Topics & Abstracts

Breastfeeding of preterm infants is associated with factors in infants, mothers and clinical practice.

Extremely preterm infants establish exclusive breastfeeding at a higher PMA and have twice the risk of not being exclusively breastfed at discharge. Low education, less breastfeeding experience, and smoking are maternal factors negatively associated with exclusive breastfeeding.

Admitting mothers to the NICU together with the infant immediately after delivery is associated with earlier establishment of exclusive breastfeeding. The later the initiation of breast milk expression, the later the establishment of exclusive breastfeeding, and the higher risk for failure of exclusive breastfeeding at discharge and inadequate breastfeeding duration. The use of a nipple shield is associated with failure of exclusive breastfeeding at discharge and inadequate duration of exclusive breastfeeding. Minimizing the use of a pacifier during breastfeeding establishment and test weighing the infant are positively associated with exclusive breastfeeding at discharge.

Live Presentation Schedule Jun 17, 2019

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17-06-2019 15:00 17-06-2019 16:00 35 Breastfeeding of Preterm Infants – Associated Factors in Infants, Mothers, and Clinical Practice Breastfeeding of preterm infants is associated with factors in infants, mothers and clinical practice. Extremely preterm infants establish exclusive breastfeeding at a higher PMA and have twice the risk of not being exclusively breastfed at discharge. Low education, less breastfeeding experience, and smoking are maternal factors negatively associated with exclusive breastfeeding. Admitting mothers to the NICU together with the infant immediately after delivery is associated with earlier establishment of exclusive breastfeeding. The later the initiation of breast milk expression, the later the establishment of exclusive breastfeeding, and the higher risk for failure of exclusive breastfeeding at discharge and inadequate breastfeeding duration. The use of a nipple shield is associated with failure of exclusive breastfeeding at discharge and inadequate duration of exclusive breastfeeding. Minimizing the use of a pacifier during breastfeeding establishment and test weighing the infant are positively associated with exclusive breastfeeding at discharge. GOLD Neonatal Online Conference false DD/MM/YYYY

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Critically ill neonates and infants are often unable to maintain adequate nutrition through the enteral route and require parenteral nutrition. Due to their increased nutritional needs, small size, and limited overall fluid intake, neonatal/infant parenteral nutrition requires specialized knowledge of stability and compatibility of parenteral nutrition macronutrients and micronutrients. Special attention will be given to issues involving protein requirements, glucose infuse rates, provision of lipid injectable emulsions utilizing newer products, calcium and phosphate compatibility, and challenges with limited intravenous access.

Live Presentation Schedule Jun 10, 2019

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10-06-2019 17:00 10-06-2019 18:00 35 Challenges in the Neonatal Intensive Care Unit Critically ill neonates and infants are often unable to maintain adequate nutrition through the enteral route and require parenteral nutrition. Due to their increased nutritional needs, small size, and limited overall fluid intake, neonatal/infant parenteral nutrition requires specialized knowledge of stability and compatibility of parenteral nutrition macronutrients and micronutrients. Special attention will be given to issues involving protein requirements, glucose infuse rates, provision of lipid injectable emulsions utilizing newer products, calcium and phosphate compatibility, and challenges with limited intravenous access. GOLD Neonatal Online Conference false DD/MM/YYYY

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Neonatal intensive care frequently gives rise to challenging ethical questions, particularly when there are decisions to be made about starting or stopping potentially life-sustaining medical treatment. In this talk, I will cover three common and important questions relating to neonatal end of life care. When is it ethical to allow a newborn infant to die? How should decisions be reached about providing or discontinuing life-sustaining treatment? What decisions or actions are ethical (and unethical) as part of the end of life care of a newborn infant?

Live Presentation Schedule Jun 11, 2019

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11-06-2019 17:00 11-06-2019 18:00 35 Ethical Issues in Neonatal End of Life Care Neonatal intensive care frequently gives rise to challenging ethical questions, particularly when there are decisions to be made about starting or stopping potentially life-sustaining medical treatment. In this talk, I will cover three common and important questions relating to neonatal end of life care. When is it ethical to allow a newborn infant to die? How should decisions be reached about providing or discontinuing life-sustaining treatment? What decisions or actions are ethical (and unethical) as part of the end of life care of a newborn infant? GOLD Neonatal Online Conference false DD/MM/YYYY

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Infants should not be separated from their parents. Parent-infant closeness is vital for the development of parent-infant relationship and consequently for parental well-being and optimal infant development. However, every year, due to medical care or hospital routines detrimental separation affects millions of infants. This presentation explores parents’ and staff’s perceptions of infant-parent closeness and separation in maternity care, delivery ward and neonatal intensive care environment. Based on these experiences, barriers (e.g. care routines and resources) and facilitators (e.g. patient centered communication skills, parent autonomy, single family rooms and couplet care) for closeness will be examined and potential strategies to facilitate parent-infant closeness in neonatal care are discussed.

Live Presentation Schedule Jun 10, 2019

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10-06-2019 15:00 10-06-2019 16:00 35 Facilitating Infant-Parent Closeness in Neonatal Care Infants should not be separated from their parents. Parent-infant closeness is vital for the development of parent-infant relationship and consequently for parental well-being and optimal infant development. However, every year, due to medical care or hospital routines detrimental separation affects millions of infants. This presentation explores parents’ and staff’s perceptions of infant-parent closeness and separation in maternity care, delivery ward and neonatal intensive care environment. Based on these experiences, barriers (e.g. care routines and resources) and facilitators (e.g. patient centered communication skills, parent autonomy, single family rooms and couplet care) for closeness will be examined and potential strategies to facilitate parent-infant closeness in neonatal care are discussed. GOLD Neonatal Online Conference false DD/MM/YYYY

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Discharge teaching programs are typically established based on what we as health care providers think parents need to know. Reality sets in very quickly for families after taking home a premature newborn. Despite thorough discharge teaching and parent involvement in hospital, parents are surprised by the challenges they face post-discharge. Feeding, behavior, reflux, sleep, and parenting troubles top the list. Based on over twenty years’ experience working with premature infants and their families beyond discharge, the presenter will reveal common challenges encountered and discuss research-based and practical strategies for the NICU team to share with parents to smooth the transition home. A greater knowledge of post discharge sequelae and preventative strategies will aid the NICU team in optimizing the discharge process and ultimately improve outcomes for babies and parents.

Live Presentation Schedule Jun 24, 2019

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24-06-2019 17:00 24-06-2019 18:15 35 Home Sweet Home? Realities and Remedies Discharge teaching programs are typically established based on what we as health care providers think parents need to know. Reality sets in very quickly for families after taking home a premature newborn. Despite thorough discharge teaching and parent involvement in hospital, parents are surprised by the challenges they face post-discharge. Feeding, behavior, reflux, sleep, and parenting troubles top the list. Based on over twenty years’ experience working with premature infants and their families beyond discharge, the presenter will reveal common challenges encountered and discuss research-based and practical strategies for the NICU team to share with parents to smooth the transition home. A greater knowledge of post discharge sequelae and preventative strategies will aid the NICU team in optimizing the discharge process and ultimately improve outcomes for babies and parents. GOLD Neonatal Online Conference false DD/MM/YYYY

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Parents are essential to infant brain development; high risk birth with admission to the Neonatal Intensive Care Unit (NICU) only increases their vital role. Current evidence increasingly provides direction for how best to fully engage parents through increased opportunities for both physical and emotional closeness enhancing parent-infant interactions and participation in NICU caregiving activities. Early brain development is highly affected by early experiences particularly those with parents. Parent engagement is defined as a dynamic process focused on enhancing and supporting the parent-infant experience; specifically enhancing the acquisition of skills for problem-solving and provision of appropriate infant care based on the unique infant needs. Enhancing parent engagement is one means of decreasing what has been recently documented as post-traumatic stress disorder (PTSD) often experienced by parents who must traverse the chaotic NICU environment while supporting their high-risk infant. Concurrently, the unique needs of the infant’s developing brain demands that caregiving by parent and health providers be neuroprotective matching the “expectations” for experiences that “nurture” their development.

Live Presentation Schedule Jun 17, 2019

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17-06-2019 19:00 17-06-2019 20:00 35 Implications of Early Life Experience and Brain Development in the Preterm Infant Parents are essential to infant brain development; high risk birth with admission to the Neonatal Intensive Care Unit (NICU) only increases their vital role. Current evidence increasingly provides direction for how best to fully engage parents through increased opportunities for both physical and emotional closeness enhancing parent-infant interactions and participation in NICU caregiving activities. Early brain development is highly affected by early experiences particularly those with parents. Parent engagement is defined as a dynamic process focused on enhancing and supporting the parent-infant experience; specifically enhancing the acquisition of skills for problem-solving and provision of appropriate infant care based on the unique infant needs. Enhancing parent engagement is one means of decreasing what has been recently documented as post-traumatic stress disorder (PTSD) often experienced by parents who must traverse the chaotic NICU environment while supporting their high-risk infant. Concurrently, the unique needs of the infant’s developing brain demands that caregiving by parent and health providers be neuroprotective matching the “expectations” for experiences that “nurture” their development. GOLD Neonatal Online Conference false DD/MM/YYYY

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States with legalized marijuana have faced increased use of marijuana by women during the perinatal period and complexities in decision making regarding management of infants exposed to marijuana through pregnancy and breastfeeding. Staff and family often report inconsistent messaging and practice management patterns among staff and providers in response to these patients. Results of a comprehensive literature search will be utilized to discuss the development and implementation of best practice strategies to address the unintended consequences of increased use of THC during pregnancy and breastfeeding correlating with the legalization of THC. This presentation will provide a review of current scientific evidence available to support the development of guidelines for consistent messaging and management of these newborns and their families during pregnancy and while breastfeeding.

Live Presentation Schedule Jun 17, 2019

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17-06-2019 17:00 17-06-2019 18:00 35 Legalization of Marijuana: Unintended Consequences on Our Most Vulnerable Patients States with legalized marijuana have faced increased use of marijuana by women during the perinatal period and complexities in decision making regarding management of infants exposed to marijuana through pregnancy and breastfeeding. Staff and family often report inconsistent messaging and practice management patterns among staff and providers in response to these patients. Results of a comprehensive literature search will be utilized to discuss the development and implementation of best practice strategies to address the unintended consequences of increased use of THC during pregnancy and breastfeeding correlating with the legalization of THC. This presentation will provide a review of current scientific evidence available to support the development of guidelines for consistent messaging and management of these newborns and their families during pregnancy and while breastfeeding. GOLD Neonatal Online Conference false DD/MM/YYYY

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Newborn arrhythmias are relatively common, occurring in up to 90% of neonates. Although many of those arrhythmias are benign, practitioners should be aware of the more common life-threatening rhythm and conduction disturbances that can affect neonates. This presentation will review the principles for identifying common benign and life threatening neonatal arrhythmias including premature atrial and ventricular contractions, atrioventricular block, congenital complete heart block, supraventricular tachycardias, and ventricular tachycardias and fibrillation. In addition, this presentation will examine common treatment modalities including medications, cardioversion and defibrillation. Finally, this presentation will correlate rhythm identification with treatment modalities in the neonatal population.

Live Presentation Schedule Jun 11, 2019

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11-06-2019 19:00 11-06-2019 20:00 35 Neonatal Arrhythmias: Interpretation & Treatment Newborn arrhythmias are relatively common, occurring in up to 90% of neonates. Although many of those arrhythmias are benign, practitioners should be aware of the more common life-threatening rhythm and conduction disturbances that can affect neonates. This presentation will review the principles for identifying common benign and life threatening neonatal arrhythmias including premature atrial and ventricular contractions, atrioventricular block, congenital complete heart block, supraventricular tachycardias, and ventricular tachycardias and fibrillation. In addition, this presentation will examine common treatment modalities including medications, cardioversion and defibrillation. Finally, this presentation will correlate rhythm identification with treatment modalities in the neonatal population. GOLD Neonatal Online Conference false DD/MM/YYYY

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Preterm infants are at increased risks of death and serious morbidity, although outcomes have improved significantly over the last 20 years. However, complications associated with gastrointestinal disorders, especially necrotising enterocolitis (NEC), and sepsis are increasingly important problems as respiratory care has improved. There is over-whelming data to support the use of mother’s own breastmilk, but only a few other interventions have shown important impacts on NEC and sepsis. However, meta-analyses, systematic reviews, large scale randomised controlled trials (RCTs) and observational studies all suggest that the administration of probiotics decrease the prevalence of NEC and sepsis, and improve other measures of gastrointestinal function such as enteral feed tolerance. Probiotics are live bacteria associated with a health benefit. Multiple different species and strains are considered to be ‘probiotics’ but only a few of these have been tested in high quality RCTs in preterm infants. This talk will review aspects of gut microbiota development, the interaction between breast milk nutrients and the microbiome and the role of probiotics. Methodological challenges associated with the interpretation of existing data will be discussed, and practical steps and considerations for the use of probiotics and potential risks will be considered.

Live Presentation Schedule Jun 3, 2019

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03-06-2019 15:00 03-06-2019 16:15 35 Probiotics in Preterm Infants Preterm infants are at increased risks of death and serious morbidity, although outcomes have improved significantly over the last 20 years. However, complications associated with gastrointestinal disorders, especially necrotising enterocolitis (NEC), and sepsis are increasingly important problems as respiratory care has improved. There is over-whelming data to support the use of mother’s own breastmilk, but only a few other interventions have shown important impacts on NEC and sepsis. However, meta-analyses, systematic reviews, large scale randomised controlled trials (RCTs) and observational studies all suggest that the administration of probiotics decrease the prevalence of NEC and sepsis, and improve other measures of gastrointestinal function such as enteral feed tolerance. Probiotics are live bacteria associated with a health benefit. Multiple different species and strains are considered to be ‘probiotics’ but only a few of these have been tested in high quality RCTs in preterm infants. This talk will review aspects of gut microbiota development, the interaction between breast milk nutrients and the microbiome and the role of probiotics. Methodological challenges associated with the interpretation of existing data will be discussed, and practical steps and considerations for the use of probiotics and potential risks will be considered. GOLD Neonatal Online Conference false DD/MM/YYYY

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Innovation and change is a constant in healthcare. Nurses are key stakeholders in developing, implementing and executing these changes. Whether the nurse is a formal or informal leader, their presence is vital for effective change. A nurse’s voice, your voice, can drive change by leading, guiding and engaging colleagues in the process. Extraordinary outcomes can be achieved with a clearly articulated vision, an inspired team, knowledge about the change (the why behind the what), and the resources necessary to create change. This presentation focuses on how leaders can prepare for change, move forward using change management strategies and sustain meaningful change in their units. Individual and collective strengths required to lead change will be shared.

Live Presentation Schedule Jun 10, 2019

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10-06-2019 19:00 10-06-2019 20:00 35 Using Your Voice to Drive Change – How Formal and Informal Nurse Leaders Make a Difference in The NICU Innovation and change is a constant in healthcare. Nurses are key stakeholders in developing, implementing and executing these changes. Whether the nurse is a formal or informal leader, their presence is vital for effective change. A nurse’s voice, your voice, can drive change by leading, guiding and engaging colleagues in the process. Extraordinary outcomes can be achieved with a clearly articulated vision, an inspired team, knowledge about the change (the why behind the what), and the resources necessary to create change. This presentation focuses on how leaders can prepare for change, move forward using change management strategies and sustain meaningful change in their units. Individual and collective strengths required to lead change will be shared. GOLD Neonatal Online Conference false DD/MM/YYYY

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In this presentation, we will explore grief and baby loss from a first-world, Western perspective. We will reflect on how our attitudes to grief have formed and look at the differences between traditional and contemporary approaches to grief and the tension that lies between them. We will also discuss some of the different ways that baby loss is discussed societally – looking particularly at platitudes, euphemisms and the tendency to minimize a baby’s death. We’ll finish with an exploration of our own approach to supporting bereaved families - our philosophy of care. At the end of this presentation, participants will have an array of concepts to help reflect on the care they give to parents and families who have experienced the tragedy of neonatal death.

Live Presentation Schedule Jun 11, 2019

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11-06-2019 21:00 11-06-2019 22:00 35 When a Baby Dies: Providing Care and Support In this presentation, we will explore grief and baby loss from a first-world, Western perspective. We will reflect on how our attitudes to grief have formed and look at the differences between traditional and contemporary approaches to grief and the tension that lies between them. We will also discuss some of the different ways that baby loss is discussed societally – looking particularly at platitudes, euphemisms and the tendency to minimize a baby’s death. We’ll finish with an exploration of our own approach to supporting bereaved families - our philosophy of care. At the end of this presentation, participants will have an array of concepts to help reflect on the care they give to parents and families who have experienced the tragedy of neonatal death. GOLD Neonatal Online Conference false DD/MM/YYYY

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The most frequent cause of weaning worldwide is mother´s feeling that she does not have enough milk or that her infant is hungry despite her efforts… and frequently this perception becomes a reality. What support systems and clinical strategies can we use to protect mother´s normal capacity for milk production?

Live Presentation Schedule Jun 3, 2019

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03-06-2019 08:00 03-06-2019 09:00 35 Getting Milk Production off to a Good Start The most frequent cause of weaning worldwide is mother´s feeling that she does not have enough milk or that her infant is hungry despite her efforts… and frequently this perception becomes a reality. What support systems and clinical strategies can we use to protect mother´s normal capacity for milk production? GOLD Neonatal Online Conference false DD/MM/YYYY

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Is it a tongue tie? What else could be going on? Having a deeper understanding of the orofacial complex and functional oral motor patterns can help take your assessment techniques to the next level. Curious about jaws, tongues, palates, oral tone, suck patterns, and more? This presentation will focus on understanding the finer details and the bigger picture when it comes to infant oral assessment.

Live Presentation Schedule Jun 3, 2019

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03-06-2019 08:00 03-06-2019 09:00 35 Infant Oral Assessment: Exploring Anatomy and Function Beyond the Frenulum Is it a tongue tie? What else could be going on? Having a deeper understanding of the orofacial complex and functional oral motor patterns can help take your assessment techniques to the next level. Curious about jaws, tongues, palates, oral tone, suck patterns, and more? This presentation will focus on understanding the finer details and the bigger picture when it comes to infant oral assessment. GOLD Neonatal Online Conference false DD/MM/YYYY

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What good is a successful patient consult if the follow-up instructions are not thorough or are too complicated to follow? In this talk, we’ll review best practices in Care Plans, and explore innovative approaches to developing plans. The goal is to increase patient compliance and the right Care Plan can be a powerful tool towards full compliance. We will discuss pitfalls of traditional plans, dos and don'ts in writing plans, and crafting plans that are culturally sensitive and realistic. We’ll also explore using to technology to create adaptable and adjustable plans.

Live Presentation Schedule Jun 3, 2019

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03-06-2019 08:00 03-06-2019 09:00 35 Marching Orders: Developing Practical and Impactful Care Plans What good is a successful patient consult if the follow-up instructions are not thorough or are too complicated to follow? In this talk, we’ll review best practices in Care Plans, and explore innovative approaches to developing plans. The goal is to increase patient compliance and the right Care Plan can be a powerful tool towards full compliance. We will discuss pitfalls of traditional plans, dos and don'ts in writing plans, and crafting plans that are culturally sensitive and realistic. We’ll also explore using to technology to create adaptable and adjustable plans. GOLD Neonatal Online Conference false DD/MM/YYYY

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The purpose of this presentation is to first review basic components of the breast physical exam, including assessment of the breast, nipple areolar complex (NAC) and regional nodal basins. We also briefly will review breast imaging that may be required for diagnostic purposes in the setting of lactation.

Live Presentation Schedule Jun 3, 2019

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03-06-2019 08:00 03-06-2019 09:00 35 Performing Physical Breast Assessment The purpose of this presentation is to first review basic components of the breast physical exam, including assessment of the breast, nipple areolar complex (NAC) and regional nodal basins. We also briefly will review breast imaging that may be required for diagnostic purposes in the setting of lactation. GOLD Neonatal Online Conference false DD/MM/YYYY

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The comfort and effectiveness of breastfeeding depend largely on how deeply the baby is attached to the breast and how stable the body positions of mother and baby are. This presentation reviews infant requirements and capabilities for breastfeeding and best practices to facilitate optimal latch.

Live Presentation Schedule Jun 3, 2019

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03-06-2019 08:00 03-06-2019 09:00 35 Positioning and Latch for Breastfeeding The comfort and effectiveness of breastfeeding depend largely on how deeply the baby is attached to the breast and how stable the body positions of mother and baby are. This presentation reviews infant requirements and capabilities for breastfeeding and best practices to facilitate optimal latch. GOLD Neonatal Online Conference false DD/MM/YYYY

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In this talk, Dr Lisa Amir explains how to take a history in a breastfeeding consultation. Developing rapport, listening and asking the right questions are essential to helping women experiencing challenges with breastfeeding. This talk will consider taking a history from clients before and during pregnancy, as well as early postpartum and later in their breastfeeding journey.

Live Presentation Schedule Jun 3, 2019

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03-06-2019 08:00 03-06-2019 09:00 35 Taking a Lactation History: From Pregnancy to Postpartum and Beyond In this talk, Dr Lisa Amir explains how to take a history in a breastfeeding consultation. Developing rapport, listening and asking the right questions are essential to helping women experiencing challenges with breastfeeding. This talk will consider taking a history from clients before and during pregnancy, as well as early postpartum and later in their breastfeeding journey. GOLD Neonatal Online Conference false DD/MM/YYYY

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Managing pain and discomfort in the neonatal patient is complex in many ways. Immature metabolic processes can lead to unpredictable effects that may lead to either negative effects and/or unsuccessful control of pain. As we have learned more about these metabolic pathways and how these medications are utilized, more evidence now exists that determine when one medication may be preferred over another depending on the clinical situation. Looking into the future of drug dosing, we may soon be able to determine a neonate's pharmacogenomic profile in order to provide true personalized medicine.

This presentation will help the learner understand the complexities of these challenges and provide them with the information and the tools to provide state-of-the-art medical care.

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03-06-2019 08:00 03-06-2019 09:00 35 Clinical Pain Management in the Neonate Managing pain and discomfort in the neonatal patient is complex in many ways. Immature metabolic processes can lead to unpredictable effects that may lead to either negative effects and/or unsuccessful control of pain. As we have learned more about these metabolic pathways and how these medications are utilized, more evidence now exists that determine when one medication may be preferred over another depending on the clinical situation. Looking into the future of drug dosing, we may soon be able to determine a neonate's pharmacogenomic profile in order to provide true personalized medicine. This presentation will help the learner understand the complexities of these challenges and provide them with the information and the tools to provide state-of-the-art medical care. GOLD Neonatal Online Conference false DD/MM/YYYY

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As part of their lifesaving care, infants born very preterm (8 to 16 weeks too early) undergo repeated invasive procedures for what can be weeks to months on end. There is accumulating evidence demonstrating the negative long-term effects of repeated neonatal pain on the developing brain and neurodevelopmental outcomes of children born very preterm. The presentation will outline why infants born ≤32 weeks gestational age, are particularly vulnerable to repeated exposure to invasive procedures. I will highlight the latest literature exploring the long-term effects of neonatal pain on the brain and neurodevelopmental outcomes of both children born very preterm and animal models of prematurity. Furthermore, I will discuss evidence-based pain prevention and intervention strategies applied during neonatal intensive care. It is imperative that we continue to find ways to reduce the negative long-term effects of pain within this vulnerable population of infants born very-preterm.

Live Presentation Schedule Jun 3, 2019

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03-06-2019 08:00 03-06-2019 09:00 35 Long-Term Effects of Neonatal Pain on the Developing Brain As part of their lifesaving care, infants born very preterm (8 to 16 weeks too early) undergo repeated invasive procedures for what can be weeks to months on end. There is accumulating evidence demonstrating the negative long-term effects of repeated neonatal pain on the developing brain and neurodevelopmental outcomes of children born very preterm. The presentation will outline why infants born ≤32 weeks gestational age, are particularly vulnerable to repeated exposure to invasive procedures. I will highlight the latest literature exploring the long-term effects of neonatal pain on the brain and neurodevelopmental outcomes of both children born very preterm and animal models of prematurity. Furthermore, I will discuss evidence-based pain prevention and intervention strategies applied during neonatal intensive care. It is imperative that we continue to find ways to reduce the negative long-term effects of pain within this vulnerable population of infants born very-preterm. GOLD Neonatal Online Conference false DD/MM/YYYY

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There is abundant high-quality evidence demonstrating analgesic effects of breastfeeding, skin-skin care and sweet solutions (sucrose and glucose) for newborn infants during short lasting acute painful procedures. There is also growing and concerning evidence about long lasting adverse effects of painful procedures. Yet, studies continue to show that painful procedures are routinely performed on newborns with no pain management. This presentation will include an overview of the three recommended newborn procedural pain management strategies and the knowledge to action (KTA) gap concerning utilization of evidence in practice. Barriers and facilitators to using the three strategies in diverse clinical settings will be discussed and knowledge translation strategies being used to address KTA gaps in pain management in newborns will be presented.

Live Presentation Schedule Jun 3, 2019

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03-06-2019 08:00 03-06-2019 09:00 35 Neonatal Pain: The Evidence and the Knowledge to Action Gap There is abundant high-quality evidence demonstrating analgesic effects of breastfeeding, skin-skin care and sweet solutions (sucrose and glucose) for newborn infants during short lasting acute painful procedures. There is also growing and concerning evidence about long lasting adverse effects of painful procedures. Yet, studies continue to show that painful procedures are routinely performed on newborns with no pain management. This presentation will include an overview of the three recommended newborn procedural pain management strategies and the knowledge to action (KTA) gap concerning utilization of evidence in practice. Barriers and facilitators to using the three strategies in diverse clinical settings will be discussed and knowledge translation strategies being used to address KTA gaps in pain management in newborns will be presented. GOLD Neonatal Online Conference false DD/MM/YYYY

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Neonates admitted to the Neonatal Intensive Care Unit (NICU) undergo numerous painful procedures each day, with fewer than one-third receiving analgesia. This is alarming as neonates who are critically ill and in pain are susceptible to developing life-threatening complications, since they cannot maintain homeostasis in a state of stress. Additionally, the cumulative effects of these painful experiences, has significant negative consequences to the neurodevelopment of these vulnerable neonates.

Pain assessment is fundamental to effective pain management although there is currently no universally accepted scale for pain assessment in neonates, and more evidence is required to determine the reliability and validity of existing pain assessment tools. Additionally, health clinicians do not know if the physiological and behavioural indicators of pain they observe are specific to pain, or a manifestation of the neonates medical condition, disease process, agitation, distress, fear, stress or even sadness. This issue is compounded when the expressive capacity of critically ill neonates is compromised by the administration of heavy sedation and muscle-relaxants. This presentation explores some of the complexities of pain assessment in neonates followed by practical advice for the health clinician, including a look at the modified Pain Assessment Tool (mPAT) and how it can help improve neonatal pain assessment in the clinical setting.

Live Presentation Schedule Jun 3, 2019

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03-06-2019 08:00 03-06-2019 09:00 35 Pain Assessment in Ventilated, Sedated, and Muscle-Relaxed Neonates Neonates admitted to the Neonatal Intensive Care Unit (NICU) undergo numerous painful procedures each day, with fewer than one-third receiving analgesia. This is alarming as neonates who are critically ill and in pain are susceptible to developing life-threatening complications, since they cannot maintain homeostasis in a state of stress. Additionally, the cumulative effects of these painful experiences, has significant negative consequences to the neurodevelopment of these vulnerable neonates. Pain assessment is fundamental to effective pain management although there is currently no universally accepted scale for pain assessment in neonates, and more evidence is required to determine the reliability and validity of existing pain assessment tools. Additionally, health clinicians do not know if the physiological and behavioural indicators of pain they observe are specific to pain, or a manifestation of the neonates medical condition, disease process, agitation, distress, fear, stress or even sadness. This issue is compounded when the expressive capacity of critically ill neonates is compromised by the administration of heavy sedation and muscle-relaxants. This presentation explores some of the complexities of pain assessment in neonates followed by practical advice for the health clinician, including a look at the modified Pain Assessment Tool (mPAT) and how it can help improve neonatal pain assessment in the clinical setting. GOLD Neonatal Online Conference false DD/MM/YYYY

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Pain in infancy has negative long-term consequences and its prevention is a clinical priority, but adequate pain treatment requires mechanistic understanding of the structural and functional development of human pain-related brain circuitry. Recent scientific and technological advances provide insights into how noxious information is transmitted to the infant brain, providing a platform to ask how intrinsic brain network connectivity and the environment affect pain-related brain activity, behaviour and ultimately pain perception in the developing infant nervous system.

As infants cannot describe their pain, we are reliant on alternative methods to measure their pain experience. My goal is to understand the mechanisms that drive and modulate pain perception in early human development. In this talk, I will discuss a series of mechanistic studies in human infants that aim to better understand the development of human pain. I will address fundamental questions regarding the functional development of pain-related brain activity and behavior, and will discuss whether inherent individual differences in how the infant brain behaves at rest drives differences in pain vulnerability. Finally, I will describe how these mechanistic insights can be used to test new analgesic treatment options and improve the treatment of infant pain.

Live Presentation Schedule Jun 3, 2019

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03-06-2019 08:00 03-06-2019 09:00 35 The Development of Human Pain Pain in infancy has negative long-term consequences and its prevention is a clinical priority, but adequate pain treatment requires mechanistic understanding of the structural and functional development of human pain-related brain circuitry. Recent scientific and technological advances provide insights into how noxious information is transmitted to the infant brain, providing a platform to ask how intrinsic brain network connectivity and the environment affect pain-related brain activity, behaviour and ultimately pain perception in the developing infant nervous system. As infants cannot describe their pain, we are reliant on alternative methods to measure their pain experience. My goal is to understand the mechanisms that drive and modulate pain perception in early human development. In this talk, I will discuss a series of mechanistic studies in human infants that aim to better understand the development of human pain. I will address fundamental questions regarding the functional development of pain-related brain activity and behavior, and will discuss whether inherent individual differences in how the infant brain behaves at rest drives differences in pain vulnerability. Finally, I will describe how these mechanistic insights can be used to test new analgesic treatment options and improve the treatment of infant pain. GOLD Neonatal Online Conference false DD/MM/YYYY

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