State of the art NICU practices are delivered to around 60 patients every day. High volume and acuity translate into routine exposure to interventions such as high frequency oscillatory ventilation, nitric oxide, cooling for hypoxic-ischemic encephalopathy (HIE). The catchment area is approximately 15,000 deliveries per year (excluding Western Quebec) and the CHEO neonatal transport team every year brings around 250 babies with various conditions such as sepsis, respiratory distress and complex congenital malformations.
The busy surgical/cardiac NICU at CHEO provides care to a wide range of pre- and post-operative surgical neonates: general thoracic and abdominal surgery, ENT, neurosurgery, cardiac catheterism and surgery. The division and CHEO subspecialties offer to residents research opportunities in multiple fields including bronchopulmonary dysplasia, metabolic and genetic disorders, perinatal ethics, HIE and stem cell therapy.
Neonatal Follow-up Clinic
The Neonatal Follow-up Clinic is run at CHEO and comprehensively follows all infants born at less than 1,250 grams and infants with other risk factors. Patients seen in the clinic have been admitted to one of the neonatal intensive care units in Ottawa or have been referred from another centre. Approximately 500 children are seen every year at the Neonatal Follow-up Clinic.
Infants are seen at CHEO at four, ten and eighteen months, and again at four years of age. They are screened for motor, cognitive, visual and hearing impairments with early referral to specialists if necessary.
The Ottawa Hospital - General Campus currently runs an antenatal consultation clinic every week where women carrying fetuses with special needs are seen before delivery. The clinic provides counselling, education and support to couples and formulates postnatal management plans that take into account the multi-disciplinary needs of the infants. Hospitalized high risk women are also counselled at the time of their admission and on a regular basis until delivery.
Clinical Problems and Diseases Evaluated and Followed
- Management of extremely pre-term infants born at the boundary of viability
- RDs and BPD: surfactant therapy, non-invasive ventilation, nitric oxide, high frequency oscillation and jet ventilation
- Complex malformations, genetic disorders, inherited metabolic disorders
- Congenital heart disease, congenital diaphragmatic hernia, complex ENT malformation
- Severe brain malformation, neonatal seizures, hypoxic ischemic encephalopathy
- Sepsis, jaundice, electrolytes disorders, disorders of the endocrine and immune system, neonatal abstinence syndrome