Nutrition Management of Refeeding Syndrome in the Critically Ill Child and Neonate

Program Date: 13 June 2023
Publication Date: 7 September 2023
Continuing Education Units: Nurse Contact: 1.0; Dietitian CPEU: 1.0

Course Description:

In this course, Luise Marino, PhD, RD and Lyssa Lamport, MS, RDN will review the potential pathophysiology of refeeding syndrome in critically ill children; identify the characteristics of refeeding syndrome; summarize management strategies for refeeding syndrome; discuss strategies to minimize the effects of refeeding syndrome and more! Originally presented as a live webinar on June 13, 2023.

Course Objectives:

• Review the potential pathophysiology of refeeding syndrome in critically ill children. 
• Identify the characteristics of refeeding syndrome. 
• Summarize management strategies for refeeding syndrome. 
• Discuss strategies to minimize the effects of refeeding syndrome in the premature infant. 
• Review case scenarios of NICU patients with refeeding syndrome.
  • CDR Level: 2
  • Performance Indicators: 4.2.7, 8.2.1, 10.1.3
  • Run Time: 43

Course Instructor Bio(s)

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Luise Marino, PhD, RD

Clinical Academic Paediatric Dietitian 
Southampton Children’s Hospital 
Research & Development Divisional Lead 
Southampton, Hampshire, UK
Luise joined Southampton Children’s Hospital in 2013, working clinically in Neonatal / Paediatric Intensive Care and Cardiology. Prior to this she spent 15 years working in various academic hospitals in South Africa, of which four years were spent as the dietetic manager at Red Cross War Memorial Children’s Hospital, in Cape Town. Following her return to the UK, she completed a PhD fellowship at Imperial College London, considering the role of HSP70 and the relationship to glutamine in the critically ill child. Luise has a HEE/NIHR Integrated Clinical Academic Fellowship considering “Growth and nutrition of infants with congenital heart disease: development of guidelines and a digital home monitoring programme to support families”. She is the current Chair of the British Dietetic Association Paediatric Cardiology Interest Group. Luise has published several peer reviewed articles and book chapters and is involved in collaborative research projects within the Children’s Hospital. Luise’s research interest aims to characterise the nutritional journey of infants and children with acute and chronic disease with a focus on those with congenital heart disease, and how the development of pragmatic pathways for nutritional rehabilitation could promote healthy growth and reduce parental stress.
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Lyssa Lamport, MS, RDN

Neonatal Nutritionist 
Cohen Children’s Medical Center of New York 
New York City, NY, USA
Lyssa Lamport is the Neonatal Nutritionist at Cohen Children’s Medical Center of New York. Although based out of Cohen Children’s Medical Center, she serves as a consulting nutritionist for some of their outlying NICU’s as well as the coordinator of their Neonatal Malnutrition Team and the Neonatal Intestinal Rehabilitation Team. Along with the lactation team she assisted in developing their human milk nutrition room. She has participated in numerous nutrition related studies including trials of Omegaven, SMOF, Prolacta, and the head-to-head human milk fortifier trial. She has also conducted her own research looking at neonatal refeeding syndrome, post-discharge outcomes of using human milk fortifier, ferritin approach to timing and dosing iron supplementation, osmolality feeding safety, the impact of pulmonary hypertension on growth and obstetrician knowledge of the nutritional impact of gastric bypass on pregnancy and supplementary iron needs of preterm infants. She has also served as one of the reviewers of the first American Academy of Nutrition and Dietetics Neonatal Nutrition Handbook.
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Abbott Nutrition’s Provider Statement for Nursing CEs:

Abbott Nutrition Health Institute is an approved provider of continuing nursing education by the California Board of Registered Nursing Provider #CEP 11213.

Abbott Nutrition’s Provider Statement for Dietitian CPEUs:

Abbott Nutrition Health Institute (RO002), is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR). CDR credentialed practitioners will receive continuing professional education units (CPEUs) for completion of this program/materials. Continuing Professional Education Provider Accreditation does not constitute endorsement by CDR of a provider, program, or materials.

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