Topics & Abstracts

Nurses and providers often encounter neonates with prenatally diagnosed or undiagnosed cardiovascular disease in the delivery room, well-baby nursery, or neonatal intensive care unit. Distinguishing between respiratory and cardiovascular disease is imperative for proper management. In this talk, I will review normal fetal, neonatal, and transitional circulation, and critical congenital heart diseases, their early presentation and initial treatment strategies. I will also discuss the cardiovascular implications and management strategies of common delivery complications and of prematurity.

Live Presentation Schedule Jun 14, 2021

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14-06-2021 17:00 14-06-2021 18:00 35 Clinical Care of the Neonate With Cardiovascular Disease Nurses and providers often encounter neonates with prenatally diagnosed or undiagnosed cardiovascular disease in the delivery room, well-baby nursery, or neonatal intensive care unit. Distinguishing between respiratory and cardiovascular disease is imperative for proper management. In this talk, I will review normal fetal, neonatal, and transitional circulation, and critical congenital heart diseases, their early presentation and initial treatment strategies. I will also discuss the cardiovascular implications and management strategies of common delivery complications and of prematurity. GOLD Neonatal Online Conference false DD/MM/YYYY

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Covid-19 was declared a pandemic by the WHO in March 2020. As the medical community dealt with the implications of rapid spread and high mortality and morbidity of the infection, many changes focused on infection control became paramount in the neonatal intensive care unit including attendance at delivery. We will review the manifestations of covid infection in neonates, risks of vertical and horizontal transmission, its impact on the delivery of neonatal care including visitation policies, restrictions on parental visitations, personal protective wear, social distancing, virtual rounding, breastfeeding, universal surveillance and changes in workflow and costs in the NICU.

Live Presentation Schedule Jun 14, 2021

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14-06-2021 21:00 14-06-2021 22:00 35 COVID-19 in the Neonatal Intensive Care Unit Covid-19 was declared a pandemic by the WHO in March 2020. As the medical community dealt with the implications of rapid spread and high mortality and morbidity of the infection, many changes focused on infection control became paramount in the neonatal intensive care unit including attendance at delivery. We will review the manifestations of covid infection in neonates, risks of vertical and horizontal transmission, its impact on the delivery of neonatal care including visitation policies, restrictions on parental visitations, personal protective wear, social distancing, virtual rounding, breastfeeding, universal surveillance and changes in workflow and costs in the NICU. GOLD Neonatal Online Conference false DD/MM/YYYY

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As national rates of opioid use disorder continue to rise, the resulting impact on pregnant and parenting women and their children is immense. Severity of the central nervous system and gastrointestinal irritability in infants following prenatal opioid exposure, can affect their feeding behaviors and subsequently the caregiver-infant relationship. Feeding is a regulatory process that is difficult to characterize in prenatally opioid-exposed infants. As a result, caregivers, most often the mother, may struggle with feeding their infants. The complexity of an opioid use disorder for the mother and the subsequent opioid withdrawal of the infant may impede a mother’s ability to engage her irritable or sleepy baby.

Despite the known importance of feeding as a growth-fostering process, the evidence is lacking to guide recommendations for feeding management in this at-risk population. Evidence-based observational tools specific to the target population are warranted. Furthermore, feeding interactions between opioid- exposed infants and their caregivers need appropriate assessment and intervention to not only assist with the infant’s regulation and development of feeding skills, but also to support a nurturing feeding relationship. This presentation will shed new light on this important issue in infant feeding and highlight emerging research in the area.

Live Presentation Schedule Jun 7, 2021

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07-06-2021 17:00 07-06-2021 18:00 35 Feeding Behaviors in the Opioid Exposed Infant As national rates of opioid use disorder continue to rise, the resulting impact on pregnant and parenting women and their children is immense. Severity of the central nervous system and gastrointestinal irritability in infants following prenatal opioid exposure, can affect their feeding behaviors and subsequently the caregiver-infant relationship. Feeding is a regulatory process that is difficult to characterize in prenatally opioid-exposed infants. As a result, caregivers, most often the mother, may struggle with feeding their infants. The complexity of an opioid use disorder for the mother and the subsequent opioid withdrawal of the infant may impede a mother’s ability to engage her irritable or sleepy baby. Despite the known importance of feeding as a growth-fostering process, the evidence is lacking to guide recommendations for feeding management in this at-risk population. Evidence-based observational tools specific to the target population are warranted. Furthermore, feeding interactions between opioid- exposed infants and their caregivers need appropriate assessment and intervention to not only assist with the infant’s regulation and development of feeding skills, but also to support a nurturing feeding relationship. This presentation will shed new light on this important issue in infant feeding and highlight emerging research in the area. GOLD Neonatal Online Conference false DD/MM/YYYY

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The goal of neonatal stabilization/transport is to provide therapies and services to reduce mortality and morbidity. This presentation will consist of the introduction of new science, review older material and some common sense information that is often forgotten. Neonatal mortality and morbidity data and new evidence guides our practice but the collection and dissemination of that information can be challenging. As respiratory management options expand, keeping transport providers skilled in airway management/intubation and new modalities can be difficult. Evidence regarding brain development, Hypoxic Ischemic Encephalopathy (HIE) identification and management and glucose metabolism and implications for long term development continues to evolve. The Golden Hour approach to management is so much more than just time and preterm infants. There is old and new information to offer guidance in the management of suspected sepsis in the neonate. Stabilization priorities and how to begin and continue will be discussed. Safety must be reflected in every stabilization in every setting.

Live Presentation Schedule Jun 14, 2021

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14-06-2021 15:00 14-06-2021 16:00 35 Neonatal Stabilization and Transport: New Science, Old Reminders and Some Common Sense The goal of neonatal stabilization/transport is to provide therapies and services to reduce mortality and morbidity. This presentation will consist of the introduction of new science, review older material and some common sense information that is often forgotten. Neonatal mortality and morbidity data and new evidence guides our practice but the collection and dissemination of that information can be challenging. As respiratory management options expand, keeping transport providers skilled in airway management/intubation and new modalities can be difficult. Evidence regarding brain development, Hypoxic Ischemic Encephalopathy (HIE) identification and management and glucose metabolism and implications for long term development continues to evolve. The Golden Hour approach to management is so much more than just time and preterm infants. There is old and new information to offer guidance in the management of suspected sepsis in the neonate. Stabilization priorities and how to begin and continue will be discussed. Safety must be reflected in every stabilization in every setting. GOLD Neonatal Online Conference false DD/MM/YYYY

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Throughout pregnancy, parents begin dreaming of their perfect, healthy baby. What happens when their dreams appear to be shattered by an infant that has obvious dysmorphic features and may have long-term problems? This session will provide an overview of common genetic terms, discussion of classifications of congenital anomalies with common findings, discussion of cytogenetic evaluation, and family communication.

Live Presentation Schedule Jun 21, 2021

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21-06-2021 17:00 21-06-2021 18:15 35 Recognition and Management of the Infant With Congenital Anomalies Throughout pregnancy, parents begin dreaming of their perfect, healthy baby. What happens when their dreams appear to be shattered by an infant that has obvious dysmorphic features and may have long-term problems? This session will provide an overview of common genetic terms, discussion of classifications of congenital anomalies with common findings, discussion of cytogenetic evaluation, and family communication. GOLD Neonatal Online Conference false DD/MM/YYYY

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Caffeine is one of the most prescribed medications within the neonatal intensive care unit (NICU). This presentation will summarize the current understanding of caffeine therapy in neonates including the various indications. Caffeine is the medication of choice for apnea of prematurity (AOP) however it has been shown to be beneficial in several other disease states and conditions. Despite the widespread use of caffeine, there is not consensus on optimal dosing regimen or timing. We will review the supporting literature for the nuances of caffeine dosing regimens and schedules. While caffeine is generally considered a safe medication, we will also discuss potential side effects for monitoring. After this presentation, the audience will have a full picture of the pros and cons of this ubiquitous medication in our NICU population.

Live Presentation Schedule Jun 7, 2021

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07-06-2021 19:00 07-06-2021 20:00 35 Starbucks for Babies? Caffeine Use in Neonates Caffeine is one of the most prescribed medications within the neonatal intensive care unit (NICU). This presentation will summarize the current understanding of caffeine therapy in neonates including the various indications. Caffeine is the medication of choice for apnea of prematurity (AOP) however it has been shown to be beneficial in several other disease states and conditions. Despite the widespread use of caffeine, there is not consensus on optimal dosing regimen or timing. We will review the supporting literature for the nuances of caffeine dosing regimens and schedules. While caffeine is generally considered a safe medication, we will also discuss potential side effects for monitoring. After this presentation, the audience will have a full picture of the pros and cons of this ubiquitous medication in our NICU population. GOLD Neonatal Online Conference false DD/MM/YYYY

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In this session, learners will explore the transition from gavage to breastfeeding in the NICU from the perspective of a premature infant. Babies born prematurely or with special needs typically develop safe feeding and swallowing at a slower rate. Early coordination of the swallow may be appreciated between 32 and 34 weeks gestation, with variability depending on degree of prematurity and underlying health conditions. Early breastfeeding success depends on identifying stress cues during feeding, teaching modifications, and keeping a flexible, developmentally sensitive care plan. Participants will learn to recognize bedside clinical signs of aspiration with special discussion of cough maturation and its long-term clinical implications.

Providers will be encouraged to support families from early antepartum with imminent preterm delivery, postpartum during the “golden hour” for an exclusively pumping mom, and introduction to Mother’s milk with early swallowing at bedside in the NICU. Working closely with lactation and therapy services ensures appropriate education and successful developmental expectations for the individualized NICU infant. Lastly, as families prepare for home, the importance of an inter-disciplinary team approach with appropriate discharge recommendations and community supports will be highlighted.

Live Presentation Schedule Jun 14, 2021

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14-06-2021 19:00 14-06-2021 20:00 35 Supportive Breastfeeding Practices for Infants With Swallowing Challenges in the NICU In this session, learners will explore the transition from gavage to breastfeeding in the NICU from the perspective of a premature infant. Babies born prematurely or with special needs typically develop safe feeding and swallowing at a slower rate. Early coordination of the swallow may be appreciated between 32 and 34 weeks gestation, with variability depending on degree of prematurity and underlying health conditions. Early breastfeeding success depends on identifying stress cues during feeding, teaching modifications, and keeping a flexible, developmentally sensitive care plan. Participants will learn to recognize bedside clinical signs of aspiration with special discussion of cough maturation and its long-term clinical implications. Providers will be encouraged to support families from early antepartum with imminent preterm delivery, postpartum during the “golden hour” for an exclusively pumping mom, and introduction to Mother’s milk with early swallowing at bedside in the NICU. Working closely with lactation and therapy services ensures appropriate education and successful developmental expectations for the individualized NICU infant. Lastly, as families prepare for home, the importance of an inter-disciplinary team approach with appropriate discharge recommendations and community supports will be highlighted. GOLD Neonatal Online Conference false DD/MM/YYYY

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Over the past decades, researchers have established the importance of the father on child development. Research shows that when fathers are involved, child development is affected. Children show better cognitive skills, fewer aggressive interactions, and better performance in school. Research shows that the earlier the involvement, the better. Nonetheless, when the baby is born premature, this interaction is usually delayed as life is in danger and, the baby is placed in the NICU. Premature birth (≤ 37 weeks of gestation) is a sudden and overwhelming event for the whole family. Parents of premature babies experience high levels of stress, anxiety, and depression. Most studies and interventions are focused on babies and mothers, neglecting fathers. The Kangaroo mother care method in which the baby must be placed in skin-to-skin position as long and much as possible has transformed not only the NICU practices but also the involvement of family members (especially fathers) in the care of premature babies. We will explore the experiences and impact of skin to skin contact on fathers in different countries and cultures.

Live Presentation Schedule Jun 8, 2021

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08-06-2021 17:00 08-06-2021 18:00 35 The Importance of Fatherhood: The Kangaroo Father Experience Over the past decades, researchers have established the importance of the father on child development. Research shows that when fathers are involved, child development is affected. Children show better cognitive skills, fewer aggressive interactions, and better performance in school. Research shows that the earlier the involvement, the better. Nonetheless, when the baby is born premature, this interaction is usually delayed as life is in danger and, the baby is placed in the NICU. Premature birth (≤ 37 weeks of gestation) is a sudden and overwhelming event for the whole family. Parents of premature babies experience high levels of stress, anxiety, and depression. Most studies and interventions are focused on babies and mothers, neglecting fathers. The Kangaroo mother care method in which the baby must be placed in skin-to-skin position as long and much as possible has transformed not only the NICU practices but also the involvement of family members (especially fathers) in the care of premature babies. We will explore the experiences and impact of skin to skin contact on fathers in different countries and cultures. GOLD Neonatal Online Conference false DD/MM/YYYY

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Intravenous lipid emulsions (ILE) are essential for promoting optimal nutrition in the neonatal intensive care unit. However, long-term use of a pure soybean lipid emulsion has been associated with potentially fatal complications such as intestinal failure associated liver disease and fat overload syndrome. In the past decade, the science of lipid emulsions has progressed with a focus on optimizing nutrition and prevention of disease, Concerns on the use of these different oil sources on essential fatty acid status and growth will be discussed. By providing an overview of the current literature, this lecture will provide a general overview of the currently available ILE and how differences in composition may impact the neonate.

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End of life care in the NICU is challenging for parents and staff alike. Nurses are a vital part of the NICU team and during end of life care they facilitate support and information to parents as well as colleagues and provide regular assessments of the baby. Accurate and consistent information is vital for the parents to feel empowered to engage fully. This part of a neonatal nurse's role can be emotionally challenging, and this is an important point to highlight. This presentation aims to evoke discussion around the nurses role in the decision making process when moving to end of life care of a baby and includes measures to ensure that staff feel involved and supported throughout the process.

Live Presentation Schedule Jun 7, 2021

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07-06-2021 15:00 07-06-2021 16:00 35 The Role of the Nurse in the End of Life Decision Making Process End of life care in the NICU is challenging for parents and staff alike. Nurses are a vital part of the NICU team and during end of life care they facilitate support and information to parents as well as colleagues and provide regular assessments of the baby. Accurate and consistent information is vital for the parents to feel empowered to engage fully. This part of a neonatal nurse's role can be emotionally challenging, and this is an important point to highlight. This presentation aims to evoke discussion around the nurses role in the decision making process when moving to end of life care of a baby and includes measures to ensure that staff feel involved and supported throughout the process. GOLD Neonatal Online Conference false DD/MM/YYYY

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This presentation will describe the state of translating research and evidence-based interventions into real world clinical settings to improve outcomes. Barriers and facilitators will be discussed. The “so what” outcome as a critical factor in speeding the translation of evidence based interventions into clinical settings will be highlighted. The presentation also will describe two successful programs of research as examples of success in scaling evidence-based interventions into practice. The Advancing Research and Clinical practice through close Collaboration (ARCC) Model will be emphasized as a successful framework for the rapid translation of evidence into practice to improve outcomes.

Live Presentation Schedule Jun 8, 2021

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08-06-2021 13:00 08-06-2021 14:00 35 The “So What Outcome” Factor: A Key Strategy for Speeding the Translation of Evidence-Based Interventions Into Practice This presentation will describe the state of translating research and evidence-based interventions into real world clinical settings to improve outcomes. Barriers and facilitators will be discussed. The “so what” outcome as a critical factor in speeding the translation of evidence based interventions into clinical settings will be highlighted. The presentation also will describe two successful programs of research as examples of success in scaling evidence-based interventions into practice. The Advancing Research and Clinical practice through close Collaboration (ARCC) Model will be emphasized as a successful framework for the rapid translation of evidence into practice to improve outcomes. GOLD Neonatal Online Conference false DD/MM/YYYY

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After decades of healthcare providers not recognizing newborn infants’ capacity to feel pain and the associated adverse outcomes, we now know that current evidence suggests that repeated procedural pain contributes to long-term changes in stress regulation and brain development in vulnerable preterm infants, after accounting for associated clinical confounders. Many medications are often not effective for the most commonly performed painful procedures, and their repeated and frequent use may have potential short and long-term adverse effects. Recent research has thus focused on finding non-pharmacological interventions or sweet tasting solutions as a substitute to pharmacologic treatments, or as a means to reduce the drug-doses needed for optimal analgesia associated with procedural pain. Several of these interventions involve parents, e.g., skin-to-skin care, breastfeeding, or facilitated tucking. Despite this knowledge, clinicians often struggle with incorporating these strategies into everyday practice. Moreover, most parents and many providers remain unaware of the powerful benefits of integrating parents as active participants in newborn pain management. This presenatation will cover interventions to address the treatment and prevention of procedural pain.

Live Presentation Schedule Jun 7, 2021

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07-06-2021 05:00 07-06-2021 06:15 35 Why Are We Still Hurting Babies: Provider And Parent-led Interventions For The Treatment And Prevention Of Procedural Pain After decades of healthcare providers not recognizing newborn infants’ capacity to feel pain and the associated adverse outcomes, we now know that current evidence suggests that repeated procedural pain contributes to long-term changes in stress regulation and brain development in vulnerable preterm infants, after accounting for associated clinical confounders. Many medications are often not effective for the most commonly performed painful procedures, and their repeated and frequent use may have potential short and long-term adverse effects. Recent research has thus focused on finding non-pharmacological interventions or sweet tasting solutions as a substitute to pharmacologic treatments, or as a means to reduce the drug-doses needed for optimal analgesia associated with procedural pain. Several of these interventions involve parents, e.g., skin-to-skin care, breastfeeding, or facilitated tucking. Despite this knowledge, clinicians often struggle with incorporating these strategies into everyday practice. Moreover, most parents and many providers remain unaware of the powerful benefits of integrating parents as active participants in newborn pain management. This presenatation will cover interventions to address the treatment and prevention of procedural pain. GOLD Neonatal Online Conference false DD/MM/YYYY

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