The Hospital for Sick Children

Our NICU

  • The SickKids NICU is a 36-bed, out-born unit providing tertiary and quaternary care for infants with severe hypoxaemic respiratory failure; hypoxaemic-ischaemic encephalopathy, seizures, stroke; sepsis; and a variety of surgical conditions, many of which require urgent surgery, and congenital malformations.
  • Approximately 800 infants are admitted to the NICU each year from hospitals across North America
  • SickKids has a multidisciplinary team comprised of nurses, nurse practitioners, physicians, respiratory, occupational and physiotherapists, dieticians, pharmacists, social workers, and chaplains
  • The Acute Care Transport Service (ACTS) team, provides transport of patients and an advice and consultation line to support community physicians in providing resuscitation, and stabilization
  • The Neonatal Neurodevelopmental Follow-Up Clinic sees approximately 350 high risk patients from the NICU and the Cardiac Critical Care Unit. Children are followed to three years of age by an interdisciplinary team with expertise in neurodevelopmental assessment and therapy. There are combined clinics with Neurology to optimize coordination of care.

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Neonatologists

Estelle Gauda, MD
Division Head

Estelle Gauda, MD

Division Head

Dr. Gauda obtained her MD from the University of Iowa in 1982 and completed a residency in paediatrics at St. Louis Children’s Hospital in 1985 followed by a fellowship in Neonatal-Perinatal Medicine at Rainbow Babies and Children’s Hospital, Case Western University. She is board-certified in paediatrics and perinatal-neonatal medicine. Gauda has clinical expertise in Perinatal-Neonatal care of the high risk newborn and a solid research portfolio investigating 1) mechanisms that control breathing with a focus maturation of the carotid body and its effects on breathing during development in health and disease in premature infants, and 2) alternative treatment paradigms for neonatal abstinence syndrome.   

Academic Background

Doctoral:
1976-80   Missouri 6-year medical school, University of Missouri, Kansas City, MO
1980-82   M.D., University of Iowa, College of Medicine, Iowa City, IA

Postdoctoral:10
1982-85   Resident (Pediatrics), Washington University, St Louis, MO
1985-88   Post-Doctoral Fellow (Perinatal-Neonatal Medicine), Case Western Reserve University,
Cleveland, OH

Research Interests

Control of Breathing, Carotid Body, Intermittent Hypoxia, Sudden Infant Death Syndrome, Apnea of Prematurity, Clonidine, Opiates, Neonatal Abstinence Syndrome

Full bibliography:
http://www.ncbi.nlm.nih.gov/sites/myncbi/18wU2o9b5h9Qf/bibliography/48852051/public/?sort=date&direction=ascending.

 

The Hospital for Sick Children
Division Head, Neonatology
Women’s Auxiliary Chair, Neonatology

Research Institute
Senior Associate Scientist
Translational Medicine

University of Toronto
Professor, Paediatrics

Toronto Centre for Neonatal Health
Director

Email: estelle.gauda@sickkids.ca

Linh Ly MD, MEd, FRCP(C)
Clinical Director

Linh Ly MD, MEd, FRCP(C)

Clinical Director

Dr. Linh Ly is the NICU Clinical Director and Medical Director of the Neonatal Neurodevelopmental Follow-Up Clinic. Her clinical and research focus is in neurodevelopmental outcomes of high risk neonates with acquired brain injury, congenital heart disease or preterm infants who are medically complex.

Academic Background

Medical School – University of Alberta
Paediatric Residency – University of Saskatchewan
Neonatal–Perinatal Fellowship – University of Toronto
Masters in Developmental Psychology – Ontario Institute for Education, University of Toronto

Research Interests

Brain Development, Neonatal Follow-up, Neonates, Neurodevelopmental Outcome, Outcomes Research, Paediatrics

 

The Hospital for Sick Children
Staff Neonatologist, Neonatology
Clinical Director, NICU Neonatology
Medical Director, Neonatal Neurodevelopmental Follow-Up Clinic

Research Institute
Project Investigator, Research Institute

University of Toronto
Assistant Professor, Paediatrics

Full bibliography:
https://www.ncbi.nlm.nih.gov/myncbi/12urYs7XbxmAh/bibliography/public/

Email: linh.ly@sickkids.ca

Hilary Whyte MB, MSc, FRCPI, FRCPC
Medical Director, ACTS

Hilary Whyte MB, MSc, FRCPI, FRCPC

Medical Director, ACTS

Faculty member of the Division of Neonatology for 35 years, cross appointed to the Department of Critical Care Medicine and Paediatric Emergency Medicine at SickKids, with staff privileges at both Mount Sinai and Sunnybrook Hospitals.  

Dr. Whyte has been the Medical Director of the SickKids Acute Care Transport Service (ACTS) Team for the last 22 years.  ACTS is responsible for the retrieval of all sick newborns and children under 13 years of age in our region of the Province of Ontario. Dr. Whyte has spearheaded a standardized model for transport competencies, processes and equipment to enhance patient safety in inter-facility transport across Canada.  

Dr. Whyte is also Medical Director of SickKids International and also responsible for outreach programs. She has an interest in creative and innovative ways to educate and maintain the competencies of interdisciplinary health care professionals involved in neonatal and paediatric critical care medicine.

Her research focus is in the area of transport medicine and neuro-critical care. She has had a leadership role in developing the follow-up program for high risk infants and has pursued outcomes research on the most vulnerable populations.

 

Academic Background

Medical School – Trinity College Dublin, Ireland
Paediatric Residency – Dublin, Ireland x 4 years; SickKids x 2 years
Fellowship in Neonatology – Vancouver, BC & SickKids x 2 years

Research Interests

Preterm brain development and outcomes.
Term brain injury and markers for prognostication.
Models and competencies of transport teams

Bibliography:
https://www.ncbi.nlm.nih.gov/myncbi/1jkI1fjug7kQf/bibliography/public/

 

The Hospital for Sick Children
Staff Neonatologist, Neonatology

Medical Director
Acute Care Transport Service (ACTS) Team, SickKids International

Research Institute
Project Director, Neurosciences & Mental Health

University of Toronto
Professor, Paediatrics

 

Chair Positions
Provincial Council for Maternal and Child Health
Maternal Child Transport Advisory Committee

 

Other Positions

CritiCall
Associate Medical Director

Ornge
Transport Medicine Physician

Mount Sinai Hospital & Sunnybrook Health Sciences Centre
Neonatology Consultant

Email: hilary.whyte@sickkids.ca

Jaques Belik
Senior Scientist

Jaques Belik

Senior Scientist

Dr. Belik completed general Paediatrics Residency and Neonatal-Perinatal Fellowship training in the
United States and moved to Canada in 1983. Following appointments with the Universities of
Manitoba and Calgary, Dr. Belik moved to Toronto in 2001 to join The Hospital for Sick Children and
the University of Toronto as a Professor of Paediatrics and Physiology.

Academic Background

1976 M.D., Santa Casa of Sao Paulo Medical School, Sao Paulo, Brazil
1981-83 Fellowship, Neonatal-Perinatal Medicine, University of Pennsylvania School of Medicine,
Philadelphia, PA, USA
1980 Pediatrics Residency, PL-3, Columbus Children’s Hospital, Ohio State University, Columbus, OH, USA
1978-79 Pediatrics Residency, PL-1 and PL-2, St. Jude Children’s Research Hospital,
Memphis, TN, USA

Research Interests

My research interests are focused on two main areas:

  • The regulation of pulmonary vascular resistance during the transition from fetal to neonatal life Gastropyloric motor function and the feeding intolerance of the newborn
  • The regulation of pulmonary vascular resistance during the transition from fetal to neonatal life

My primary focus in this area has been the biophysical and biochemical changes in pulmonary
vascular smooth muscle contractile and relaxant properties and their impact on the control of
pulmonary vascular resistance. My laboratory utilizes several animal models of the persistent
pulmonary hypertension syndrome of the newborn to evaluate the signaling pathways responsible for the etiology and pathogenesis of this clinical condition. Studies addressing the pulmonary vascular
endothelium in the preferential generation of nitric oxide, as opposed to reactive oxygen species and
the role of tetrahydrobiopterin and arginases in this process are currently underway.

Gastropyloric motor function and the feeding intolerance of the newborn

Utilizing newborn rodents as maturationally representative of preterm infants’ developmental stage of gastrointestinal motor function, my laboratory recently reported on the maturational dependent factors regulating gastric emptying early in life. We have also evaluated the prokinetic effect of clinically used pharmacological agents to enhance feeding tolerance in neonates.

External Funding

Canadian Institutes of Health Research

Full bibliography:
https://www.ncbi.nlm.nih.gov/myncbi/browse/collection/53502699/?sort=date&direction=ascending

 

The Hospital for Sick Children Research Institute
Senior Scientist, Translational Medicine

University of Toronto
Professor, Paediatrics and Physiology

Email: jaques.belik@sickkids.ca

Amr El Shahed, MD
Staff Neonatologist

Amr El Shahed, MD

Staff Neonatologist

Dr. Amr El Shahed was trained at Mansoura University Children’s Hospital for his Master and PhD degrees in Paediatrics. He has had Canadian training in perinatal-neonatal medicine as well as neonatal
neurology at University of Toronto. His postdoctoral work is focused on brain health and long-term
developmental outcome.

Academic Background

2010-11 Diploma, Diploma of Health Professional Education, Medical Education, Suez Canal University
2002-07 Doctorate, Medical Doctorate, Pediatrics, Mansoura University
1999-02 Master’s Thesis, Master degree in Pediatrics, Pediatrics, Mansoura University
1990-96 Bachelor’s, Bachelors of Medicine and Surgery, Mansoura University Postgraduate Training:
1999-02 Pediatric Resident Mansoura University Children’s Hospital, Egypt
2002-05   Pediatric-Assistant Lecturer Mansoura University Children’s Hospital, Egypt
2005-07   Perinatal-Neonatal Fellow HSC, MSH, SBH, University of Toronto, Canada
2013-15   Neonatal Transport Fellow, The Hospital for Sick Children, University of Toronto, Canada
2015-17   Neonatal Neurology Fellow, The Hospital for Sick Children, University of Toronto, Canada
2017-2018  Junior Staff Neonatologist, The Hospital for Sick Children, Canada
2019-present  Staff Neonatologist, The Hospital for Sick Children, Canada 

Research Interests

Neurodevelopmental Outcome of Preterm and HIE Neonates, Cerebral Oxygenation in Relation to
Brain Injury

Full bibliography:
https://www.ncbi.nlm.nih.gov/myncbi/browse/collection/53495456/?sort=date&direction=ascending

 

The Hospital for Sick Children
Staff Neonatologist, Neonatology

University of Toronto
Assistant Professor, Paediatrics

Email: amr.elshahed@sickkids.ca

Rebecca Hoban MD, MPH
Staff Neonatologist

Rebecca Hoban MD, MPH

Staff Neonatologist

In addition to clinical neonatology, Dr. Rebecca Hoban’s main research and quality improvement focus is in lactation and human milk feedings in high risk populations, both from a maternal and infant standpoint. Dr. Hoban is particularly interested in early predictors of lactation success, especially in mothers with inflammatory conditions like obesity and pre-term labour, and how pre and post-natal exposure to such conditions may affect human milk volumes and components as well as short and long term infant health. Dr. Hoban is currently also working on projects studying fresh human milk as stem cell therapy as well as outcomes with donor human milk.

Academic Background

Undergraduate Studies – B.S. Biology (honors) Indiana University, Bloomington, USA
Medical School – MD, Indiana University School of Medicine, Indianapolis, USA
Graduate School – MPH, Harvard School of Public Health, Boston, USA
Residency – Pediatrics, Cincinnati Children’s Hospital and Medical Center, Cincinnati,  USA
Fellowship – Neonatal-Perinatal Medicine, The Floating Hospital for Children at Tufts Medical Center, Boston, USA

Research Interests

Human Milk, Lactation, Obesity, Inflammation

 

External Funding

Canadian Government Tri Agency New Frontiers in Research Fund


Full bibliography
:
https://www.ncbi.nlm.nih.gov/myncbi/browse/collection/48244504/?sort=date&direction=ascending

 

The Hospital for Sick Children
Staff Neonatologist, Neonatology

University of Toronto
Assistant Professor, Paediatrics

Email: rebecca.hoban@sickkids.ca

Andrew James BSc, MBChB, MBI, FRACP, FRCP

Staff Neonatologist

Dr. Andrew James is a Staff Neonatologist at The Hospital for Sick Children, and an Associate Professor, Department of Paediatrics, Faculty of Medicine, University of Toronto.  He obtained his medical degree from the University of Auckland, Auckland, New Zealand.  Dr. James completed his paediatric residency at the Princess Mary Hospital for Children, Auckland, and trained in neonatology at National Women’s Hospital, Auckland and The Hospital for Sick Children, Toronto, Canada.  He was a Staff Neonatologist at National Women’s Hospital for 7 years before commencing his current appointment in 1993.  Dr James has a graduate degree in biomedical informatics from the Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland, Oregon; and a Certificate in Continuing Studies in E-Learning from the School of Continuing Studies at the University of Toronto.

Dr. James’ primary focus is the application of the information and communication technologies for clinical care, and the education of caregivers, patient’s and the families.  He has been the lead physician in the Neonatal Intensive Care Unit (NICU) at SickKids for clinical informatics since 1993.  His contributions have been those of a physician advisor and champion for the development, implementation and maintenance of the NICU’s electronic clinical management information systems.  Dr. James’ dominant research activity has been the real-time streaming of high-volume, high-fidelity physiological data from bedside monitors for clinical decision support.  He was co-lead for the Artemis Project (2009-15); a collaborative, multidisciplinary, international team that was developing advanced clinical decision support applications for the early identification of late onset neonatal sepsis, the recognition and classification of neonatal spells, the recognition of pain, the recognition of sleep/wake cycling in newborn infants and the quantification of retinal exposure to oxygen.  He was the inaugural Chief Medical Editor, AboutKidsHealth (2003-11).

His current informatics activities include knowledge representation [SNOMED CT and other clinical terminologies, biomedical ontologies], the electronic health record [information architecture, navigation and the visual display of information], predictive analytics and advanced clinical decision support.  Other projects have included the structured representation of the clinical care of the newborn infant by SNOMED CT; the development of SNOMED RefSets for disorders of the newborn infant; the ontological representation of the clinical care and disorders of the newborn infant; patient journey modeling; and the development of electronic problem-oriented clinical documentation.

Bibliography: https://www.ncbi.nlm.nih.gov/sites/myncbi/14U9jefImzukb/bibliography/44987979/public/?sort=date&direction=ascending

 

The Hospital for Sick Children
Staff Neonatologist, Neonatology
Associate Clinical Director, NICU

University of Toronto
Associate Professor, Department of Paediatrics

 

Other Positions

Mount Sinai Hospital
Associate Staff Neonatologist, Neonatology

Email: andrew.james@sickkids.ca

Kyong-Soon Lee MD, FRCPC, MSc
Staff Neonatologist

Kyong-Soon Lee MD, FRCPC, MSc

Staff Neonatologist

Dr. Kyong-Soon Lee’s major interests are neonatal transport and quality improvement.

Academic Background

1995 Master of Science (MSc), Clinical Epidemiology, Department of Community Health, University of
Toronto
1992 Fellowship, Subspecialty Neonatal-Perinatal Medicine, Royal College of Physicians and Surgeons of Canada: University of Toronto,
1993 Fellow (FAAP), American Academy of Pediatrics
1991 Fellow (FRCP), Specialty Paediatrics, Royal College of Physicians and Surgeons of Canada:
University of Toronto
1986 Doctor of Medicine (MD), Faculty of Medicine, University of Toronto

Research Interests

Transport, Quality Improvement

Full bibliography:
https://www.ncbi.nlm.nih.gov/myncbi/browse/collection/40228596/?sort=date&direction=ascending

 

The Hospital for Sick Children
Staff Neonatologist, Neonatology
Staff Physician, Acute Care Transport Services (ACTS) Team

Research Institute
Project Investigator

University of Toronto
Associate Professor, Paediatrics


Other Positions

Director, Canadian Neonatal Transport Network
Site Investigator, Canadian Neonatal Network
Site Sponsor, Children’s Hospital Neonatal Consortium

Email: kyong-soon.lee@sickkids.ca

Aideen Moore MD, FRCPC, MRCPI, MHSc

Staff Neonatologist

Dr. Aideen Moore obtained her MB, BCh, BAO from University College Dublin, Ireland and trained in Internal Medicine and Paediatrics. She undertook postgraduate training in Toronto and joined the Division of Neonatology at The Hospital for Sick Children in 1987. Dr Moore’s clinical and research interests are on the outcomes of high-risk infants admitted to the NICU and the prevalence and outcome of congenital anomalies.

Academic Background

2001 Master of Health Science MHSc in Bioethics, University of Toronto
1993 MD Thesis, Department of Medicine, University College Dublin
1984 FRCP(C), Department of Paediatrics, Royal College of Physicians of Canada
1980 DCH, Paediatrics, University College Dublin
1980 MRCP(I), Royal College of Physicians of Ireland
1970-76 MB, BCh, BAO, Department of Medicine, University College Dublin

Research Interests

  1. Neonatal outcome studies, including outcome of the surgical neonate.
  2. Neonatal Necrotising Enterocolitis; etiology, management and outcome.
  3. Defining the prevalence and outcome of congenital anomalies and establishing a surveillance system in Canada to support this goal.

Bibliography link:
https://www.ncbi.nlm.nih.gov/myncbi/browse/collection/53538972/?sort=date&direction=ascending

 

The Hospital for Sick Children
Staff Neonatologist, Neonatology

Research Institute
Project Investigator, Child Health Evaluative Sciences

University of Toronto
Professor, Paediatrics
Associate Member, School of Graduate Studies, Chair Positions

BORN Ontario
Congenital Anomalies Committee, Chair
Baby’s Breath Medical Advisory Committee, Chair

Email: aideen.moore@sickkids.ca

Martin Offringa MD, PhD
Staff Neonatologist

Martin Offringa MD, PhD

Staff Neonatologist

Dr. Offringa is a practicing neonatologist and clinical epidemiologist. His research interests in neonatology are in neonatal hypoglycemia and hyperbilirubinemia, lung protective ventilation and prevention of bronchopulmonary dysplasia. In 2015 he founded Toronto Outcomes Research in Child Health (TORCH), an initiative to develop and measure “core outcome sets” in randomized controlled trials and cohort studies. Visit https://lab.research.sickkids.ca/enrich/ for more information.

Academic Background

Medical School and Residency – Erasmus University, Rotterdam
Fellowship – University of Amsterdam

Research Interests

Clinical Trials, Systematic Reviews, Neonatal Medicine

Full bibliography: https://www.ncbi.nlm.nih.gov/pubmed/?term=offringa+m%5Bau%5D

 

The Hospital for Sick Children
Staff Neonatologist, Neonatology

Research Institute
Senior Scientist, Child Health Evaluative Sciences

University of Toronto
Professor, Paediatrics/iHPME

Email: martin.offringa@sickkids.ca

Christopher Tomlinson BSc, MB ChB, PhD

Staff Neonatologist

Dr. Christopher Tomlinson trained in Neonatology in Scotland and Toronto, joining the SickKids Division of Neonatology in 2007. He completed his PhD in Nutritional Sciences at the University of Toronto and has a cross appointment to this department. His research and academic interests are in growth and
nutrition with an interest in the medical management of surgical patients within the NICU.

Research Interests

Body Composition, Metabolism, Nutritional Sciences, Stable Isotopes

Full bibliography:
https://www.ncbi.nlm.nih.gov/myncbi/browse/collection/53494834/?sort=date&direction=ascending

 

The Hospital for Sick Children
Staff Neonatologist, Neonatology

Research Institute
Project Investigator

University of Toronto
Assistant Professor, Paediatrics

Email: christopher.tomlinson@sickkids.ca

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