S1 Strategies for improving breastfeeding in fragile newborns admitted in NICU: a yearlong experience
Marco Alessandrini, Paola Coscia , Silvia Cioffi, Lisa Carzaniga, Sabina Paganini, Romina Paganin, Sara Perelli, Roberta Restelli, Laura Ilardi
Neonatology and Neonatal Intensive Care Unit - ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy
Correspondence: Marco Alessandrini (marco.alessandrini@ospedaleniguarda.it)
A1 Osteopath and newborn: our experience
Andrea Arcusio1, Maria Cristina Villa², Filippo G. Porcelli²
¹Dept. Of Rehabilitative Medicine - San Giuseppe Hospital – Multimedica – Milano (Italy); ²Dept. Of Neonatology - San Giuseppe Hospital – Multimedica – Milano (Italy)
Correspondence: Andrea Arcusio (andrea.arcusio@gmail.com)
RISK FACTORS | DESCRIPTION | NUMBER OF TREATED NEONATES |
---|---|---|
Twins | 6 | |
Prematurity | G.A. < 37 weeks | 17 |
Perinatal asphyxia/depression | APGAR Score < 7 – funicolar pH < 7.1 – emergency cesarean delivery | 28 |
SGA – LGA neonates | Weight < 3° c.le or > 90° c.le | 47 |
Dystocia | Vacuum extraction, precipitous delivery, protracted labor, abnormal presentation, funicular tours | 137 |
Abnormalities at Clinical examination (ACE) | Skeletal-axial and/or appendicular postural alterations | 74 |
SYMPTOMS | % OF CASES | DUE MAINLY TO | NUMBER OF TREATMENTS (AVERAGE) |
---|---|---|---|
Cranio- facial asymmetry and related functional alterations | 57 | • Dystocia • SGA – LGA • ACE | 5 5 4 |
Changes in the postural configuration of the pelvis and/or lower limbs | 36 | • Dystocia • SGA – LGA • ACE | 4 2 3 |
Gastro-colic functional alteration | 31 | • Dystocia • SGA – LGA • ACE | 5 4 4 |
Alterations of Column, Upper Limbs and/or Lower Limbs Tone | 15 | • Dystocia • Perinatal asphyxia/depression | 3 2 |
A2 Unexpected respiratory distress in the delivery room: a case of tracheal atresia
Elvira Bonanno, Antonietta Distilo, Gabriella Nigro, Francesco Morrone, Mara Salvia, Gianfranco Scarpelli
Department of Neonatology, Annunziata Hospital, Cosenza, Italy
Correspondence: Elvira Bonanno (elvirabonanno@libero.it)
A3 An atypical neonatal respiratory distress
Francesca Cortinovis1, Manuela Condò2, Carla Maccioni2, Emilia Massironi1, Francesco Morandi1
1 ASST Lecco, UOC Pediatria- Neonatologia, Ospedale “L. Mandic” Merate (Lc), Italy; 2ASST Lecco, Terapia Intensiva Neonatale e Pediatria, Ospedale “A. Manzoni”, Lecco, Italy
Correspondence: Francesca Cortinovis (f.cortinovis@asst-lecco.it)
A4 An unusual case of butalbital-induced neonatal withdrawl syndrome combined with caffeine-induced intra-uterine growth restriction: a clinical and relational challenge for neonatologist
Maria Elena Capra1, Nicoletta De Paulis1, Giulia Vezzoni3, Marco Cirronis2, Giacomo Biasucci1
1UOC Pediatrics and Neonatology, G da Saliceto City Hospital, Piacenza, Italy; 2Pavia Poison Control Center- National Toxicology Information Center – Maugeri Clinical and Scientific Institute IRCCS and University of Pavia, Pavia, Italy; 3 Fellowship Programme of emergency Medicine, University of Pavia,Pavia, Italy
Correspondence: Nicoletta De Paulis (depaulisnicoletta@yahoo.it)
A5 Respiratory syncytial virus bronchiolitis and supraventricular tachycardia in neonatal period of life
Daniela Doni, Luisa Impagnatiello, Silvia Barzaghi, Maria Luisa Ventura
Neonatal Intensive Care Unit, MBBM Foundation, San Gerardo Hospital, Monza, Italy
Correspondence: Daniela Doni (danieladoni@libero.it)
A6 Umbilical venous catheter and ectopic atrial tachycardia: a case report
Elisa Dusi, Maddalena Gibelli, Maria Lorena Ruzza, Sabrina Argirò, Stefano Rizzi, Alberto Podestà
ASST Santi Paolo e Carlo, Ospedale San Carlo Borromeo, Milan, Italy
Correspondence: Elisa Dusi (elisa.dusi@asst-santipaolocarlo.it)
A7 An extreme case of hypertrophic cardiomyopathy in in a child of poorly controlled insulin dependent gestational diabetes
Chiara Gertosio1, Mariasole Magistrali1, Lucia Schena1, Rosario Ippolito1, Enrico Tondina1, Claudia A Codazzi2, Rosa M Cerbo3
1Neonatal Intensive Care Unit, Fondazione IRCCS Policlinico San Matteo, University of Pavia, Italy; 2 Pediatric Cardiology, Department of Pediatric, IRCCS San Matteo Hospital Foundation, Pavia, Italy; 3 Neonatal Intensive Care Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Correspondence: Enrico Tondina (e.tondina@gmail.com)
A8 Polyhydramnios sometimes means oesophageal atresia
Elena Grechi, Maria Francesca Brambillasca, Alice Rocca, Stefania Vincenti, Angela Azzinari, Ilaria Frugnoli, Maria Siano, Cinzia Pittoni, Giovanni Traina
Division of Neonatology Department of Paediatrics, S.M delle Stelle Hospital, Melzo, Milan, 20060, Italy
Correspondence: Elena Grechi (grechi.elena@gmail.com)
A9 Religion: Breaking reason or opportunity to improve?
Giovanna Leone, Carmela Serlenga, Roberta Maffioli, Cristina Bellan
1Neonatal Intensive Care Unit, TIN ASST-Bergamo EST, Ospedale Bolognini Seriate, Italy
Correspondence: Giovanna Leone (giannaleone@yahoo.it)
A10 Double Aortic Arch in a newborn: a case report
Gianluca Lista1, Savina Mannarino2, Silvia Bianchi1, Luisa Federica Nespoli2, Giuseppina Mancini1
1Department of NICU, Ospedale V. Buzzi, Milano, Italy; 2Department of Pediatric Cardiology, Ospedale V. Buzzi, Milano, Italy
Correspondence: Gianluca Lista (gianluca.lista@asst-fbf-sacco.it)
A11 Neonatal alloimune neutropenia: an unexpected finding in healthy term infants
Chiara Giovanettoni, Valeria Manfredini, Anna Pirelli, Salvatore Barberi
Neonatal intensive Care Unit, Azienda Ospedaliera “ASST Rhodense”, P.O. Rho, Italy.
Correspondence: Chiara Giovanettoni (giovanettoni.chiara@gmail.com)
A12 Lethal hypertrophic cardiomyopathy in a neonate with Noonan syndrome
Alessandra Mayer1,2, Marco Colombo2, Gaia Francescato1, Federico Schena1, Benedetta Beltrami3, Maria F Bedeschi3, Lucia Mauri4, Anna M Colli4, Marco Papa4, Beatrice L Crippa1,2, Ilaria Amodeo1,2, Fabio Mosca1,2
1 Foundation IRCCS Ca’ Granda Ospedale Maggiore Policlinico, NICU, Milan, Italy; 2 University of Milan, Department of Clinical Sciences and Community Health, Milan, Italy; 3 Foundation IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Medical Genetic Unit, Milan, Italy; 4 Foundation IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Cardiology Unit, Milan, Italy
Correspondence: Alessandra Mayer (alessandra.mayer@unimi.it)
A13 A blueberry muffin baby: don’t forget the bone marrow
Grazia Morandi, Paola Sindico, Elisa Agazzani, Simona Boccacci, Gabriella Calzetti, Silvia Orlandini, Valeria Angela Fasolato
Neonatal Intensive Care Unit, “C. Poma” Hospital, ASST of Mantova, Mantova, Italy.
Correspondence: Grazia Morandi (grazia.morandi@asst-mantova.it)
A14 Aplasia cutis congenita or congenital Volkmann syndrome: the clue is in the bone
Grazia Morandi, Paola Sindico, Elisa Agazzani, Simona Boccacci, Silvia Orlandini, Francesca Paola Fusco, Ilaria Lombardo, Giulia Vellani, Valeria Angela Fasolato
Neonatal Intensive Care Unit, “C. Poma” Hospital, ASST of Mantova, Mantova, Italy.
Correspondence: Grazia Morandi (grazia.morandi@asst-mantova.it)
O1 Nurse care for the neonatal thermoregulation in NICU
Raffaella Lucchini, Marilena Ferraresi, Azzurra Saggiorato, Grazia Morandi, Paola Sindico, Simona Boccacci, Silvia Orlandini, Valeria Angela Fasolato
Neonatal Intensive Care Unit, “C. Poma” Hospital, ASST of Mantova, Mantova, Italy.
Correspondence: Raffaella Lucchini (raffaella.lucchini@asst-mantova.it)
A15 Skin-to-skin: tools to make it feasible and safe
Raffaella Lucchini, Martina Perdomini, Marilena Ferraresi, Azzurra Saggiorato, Grazia Morandi, Paola Sindico, Elisa Agazzani, Valeria Angela Fasolato
Neonatal Intensive Care Unit, “C. Poma” Hospital, ASST of Mantova, Mantova, Italy
Correspondence: Raffaella Lucchini (raffaella.lucchini@asst-mantova.it)
O2 Case report: : newborn with congenital melanocytic nevi
Federica Nociforo, Gianna Leone, Monica Airoldi, Cristina Bellan
NICU and Neonatology, ASST-Bergamo Est, Seriate (BG), Italy
Correspondence: Federica NociforoFederica Nociforo (federica.nociforo@asst-bergamoest.it)
O3 Spurious elevation of AST in a newborn due to a macroAST of maternal origin
Laura Pogliani1, Erica Rampoldi2, Pierangelo Clerici2, Benedetta Boldrighini1, Daniele Spiri1, Alberto Dolci3, Mauro Panteghini3
1UO Pediatria, ASST Ovest Milanese, Legnano (MI) (Italy); 2UO Laboratorio Analisi, ASST Ovest Milanese, Legnano (MI) ) (Italy); 3Dipartimento di Scienze Biomediche e Cliniche “Luigi Sacco”, Università degli Studi di Milano ) (Italy)
Correspondence: Laura Pogliani (lauramaria.pogliani@asst-ovestmi.it)
Native sample | Sample after precipitation by PEG | % residual | |
---|---|---|---|
Mother
| 762 | 36 |
5%
|
Daughter
| 940 | 62 |
7%
|
Mother
| 908 | 8 |
1%
|
Daughter
| 384 | 72 |
19%
|
A16 Non primary Citomegalovirus infection in pregnancy: an underestimated problem
Antonia Ruscitto1, Patrizia Macellaro1, Francesca Macchi1, Massimo De Paschale2, Claudia Pavia2, Maria Teresa Manco2, Pierangelo Clerici 2, Laura Pogliani1
1 Department of Pediatrics, ASST Ovest Milanese, Legnano (Mi) ) (Italy); 2 Microbiology Unit, ASST Ovest Milanese, Legnano (Mi) ) (Italy)
Correspondence: Antonia Ruscitto (antonia.ruscitto@asst-ovestmi.it)
Case 1 mother | |||||
Test | Gestational Age | ||||
3+2 weeks | 9+4 weeks | 17 weeks | 30+5 weeks | post-partum | |
IgG |
POS
(53 U/mL)
|
POS
(60 U/mL)
|
POS
(63 U/mL)
|
POS
(69 U/mL)
|
POS
(73 U/mL)
|
Ig M | NEG (<5 .0 U/mL) | NEG (<5.0 U/ml) | NEG (<5.0 U/mL) | NEG (<5.0 U/mL) | NEG (5.68 U/mL) |
IgG avidity | High (0.809) | ||||
CMV-DNA serum | Undetectable | Undetectable | Undetectable | <593 cp/mL* | |
CMV-DNA blood | Undetectable | ||||
CMV-DNA urine | Undetectable | ||||
Human milk | 3776 cp/mL | ||||
Case 1 newborn | |||||
Test | Age (days) | ||||
3 | 5 | 7 | |||
IgG | POS (49.5 U/mL) | ||||
IgM | POS (68 U/mL) | ||||
1° saliva sample | 4175374 cp/mL | ||||
2° saliva sample | 485949 cp/mL | ||||
Urine | 1572000 cp/mL | ||||
Blood | 3021 cp/mL |
Case 2 mother | ||||
Test | Gestational age | |||
11+3 week | 35+5 week | 38+4 week | post partum | |
IgG | POS (159 U/mL) | POS (164 U/mL) | POS (162 U/mL) | POS (135 U/mL) |
IgM | NEG (<5.0 U/mL) | NEG (<5.0 U/ml) | NEG (<5.0 U/mL) | NEG (<5.0 U/mL) |
IgG avidity | High (0.774) | |||
CMV-DNA serum | Undetectable | Undetectable | ||
CMV-DNA blood | Undetectable | |||
CMV-DNA urine | Undetectable | |||
Case 2 newborn | ||||
Test | Age (days) | |||
3 | 6 | |||
IgG | POS (133 U/mL) | |||
IgM | NEG (<5.0 U/mL) | |||
1° saliva sample | 3769743 cp/mL | |||
2° saliva sample | 6535042 cp/mL | |||
Urine | 1144157 cp/mL | |||
Blood | 32484 cp/mL |
A17 Umbelical venous catheter (UVC) and pericardial tamponed in premature baby: a case report
Federica Pontiggia, Roberto Bottino, Carmela Serlenga, Cristina Bellan
NICU and Neonatology, ASST-Bergamo Est, Seriate, Italy
Correspondence: Federica Pontiggia (federica.pontiggia@gmail.com)
A18 Post-traumatic subdural hygroma in newborns: a case report
Alice Proto, Barbara Caruselli, Marco Fossati, Raffaele Masotina, Roberta Restelli, Stefano Martinelli
Division of Neonatology and Neonatal Intensive Care Unit – ASST Grande Ospedale Metropolitano Niguarda Ca' Granda, Milan, Italy
Correspondence: Alice Proto (alice.proto@ospedaleniguarda.it)
O4 Neonatal heart failure: viral myocarditis or Kawasaki disease?
Alice Proto, Francesca De Rienzo, Gaia BM Chiesa, Italo Gatelli, Stefano Martinelli
Division of Neonatology and Neonatal Intensive Care Unit – ASST Grande Ospedale Metropolitano Niguarda Ca' Granda, Milan, Italy.
Correspondence: Alice Proto (alice.proto@ospedaleniguarda.it)
A19 Neonatal asphyxia and maternal carbon monoxide poisoning: which connection?
Alice Proto, Alberto VR Brunelli, Marina Casartelli, Sofia Passera, Stefano Martinelli
Division of Neonatology and Neonatal Intensive Care Unit – ASST Grande Ospedale Metropolitano Niguarda Ca' Granda, Milan, Italy.
Correspondence: Alice Proto (alice.proto@ospedaleniguarda.it)
O5 Securing epicutaneo-caval catheters (ECC) in term and preterm neonates: a change of practice
MariaGrazia Romitti MG, Carmen Rodriguez Perez, Elena Pezzotti
Neonatal Intensive Care Unit (NICU), Spedali Civili, Brescia, Italy
Correspondence: MariaGrazia Romitti MG (mg.romitti@alice.it)
A20 Floppy infant: one diagnosis is not enough
Giulia Russo, Maddalena Bove, Carmen Bucolo, Patrizia Corsin, Gisella Garbetta, Laura Lorioli, Giulia Tronconi, Rosanna Rovelli, Antonella Poloniato, Graziano Barera
U.O. di Neonatologia e Patologia neonatale - IRCCS Osp. San Raffaele, Università Vita-Salute San Raffaele, Milano, Italy
Correspondence: Giulia Russo (russo.giulia@hsr.it)
A21 Never underestimate an isolated hypocalcemia
Giulia Russo, Valentina Biffi, Gilda Cassano, Dario Gallo, Laura Lorioli, Benedetta Mariani, Gaia Vincenzi, Antonella Poloniato, Rosanna Rovelli, Graziano Barera
U.O. di Neonatologia e Patologia neonatale- IRCCS Osp. San Raffaele, Università Vita-Salute San Raffaele, Milano, Italy
Correspondence: Giulia Russo (russo.giulia@hsr.it)
A22 Stroke neonatal in susptected neonatal rendu Osler Syndrome: description of a clinical case
Elena Sala, Anna Tulone, Isabella Formica, Stefania Ferrari, Giovanna Mangili
Neonatal Intensive Care Unit, ASST PG XXIII, Bergamo (Italy)
Correspondence: Elena Sala (elena-sala@libero.it)
A23 “DIAGNOSTIC ODISSEY IN NEONATAL EPILEPSY”: WHEN THE EXOME?
Felicia Varsalone1, Renzo Guerrini2, Roberta Maffioli1, Maurizio Felice1, Cristina Bellan1
1U.O. Neonatologia – T.I.N . ASST Bergamo-est “Bolognini” Seriate (Bg) ) (Italy); 2U.O. Azienda Ospedaliero-Universitaria “A.Meyer” Clinica di Neurologia Pediatrica- Università degli Studi di Firenze ) (Italy)
Corresponding author: Felicia Varsalone (felicia.varsalone@asst-bergamoest.it)
A24 The importance of recognizing Dumping Syndrome after Nissen fundoplication in children
Laura Pagani1, Aurelia Castiglione1, Luciana Leva1, Elisabetta Villa1, Claudia Maria Pagliotta1, Paolo Bini1, Mario Barbarini1
1Neonatal Intensive Care Unit, ASST Lariana, San Fermo della battaglia, Como, Italy
Correspondence: Laura Pagani (laura.pagani@asst-lariana.it)
A25 A rare case of Usher syndrome
Laura Pagani, Roberta Barachetti, Gaia Natalé, Gabriele Rulfi, Anna Pagliaro, Aurelia Castiglione, Elisabetta Villa, Mario Barbarini
Neonatal Intensive Care Unit, ASST Lariana, San Fermo della battaglia, Como, Italy
Correspondence: Laura Pagani (laura.pagani@asst-lariana.it)
A26 Segmental overgrowth syndromes: clinical criteria to guide diagnosis in a male newborn
Raffaella De Santis1, Laura Gianolio1, Francesco Cavigioli1, Irene Daniele1, Petrina Bastrenta1, Enrica Lupo1, Francesca Castoldi1, Silvia Bianchi1, Andrea Righini2, Enrico Alfei3, Luigina Spaccini4, Gian Vincenzo Zuccotti1 and Gianluca Lista1
1Department of Pediatrics-NICU Ospedale dei Bambini “V. Buzzi”, ASST-FBF-Sacco, Milan, Italy; 2Department of Radiology Ospedale dei Bambini “V. Buzzi”, ASST-FBF-Sacco, Milan, Italy; 3Department of Neurology Ospedale dei Bambini “V. Buzzi”, ASST-FBF-Sacco, Milan, Italy; 4Department of Genetics Ospedale dei Bambini “V. Buzzi”, ASST-FBF-Sacco, Milan, Italy
Correspondence: Raffaella De Santis (raffaella.desantis@unimi.it)
Core Features | Supportive Features | Secondary Features |
---|---|---|
(1) Early overgrowth (brain > somatic tissue) progressive megalencephaly
| Selective brain overgrowth (e.g. ventriculomegaly); Congenital somatic overgrowth Somatic or cranial asymmetry | Hypotonia Frontal blossing or dolichocephaly Seizures Developmental delay |
(2) Developmental vascular disorders capillary malformations (midline face or body widespread)
| Infantile hemangiomas, venous aneurysms, aberrant vasculature | |
(3) Distal limb anomalies (syndactily)
| Polydactyly, Sandal-gap toes | |
(4) Cortical brain malformations (polymicrogyria)
| Seizures Developmental delay | |
(5) Connective tissue dysplasia
| Hypotonia |