Spausdinti

Department of Pediatrics

Hospital of Lithuanian University of Health Sciences Kaunas Clinics,

Eivenių str. 2, LT-50009 Kaunas, Lithuania

Phone: +370 37 326626, fax +370 37 327160,
E-mail: vaiku.ligu.klinika@kaunoklinikos.lt

Head - prof. Rimantas Kėvalas

Phone: + 370 37 326963

Email: rimantas.kevalas@kaunoklinikos.lt

 

The aim of the Clinic – to provide high level healthcare for 0-18 years children, to take part in the process of education of highly qualified specialists, to organize and conduct studies and research.

 

The structure of Pediatric Clinic:

  • Pediatric emergency department (PED)
  • Outpatient clinic
  • I pediatric department
  • II pediatric department
  • Pediatric intensive care unit (PICU)

 

Divisions:

  • pediatric critical care
  • pediatric nephrology
  • pediatric pulmonology
  • pediatric allergology
  • pediatric cardiology and rheumatology
  • pediatric oncohematology
  • pediatric gastroenterology

 

History of the Pediatric Clinic reaches 1924, when department of children diseases was established at Kaunas University. Pediatric Clinic was founded in 1991. Assoc. prof. J. Bojarskas leaded the Clinic. Since 2000 prof. R. Kėvalas is the head of the Clinic.

 

Division of pediatric critical care

Division consists of Pediatric intensive care unit (PICU) and pediatric emergency department (PED). The mission of the division is to deliver intensive care service of the highest standards to every critically ill child and to consult every child admitting to our department. The PICU was founded in 1977. After the renovation and implementation of Swiss-Lithuanian project in 1995, current PICU has 8 well-equipped beds. The number of the annual admissions is approximately 1.200 (intensive care and post-operative care patients). PED as a part of Pediatric Clinic was founded in 1999. The total number of admissions equals approximately 25.000 per year. Current PED is able to consult every patient, to manage the emergency situations and to observe the patient for 24 hours if necessary. The scientific activities include several directions – bacterial infection and sepsis (SPROUT, SBI risk assessment, s.aureus infections in children), hospital acquired infection (national and international registries, colonisation routes of the lower airways in patients with endotracheal tube) and trauma (severe brain injury, therapeutic hypothermia, trauma registry). The classes for undergraduate students and also a part of pediatric and other residency programs are taking place in the division.

 

Outpatient Clinic

The Outpatient Clinic is a consulting unit within the framework of the Pediatric Clinic of Lithuanian University of Health Sciences Kaunas Clinics. The Outpatient Clinic provides specialized secondary and tertiary outpatient care for children under 18 years old. Official statistics reflect an average of 30 000 consultations and 45 000 visits per year.

The Outpatient Clinic provides the top level service, which is based on the consultations of distinguished 67 doctors of various specializations, assisted by 18 high qualified nurses. Among our members of staff we have 19 PhD doctors, 9 associate professors and 1 professor. Patients are consulted by pediatric allergologists, pediatric gastroenterologists, pediatric pulmonologists, pediatric nephrologists, pediatric hematologists, pediatric cardiologist-rheumatologists, pediatricians, pediatric surgeons, pediatric urologists, pediatric proctologist, children's orthopedics-traumatologists, otorhinolaryngologist, gynecologists, neonatologists, ultrasound specialist, and radiologists.

Patients have possibility to be consulted at other clinics of Lithuanian University of Health Sciences Kauno Klinikos Hospital, by pediatric neurologist, pediatric endocrinologist, children psychiatrist, psychologist and other specialists. The Outpatient Clinic is well equipped with modern technologies for diagnostics and treatment. Specialists of many medical specialties are working here. Regarding their competence, high qualification and selfless work using progressive methods of treatment, the most complicated diseases are diagnosed and cured. 

 

I pediatric department

I pediatric department consists of pediatric nephrology, pediatric pulmonology and pediatric allergology divisions.

 

Division of pediatric nephrology

Division was founded in 1996. It has 15 beds. The number of the annual admissions is approximately 320. More than 2000 consultations/years are performed by pediatric nephrologists in Outpatient clinic. 130 consultations inside the hospital.

Pediatric nephrology services are available 24/7.

All methods of renal replacement therapy are available:

  • Peritoneal dialysis (acute and chronic)
  • Haemodialysis (acute and chronic)
  • Pediatric continuous renal replacement therapy (PCRRT)
  • Kidney transplantation

Pediatric nephrologists diagnose and treat varies conditions, such as:

  • Renal failure (acute and chronic)
  • Tubular disorders
  • Hemolytic uremic syndrome
  • Congenital renal malformations
  • Urinary tract infections
  • Glomerulopathies
  • Genetic kidney disorders
  • Etc.

A lot of investigations are available:

  • Kidney biopsy
  • Interventional radiology
  • Bone mineral densitometry
  • Kidney imaging (Ultrasound, MRI, CT scan)
  • 24-hour blood pressure monitoring
  • Urodynamic investigation
  • etc.

Scientific activity:

  • Early detection of acute kidney injury
  • Hemolytic uremic syndrome: etiology and prognostic factors
  • Etiology and treatment problems in recurrent urinary tract infections
  • Voiding dysfunction

Pediatric nephrology service includes two centres:

  • Children‘s continence centre
  • Children‘s chronic and rare kidney diseases centre

Collaboration with pediatric nephrologists from different countries.

 

Division of pediatric pulmonology

Division of pediatric pulmonology is based in I-st department of children diseases.

Currently, pulmonology division activities are carried out as follows:

  • Outpation consullation at the children Outpatient Clinic,
  • Hospital pulmonology patient examination and treatment,
  • Pedagogical work
  • Scientific work

 

Highly qualified specialists – children pulmonologists and pulmonologists-allergists work in the division. They consult children from all of Lithuania.

Within the division every year about 1000 are treated, over 3000 children with respiratory and allergic diseases are consulted in the Outpatient Clinic. Additionally patients with severe chronic lung diseases - uncontrolled asthma, cystic fibrosis, and other purulent and interstitial lung diseases are observed and treated.

All of the technical capabilities present in Kaunas Clinics are being used for children respiratory tract illness diagnosis and treatment.

  • Detailed allergological baby and child examinations are possible for the determination of the allergic respiratory diseases nature. Allergy skin prick tests are performed to identify inhalant allergens food and inhalable allergens specific IgE antibodies in the blood serum are analyzed, cytological nose secretion examinations are performed.
  • In order to examine children respiratory functions new computer hardware Vmax which corresponds to global quality standards is used. For children over 7 years of age spirometry, provocation and bronchodilatation tests are performed. Besides routine analysis lung capacity, gas diffusion on the lung alveoles - capillaries level, respiratory muscle force examinations are possible. Such invetigation is very important for children with chronic lung diseases. Young, 3-7 year old children respiratory function can be evaluated using the Jaeger MasterScope spirometer, which is specifically designed for smaller children. Airway resistancy of toddlers can be measured by impulse oscillometry (IOS) method, which does not require the active participation of the child during examination.
  • Experienced specialists perform bronchological examinations. Diagnostic and therapeutic bronchoscopy in the Clinic of children diseases is performed for all ages of infants and children.
  • Specialists of the Pediatric Clinic also use the newest of radiological examinations (computer tomography, nuclear magnetic resonance examination, positron emission tomography, contrast, radioisotope analysis). Ultrasound examinations are widely used. Using various methods of visualization procedures such as pleural puncture and drainage or lung tissue transbronchine or transthoracic biopsy.
  • In order to achieve the best in children respiratory diseases diagnosis and treatment, we collaborate with specialists from other fields – ear-nose-throat doctors, children surgeons, oncologists, neurologists, immunologists, radiologists, microbiologists, geneticists. All Kaunas Clinic laboratory facilities are used for diagnosis of pulmonary and allergic diseases. Complicated biochemical, immunological and microbiological examinations are possible on ill children.
  • In order to give qualified help for children with chronic respiratory diseases the Centre of Pediatric chronic respiratory diseases was founded in the Pediatric Clinic. Patients with cystic fibrosis and other chronic purulent and interstitial lung diseases are examined, treated and constantly monitored. The use of the newest respiratory tract monitoring means - cough assistants and vibrational jackets – allow for top quality monitoring and treatment of patients.
  • Close collaboration with children intensive care doctors and neurologists allow for development of assistance for children with neuro-muscular diseases. Pediatric Clinic is the only one in Lithuania, where home long-term non-invasive ventilation is selected, adapted and ensured for the pediatric patients.

 

Highly qualified specialist knowledge and wide diagnostic possibilities allow for diagnosis and effective treatment of not only common children respiratory organ diseases but also rare and complicated illnesses.

6 doctors of the pulmonolgy sector  are PhD in Pediatric Pulmonology and Allergology topics, trained in European and U.S. hospitals. These are throughout the country known specialists. They are in charge of scientific studies, prepare treatment guidelines for lung and allergic diseases and give lectures and presentations in republic and international conferences.

Children pulmonologists actively participate in international scientific projects regarding problems of children respiratory system diseases. The data of international projects ISAAC (International Study of Asthma and Allergy in Children) and SPACE (Study on Prevention of Allergy in Children in Europe) are well known not only in Lithuania, but also in all of Europe.

In the division of pediatric pulmonology educational work is also actively practiced. Every year around 300 of students study pediatric respiratory diseases. Jung doctors are prepared according to the Pediatrician and pediatric pulmonology residenship program. Pediatrician, pediatric pulmonologists, other specialists and family doctors come from all across Lithuania to the Pediatric Clinic to improve their pulmonology knowledge and increase their professional qualification.

 

 

Division of pediatric allergology

Pediatric allergology division is one of the division at the 1st department of Children Diseases. Children ill with the most severe allergic diseases from various Lithuanian regions are being consulted and treated at the hospital wards and in outpatient clinic.

Consulting doctors are well known, high quality doctors, who underwent specialization at various clinics in Europe and USA.

In the process of diagnosing and treating children, who are ill with allergic diseases (asthma, dermatitis, rhinitis, urticaria, anaphylaxis, etc.), all laboratory and technical examination techniques and capabilities at Kaunas Clinic are used. Infants and children can be examined by performing skin prick tests, patch tests, evaluating specific IgE for food and inhalant allergens, evaluating nasal, bronchial secretions, performing lung function.

Seriously ill children can be treated with the help of plazmapheresis, biological therapy.

Frequently ill children can be examined for having various immunodeficiences and if diagnosed – treated every month with intravenous immunoglobulin. Children are taught to get subcutaneous immunoglobulin at home, as well.

Pediatric allergologists are widely involved in preparing methodological recommendations and textbooks about children allergic diseases diagnostic procedures and treatment. They are lecturers at national and international conferences, taking part at international projects (ISAAC, SPACE, 7BPHELIX) dealing with risk factors of allergic diseases.

Pediatric allergologists are involved in teaching process – giving lectures for students and residents, as well for pediatricians and family doctors at postgraduate courses.

 

 

II pediatric department

II pediatric department consists of pediatric cardiology and rheumatology, pediatric oncology and hematology, pediatric gastroenterology divisions.

 

Division of pediatric cardiology and rheumatology

Clinical work at pediatric cardiology division

Consulting and treating children with congenital and acquired heart diseases, examining and treating children of all ages for rhythm disturbances. Transesophageal electrophysiological studies of the conductive system of the heart are performed, for the older children they can be performed. Intracardiac transcatheter examinations of the conductive system of the heart and radiofrequency ablation procedures are performed in children suffering from supraventricular and ventricular tachycardias. Approximately 20 –30 radiofrequency ablation procedures per year are performed in our Clinic. Cardiac ultrasound studies are performed for children in Outpatient Clinic and for patients from other departments, including newborn infants in neonatology clinic.

 

Pediatric rheumatology division

Children with joints and systemic connective tissue diseases are treated. The novel methods of treatment with biological therapy drugs (etanercept, adalimumab, infliksimab) are used. Treatment with intraarticular steroid injections for children suffering from joints inflammatory diseases are performed as well.

 

The scientific and pedagogical work

Two residents constantly are studying and working in Pediatrics Cardiology residency, and 1 - 2 residents studying in Pediatric Rheumatology. The lectures, seminars are held, the residents are trained to carry out the practical procedures. The students of Medial faculty of Lithuanian University of Health Sciences carry out scientific work in the field of pediatric cardiology and rheumatology. Each year the works are delivered to the SMD conferences.

 

Pediatric oncology and hematology division

First patients with malignant tumors were started to treat in II department of the Pediatric Clinic in 1997. The division of children‘s oncology and hematology was established in 2005. It had 10 beds. After reconstruction of Pediatric Clinic the new division of children‘s oncology and hematology was opened in 2012. The Cnetre of Oncology and Hematology was established in 2013. This is a modern isolated division with 15 beds and all nessesary equipment, that is required for treatment children with malignant tumors and blood diseases. The patiens with hematological disorders are consulted in Outpatient Clinic every workday.

The team of specialists consisting of doctors pediatric oncologists-hematologists, nurses, psychologist, social worker and rehabilitologist work in this division providing care for patients with cancer.

Clinical work areas - children's hematological disorders, children’s malignant tumors, especially central nervous system tumors.

A new children's hematology residency program is prepared and approved. 

The scientific and pedagogical work is carried out. Three PhD‘s theses were defended and one doctoral work is ongoing now.

All doctors of the division of children‘s oncology and hematology are members of Nordic Organisation of pediatric hematology and oncology (NOPHO), Lithuanian society of hematology, Baltic society of pediatric oncology and hematology (BSPOH).

 

Pediatric gastroenterology division

Pediatric gastroenterology division is one of the divisions at the II department of Children Diseases. Most severe patients with gastrointestinal, liver diseases and nutrition disorders are treated in the hospital and continue consultations and treatment in outpatient clinic. The pathology of the patients in this division vary from rare congenital diseases like metabolic disorders, all kind of gastrointestinal and biliary atresia to acquired diseases like peptic ulcer, gastroesophagial reflux, gastrointestinal eosinophilic diseases, all kind of hepatitis and pancreatitis, inflammatory bowel diseases, gastrointestinal infections and undernutrition problems. The registry and clinical research is done in inflammatory bowel diseases and patients after liver transplantation, special interest in H. pylori infection among pediatric patients. All new diagnostic methods like MR enterography, KT angiography, immunological and genetic investigation, all types of endoscopy and ultrasound, liver biopsy are done according diagnostic protocols of the diseases. The new treatment methods like biological therapy, enteral, parenteral and even home parenteral nutrition is put into practice. Pediatric gastroenterology division is in a close collaboration with adult Gastroenterology clinic by taking part in the same research projects and consulting meetings, Pediatric Surgery clinic and The Children's Memorial Health Institute department of pediatric surgery and organ transplantation in Warsaw. All pediatric gastroenterologists working in this division are the members of national and international gastroenterology societies.

Pediatric gastroenterologists are widely involved in preparing methodological recommendations and textbooks about gastrointestinal and hepatology diseases diagnostics and treatment. They give lectures in national and international conferences in Lithuania and abroad, taking part at international projects (ESPGHAN), are involved in the university teaching process by giving lectures to students, residents and doctors in postgraduate courses.

 

Pedagogical work

Module: children diseases

The aim of the module is to obtain knowledge on structure, functions, dysfunctions and mechanisms in fields of children diseases, children surgery, children psychiatry, genetics, radiology and clinical laboratory.

Consists of:

Children diseases cycle introduces students with child’s psychomotor and physical development, feeding, common diseases of respiratory, cardiovascular, digestive, urinary and hematopoietic systems. The main emphasis is on peculiarities of all diseases in children of all ages.  

Children surgery cycle provides information how to apply general surgery rules to growing, maturing and constantly changing organism.

Children psychiatry cycle provides students with knowledge on normal child’s and adolescent’s psychological development, biologic – psychological – social factors, disturbing normal development and causing mental and behaviour disorders, common developmental and mental dysfunctions in childhood and adolescence. 

Genetics cycle provides knowledge on chromosome syndromes, the way of research from clinical diagnosis of the inherited syndrome to the molecular diagnosis; discovers the opportunities of consultations in medical genetics.

Radiology lectures focus on how to apply results of radiology research in pediatrics.

Clinical laboratory lectures introduce the most common methods and principles of laboratory diagnosis in pediatrics.

 

Objectives:

To introduce anatomic and physiological peculiarities of healthy child’s organism, physical and psychomotor development, principles of nutrition, day’s routine and hygiene peculiarities, and also specifications of common children diseases.

To introduce to early diagnostics of children surgical disorders and treatment specifications, focusing on the first aid especially in children’s urgent state surgery cases.

To present principles of treatment, correction, rehabilitation and prevention for children with mental and behavioral disorders, to introduce mental health care system in Lithuania.

To introduce chromosome syndromes and opportunities of medical genetics consultations, application of radiology research in pediatrics, most popular methods and principles of laboratory diagnostics in pediatrics.

 

Post-graduate studies (residency)

Children diseases

Children diseases and children critical care

Children diseases and children pulmonology

Children diseases and children hematology

Children diseases and children nephrology

Children diseases and children cardiology

Children diseases and children gastroenterology

Children diseases and children allergology

Children diseases and children infection diseases

Children diseases and children rheumatology

 

Staff of the Department:

Professor Rimantas KĖVALAS

E-mail: vaiku.ligu.klinika@kaunoklinikos.lt

Professor Liutauras LABANAUSKAS

Telephone No: +370  37 32 6890

E-mail: liutauras.labanauskas@fc.lsmuni.lt 

Associate professor Dovilė Evalda GRINKEVIČIŪTĖ

Telephone No: +370  37 32 6684

Telephone No: +370  37 32 6038 

E-mail: dovile.evalda.grinkeviciute@fc.lsmuni.lt

Associate professor Vaidotas GURSKIS

Telephone No: +370  37 32 6897

E-mail: vaidotas.gurskis@fc.lsmuni.lt

Associate professor Jolanta KUDZYTĖ

Telephone No: +370  37 32 7092

E-mail: jolanta.kudzyte@lsmuni.lt

Associate professor Rūta KUČINSKIENĖ

Telephone No: +370  37 32 6611

Telephone No: +370  37 32 6848

E-mail: ruta.kucinskiene@lsmuni.lt

Associate professor Giedra LEVINIENĖ

Telephone No: +370  37 73 1926

E-mail: giedra.leviniene@lsmuni.lt

Associate professor Valdonė MISEVIČIENĖ

Telephone No: +370  37 32 6119

E-mail: valdone.miseviciene@fc.lsmuni.lt

Associate professor Šarūnas RUDAITIS

Telephone No: +370  37 32 6789

E-mail: sarunas.rudaitis@fc.lsmuni.lt

Associate professor Eglė TAMULEVIČIENĖ

Telephone No: +370  37 32 30 6079

E-mail: egle.tamuleviciene@lsmuni.lt

Associate professor Laimutė VAIDELIENĖ

Telephone No: +370  37 32 7002

E-mail: laimute.vaideliene@fc.lsmuni.lt

Lector Vilija BUBNAITIENĖ

Telephone No: +370  37 32 6789

E-mail: vilija.bubnaitiene@fc.lsmuni.lt

Lector Rosita KIUDELIENĖ

Telephone No: +370  37 32 6033

E-mail: rosita.kiudeliene@lsmuni.lt

Lector Marija MARENGOLCIENĖ

Telephone No: +370  37 30 6090

E-mail: marija.marengolciene@fc.lsmuni.lt

Lector Jūratė MASALSKIENĖ

Telephone No: +370  37 32 6286

E-mail: jurate.masalskiene@lsmuni.lt

Lector Eglė RAMANAUSKIENĖ

Telephone No: +370  37 32 6033

E-mail: egle.ramanauskiene@fc.lsmuni.lt

Lector Rūta ROKAITĖ

Telephone No: +370  37 32 6611

Telephone No: +370  37 32 6848

E-mail: ruta.rokaite@fc.lsmuni.lt

Lector Giedrė RUTKAUSKIENĖ

Telephone No: +370  37 32 6033

E-mail: giedre.rutkauskiene@fc.lsmuni.lt

Lector Rima ŠILEIKIENĖ

Telephone No: +370  37 32 6272

E-mail: rima.sileikiene@fc.lsmuni.lt

Lector Lina JANKAUSKAITĖ

Telephone No: +370  37 32 6789

E-mail: lina.jankauskaite@fc.lsmuni.lt

Lector Edita HANSTED

Telephone No: +370  37 32 7189

E-mail: edita.hansted@fc.lsmuni.lt

Assistant Sonata ARGUSTAITĖ

Telephone No: +370  37 32 6033

E-mail: sonata.argustaite@fc.lsmuni.lt

Assistant Andželika BALČIŪNIENĖ

Telephone No: +370  37 32 6626

E-mail: andzelika.balciuniene@fc.lsmuni.lt

Assistant Algirdas DAGYS

Telephone No: +370  37 32 6684

Telephone No: +370  37 32 6038

E-mail: algirdas.dagys@fc.lsmuni.lt

Assistant Diana DOBILIENĖ

Telephone No: +370  37 32 6789

E-mail: diana.dobiliene@fc.lsmuni.lt

Assistant Jūratė KASPARAVIČIENĖ

Telephone No: +370  37 32 6239

E-mail: jurate.kasparaviciene@fc.lsmuni.lt

Assistant Giedrė KOJELIENĖ

Telephone No: +370  37 32 

E-mail: giedre.kojeliene@fc.lsmuni.lt

Assistant Tomas KONDROTAS

Telephone No: +370  37 32

E-mail: tomas.kondratas@lsmuni.lt

Assistant Lukšienė VIRGINIJA 

E-mail: virginija.luksiene@fc.lsmuni.lt

Assistant Ilona STIRBIENĖ 

Telephone No: +370  37 32 6762

E-mail: ilona.stirbiene@fc.lsmuni.lt

Assistant Neringa VALATKAITĖ

Telephone No: +370  37 32 6789

E-mail: neringa.valatkaite@fc.lsmuni.lt

Assistant Aristida ZIUTELIENĖ 

Telephone No:  +370  37 32 6239

E-mail: aristida.ziuteliene@fc.lsmuni.lt 

Assistant Migla ŽĖBIENĖ 

Telephone No: +370  37 32 6239

E-mail: migla.zebiene@fc.lsmuni.lt

Assistant Renata JEZUKEVIČIENĖ

E-mail: renata.jezukeviciene@fc.lsmuni.lt

Study administrator Judita BULOTAITĖ

Telephone No: +370  37 32 7086

E-mail: vaiku.ligu.klinika@lsmuni.lt

E-mail: judita.bulotaite@lsmuni.lt

All divisions contacts