eNeonatal Review
VOLUME 10 – ISSUE 8
PODCAST LINK BELOW
TREATMENT STRATEGIES FOR GERD IN NEONATES AND INFANTS

Our guest authors are Anna Maria Hibbs, MD, MSCE, FAAP, Associate Professor of Pediatrics, and Margaret Kuper-Sassé, MD, Neonatal-Perinatal Medicine Fellow at University Hospitals Rainbow Babies & Children's Hospital in Cleveland, Ohio.

After participating in this activity, the participant will demonstrate the ability to:

Explain the impact that the distinction between gastroesophageal reflux and gastroesophageal reflux disease has on interpretation of study end-points.
Describe current evidence supporting non-pharmacologic versus pharmacologic treatment options for GERD in neonates and infants.
Summarize the role that the natural history of GERD symptoms has on symptomatic improvement in GERD treatment and GERD research.

This discussion, offered as a downloadable audio file and companion transcript, covers the important topic of management of kangaroo care in the format of case-study scenarios for the clinical practice. This program is a follow up to the Volume 10, Issue 7eNeonatal Review newsletter—Treatment Strategies for GERD in Neonates and Infants.


Unlabeled/Unapproved Uses
Dr. Hibbs and Dr. Kuper-Sassé have indicated that they will reference the unlabeled/unapproved uses of proton pump inhibitors and metoclopramide.
Bernard Thebaud, MD,PhD Anna Maria Hibbs, MD, MSCE, FAAP
Associate Professor of Pediatrics University Hospitals Rainbow Babies & Children's Hospital
Cleveland, Ohio
Bernard Thebaud, MD,PhD Margaret Kuper-Sassé, MD
Neonatal-Perinatal Medicine Fellow
University Hospitals Rainbow Babies & Children's Hospital
Cleveland, Ohio

Guest Faculty Disclosure
Dr. Hibbs and Dr. Kuper-Sassé have indicated that they have no financial interests or relationships with any commercial entity whose products or services are relevant to the content of their presentation.


Release Date
June 25, 2015
Expiration Date
June 24, 2017
Edward E. Lawson, MD
Professor of Pediatrics
Chief, Division of Department of Pediatrics
Johns Hopkins Children's Center
Baltimore, Maryland
Maureen Gilmore, MD
Assistant Professor of Pediatrics
Director of Neonatology
Johns Hopkins Bayview Medical Center
Baltimore, Maryland
Lawrence M. Nogee, MD
Professor
Department of Pediatrics – Neonatology
Johns Hopkins University School of Medicine
Baltimore, Maryland
Mary Terhaar, DNSc, RN
Associate Professor
Director, DNP Program
Johns Hopkins University School of Nursing
Baltimore, Maryland
Anthony Bilenki, MA, RRT
Director Respiratory Care/ECMO Services
The Johns Hopkins Hospital
Baltimore, Maryland
 accreditation statements
Physicians
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership 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 Center's Commission on Accreditation.

credit designation STATEMENT
Physicians
eNewsletter: 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 only claim the credit commensurate with the extent of their participation on the activity.

Podcast: The Johns Hopkins University School of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits(s)™. Physicians should only claim the credit commensurate with the extent of their participation on the activity.

Nurses
eNewsletter: 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 6 contact hours for the six newsletters in this program.

Podcast: 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 hours or a total of 3.0 contact hours for the six podcasts in this program.


There are no prerequisites or fees for this activity.


successful completion
To successfully complete this activity, participants must read the content, then link to the Johns Hopkins University School of Medicine's CME website, or the Institute for Johns Hopkins Nursing's website to complete the post-test and evaluation. A passing grade of 70% or higher on the post-test/evaluation is required to receive CE credit.

launch date
June 25, 2015; activities expire 2 years from the date of publication.

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disclaimer statement
The opinions and recommendations expressed by faculty and other experts whose input is included in this program are their own. This enduring material is produced for educational purposes only. Use of the Johns Hopkins University School of Medicine name implies a review of educational format, design, and approach. Please review the complete prescribing information of specific drugs or combination of drugs, including indications, contraindications, warnings, and adverse effects, before administering pharmacologic therapy to patients.


statement of responsibility
The Johns Hopkins University School of Medicine takes responsibility for the content, quality and scientific integrity of this CME activity.


STATEMENT OF NEED

NUTRITION
  • Physicians may not be aware of recent evidence-based recommendations on recognizing and treating GERD in neonates.
  • Current neonatal nutritional management practices may be enhanced to optimize and meet the specific needs of low birth weight preterm infants.
  • Current neonatal nutritional management practices may be enhanced to optimize and meet the specific needs of low birth weight preterm infants.
  • Clinicians who treat neonates are uncertain of optimal strategies for prevention and early recognition and treatment of necrotizing enterocolitis.


  • RESPIRATORY-RELATED ISSUES
  • Clinicians may be unfamiliar with some of the newest evidence-based approaches for treating neonatal persistent pulmonary hypertension.
  • Clinicians treating preterm infants may not be fully aware of the most recent developments in optimal management of bronchopulmonary dysplasia and respiratory distress syndrome.


  • intended audience
    The activity has been developed for neonatologists, NICU nurses, and respiratory therapists working with neonatal patients.

    Estimated time to complete activity: 30 minutes.

    POLICY ON FACULTY AND PROVIDER DISCLOSURE
    As a provider approved by the Accreditation Council for Continuing Medical Education (ACCME), it is the policy of the Johns Hopkins University School of Medicine Office of Continuing Medical Education (OCME) to require signed disclosure of the existence of financial relationships with industry from any individual in a position to control the content of a CME activity sponsored by OCME. Members of the Planning Committee are required to disclose all relationships regardless of their relevance to the content of the activity. Faculty are required to disclose only those relationships that are relevant to their specific presentation. The following relationships have been reported for this activity:

  • Lawrence M. Nogee, MD discloses that he has served as a contributor to UpToDate, Inc.

  • No other planners have indicated that they have any financial interest or relationships with a commercial entity whose products or services are relevant to the content of their presentations.

    Guest Author Disclosures

    Note: Grants to investigators at The Johns Hopkins University are negotiated and administered by the institution which receives the grants, typically through the Office of Research Administration. Individual investigators who participate in the sponsored project(s) are not directly compensated by the sponsor, but may receive salary or other support from the institution to support their effort on the project(s).

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