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