications.- 46. Oncological issues in Neonatal care.- 47. Palliative Care issues in Neonatal care.- 48. Ethical principles in Newborn and Neonate - in Research and Clinical care - consent, risk, DNAR, Medicolegal implications, IV/Art line placements, blood and tissue collection and storage, screening, monitoring, SpO2 necrosis, procedural related, pain management, stress response abolition, cancelation in the OT, long fasting.-49.
Corona and Anesthesia Concerns.- 50. EXIT Procedure.- Part 4 - Uncommon and Rare Surgeries - Anesthetic Considerations.- 51. Cervical Terratoma.-52. Sacrococcygeal Terratoma.
-53. Syndromic baby and anesthesia.- 54. Biliary Atresia, NN Cholestasis, Hyperbilirubinemia, Anesthetic Implications, role of ZnSO4.- 55. Congenital Neonatal Broncho Biliary Fistula.- 56. Craniofacial abnormalities - Craniosynostosis.
- 57. Cystic Hygroma.- 58. Insulinomas / Nesidioblastoma.- 59. Congenital NN Pneumothorax.- 60. Anesthetic considerations in NN with CHD (Cyanotic / Acyanotic) for non cardiac surgery - ASD, VSD, TAPVD, PDA, TOF, Persistent LSVC, cardiac failure.