D-LACTIC ACIDOSIS IN PEDIATRIC PATIENTS WITH SHORT BOWEL SYNDROME: DIAGNOSIS AND MANAGEMENT

The voluntary survey, approved by the IRB as exempt, was distributed to pediatric residents via QR codes and emails.Results: Of the surveyed residents, 32% responded, with nearly 50% having completed a rotation on the Intestinal Rehabilitation (IR) service.Residents reported the lowest confidence in calculating and ordering home Total Parenteral Nutrition (TPN) and TPN-like intravenous fluids, understanding remaining anatomy, managing central access loss and poor catheter blood flow, identifying signs of D-lactic acidosis and small intestinal bacterial overgrowth (SIBO), and ensuring proper stoma care (average confidence <4/10).Conversely, residents felt more confident managing feeding intolerance, central lineassociated infections (5-6/10) and signs of shock (>7/10).Additionally, 64% agreed that managing IF patients was educationally valuable.Survey results guided the creation of a curriculum with an in-person lecture, TPN workshops, and a survival guide, reflecting residents' preferences for a survival guide (8/10) and simulated sessions (6.8/10).Conclusions: The needs assessment highlighted areas where pediatric residents require further education, prompting targeted curricular interventions.The next step is to reevaluate the resident's confidence in managing IF patients through a post-intervention survey.