Bonus General Session: Management from Resuscitation to Discharge of Periviable Infants Born at 22 to 23 Weeks Gestation (GSB)

Friday, September 16, 2022

3:45 PM – 4:45 PM PDT

Location: Concorde A/B

CE: 1

NCC Codes:
RNC-NIC: 2
NNP-BC: 2
RNC-LRN: 3
NCC Subspecialty Certifications:
C-ELBW (Code 7)
Pharmacology Credits: 0.25

Keynote Speaker(s)

Jonathan M. Klein, MD

Professor of Pediatrics, Medical Director NICU
University of Iowa Stead Family Children's Hospital
Iowa City, Iowa, United States

Disclosure: Disclosure information not submitted.

Slides Handouts

Moderator(s)

Kristin Jean Howard, DNP, APRN,NNP-BC

Neonatal Nurse Practitioner
Children's Hospital Colorado
Centennial, Colorado, United States

Disclosure: Disclosure information not submitted.
Adrienne Isaacs, MSN, NNP-BC

Neonatal Nurse Practitioner
SCL Health

Disclosure: Disclosure information not submitted.

The prognosis of extremely preterm infants continues to improve with infants born at 24-25 weeks gestation having higher survival rates than their 22-23 week gestation counterparts whom are often considered “periviable”. The University of Iowa Stead Family Children's Hospital Neonatal Intensive Care Unit has been caring for “periviable” infants born at 22-23 weeks gestation since 2006 with survival rates significantly higher than expected: 62% at 22 weeks, 74% at 23 weeks and 86%% at 24 weeks with a low incidence of neurodevelopmental impairment. Using a standardized team and supportive cultural approach, the management of 22-23 Weeks Infants remains extremely challenging but not impossible and this presentation will provide insight into the positive proactive philosophical approach needed for the successful outcomes.

Learning Objectives:

At the conclusion of this presentation, the learner will be able to:

Examine differences in culture and philosophy when caring for infants born at 22-23 weeks gestation
Identify differences in management strategies when caring for infants born at 22-23 weeks gestation
Describe short- and long-term outcomes of extremely premature infants born at 22-23 weeks gestation managed with a proactive, standardized and balanced approach