Current practices in nutrition therapy in cardiac surgery patients: An international multicenter observational study

Identification: JPEN2307
Credits (Post Test and/or Evaluation Required)
Available until 07/31/2024
  • 1.00 - Dietitian
  • 1.00 - Nurse
  • 1.00 - Pharmacist
  • 1.00 - Physician
  • 1.00 - Other


Activity Instructions: Read the full article and take the exam by clicking the "CE Information" tab.

CE Credit:
CE credit available for dietitians, nurses, pharmacists and physicians

Total Credit Hours: 1.0

Release Date: July 1, 2023

Expiration Date (all CE credit must be claimed by the expiration date): July 31, 2024

Issue: 5

Volume: 47

Journal: Journal of Parenteral and Enteral Nutrition (JPEN)

Author (s):

Christian Stoppe MD, PhD, Clinician Scientist, Principal Investigator and Trialist, Department of Anesthesiology and Intensive Care Medicine, Würzburg University, Würzburg, Germany

Ellen Dresen PhD, Postdoctoral Researcher, Department of Anesthesiology, Intensive Care, Emergency, and Pain Medicine, University Hospital of Würzburg, Würzburg, Germany

Sebastian Wendt MSc, Scientist, Department of Intensive Care Medicine, University Hospital, RWTH Aachen, Aachen, Germany

Gunnar Elke MD, Deputy Chair, Department of Anesthesiology and Intensive Care Medicine, University Medical Center, University Medical Center Schleswig-Holstein, Campus Kiel, Kiel, Germany

Jayshil J. Patel MD, Associate Professor of Medicine, Division of Pulmonary and Critical Care Medicine, The Medical College of Wisconsin, Milwaukee, WI

Liam McKeever RDN, PhD, Adjunct Assistant Professor, University of Illinois; Adjunct Assistant Professor, Loyola University; Director and Editor-in-Chief of the ASPEN Clinical Guidelines, ASPEN, Chicago, IL

Michael Chourdakis MD, Associate Professor of Medical Nutrition, Director of Postgraduate Program Applied Nutrition and Health Promotion, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece

Bernard McDonald MD, PhD, Assistant Professor, Anesthesiology and Pain Medicine, University of Ottawa, Ontario, Canada

Patrick Meybohm MD, Director & Head of the Department of Anaesthesiology, Intensive Care, Emergency and Pain Medicine, University Hospital Wuerzburg, Germany

Matthias Lindner MD, Consultant in Intensive Care Medicine, Department of Anesthesiology and Intensive Care Medicine, University Medical Center Schleswig-Holstein, Kiel, Germany

Rakesh C. Arora MD, PhD, Associate Director of Research, Department of Surgery, IH Asper Clinical Research Institute, Winnipeg, Manitoba, Canada

Ben O'Brien MD, PhD, Professor of Cardiac Anesthesiology and Intensive Care Medicine, Director of the Department of Cardiac Anesthesiology and Intensive Care Medicine, Deutsches Herzzentrum der Charité, Charité University Medicine Berlin, Berlin, Germany

Vera von Dossow MD, University Professor and Doctor of Medicine, Director of Institute of Anesthesiology and Pain Therapy, Ruhr-University Bochum, Bad Oeynhausen, Germany

Sergey Efremov MD, PhD, Deputy Director for Science, Department of Anesthesiology and Intensive Care, Saint Petersburg State University Hospital, St. Petersburg, Russian Federation

Vladimir Lomivorotov MD, PhD, Attending Physician, Department of Anesthesiology and Perioperative Medicine, PENN State Health Milton S, Hershey Medical Center, Hershey, PA

Charlene Compher RD, PhD, Shearer Endowed Term Chair in Healthy Community Practices, Professor of Nutrition Science; Director of Nutrition Programs; University of Pennsylvania, School of Nursing, Philadelphia, PA.

Jill Yaung MD, Associate Medical Director, Cardiac Surgery Intensive Care Unit, Cedars Sinai Medical Center, Los Angeles, CA

Taryne Imai MD, Director of Thoracic Surgery, Queen’s University Medical Group, Honolulu, HI

Michael Nurok MBChB, PhD, Professor – Clinical Scholar Track, Cedars-Sinai Medical Center, Los Angeles, CA

Andrea Ho RD, Clinical Dietitian, Cardiovascular ICU, Cardiovascular Surgery Ward, Schulich Heart Program & Tory Trauma Program, Sunnybrook Health Sciences Center, Toronto, Ontario, Canada

Christian von Loeffelholz MD, Physician, Department of Anesthesiology and Intensive Care Medicine, Jena University Hospital, Am Klinkkum, Jena, Germany

Foong Pui Hing MSc, Senior Principal Dietitian, National Heart Institute (IJN), Kuala Lumpur, Malaysia

Xuran Jiang MSc, Research Analyst, Clinical Evaluation Research Unit, Clinical Evaluation Research Unit, Queen's University, Kingston, Ontario, Canada

Daren K. Heyland MD, MSc, Full Professor of Medicine, Queen’s University, Kingston General Hospital, Kingston, Ontario, Canada 

Link to article: 

Journal-based CE Activity Overall Goal:
The JPEN Editor, in concurrence with ASPEN’s Education and Professional Development Committee, selected this article to be offered for CE credit to fill an observed learning need in the arena of clinical nutrition and metabolism. This CE activity serves to promote the process of life-long learning for physicians, dietitians, pharmacists, and nurses by providing peer-reviewed journal articles that fully qualify for continuing education credits.

Goal and Target Audience:
This educational activity is directed toward clinical nutrition and metabolism professionals and others who wish to update their knowledge of clinical nutrition and metabolism. By participating in this educational activity, the reader may expect to:

  • Acquire knowledge in the area of clinical nutrition and metabolism research.
  • Update or confirm your understanding of appropriate clinical nutrition and metabolism practices.
  • Identify further learning needs as they relate to the subject matter.

Learning Objectives:

  1. Describe the pathophysiological specificities of cardiac surgery patients and the role of adequate medical nutrition therapy in clinical ICU practice.
  2. Exemplify current practices in medical nutrition therapy in cardiac surgery patients.
  3. Compare the results of the International Nutrition Survey in cardiac surgery patients to their own practices in medical nutrition therapy in this specific patient cohort.
  4. Identify need for action to improve medical nutrition therapy practices in their institutions.
  5. Implement appropriate medical nutrition therapy strategies in routine clinical practice, considering individual phase- and disease-specific needs.

Requirements for Successful Completion:

To obtain CE credit for this activity, attendees must read the journal article in its entirety, complete an online assessment for each article and achieve a score of 100%, and complete an online activity evaluation. All are located in ASPEN’s eLearning Center ( All CE credit must be claimed prior to the expiration date, no exceptions. Pharmacists must provide their birthday (MMDD) and NABP e-PID. Details are available at

Accreditation Statement

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In support of improving patient care, the American Society for Parenteral and Enteral Nutrition (ASPEN) is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

ASPEN designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credits TM per article. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Pharmacists: ASPEN designates this activity for a maximum of 1.0 contact hours/0.1 CEUs. ACPE UAN: JA0002345-0000-23-036-H99-P. Knowledge Activity.

Nurses: ASPEN designates this activity for a maximum of 1.0 nursing contact hours. ASPEN is approved as a provider of continuing nursing education by the California Board of Nursing, provider number CEP3970.

Dietitians: ASPEN designates this activity for a maximum of 1.0 CPEUs

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This activity was planned by and for the healthcare team, and learners will receive 1 Interprofessional Continuing Education (IPCE) credit for learning and change.

Policies and Information:

Non-Commercialism: ASPEN subscribes to the Standards for Integrity and Independence in Accredited Continuing Education. ASPEN does not provide programs that constitute advertisement or include promotional materials. ASPEN does not endorse any products.

Computer Requirements and Technical Support: Participants will need a computer with internet connection to access the online assessment and evaluation for each journal article. If the journal article is read electronically, then the ability to read a PDF document is also necessary. Users should enable pop-ups if attempting to read article electronically. 

For technical difficulties, please contact Broadcastmed Customer Support:

by phone: 1.860.953.2900
Phone support is available 8am-8pm EST Monday through Friday.
by email:

Privacy and Confidentiality: ASPEN respects the privacy of its members and website visitors. Companies that receive personal information from ASPEN in order to execute the business of ASPEN may use personal information only for that purpose.

Refund Policy: Refunds are not available.

Grievances: Grievances must be submitted in writing to Director of Education at ASPEN 8401 Colesville Road, Ste 510, Silver Spring, MD 20910

Commercial Support and Sponsorship:

No commercial support or sponsorship has been received for this continuing education activity.

Commercial Relationships Disclosures and Conflicts of Interest (COI) of Authors and Editor-in-Chief and Associate Editors

The following individuals have no financial relationships with ineligible companies: Daren K. Heyland, Andrea Ho, Bernard McDonald, Charlene Compher, Christian von Loeffelholz, Foong Pui Hing, Jill Yaung, Liam McKeever, Matthias Lindner, Michael Nurok, Patrick Meybohm, Sergey Efremov, Taryne Imai, Vladimir Lomivorotov, Xuran Jiang

Among the JPEN Associate Editors, Jean-Charles Preiser, Vanessa Garcia-Larsen, Jamie Robertson, Russell de Souza, Simone CM Silvestre, Djøra Soeteman have no financial relationships with ineligible companies.

JPEN EIC, Kenneth Christopher has no financial relationships with ineligible companies.

ASPEN staff have no financial relationships with ineligible companies.

Christian Stoppe: Fresenius and BBraun – research funding, consultant and speaker

Ellen Dresen: Baxter, speaker; Fresenius Kabi, consultant

Sebastian Wendt: Abiomed Europe GmbH, employee (after time of project)

Gunnar Elke: Fresenius Kabi, consultant and speaker; Baxter, speaker

Jayshil J. Patel: Fresenius Kabi, advisory board

Michael Chourdakis: Vertex, honorarium, relationship ended

Rakesh C. Arora: Edwards Life Sciences, advisorty board, ended; HLS Therapeutics, advisory board, ended; Renibus Therapeutics, advisory board

Ben O'Brien: Abiomed, consultant

Vera von Dossow: Orion Pharma, speaker; Edwards Life Sciences, speaker

Marion Winkler: VectivBio, independent consultant

Manpreet Mundi: Fresenius Kabi, research grant; Nestle, research grant; Rockfield, research grant; VectivBio, research grant; NorthSea, advisory board.

Isabel Correia: Abbott, speaker; Nestle speaker, relationship ended; Danone speaker, relationship ended; Fresenius, consulting; Baxter, speaker, relationship ended

Annika Reintam Blaser: Nutricia Danone, speaker, relationship ended; VIPUN Medical, consultant, relationship ended

Olav Rooyackers: Nutricia, advisory meeting, speaker, relationship ended; Fresenius Kabi, research grant, consultant, speaker/teacher; Baxter, speaker/teacher, relationship ended; Nestle, speaker/teacher, ended

All relevant financial relationships have been mitigated via the journal peer review process.

Note: an ineligible company is one whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. For specific examples of ineligible companies visit

Financial relationships are relevant if the following three conditions are met for the prospective person who will control content of the education:

  • A financial relationship, in any amount, exists between the person in control of content and an ineligible company.
  • The financial relationship existed during the past 24 months.
  • The content of the education is related to the products of an ineligible company with whom the person has a financial relationship.



  • 1.00 - Dietitian
  • 1.00 - Nurse
  • 1.00 - Pharmacist
  • 1.00 - Physician
  • 1.00 - Other