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Emerging Practice in Pediatric Parenteral Nutrition: The Role of Alternative Lipid Emulsion

Emerging Practice in Pediatric Parenteral Nutrition: The Role of Alternative Lipid Emulsion



Time to Complete

1 hour


January 15, 2019


January 15, 2020
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Maximum Credits

1.00 / AMA PRA Category 1 CreditsTM
0.10 / CEU for Nurses
1.00 / CE for Pharmacists
1.00 / CPEU for Registered Dietitians (RDs)

Accredited Provider

Provided by the Academy for Continued Healthcare Learning (ACHL).

Commercial Supporter

Supported by an educational grant from Fresenius Kabi

Program Description

This enduring activity will feature expert faculty, who will review the latest data on parenteral nutrition in pediatric settings. They will examine fish oil as a newly approved intravenous lipid formulation and will discuss the management of complex nutritional problems across the pediatric population.


1. Parenteral Nutrition in the Pediatric Patient – Dr. Valeria Cohran
2. Assessing Malnutrition and Use of Indirect Calorimetry– Dr. Mark Corkins
3. Understanding Polyunsaturated Fatty Acids and IVLEs – Dr. Mark Corkins
4. Getting the Dose Right: Avoiding Under and Overfeeding with Parenteral Nutrition – Dr. Valeria Cohran & Dr. Mark Corkins
5. The Changing Paradigm of Lipid Emulsion Compositions – Dr. Joel Lim
6. Evaluating PNALD – Dr. Mark Corkins
7. Evaluating Omegaven Clinical Trials for Treatment of PNALD – Dr. Mark Corkins
8. Lipid Emulsion Use in Pediatric Patients – Dr. Joel Lim

Intended Audience

The CME activity is intended for pediatric gastroenterologists, hepatologists, physician nutritionists and pediatric gastroenterology and nutrition nurses.

Educational Objectives

Upon completion of this activity, participants will be able to:

  • Define the scope of malnutrition in hospitalized pediatric patients
  • Explain guideline recommendations for the initiation and dosing of parenteral nutrition (PN) in pediatric intensive care and neonatal intensive care
  • Compare and contrast the fatty acid composition, efficacy, and safety of intravenous lipid emulsion formulations
  • Discuss the relationship between lipids and PNAC/PNALD, and strategies for prevention and treatment in pediatric patients

Conflict Of Interest Disclosure Policy

The Academy for Continued Healthcare Learning (ACHL) requires that the faculty participating in a CME/CE/CPE activity disclose all affiliations or other financial relationships (1) with the manufacturers of any commercial product(s) and/or provider(s) of commercial services discussed in an educational presentation and (2) with any commercial supporters of the activity. All conflicts of interest have been resolved prior to this CME/CE/CPE activity.


Joel D. Lim, MD
Professor, University of Missouri in Kansas City
Director Intestinal Rehabilitation and Nutrition Support
Department of Pediatric Gastroenterology, Hepatology & Nutrition
Children’s Mercy Hospital
Kansas City, MO

Dr. Lim discloses the following:
Speakers' Bureau: Nestle

Valeria C. Cohran, MD, MS
Medical Director, Intestinal Rehabilitation and Transplantation
Attending Physician, Pediatric Gastroenterology
Associate Professor of Pediatrics, Northwestern University Feinberg School of Medicine
Ann & Robert H. Lurie Children’s Hospital of Chicago
Chicago, IL

Dr. Cohran discloses the following:
Speakers' Bureau: Abbott

Mark R. Corkins, MD, SPR, CNSC, FAAP, AGAF
Professor of Pediatrics
University of Tennessee Health Sciences Center
Division Chief Pediatric Gastroenterology
Le Bonheur Children’s
Memphis, TN

Dr. Corkins has no relationships to disclose.

Accredited Provider Disclosures

ACHL staff members and others involved with the planning, development, and review of the content for this activity have no relevant affiliations or financial relationships to disclose.




AMA PRA Category 1 Credit(s)TM

Accreditation Statement

The Academy for Continued Healthcare Learning is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statement

The Academy for Continued Healthcare Learning designates this enduring material for a maximum of 1.00 AMA PRA Category 1 CreditTM  .  Physicians should claim only the credit commensurate with the extent of their participation in the activity.




CE for Nurses

Accreditation Statement

The Academy for Continued Healthcare Learning (ACHL) has been accredited as an Authorized Provider by the International Association for Continuing Education and Training (IACET). In obtaining this accreditation, ACHL has demonstrated that it complies with the ANSI/IACET Standard which is recognized internationally as a standard of good practice. As a result of the Authorized Provider status, ACHL is authorized to offer IACET CEUs for programs that qualify under the ANSI/IACET Standard.

Designation Statement

ACHL is authorized by IACET to offer 0.10 CEU for this program.

IACET CEUs are accepted by the American Nurses Association. Contact your licensing agency for details.




CE for Pharmacists

Accreditation Statement

The Academy for Continued Healthcare Learning is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

This activity has been approved for 1.00 contact hour.

ACPE Universal Activity Number: 0396-0000-19-001-H01-P
Activity Type(s): Knowledge
Release date: January 15, 2019
Expiration date: January 15, 2020




CPEU Credit

Accreditation Statement

The Academy for Continued Healthcare Learning is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR). CDR Credentialed Practitioners will receive 1.0 Continuing Professional Education units (CPEUs) for completion of this activities/materials. Level 2. CDR Accredited Provider #AC001.

RDs and DTRs may submit additional evaluations of the quality of this program/material at

The activity number for this activity is 145508

Disclosure of Unlabeled Use

This CME/CE/CPE activity might describe the off-label, investigational, or experimental use of medications that may exceed their FDA-approved labeling. Physicians should consult the current manufacturers’ prescribing information for these products. ACHL requires the speaker to disclose that a product is not labeled for the use under discussion.

Discussion of Off-Label, Investigational, or Experimental Drug/Device Use: None


The content for this activity was developed independently of the commercial supporter. All materials are included with permission. The opinions expressed are those of the faculty and are not to be construed as those of the grantor.

This educational activity was planned and produced in accordance with the ACCME Accreditation Criteria, Policies, and Standards for Commercial Support, as well as the ACPE Accreditation Standards for Continuing Pharmacy Education. Recommendations involving clinical medicine in a continuing medical education (CME/CE) activity must be based on evidence that is accepted within the profession of medicine as adequate justification for their indications and contraindications in the care of patients. All scientific research referred to, reported, or used in CME/CE in support or justification of a patient care recommendation must conform to the generally accepted standards of experimental design, data collection, and analysis.


This activity will take approximately 1 hour to complete. To receive credit, participants are required to complete the pre-test, view the activity, and complete the post-test and evaluation. To receive credit, 65% must be achieved on the post-test. A certificate will be immediately available. There is no fee for the generation of the certificate. Your online certificate will be saved on myCME within your Profile/CME History, which you can access at any time.

If you have any questions relating to the accreditation of this activity, please call ACHL at (877) 444-8435, ext. 160.


Hardware and Software Requirements
  • A computer with an internet connection
  • Internet Browser: Internet Explorer 7.x or higher, Firefox 4.x or higher, Safari 2.x or higher, or any other W3C standards compliant browser
  • Additional Software: Adobe Flash Player and/or an HTML 5 capable browser maybe required for video or audio playback. PowerPoint or Adobe Acrobat Reader may occasionally be required
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