Peri-Operative Management in Children: Strategies for Achieving Optimal Nutrition in Surgical Patients (Part 1)

Program Date: 16 November 2022
Publication Date: 8 December 2022
Continuing Education Units: Nurse Contact: 0.5; Dietitian CPEU: 0.5

Course Description:

In this course, Sanja Kolaček, MD, PhD and Mehul V. Raval, MD, MS discuss the effects of malnutrition on the outcomes of surgery; describe nutritional requirements during surgery; discuss the role of pre-operative nutrition screening and assessment, and review the benefits of pre-operative carbohydrate loading and early post-operative feeding. Originally presented as a live webinar on November 16, 2021.

Course Objectives:

• Discuss the effects of malnutrition on the outcomes of surgery. 
• Describe nutritional requirements during surgery. 
• Discuss the role of pre-operative nutrition screening and assessment. 
• Review the benefits of pre-operative carbohydrate loading and early post-operative feeding.
  • CDR Level: 2
  • Performance Indicators: 4.1.2, 8.1.1, 8.2.4
  • Run Time: 32

Course Instructor Bio(s)

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Sanja Kolaček, MD, PhD

Pediatric Gastroenterologist 
Children’s Hospital Zagreb 
Zagreb, Croatia
Dr Sanja Kolaček is a Professor of Pediatrics at the Medical University of Zagreb in Zagreb, Croatia, and Head of the Department of Pediatrics at the University Children’s Hospital Zagreb, where she also works as Chief of the Referral Center for Pediatric Gastroenterology and Nutrition. She currently serves as President of the European Society for Paediatric Gastroenterology, Hepatology, and Nutrition (ESPGHAN). Dr Kolaček acts as a reviewer for the Journal of Pediatric Gastroenterology and Nutrition and Clinical Nutrition, among others, and was an Associate Editor for the Journal of Pediatric Gastroenterology, Hepatology, and Nutrition for many years. Her most recent research has focused on gastrointestinal flora in Croatian children with inflammatory bowel disease, the association between diet and functional GI disease in Mediterranean regions, and the influence of nutritional status on nosocomial infection. Dr Kolaček has published more than 300 papers in peer-reviewed journals, has written approximately 40 book chapters, and has edited the Croatian edition of 5 books. She has been an invited speaker at more than 250 events and has chaired or organized more than 200, including major congresses for various international and European organizations such as ESPGHAN, the European Academy of Pediatrics, and United European Gastroenterology.
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Mehul V. Raval, MD, MS

Associate Professor, Surgery and Pediatrics 
Lurie Children’s Hospital 
Northwestern University Feinberg School of Medicine 
Chicago, IL, USA

Mehul V. Raval, MD, MS, is an Associate Professor in the Departments of Surgery and Pediatrics at Northwestern University. He is also the Director of Lurie Children’s Division of Pediatric Surgery Research Scholars Program, which includes mentoring 6 general surgery research residents and a variety of pediatric plastic surgery, neurosurgery and urology trainees. He serves as a principal investigator in the Surgical Outcomes and Quality Improvement Center at the Northwestern Institute for Public Health and Medicine. He is the Co- Surgeon Champion for the American College of Surgeons National Surgical Quality Improvement Project-Pediatric for Lurie Children’s Hospital. Dr Raval also holds clinical appointments at Northwestern Memorial Hospital, Central DuPage Hospital, and Northwest Community Hospital, all in and around Chicago. 

Dr Raval is currently receiving extramural funding from the Agency of Healthcare Research and Quality to study the value of children’s surgical care using payment data from children’s hospitals that frequently performed surgical procedures. Most recently, he was awarded a $3.5M grant from the NIH to evaluate the implementation of enhanced recovery protocols in children’s surgery. Dr Raval was instrumental in establishing the ACS National Surgical Quality Improvement Project-Pediatric, a nationally recognized quality improvement program that is now in place at more than 150 hospitals and is an integral part of the Children’s Surgery Verification program. For his research, Dr Raval has earned both the American Pediatric Surgery Association’s Judah Folkman Award and the American Academy of Pediatrics Surgical Section’s Rosenkrantz Award. He is currently the chair of the Quality and Safety Committee for the American Pediatric Surgery Association and Chair of the American Academy of Pediatrics Delivery of Surgical Care Committee. Dr Raval has to his name more than 170 peer-reviewed publications, 15 chapters and invited reviews, and 200 presentations.

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