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Overview:
sq Concise reviews of important journal literature
sq Provided entirely without charge or prerequisites
sq Delivered to your email inbox
sq Written and peer-reviewed by expert faculty
sq CE certified newsletters and podcasts
 
Planned Topics:
sq Respiratory Infections
sq Nutrition
sq Pulmonary Hypertension
 
Intended Audience:
Neonatologists, respiratory therapists, neonatal nurses and nurse practitioners, and others involved in caring for patients in the NICU
 
Program Learning Objectives
After completing this activity, the participant will demonstrate the ability to:
sq Develop and implement appropriate NICU and post-discharge care to prevent long-term airway obstruction and mild exercise intolerance in former premature infants with BPD later in life
sq Explain the clinical importance of calorie- and protein-enriched formulas to address nutritional deficiencies and prevent short-term developmental deficits and long-term damaging health effects
sq Review indications for and incorporate guidelines for more appropriate use of various noninvasive methods of pulmonary support (eg, modern nCPAP, niPPV, HHFNC)
sq Describe the comparative merits of IV soybean oil-based lipid emulsions and parental omega-3 lipid emulsions in the PNALD setting
sq Describe the progress and recent advances in the diagnosis and management of nosocomial respiratory infections
 
Statement of Need
An in-depth review of current medical literature, expert opinion, and survey in neonatology on the topics of infections, respiratory, and nutrition revealed six professional practice gaps.
sq On the topic of neonatal infections, the two gaps identified are: Ventilator-acquired pneumonia (VAP) is one of the leading causes of preventable morbidity and mortality in NICUs and neonatologists need a consistent and precise approach to diagnosing and treating to minimize ineffective empiric antibiotic treatment. Second, central-line-associated bloodstream infections (CLABSI) in NICUs is in most cases preventable; variable rates of sepsis in different NICUs indicate that adherence to best practices and vigilant preventive interventions are not as uniform as they could or should be.
sq On the topic of neonatal respiratory functions, the two gaps identified are: First, very low birth-weight (VLBW) babies with bronchopulmonary dysplasia (BDP) spend long periods on mechanical ventilation, which poses its own dangers and has become almost routine. In addition to cognitive, educational, and behavioral impairments later in life, former premature infants with BDP also suffer higher rates of long-term airway obstruction and mild exercise intolerance, potentially preventable with better NICU and postdischarge care. Second, protocols for noninvasive methods of pulmonary support are underused or misused in many neonatal care settings, resulting in higher rates of lung injury in preterm infants from mechanical ventilation.
sq On the topic of neonatal nutrition, the two gaps identified are: First, the impact of early malnutrition can have negative effects on long-term outcomes, thus the concern that too few of the premature infants discharged with nutritional deficiencies receive calorie- and protein-enriched formulas that prevent near-term developmental deficits and long-term damaging health effects such as metabolic syndrome. Second, long term use of parenteral nutrition (PN) is associated with complications such as blood-stream infections and metabolic abnormalities; the most serious potential complication is PN-associated liver disease (PNALD). Neonatologists are not fully aware of the comparative merits of IV soybean oil-based lipid emulsions and parenteral omega-3 lipid emulsions in the parenteral nutrition-associated liver disease (PNALD) setting.
 
Accreditation Statement
Physicians

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of The Johns Hopkins University School of Medicine and The Institute for Johns Hopkins Nursing. The Johns Hopkins University School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.
 
Nurses
The Institute for Johns Hopkins Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Centerís Commission on Accreditation.

The Institute for Johns Hopkins Nursing and the American Nurses Credentialing Center do not endorse the use of any commercial products discussed or displayed in conjunction with the educational activity.
Respiratory Therapists
Respiratory therapists should visit this page to confirm that AMA PRA Category 1 Credit(s)™ are accepted toward fulfillment of RT requirements
 
Credit Designation Statement
Physicians

eNewsletters: The Johns Hopkins University School of Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Podcasts: The Johns Hopkins University School of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
 
Nurses
eNewsletters: This 1 contact hour Educational Activity is provided by The Institute for Johns Hopkins Nursing.
Each newsletter carries a maximum of 1 contact hour or a total of 8 contact hours for the 8 newsletters in this program.

Podcasts: This 0.5 contact hour Educational Activity is provided by The Institute for Johns Hopkins Nursing.
Each podcast carries a maximum of 0.5 contact hour or a total of 4 contact hours for the 8 podcasts in this program.
 
Respiratory Therapy
For United States
Visit this page to confirm that your state will accept the CE Credits gained through this program.
For Canada
Visit this page to confirm that your province will accept the CE Credits gained through this program.
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