Peri-Operative Management in Children: Strategies for Achieving Optimal Nutrition in Surgical Patients (Part 2)

Program Date: 16 November 2021
Publication Date: 19 January 2023
Continuing Education Units: Nurse Contact: 0.5; Dietitian CPEU: 0.5

Course Description:

In this course, Sanja Kolaček, MD, PhD and Elizabeth Spoede, MS, RD, CSP, LD will review the importance of nutrients in the gut of pediatric surgical patients; emphasize the role of nutrition in enhanced recovery after surgery (ERAS); explain the unique nutritional needs of the neuromuscular (NM) spine population; and share best practices and current evidence-based recommendations related to peri-operative nutrition management. Originally presented as a live webinar on November 16, 2021.

Course Objectives:

• Review the importance of nutrients in the gut of surgical patients. 
• Emphasize the role of nutrition in enhanced recovery after surgery (ERAS) for children. 
• Explain the unique nutritional needs of the neuromuscular (NM) spine population. 
• Share best practices and current evidence-based recommendations related to peri-operative nutrition management of the NM spine population.
  • CDR Level: 2
  • Performance Indicators: 4.1.2, 8.1.1, 8.2.1
  • Run Time: 30

Course Instructor Bio(s)

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Sanja Kolaček, MD, PhD

Pediatric Gastroenterologist 
Children’s Hospital Zagreb 
Zagreb, Croatia
Sanja Kolaček finished University of Zagreb Medical School, where she also received her MSc and PhD degrees. Following her training in Paediatrics, she was trained in Paediatric Gastroenterology, Hepatology, and Nutrition at various institutions, among which were also the Children's Hospital Birmingham, Liver Unit at the King's College Hospital London, and the Endoscopy Unit of the Gastroenterology Department at the Academish Medisch Centrum Amsterdam. In 2008, she was appointed as a Professor of Paediatrics at the Zagreb University Medical School. Within ESPGHAN, Kolaček is the current ESPGHAN President, elected in 2018. Previously, she served as the Secretary General, was/is an active member of the Working groups for IBD, acute diarrhea, and pre/probiotics, and for two terms was a member of the Committee of Nutrition. She is/was also serving in different ruling and educational bodies of the ECCO, ESPEN, UEG, and various Croatian medical associations. Her editorial activities include being Associate Editor of the Journal of Pediatric Gastroenterology, Hepatology, and Nutrition (JPGN), and membership of the Advisory Board for the Journal of Crohn's and Colitis. Her main clinical interests include chronic enteropathies and chronic intestinal failure, clinical nutrition, and nutrition of healthy infants, while her present research activities are in the field of IBD, coeliac disease, probiotics, and disease-related malnutrition. Professor Kolaček has published more than 250 papers in peer-reviewed journals, has written many book chapters, and edited several textbooks, mainly in the field of paediatric nutrition and gastroenterology.
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Elizabeth Spoede, MS, RD, CSP, LD

Pediatric Dietitian & Clinical Specialist 
Texas Children’s Hospital 
Houston, TX, USA
Elizabeth Spoede is currently a Clinical Nutrition Specialist at Texas Children’s Hospital, Houston, where she has worked as a Pediatric Clinical Dietitian for 15 years. As a member of the Academy of Nutrition and Dietetics’ Pediatric Nutrition Practice Group, Ms. Spoede is the Member Support past chair and served as the Second Century Liaison, and she sits on the Board of Editors for the Practice Group’s Pediatric Nutrition Care Manual. She is also a content expert for the CSP exam through the Commission on Dietetic Registration. In 2020, Ms. Spoede presented on food insecurity in the pediatric population at the virtual Pediatric Intensive Course in Maternal-Child Health Nutrition through the University of Alabama– Birmingham’s Department of Pediatrics and presented at the Texas Dietetic Internship Preparation Workshop at Texas A&M University. Her recent research has examined a multidisciplinary screening process to reduce mortality in pediatric patients with non-idiopathic scoliosis, food insecurity, and pediatric malnutrition in relation to under- and overweight in the United States, pediatric nutrition screening tools, and the impact of scoliosis surgery on pulmonary function in pediatric patients with muscular dystrophy or spinal muscular atrophy. Ms. Spoede has been an editor and author for several editions the Texas Children’s Hospital’s Pediatric Nutrition Reference Guide.
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