Learning Objectives
Short bowel syndrome is a potentially devastating morbidity for the very low birth weight (VLBW) infant and family with a high risk for mortality. Prevention of injury to the intestine is the ideal, but, if and when the problem arises, it is important to have a systematic approach to managing nutrition, and using pharmaceutical strategies and tools to maximize the outcome potential. The NICU Nutrition Journal Club will examine the following strategies for VLBWs with short bowel syndrome:
- Safely maximizing parenteral nutrition
- Initiating and advancing enteral nutrition (including the use of an exclusive human milk diet)
- Identify common medications and supplements
- Monitoring patient labs
The PubMed citation for the paper under discussion is: Management of short bowel syndrome in postoperative very low birth weight infants. Mayer O, Kerner JA. Semin Fetal Neonatal Med. 2017 Feb;22(1):49-56. doi: 10.1016/j.siny.2016.08.001
About the Speaker
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Olivia Mayer, RD, CSP, IBCLCClinical Pediatric Dietitian and NICU Specialist Neonatal nutrition is truly Olivia Mayer’s passion. As a registered dietitian and lead nutrition practitioner in the NICU at a children’s hospital in the San Francisco Bay Area, Olivia is committed to improving the lives of medically fragile infants through nutrition. Her team has been recognized by the American Society for Parenteral and Enteral Nutrition as a Clinical Nutrition Team of Distinction (only one other children’s hospital has been given this honor). Prior to starting her current role in 2006, Olivia gained valuable experience in clinical nutrition roles at UCSF Medical Center and Stanford Hospital. She also served as a dietetic intern at the National Institute of Health, Clinical Center, and she is currently completing a Lactation Consultant certifi cation program through UCSD Extension. She has co-authored two journal articles on feeding protocols for premature infants and is a frequent speaker and educator on this important topic. |