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Paediatrics, Children's Hospital and Woman's Hospital
In addition to providing multidisciplinary care for patients of all ages who suffer this condition, the objectives of Vall d’Hebron Hospital’s Hereditary Angioedema Unit include teaching and research in this field.
The Hereditary Angioedema Unit (UAEH) of Vall d’Hebron University Hospital’s Allergology Department has been treating patients with this disorder for more than 25 years.
UAEH outpatients are treated by allergology specialists in a multidisciplinary manner in the Outpatient Clinic in the Old Nursing School and in the Children’s and Women’s Hospital, ensuring transference and continuity of care from childhood through to adulthood for this genetic, lifelong condition.
The Unit is made up of popular, immunologists, geneticists, gynaecologists, maxillofacial surgeons, pharmacists and nurses, who are responsible for:
Depending on the type of care to be given to patients with diagnosed hereditary angioedema and their profile, they should be treated by the following divisions and/or units:
The specialists who work in the adult and paediatric allergology sections are responsible for treating patients aged 16 and under in the Children’s Hospital areas and subsequently facilitating their transfer and continuity of care with monitoring to the adult care departments in the Old Nursing School and the Allergology Day Hospital in the General Hospital.
The Hereditary Angioedema Unit (UAEH) offers an outpatient service to monitor patients with this disease: the Outpatient Clinic on the second floor of the Old Nursing School. Also, as it is a multidisciplinary unit, and depending on the type of patient (child, adult, pregnant woman), it provides care in a number of departments and units in the Children’s and Women’s Hospital, the General Hospital and A&E.
The nursing team specialises in education and specific care for patients with this disease.
Emergency care is provided at the Children’s Hospital for patients up to the age of 16 and at the General Hospital from the age of 17. The professionals who work in the A&Es have been trained to recognise the symptoms of this disease and to quickly provide its specific treatment.
When a patient needs a complex dental or maxillofacial procedure they will be assessed by the hospital’s maxillofacial surgeons and their operation will be organised with the suitable prophylaxis.
The Obstetrics, Foetal Medicine and Anaesthesia Departments have created a Working Unit for High-Risk Pregnancies for women with hereditary angioedema with the aim of monitoring the well-being of mother and child during pregnancy and of providing care during the delivery and postpartum period in accordance with a protocol specific to their type of hereditary angioedema and clinical situation. Care is also provided for high-risk postpartum cases.
In parallel to these services, there is also a reproductive counselling clinic for women with hereditary angioedema. The clinic is part of the Hereditary Angioedema Unit, and is that provided in conjunction with Gynaecology in the Outpatient Clinics of the Children’s and Women’s Hospital.
In this clinic an allergist and a gynaecologist combine their expertise to determine, in accordance with the patient’s clinical situation and type of hereditary angioedema, the possible effects of their having children. Their mission is to provide information and advice in relation to family planning and the reproductive possibilities of the patients living with this disease.
The Unit is made up of a team of specialist paediatricians, paediatric nursing staff, paediatric resident doctors working in shifts during their training, nursing assistants, paediatric nursing residents, porters, administrative and cleaning staff who share work and experiences for the sole purpose of offering the best care to the boys and girls in the Unit. We are experts in emergency care for children with complex diseases (patients with solid-organ or bone-marrow transplants, immunosuppressed patients, etc.,) in synergy with the other units in our centre. We are also part of the Paediatrics Department, offering comprehensive care to children who are poorly.
Our Paediatric Emergency Unit attends to patients up to the age of 16, except for children with chronic diseases requiring very specific treatment who may be attended to by our Unit even when they are over this age limit.
Besides making visits to assess children's emergency medical or surgical pathology, and appointments for patients who require clinical monitoring after our consultation, we also have an Observation ward for admitting patients who require hospitalisation.
Thanks to the coordination between the Nursing, Paediatric Emergency, Traumatology, Anaesthesiology, Radiology and Paediatric ICU teams and many other professionals, we are a benchmark centre in AITP (Initial Care for Paediatric Trauma).
When it comes to teaching, the Unit trains resident doctors (MIR) in Paediatrics and Family Medicine, as well as resident nurses in Paediatric Nursing. The Unit also plays a key role in training undergraduate Medical and Nursing students, as well practical training placements for nursing assistants. We take part in numerous continuous-teaching and training activities within and without the Hospital (advanced paediatrics life-support courses and AITP, joint courses with Primary Care, internal Hospital courses, sessions with several Units and Services, care simulations on children with multiple trauma and children in a critical condition, etc.).
As for research, we are part of the Spanish Society of Paediatric Emergency Medicine (SEUP) and its research network (RiSEUP), and we take part in numerous multi-centre projects and clinical trials.
The Paediatric Hospitalisation and Hospital Paediatrics Unit was recently created. It represents a considerable evolution in the care of paediatric patients admitted into the Maternity and Children's Hospital, replacing the former General Paediatrics Unit, in order to adapt to current care requirements.
This Unit plays a very important role in the overall, comprehensive care of paediatric patients. The paediatricians of this unit are responsible for the care of a large majority of acute paediatric illnesses, maintaining a close relationship with the other medical and surgical subspecialities, and aim to become leaders in treating patients who are difficult to diagnose or who have a complex pathology, as part of their care and teaching activities concerning paediatric hospitalism.
The Unit undertakes training activities that are crucial for paediatric residents and their specific areas in their first year of residency (such as obligatory rotation) and it is then especially interesting for those doctors who are about to finish their residency, as it allows them and their tutors to know how much theoretical, practical and communicative knowledge they have acquired, so that this can be complemented where necessary.
The members of this unit carry out a wide variety of external consultations: clinical follow-up of admitted patients who need care in Hospital Paediatrics before being transferred to Primary Paediatric Care, visits to difficult-to-diagnose or imprecisely diagnosed outpatients, patients with "brief, unexplained resolved episodes", Social Paediatrics, vascular anomalies, endocrinological alterations.
Unit paediatricians are lecturers at the UAB's Faculty of Medicine, responsible for teaching theoretical and practical paediatrics to future doctors.
In terms of scientific research, the Paediatric Hospitalisation Unit is becoming more and more active in carrying out research work based on care and clinical-testing activities.
Portfolio of Services
Education and Training
Training programme for paediatric residents by means of their 4-month obligatory rotation during their first year, and optional rotations in their fourth year of residency. Resident doctors undertake a theoretical and practical programme in order to obtain basic knowledge of Hospital Paediatrics.
There are weekly clinical sessions run by the Unit and periodic joint sessions with other paediatric units in the hospital.
Research
Research studies into paediatric illnesses in hospitals (infectious, respiratory, coagulation, etc.) and a variety of clinical tests.
The Paediatrics Department at the Vall d'Hebron University Hospital integrates several sections and units of specific paediatric areas.
We provide assistance from birth to adolescence. As an integrated center at the Vall de Hebrón University Hospital, we facilitate the transfer of child patients to adults within the same hospital.
Vall de Hebrón Children's Hospital is one of the centers with the most capacity to solve complex pediatric processes in Catalonia and Spain.
The Vall d'Hebron University Hospital's Paediatric Department includes various sections and units from specific paediatric areas (paediatric subspecialities):
The Paediatric Department staff includes 52 specialist paediatric doctors to help provide the care, teaching and research the department is responsible for. It also has the necessary nursing and administrative staff, as well as assistants who help with our research and social work and much else. The 60 paediatric residents in their specific areas receive training and take part in care during their time in the various units within the department.
We provide care for all types of paediatric patients, from infants to adolescents, with acute and chronic paediatric diseases corresponding to the areas mentioned above. You can find more information about each specific section and unit on their respective web pages.
There are 60 paediatrics residents at Vall d’Hebron University Hospital, totalling 15 per year. In recent years, Vall d'Hebron Paediatrics has consolidated its position as the number 1 destination for new resident doctors, and obtained the best results of all hospitals in Spain in the 2017 medical exams.
The Paediatric Department is responsible for significant teaching activity as part of the Autonomous University of Barcelona medical degree, with a paediatrician professor, three professors certified by the Spanish National Agency for the Evaluation of Quality and Accreditation (ANECA) and a professor accredited for advanced research by the Agency for the Quality of the University System of Catalonia (AQU), together with six associate medical professors.
The Paediatric Department also teaches Masters courses in paediatric subspecialities: Paediatric endocrinology, infectious and immunodeficiency diseases, paediatric neurology and paediatric pneumology and allergology.
The Paediatric Department's research is among the most important on the Vall d’Hebron campus, with specific lines that are listed in the individual descriptions of the Sections and Units concerned.
Our Unit is a pioneer in the treatment of sexual differentiation disorders at the paediatric age. We are also a renowned centre for paediatric renal transplants, and lead the way in Catalonia, especially in complex kidney transplants or transplants in combination with other organs.
The Digestive Surgery and Transplant Department depends on the Paediatric Surgery Department and has pursued lines of work in the treatment of Hirschsprung's disease, anorectal malformations and treatment of short gut syndrome, and, in this last field, it is one of the most experienced centres in Spain in the "step" technique, among others.
Our Department stands out for our use of endoscopic and laparoscopic techniques, including robotic techniques, and for our treatment of complex hepatobiliary pathologies, with excellent results in the obstruction of bile ducts, hepatic resections and the surgical treatment of portal hypertension with all kinds of shunt techniques, including "Rex shunts". The Unit is also a leader within Spain for the treatment of congenital portocaval shunts.
The Cabinet of Digestive Physiology is a leading name in the study of gastroesophageal reflux (pH-metrics and bioimpedimetry) and anorectal manometry.
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