Episode 30 -Toni Solari - Nutrition in the Child who Aspirates

In this episode of Nutrition Pearls: the Podcast, co-hosts Jen Smith and Nikki Misner speak with Toni Solari on nutrition in patients with aerodigestive diseases. Toni is a registered dietitian in the Aerodigestive Center at Boston Children's hospital where she specializes in blenderized nutrition and specialized diets for various gastrointestinal disorders. She earned her degree at UMass Amherst, and has been practicing as a pediatric dietitian for 11 years. When she is not working, Toni enjoys spending time, preferably outside, with her 3.5 year old son and 1.5 year old daughter.

Nutrition Pearls is supported by an educational grant from Mead Johnson Nutrition.

Resources:

Aerodigestive Nutrition References: https://www.iddsi.org/standards/framework

Bolgeo T, Di Matteo R, Gallione C, Gatti D, Bertolotti M, Betti M, Roveta A, Maconi A. Intragastric prepyloric enteral nutrition, bolus vs continuous in the adult patient: A systematic review and meta-analysis. Nutr Clin Pract. 2022 Aug;37(4):762-772. doi: 10.1002/ncp.10836. Epub 2022 Feb 16. PMID: 35174544.

Hirsch S, Solari T, Rosen R. Effect of Added Free Water to Enteral Tube Feeds in Children Receiving Commercial Blends. J Pediatr Gastroenterol Nutr. 2022 Mar 1;74(3):419-423. doi: 10.1097/MPG.0000000000003308. PMID: 34560723; PMCID: PMC9531939.

Hron B, Rosen R. Viscosity of Commercial Food-based Formulas and Home-prepared Blenderized Feeds. J Pediatr Gastroenterol Nutr. 2020 Jun;70(6):e124-e128. doi: 10.1097/MPG.0000000000002657. PMID: 32443040; PMCID: PMC8530412.

Hron B, Fishman E, Lurie M, Clarke T, Chin Z, Hester L, Burch E, Rosen R. Health Outcomes and Quality of Life Indices of Children Receiving Blenderized Feeds via Enteral Tube. J Pediatr. 2019 Aug;211:139-145.e1. doi: 10.1016/j.jpeds.2019.04.023. Epub 2019 May 23. PMID: 31128885; PMCID: PMC6660979.

Jensen EA, Zhang H, Feng R, Dysart K, Nilan K, Munson DA, Kirpalani H. Individualising care in severe bronchopulmonary dysplasia: a series of N-of-1 trials comparing transpyloric and gastric feeding. Arch Dis Child Fetal Neonatal Ed. 2020 Jul;105(4):399-404. doi: 10.1136/archdischild-2019-317148. Epub 2019 Nov 4. PMID: 31685527; PMCID: PMC7453998.

Koo JK, Narvasa A, Bode L, Kim JH. Through Thick and Thin: The In Vitro Effects of Thickeners on Infant Feed Viscosity. J Pediatr Gastroenterol Nutr. 2019 Nov;69(5):e122-e128. doi: 10.1097/MPG.0000000000002470. PMID: 31449171.

Alyssa Courtney, Anne Bernard, Scott Burgess, Katie Davies, Kelly Foster, Vishal Kapoor, David Levitt, Peter D Sly; Bolus Versus Continuous Nasogastric Feeds for Infants With Bronchiolitis: A Randomized Trial. Hosp Pediatr January 2022; 12 (1): 1–10. https://doi.org/10.1542/hpeds.2020-005702

Produced by: Corey Irwin

NASPGHAN - Council for Pediatric Nutrition Professionals

cpnp@naspghan.org

In this episode of Nutrition Pearls: the Pediatric GI Nutrition Podcast, co-hosts Bailey Koch and Nikki Misner speak with Gina O’Toole, MPH, RD, CSPCC, CLEC. Gina O’Toole received her B.S. from Seattle Pacific University in Exercise Science and Physical Education and went on to receive her Master’s in Public Health and Nutrition from Loma Linda University. Gina is a Board Certified Pediatric Critical Care dietician and Certified Lactation Educator Counselor. Gina has been working in a Level IV Neonatal Intensive Care Unit (NICU) at CHOC Children’s Hospital in Orange, California for almost 15 years. She has been instrumental in the institutional development of care guidelines and human milk advocacy for preterm infants, infants with short bowel syndrome/intestinal failure and those with complex surgical diagnoses. When she is not working with the babies, she loves to spend time with her husband and 3 children Lola, Brooklyn and Ellis. You will find them outdoors gardening, at the beach, camping, hiking, climbing or biking!

Nutrition Pearls is supported by an educational grant from Mead Johnson Nutrition.

Resources:

American Society for Parenteral and Enteral Nutrition (ASPEN) - Parenteral Nutrition Resource

ASPEN Pediatric Intestinal Failure Section

Link to CPNP PN slide set: naspghan.org/nutrition-obesity

Produced by: Corey Irwin

NASPGHAN - Council for Pediatric Nutrition Professionals

cpnp@naspghan.org

Join us for a special bonus episode featuring Jaclyn Pederson, CEO of Feeding Matters, as she shares her own personal journey navigating Pediatric Feeding Disorder (PFD) with her son and the resources available for patients and professionals through the Feeding Matters organization. With a unique perspective as both a parent and a professional, she offers invaluable insights on overcoming the challenges of PFD, and provides advice for other families seeking support and guidance.

Nutrition Pearls is supported by an educational grant from Reckitt Mead Johnson Nutrition.

Resources:

Feeding Matters.org

Feeding Matters International Pediatric Feeding Disorder Conference: feedingmatters.org/conference

Feeding Matters Power of Two Parent Mentor Program: feedingmatters.org/resources-support/family-support/request-family-support

Feeding Matters Find a Provider: feedingmatters.org/resources-support/provider-directory/?gad_source=1&gclid=Cj0KCQiAqL28BhCrARIsACYJvke0HbZFwwWU4XW17M5NeQbckAN6FzE9ABkQagdWKQEHMXjaEmHlwcIaAuU5EALw_wcB

It’s Not Picky Eating: itsnotpickyeating.org

N2U site: naspghan.org/meetings-events/n2u

Produced by: Corey Irwin

NASPGHAN - Council for Pediatric Nutrition Professionals

cpnp@naspghan.org