Update - Spring 2012

New Pediatric Cath Lab Offers Hybrid Procedures, Enhanced Safety

The new hybrid Cardiac Catheterization Laboratory at Cleveland Clinic Children’s Hospital is located next to the Special Delivery Unit to facilitate immediate treatment for newborns with complex congenital heart defects or fetal arrhythmias.

Advanced 3-D imaging capabilities provide multiple views from a single contrast injection, dramatically reducing radiation exposure and increasing the accuracy of diagnosis.

Benefits of a hybrid lab

Hybrid cath labs, currently available in few children’s hospitals, are the wave of the future. Catheter-based procedures can be performed concurrently with closed or open heart surgery. This spares children from additional anesthesia for a second surgery or avoids the additional risks of cardiopulmonary bypass.

For complex anomalies, the cardiopulmonary bypass unit can be wheeled into the lab for concurrent open heart surgery and catheter intervention.

Not just for infants

Older children and adults can also be treated in the lab. Cleveland Clinic is a national referral center for adults with pulmonary vein stenosis because of the experience of Lab Director Lourdes Prieto, MD, pictured above. Interventional procedures for adults with congenital heart disease can also be performed in the lab.

The cath lab also has video conferencing capabilities to facilitate educational forums.

To refer patients to our Center for Pediatric and Congenital Heart Diseases, call 216.445.5015 or 800.223.2273, ext. 55015.

Cleveland Clinic Opens Special Delivery Unit

Cleveland Clinic Children’s Hospital has opened a Special Delivery Unit (SDU) on its main campus when pregnancies are complicated by serious maternal or fetal conditions.

Both the SDU and the new Pediatric Catheterization Laboratory are key components of Cleveland Clinic’s Fetal Care Center. This center’s maternal-fetal medicine specialists and neonatologists team up with pediatric surgeons and other specialists on diagnosis and management from initial consultation through delivery and the postpartum period. Advanced practice nurses provide families with support and coordinated services.

Fetal conditions warranting referral to the Fetal Care Center and delivery in the SDU include:

  • Abdominal wall defects (gastroschisis, omphalocele)
  • Congenital heart defects
  • Open neural tube defects such as myelomeningocele
  • Congenital diaphragmatic hernias
  • CNS malformations and hydrocephalus
  • Kidney and urinary tract malformations
  • Skeletal dysplasia
  • Twin-twin transfusion syndrome
  • Vascular anomalies and stroke

Mothers with serious conditions that may require adult subspecialty care can also deliver in the SDU.

Advantages of the new unit

The SDU has a labor and delivery suite, an operating room for C-sections, and an advanced newborn resuscitation and treatment room. Other advantages include its proximity to:

  • An adjoining hybrid Pediatric Cardiac Catheterization Laboratory
  • A state-of-the-art minimally invasive Pediatric Surgical Suite is across the hall and access to a large team of pediatric surgeons
  • A Level III Neonatal Intensive Care Unit where in-house neonatologists are present 24/7, and therapeutic hypothermia, nutritional support, continuous EEG monitoring and advanced modes of ventilation are offered
  • A Neonatal Neuro-Intensive Care service geared to newborns with intractable seizures, neurometabolic disease, neuromuscular disorders, hypoxic ischemic encephalopathy and other neurological/neurosurgical problems.

To refer parents to our Fetal Care Center, please call 216.444.9706 or 866.864.0430.

Who’s New? Staff Spotlight

Pediatric Gastroenterology

Matthew J. Wyneski, MD
Specialty Interest(s): Pediatric inflammatory bowel disease, celiac disease, endoscopy and colonoscopy
Location(s): Cleveland Clinic Children’s Hospital, main campus; Strongsville Family Health and Surgery Center
Phone: 216.444.5348
Fax: 216.444.2974
Email: wyneskm@ccf.org

New Facility Brings Children’s Hospital Specialists to Twinsburg Area

Twinsburg-area families can now access Cleveland Clinic Children’s Hospital specialists close to home. The new Twinsburg Family Health and Surgery Center, which opened in July 2011, on Route 91 just south of I-480, offers pediatric specialty care in:

  • Allergy
  • Behavioral health
  • Cardiology
  • Endocrinology
  • Gastroenterology
  • General surgery
  • Hematology/oncology
  • Neurology
  • Otolaryngology
  • Physiatry
  • Pulmonology
  • Rheumatology

Pediatric specialists in Twinsburg are connected to Cleveland Clinic’s electronic medical record (EMR) system and can securely share pertinent data with surgical and other specialists at our main campus Children’s Hospital and throughout Cleveland Clinic's health system.

Convenient on-site services

An on-site pharmacy and laboratory and the ability to offer most radiology services are other conveniences. Patients can have lab work ordered prior to their appointment and arrive at the Twinsburg lab 30 minutes beforehand. Routine lab results will then be available in the EMR at their appointment, reducing the need for follow-up visits and repeat trips for lab work.

The 190,000-square-foot center also has a 24-hour emergency department with a helipad not attached to a hospital. Adult patients have access to the outpatient surgery center on site that has endoscopy, bronchoscopy and pain management suites.

Same-day appointments are available at Twinsburg Family Health and Surgery Center. To refer children and adolescents, please call 330.888.4000.

Pediatric Preventive Cardiology and Metabolic Clinic

Cleveland Clinic’s Department of Pediatric Gastroenterology has established a clinic to prevent the metabolic complications of childhood obesity, such as fatty liver disease. Adolescents with a BMI above the 85th percentile for their age may be referred to the Pediatric Preventive Cardiology and Metabolic Clinic. Patients should meet one of the following criteria:

  • Dyslipidemia
  • Hypertension
  • Prediabetes or diabetes
  • Fatty liver disease or elevated liver enzymes

Pediatric gastroenterologists may offer liver enzyme monitoring, cardiovascular risk evaluation, and same-day consultations with an exercise physiologist and dietitian. If needed, our experts in pediatric hepatology are available to treat patients with metabolic liver disease.

To refer a patient to our Preventive Cardiology and Metabolic Clinic, please call 216.444.9000.

Children’s Hospital Supports CMS Vaccination Guidelines for Inpatients

Cleveland Clinic Pediatric Institute & Children’s Hospital staff members recognize the importance of childhood vaccines in preventing illness. Timely vaccinations are a key, and safe, component of pediatric preventive healthcare.

Cleveland Clinic supports the vaccination guidelines specified by the American Academy of Pediatrics and Centers for Medicare and Medicaid Services. Therefore, Cleveland Clinic pediatricians will assess the immunization status of children and their families during outpatient and inpatient encounters at all Children’s Hospital locations. Parents may be asked to bring their child’s immunization records to the hospital.

Influenza and pneumococcal vaccines will be offered to those children that need them during their hospital stay. Resources for achieving other necessary vaccines will be reviewed. Communication with referring pediatricians will note which vaccines were given or recommended.

Our commitment to pediatric vaccination reflects our commitment to the comprehensive and long-term health of all the patients we care for at our Children’s Hospital.

Pediatric Institute Live CME

Earn CME credit at live Pediatric CME from Cleveland Clinic's Center for Continuing Education:

May 11, 2012

Aug. 27 to 31, 2012

Pediatric Institute Virtual CME

Free Pediatric Grand Rounds

Save the Date - Friday, June 1, 2012

The Annual Helen and Ronald Ross Visiting Professorship: Congenital Heart Surgery
Resection for Septal Hypertrophy - Nicholas Smedira, MD, Cleveland Clinic
Reoperations in Adults with Congenital Heart Disease - Gosta Pettersonn, MD, PhD, Cleveland Clinic
Surgery for the Tricuspid Valve - Joseph Dearani, MD, Mayo Clinic
Call 216.444.9125 for details

New Physician Referral Line

For referrals to any Cleveland Clinic department or institute, physicians can now call one toll-free number: 855.REFER.123 (855.733.3712)

Pediatric Physician Liaison

For a direct, personal link to Cleveland Clinic Children’s Hospital, contact Physician Liaison Janet Zaibek, RN, at zaibekj@ccf.org