[ULTRASOUND MONITORING OF CENTRAL AND CEREBRAL HEMODYNAMICS DURING THE TREATMENT OF ARTERIAL HYPOTENSION IN PRETERM INFANTS].

The purpose of the study was to evaluate and identify patterns of changes in central and cerebral hemodynamics in neonates with low and extremely low birth weight and birth asphyxia, in order to achieve the early diagnosis of disorders of the central hemodynamics and autoregulation of cerebral blood flow, for timely fluid correction and inotropic therapy. Observation data on 44 preterm infants who were treated at the Kharkiv City Perinatal Centre and Regional Children's Clinical Hospital №1 of Kharkiv has been analyzed. Ultrasound control of the central and cerebral hemodynamics needs to be carried out within the first 30 minutes in premature neonates with low and extremely low birth weight who were born with severe asphyxia. This method of the hypotension correction allows to select the volume of fluids and inotropic therapy individually, preventing development of undesirable side effects.

[TO A QUESTION OF TREINING OF THE NEONATOLOGISTS IN RESIDENCY].

In recent years, the world and in Ukraine neonatology evolved into high-tech and quickly progressive section of the medicine, therefore preparation of experts is very important problem. Residency is the form of specialization of doctors on corresponding clinical chairs for reception of high qualifications of neonatology for possibility of competent rendering of competent and highly specialized medical care to newborns in hospitals of 3rd level. Term of training in residency is 2 years. Plan of the residency training offered by the department of neonatology Kharkiv medical academy of postgraduate education consists of sections on the basic speciality, adjacent clinical disciplines and additional programs. The great attention in training is given to innovative techniques: lectures and seminars with use of electronic presentations, seminars-trainings, seminars-discussions, seminars-conferences, and others. The majority of a practical training are spent in simulation center of the department neonatology with using of dummies, anatomic models for working off of practical skills. CONCLUSIONS: 1. Training of doctors in residency on neonatology can occupy a key position in a professional training for maintenance of high standards of the help with newborn and scientific researches in the field of medicine and occurrence Ukrainian neonatology in the European medical community. 2. At the basis of training of the resident on neonatology should be three components: the first - training in internship on pediatric (2-3 years), the second - presence of standard conditions of training on chair neonatology and the third - carrying out of practical preparation on clinical base which is equipped by the modern diagnostic equipment and medical technologies in conformity of the standard reports of rendering of medical aid in establishments of 3rd level.