Neonatology : Neonatology Clinical Services

Neonatology Clinical Services

The University of Miami Miller School of Medicine’s neonatal program at Holtz is one of the largest neonatal intensive care units in the nation, known world-wide for its success in caring for critically ill infants. It is a designated Regional Perinatal Intensive Care Center (RPICC) by the state of Florida. It is unique within Miami-Dade County because it is the only birthing hospital where the most complex level of care is available to mothers and their infants.

The NICU consist of 126 beds, 66 of which are state-of-the-art ICU stations. The NICU is staffed 24 hours a day by an experienced medical team – including neonatologists, neonatal nurses, respiratory therapists and pharmacists – specially trained in caring for such small and sick children. This team works with pediatric specialists, pediatric surgeons, as well as with parents and families, to ensure each child receives the best care possible.

Schatzi Kassal Project: New Born Neonatal Intensive Care Unit

The section of the NICU that cares for the very smallest and sickest babies (NICU-A) was recently renovated to better enable the delivery of state-of-the-art care while providing a more comforting environment for patients and their families. The new layout and facilities include an expanded nursing station, a dedicated satellite pharmacy that serves just these smallest children, computerized x-ray viewing areas, and a comfortable parent counseling room so parents can meet doctors in privacy without having to leave the unit.

Several features of the NICU-A serve to ensure an environment where optimal clinical care is combined with family involvement and with internationally recognized clinical research and training. The location of the Newborn ICU immediately adjacent to the Labor and Delivery area enables a multidisciplinary team approach to complex perinatal problems, beginning with prenatal care and delivery room management, and providing a smooth transition to the neonatal intensive care unit. As part of a comprehensive pediatric program, we are able to provide seamless surgical intervention and care from other pediatric specialists for complex conditions. The NICU has state-of-the-art equipment and capabilities, such as:

  • Whole body hypothermia
  • Modalities of mechanical ventilation:
    • High frequency ventilation.
    • Pulmonary physiology laboratory.
    • Nitric oxide therapy.

    In addition, the comprehensive ECMO program provides treatment for infants with meconium aspiration syndrome, persistent pulmonary hypertension, infection and congenital diaphragmatic hernia.

Multidisciplinary Team Approach

In addition to the full-time board-certified neonatologists, our comprehensive care team provides seamless multi-specialty care under the same roof, including a maternal/fetal medicine program.

The Maternal/fetal medicine subspecialty program (Perinatology) is a world-renown program, headed by Dr. Ruben Quintero, with capabilities to perform complex in utero fetal interventions for such life-threatening problems as bladder obstruction, twin-twin transfusion syndrome and congenital heart defects. His team meets regularly with the neonatology team, discussing the mother/infant problems antenatally, ensuring that there is a smooth transition from antenatal therapy to postnatal NICU care.

Other members of our comprehensive care team include the following:

  • Geneticists
  • Pediatric surgeons, pediatric urologists and pediatric neurosurgeons
  • Pediatric cardiovascular surgeons
  • Pediatric nephrologists
  • Pediatric gastroenterologists
  • Pediatric cardiologists
  • Pediatric pulmonologists
  • Pediatric endocrinologists
  • Pediatric infectious disease specialists
  • Pediatric neurologists
  • Pediatric radiologists
  • Pediatric dermatologists
  • Pediatric hematologists/oncologists
  • Dedicated nurses and nurse practitioners
  • Respiratory therapists
  • Social workers
  • Occupational & physical therapists
  • Neonatal pharmacists
  • The families of our neonates

Follow-up Care

As an academic institution, we are able to offer comprehensive support services for parents and families with premature or sick children and developmental services for the infants. For patients in the NICU, we offer physical therapy, occupational therapy and speech therapy. Once the children are discharged, they can continue to receive follow-up care through the Developmental Follow-Up Clinic at the University of Miami Miller School of Medicine’s Mailman Center for Child Development, which has cared for high-risk infants for over 35 years. In addition, children can continue to be followed by any pediatric specialist they may have seen while in the NICU at any of our outpatient locations.