Agenda: Equine Neonatology: Advanced Approaches for the Critically Ill Foal

Friday, February 1, 2019
7:30 AM - 8:00 AM																Registration
8:00 AM - 8:50 AM																‘The First Breath’, Cardiorespiratory Transition to Neonatal Life Understand key points in fetal development of the cardiorespiratory system. Understand the changes that occur at birth in the cardiorespiratory system. Recognize signs of inadequate transition. Ryan Fries - University of Illinois, Urbana-Champaign Cristobal Navas de Solis - Texas A&M University College of Veterinary Medicine
9:00 AM - 9:50 AM																Yo! Kidneys Do Your Job! Understand key points in fetal development of the urinary system. Understand the renal transition from fetus to neonate and how that impacts measurements of renal function in first days of life. Learn key measures to determine if renal function is normal in the foal. Jonathan Palmer - University of Pennsylvania
9:50 AM - 10:00 AM																Break
10:00 AM - 10:50 AM																Stressed Out: Endocrine Transition to Neonatal Life Understand timing and key aspects of endocrine axis maturation in the perinatal foal. Understand differences in endocrine function between foals and adults. Recognize signs of endocrine dysfunction in the newborn foal. Kelsey Hart - University of Georgia College of Veterinary Medicine
11:00 AM - 11:50 AM																Spotting Syndromes: Congenital Anomalies I Have Known and Loved Describe the congenital anomalies and syndromes described in the equine literature. Select the appropriate diagnostic testing to confirm the diagnosis. Compare equine congenital anomalies with those seen in human and small animal neonates to raise awareness of conditions not yet described in equine medicine. Rose Nolen-Walston - University of Pennsylvania
11:50 AM - 12:45 PM																Lunch
12:45 PM - 1:35 PM																The Neonatal Immune System: Armed but Untrained Understand key aspects of the immune system and immune system development. Understand important limitations in the foal’s immune response during the neonatal period. Understand key immune-endocrine interactions that play a role in the foal’s susceptibility to SIRS, sepsis and septic shock. Kelsey Hart - University of Georgia College of Veterinary Medicine
1:45 PM - 2:35 PM																Out of Control, Bugs and Babies Learn the current concepts defining the systemic inflammatory response system (SIRS). Understand how the descriptions of sepsis and severe sepsis have evolved and how they can be applied to the critically ill foal. Understand that endotoxemia is not SIRS or sepsis. Pamela Wilkins - University of Illinois, Urbana-Champaign
2:35 PM - 2:45 PM																Break
2:45 PM - 3:35 PM																Vive la Resistance! Antimicrobial Stewardship Decisions in Equine Neonatal Medicine Understand the current state of antimicrobial resistance in equine patients and human neonatal medicine. Apply current clinical guidelines for anti-microbial use to maximize efficacy and minimize development of resistance. Develop an antimicrobial stewardship program for inpatient and outpatient patients. Rose Nolen-Walston - University of Pennsylvania
3:35 PM - 4:45 PM																Case Discussion: Managing the Difficult Pregnancy Ryan Fries - University of Illinois, Urbana-Champaign Kelsey Hart - University of Georgia College of Veterinary Medicine Cristobal Navas de Solis - Texas A&M University College of Veterinary Medicine Rose Nolen-Walston - University of Pennsylvania Jonathan Palmer - University of Pennsylvania Pamela Wilkins - University of Illinois, Urbana-Champaign
4:45 PM - 6:00 PM																Reception
Saturday, February 2, 2019
8:00 AM - 8:50 AM																The Dummy Foal: Neonatal Neuroendocrine Dysregulation? Learn the key aspects of neuroendocrine development in the perinatal foal. Understand current and emerging theories in the development of equine neonatal encephalopathy. Understand how these emerging theories impact management of neonatal encephalopathy in foals. Kelsey Hart - University of Georgia College of Veterinary Medicine
9:00 AM - 9:50 AM																Neonatal Neuroprotection: What is the Evidence? Understand that neurologic abnormalities may be caused in multiple ways in the neonatal foal. Understand how lipid peroxidation may affect the brain and CNS. Understand how various neuroprotectants work and under what circumstances. Understand and be able to apply common sense seizure control in the foal. Pamela Wilkins - University of Illinois, Urbana-Champaign
9:50 AM - 10:00 AM																Break
10:00 AM - 10:50 AM																Shocking, Very Shocking! Understand the different classifications of shock. Understand the pathophysiology of shock. Understand and be able to design a diagnostic and treatment plan for patients with symptoms of shock. Ryan Fries - University of Illinois, Urbana-Champaign
11:00 AM - 11:50 AM																Secondary Energy Failure in the Neonate: Deep Thoughts Understand the redox state when hemostasis is normal. Understand how oxidative stress and SIRS lead to progressive energy failure. Understand how antioxidant failure and mitochondrial failure lead to organ dysfunction and death in sepsis and severe sepsis. Pamela Wilkins - University of Illinois, Urbana-Champaign
11:50 AM - 12:45 PM																Lunch
12:45 PM - 1:35 PM																Energy In, Energy Out: Nutritional Management of the Compromised Foal Understand nutritional requirements of the neonate. Understand the decision-making process to provide enteral and/or parenteral nutrition. Be able to design a plan of parenteral nutrition for a neonate. Jonathan Palmer - University of Pennsylvania
1:45 PM - 2:35 PM																GI Disturbances in the Foal: Managing Electrolytes and Fluid Balance for Fun and Profit (Part I) Understand the pathophysiology of GI disease in the equine neonates and how it affects acid base, volume and electrolyte status. Compare and apply the Stewart approach to acid base balance with alternate philosophies. Correct electrolyte abnormalities using the Androgue-Madias. Design custom fluids to optimize electrolyte and acid base balance Rose Nolen-Walston - University of Pennsylvania
2:35 PM - 2:45 PM																Break
2:45 PM - 3:35 PM																Azotemia in the Foal: Managing Electrolytes and Fluid Balance for Fun and Profit, Part II Understand the pathophysiology of renal disease in the equine neonate and how it affects acid base, volume and electrolyte status. Compare various methods for assessing volume status and response to fluid therapy. Understand the implications for and methods of providing renal replacement therapy, and its applicability to equine neonates. Rose Nolen-Walston - University of Pennsylvania
3:35 PM - 4:45 PM																The Hypoxemic Foal: Is it Really Just Oxygen? Learn the changing normal range of oxygen parameters in the equine neonate. Understand that hypoxemia and hypoxia are not equivalent. Learn the various ways that oxygen therapy can be administered and monitored. Pamela Wilkins - University of Illinois, Urbana-Champaign
4:45 PM - 5:35 PM																What the Heck? Cool Cases We Have Known Ryan Fries - University of Illinois, Urbana-Champaign Kelsey Hart - University of Georgia College of Veterinary Medicine Cristobal Navas de Solis - Texas A&M University College of Veterinary Medicine Rose Nolen-Walston - University of Pennsylvania Jonathan Palmer - University of Pennsylvania Pamela Wilkins - University of Illinois, Urbana-Champaign
Sunday, February 3, 2019
8:00 AM - 8:50 AM																ARDS, PIMS, PAMS and PAMPS Learn the moving normal ranges for defining ARDS in foals. Understand the underlying pathophysiology of ARDS. Understand the basic treatments for ARDS. Pamela Wilkins - University of Illinois, Urbana-Champaign
9:00 AM - 9:50 AM																The Heart of the Matter: Cardiac Problems of the Foal Be able to differentiate normal and pathologic cardiac auscultations. Understand factors that affect prognosis in foals with congenital heart disease. Be able to interpret diagnostic aids useful to neonatal cardiac evaluation. Ryan Fries - University of Illinois, Urbana-Champaign Cristobal Navas de Solis - Texas A&M University College of Veterinary Medicine
9:50 AM - 10:00 AM																Break
10:00 AM - 10:50 AM																Should It Stay or Should It Go? Umbilical Problems in the Foal Be able to recognize sonographic abnormalities of the umbilicus. Know therapeutic options for umbilical problems. Understand controversies in surgical and medical management of omphalitis. Cristobal Navas de Solis - Texas A&M University College of Veterinary Medicine
10:50 AM - 11:40 AM																My Best Save! Ryan Fries - University of Illinois, Urbana-Champaign Kelsey Hart - University of Georgia College of Veterinary Medicine Cristobal Navas de Solis - Texas A&M University College of Veterinary Medicine Rose Nolen-Walston - University of Pennsylvania Jonathan Palmer - University of Pennsylvania Pamela Wilkins - University of Illinois, Urbana-Champaign

Course Agenda

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