Calendar of Events

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6th International Pediatric Feeding Disorders Conference

Thursday, January 17 9:00 AM - Saturday, January 19 5:00 PM
Conferences from Other Organizations

9495 W. Coyotes Blvd, Glendale, AZ 85305
 
Feeding Matters
 
programs@feedingmatters.org
 
(623) 242-5234
 
Feeding Matters
 

The 6th International Pediatric Feeding Disorders Conference (IPFDC) will provide dietitians, nutritionists, gastroenterologists, neonatologists, occupational therapists, pediatricians, psychologists, speech and language pathologists, students, and numerous other disciplines the opportunity to convene with the leading experts in pediatric feeding disorders to advance their knowledge on the evaluation and treatment of children navigating PFD.

The two-day event will feature a poster session focusing on the latest in feeding trends and research, as well as educational sessions with more than 20 internationally renowned feeding experts, including keynotes:

  • Diagnosis of PFD: Practice and Intervention
    Dr. Jaime Phalen, MD, FAAP
    University Health System
  • What’s New in Motility Disorders?
    Carlo di Lorenzo, MD
    Nationwide Children’s Hospital, Columbus, Ohio

World Patient Safety Summit

Friday, January 18 12:00 PM - Saturday, January 19 12:00 PM
Conferences from Other Organizations

Hyatt Regency Huntington Beach Resort & Spa, Huntington Beach, California
 
Tanya Lyon
 
tanya.lyon@patientsafetymovement.org
 
9493512858
 
American Society of Anesthesiologists
 

The 7th Annual World Patient Safety, Science & Technology Summit will be co-convened by the American Society of Anesthesiologists and the European Society of Anaesthesiology. The 2019 Summit will gather international hospital leaders, medical and information technology companies, the patient advocacy community, public policy makers and government officials, to discuss solutions to the leading challenges that cause preventable patient deaths in hospitals worldwide.

The Summit will feature keynote addresses from public figures, patient safety experts and plenary sessions with healthcare luminaries, members of the press and patient advocates, as well as announcements from organizations who have made their own commitments to reach the Patient Safety Movement Foundation’s goal of ZERO preventable deaths by 2020.

Nutrition Support and the EHR

Wednesday, January 23 4:00 PM - Wednesday, January 23 5:00 PM
Silver Spring
 
Salewa Akintilo
 
salewaa@nutritioncare.org
 
3019209133
 
ASPEN
 

Nutrition Support and the EHR
January 23, 2019
4:00 - 5:00 pm ET


Description
This informational webinar, presented by the ASPEN Clinical Nutrition Informatics Committee, will present the recommendations from a multi-organizational publication on parenteral nutrition ordering and management and Electronic Health Records Systems. The topics of the nutrition screening, assessment, diagnosis, coding, and care plan implementation will be addressed around the ASPEN nutrition care pathway. An ongoing project on this topic, working with the Academy of Nutrition and Dietetics and the Association for Clinical Documentation Improvement Specialists will also be presented. 


Learning Objectives
Discuss the recommendations of the recent ASPEN PN and EHR publication
Recognize tenets for successful parenteral nutrition prescribing using an EHR
Outline the nutrition care process in terms of must haves for an EHR system
Describe challenges associated with documentation of nutrition care using the EHR


Faculty and Topics 
PN Prescribing and Management using Electronic Health Record Systems

Vincent W. Vanek, MD, FACS, FASPEN, Regional Medical Informatics Officer, Bon Secours Mercy Health; Associate Program Director for Surgical Education, St. Elizabeth Youngstown Hospital, Youngstown, OH, Professor of Surgery, Northeast Ohio Medical University, Rootstown, OH

Optimization of the EHR for Nutrition Care
Cassandra Kight, PhD, RDN, CNSC, Clinical Nutrition Specialist, UW Health, Madison, WI


Moderator
Vincent W. Vanek, MD, FACS, FASPEN, Regional Medical Informatics Officer, Bon Secours Mercy Health; Associate Program Director for Surgical Education, St. Elizabeth Youngstown Hospital, Youngstown, OH, Professor of Surgery, Northeast Ohio Medical University, Rootstown, OH


Please note: CE Credit is not available for this informational webinar. 

    Practical Experiences with Lipid Injectable Emulsions

    Monday, February 4 2:00 PM - Monday, February 4 3:30 PM
    Silver Spring
     
    Salewa Akintilo
     
    salewaa@nutritioncare.org
     
    3019209133
     
    ASPEN
     

    Practical Experiences with Lipid Injectable Emulsions 
    February 4, 2019
    2:00 - 3:30 pm EST


    Presentation Overview/Summary

    As an integral component of parenteral nutrition (PN), lipid injectable emulsions (ILEs) are not only a dense source of calories but are also a source of essential fatty acids (EFAs), important for cell membrane development and precursors to key modulators involved in cellular pathways of the immune response. As new products are developed and approved for use, it is imperative for clinicians to understand the indications for each type of ILE and potential outcomes in a variety of patient populations. 

    Join ASPEN for this one of a kind webinar that will begin with a focus on the importance of ILEs in health and disease and the Food and Drug Administration (FDA) indications for all currently available formulations. After you have built your foundation of knowledge on ILEs, you will have the opportunity to hear from your colleagues who will discuss their experiences using ILEs in a variety of patient populations. You will not want to miss this opportunity to enhance your knowledge on ILEs to better care for your patients. 

    Learning Objectives
    1.List the injectable lipid emulsion products available in the United States and the US Food and Drug Administration (FDA) approved indications for use
    2. Identify patients who may potentially benefit from PN with an ILE formulation that contains fish oil (ω-3).
    3. Describe the potential impact that conversion to 4-oil lipid emulsion can have on long term HPN patients who are exhibiting early signs of parenteral nutrition-associated liver disease (PNALD).
    4. Evaluate changes observed in home PN population of patients transitioned to SMOFlipids over a twelve-month period.
    5. Review safety and efficacy of four-oil ILE over various treatment durations and examine adverse events and their likelihood of correlation to four-oil ILE.
    6. Describe how transitioning from SO ILE to Smoflipid ILE can impact bilirubin levels and EFA profile in pediatric intestinal failure patients 

    Faculty and Topics

    Introduction of ILE and Importance in Health and Disease
    FDA Indications for Currently Available Formulations

    Todd Mattox, PharmD, BCNSP, Critical Care and Nutrition Support Pharmacist, Department of Pharmacy, Moffitt Cancer, Tampa, FL

    Case Presentations
    Evaluation of a New Four-Oil Lipid Injectable Emulsion in Patients Receiving Parenteral Nutrition

    Presenter: Lisa Mostafavifar, PharmD, BCPS, BCNSP, Specialty Practice Pharmacist Acute Care Surgery & Trauma/Nutrition Support, Pharmacy, The Ohio State University Wexner Medical Center, Columbus, OH

    Improved Liver Function Test Results in Long-term Home Parenteral Nutrition Patients Converted to Four Oil Lipid Emulsion
    Presenter: Casey P. Cooper, PharmD, CNSC, Pharmacy Manager, Pharmacy, Amerita, Inc, Amarillo, TX

    Alternative Lipid Emulsion Utilization in the HPN population: Patient Characteristics and Clinical Observations
    Presenter: Hannah Heredia, MS, RD, CNSC, Nutrition Support Dietitian, Parenteral Nutrition, BriovaRx Infusion, Chandler, AZ

    Pediatric intestinal failure patients transitioning to a mixed lipid emulsion: a series of cases
    Presenter: Mary Beth Harris, MPH, RDN, CNSC, Patient Food and Nutrition Services, Michigan Medicine, C.S. Mott Children's Hospital, Ann Arbor, MI

    Total Parenteral Nutrition Using Fish Oil-containing Combination Intravenous Lipid Emulsion in a Patient with High Inflammatory Burden
    Presenter: Joseph E. Cruz, PharmD, BCPS, Pharmacy, Overlook Medical Center, Summit, NJ 

    Moderator
    Diego Arenas Moya, MD, Directors, Clinical Nutrition and Functional Medicine, SANVITE, Zapopan, Jalisco, Mexico 

    CE Hours: 1.5
    Level: Intermediate 
    UAN: JA0002345-0000-19-053-L04-P

      The Role of Protein and Parenteral Nutrition in the Critically Ill Adult: What's New Since Release of the 2016 ASPEN/SCCM Guidelines?

      Wednesday, February 27 4:00 PM - Wednesday, February 27 5:30 PM
      Online
       
      Salewa Akintilo
       
      salewaa@nutritioncare.org
       
      3019209133
       
      ASPEN
       

      The Role of Protein and Parenteral Nutrition in the Critically Ill Adult: What's New Since Release of the 2016 ASPEN/SCCM Guidelines?
      February 27, 2019
      An Informational Webinar, no CE Credit
      4:00 - 5:30 PM ET


      Description
      New research on the role of parenteral nutrition (both supplemental and exclusive) has been published since the 2016 ASPEN/SCCM guidelines were released. This free webinar will review the PN recommendations outlined in the ASPEN/SCCM guidelines and discuss the new literature on the role of parenteral nutrition in patient care and outcomes. The speakers will also address if/how this research has impacted the use of parenteral nutrition in the critically ill patient. 

      Learning Objectives
      1. Review the methodology and development of the ASPEN/SCCM guidelines for critically ill adults
      2. Outline the ASPEN/SCCM guidelines for protein and parenteral nutrition (for both exclusive and supplemental use)
      3. Review the new literature that has impacted practice regarding protein and PN since the release of the 2016 ASPEN/SCCM guidelines
      4. Translate recent research to evidence-based practice for use of protein and parenteral nutrition in the critically ill patient (both for exclusive and supplemental PN use)

      Faculty & Topics
      Protein and Parenteral Nutrition in the Critically Ill: Review of the ASPEN/SCCM Guidelines and What's in the New Literature

      Mark Delegge, MD, Professor of Medicine, DeLegge Medical and Medical University of SC, Charleston, SC

      Translation of Research into Practice: Protein and Parenteral Nutrition in the Critically Ill Patient
      Martin Rosenthal, MD, Assistant Professor of Trauma, Acute Care Surgery, and Critical Care; Chair of the University of Florida Nutrition Committee, University of Florida, Gainesville, FL

      Moderator
      Beth Taylor, DCN, RDN-AP, CNSC, FCCM, Research Scientist, Department of Research for Patient Care Services, Barnes-Jewish Hospital, St. Louis, MO

      This free webinar is supported by Baxter Healthcare

      Please note: CE Credit is not available

      ASPEN 2019 - Clinical Nutrition: Practice Pearls for the Physician

      Friday, March 22 7:45 AM - Friday, March 22 4:00 PM
      Scottsdale, Arizona
       
      ASPEN Staff
       
      aspen@nutritioncare.org
       
      301-587-6315
       
      ASPEN
       

      Clinical Nutrition: Practice Pearls for the Physician 

      This special course at the Mayo Clinic is held the day prior to ASPEN19, making it easy for conference attendees and local residents, fellows, and practicing physicians to attend. While the course has been designed for physicians, all healthcare providers are welcome. For those attending ASPEN19, transportation will be provided from the ASPEN19 hotels in Phoenix to the Mayo Clinic and back. 

      Lunch is included. 

      Introduction
      Co-Directors: John DiBaise, MD and Ryan Hurt, MD, PhD

      Session 1 - Critical Illness
      Moderator: Stephen A. McClave, MD, FASPEN

      Case Presentation and Expert Panel Discussion
      Daniel J. Johnson, MD

      Nutrition Monitors and Timing of Nutrition Interventions
      Renee D. Stapleton, MD, PhD

      Managing Muscle Mass: Why is This So Important?
      Robert G. Martindale, MD, PhD

      Modifying the Microbiome in the ICU: Does it Help?
      Jayshil Patel, MD

      PN vs EN - What Does the Evidence Support?
      Constantine J. Karvellas, MD, SM, FRCPC, FCCM

      Session 2 - Obesity and Wellness Promotion
      Moderator: Jeffrey Mechanick, MD

      Case Presentation and Expert Panel Discussion
      Lori R.Roust, MD

      Pharmacologic and Endoscopic Therapies for Obesity
      Christopher Still, DO, FACN, FACP, FTOS

      Current Status of Metabolic and Bariatric Surgery: Quick Fix or Long-term Cure?
      Scott Shikora, MD

      Lifestyle Strategies in Obesity: Worthwhile or Worthless? 
      Manpreet Mundi, MD

      Promoting Wellness Throughout the Life Cycle: Age-Appropriate Strategies
      Melina Jampolis, MD

      Internal Medicine Grand Rounds and Lunch
      Critical Care Nutrition: What Strategies Actually Change Outcome?
      Stephen A. McClave, MD, FASPEN

      Session 3 - Gastrointestinal/Surgery Nutrition
      Moderator: Stanislaw Klek, MD, PhD

      Case Presentation and Expert Panel Discussion
      Kevin Ruff, MD

      Challenging Areas in Short Bowel Management
      John DiBaise, MD

      Physician's Role in Home PN Management
      Ryan Hurt, MD, PhD

      ERAS: What Works and What Doesn't
      Tonia M. Young-Fadok, MD

      Long-Term Enteral Access: Recognizing and Managing Complications
      William L. Berger, MD

      Happy "Half Hour" with the Professors

      Learning Objectives
      Upon conclusion of this course, you will be able to:

      1. Discuss how nutrition in the ICU patient may impact outcomes.
      2. Discuss the role of nutrition and lifestyle in the management of obesity across all treatment options.
      3. Identify key challenges in the management of long-term enteral and parenteral nutrition patients, and the physician's role and responsibility

      This course is held in collaboration with Mayo Clinic and physicians can receive 7 CEUs.

      Supported by Nestle Health Science and Abbott 

      ASPEN 2019 : Postgraduate Course 1: Enhanced Recovery After Surgery

      Saturday, March 23 7:00 AM - Saturday, March 23 11:00 AM
      Phoenix, AZ
       
      ASPEN Staff
       
      aspen@nutritioncare.org
       
      3015876315
       
      ASPEN
       

      Postgraduate Course 1: Enhanced Recovery After Surgery

      Enhanced recovery after surgery (ERAS) is a program consisting of mulitmodal interventions in the perioperative period. ERAS programs have resulted in improvements in clinical outcomes and costs. Nutrition is one of several components of an ERAS program and this post graduate course will allow you to take a deeper dive into these nutritional components. 

      FACULTY & TOPICS
      Fundamentals of Enhanced Recovery - the How and Why

      Gabriele Baldini, MD, MSc

      Screening and Improving Compliance with ERAS Protocols
      David Evans, MD

      Protein Supplementation for Prehabilitation and Perioperative Optimization
      Chelsia Gillis, RD, PhD

      Nutritional Approaches to Pain Management for Enhanced Recovery
      Sadeq Quraishi, MD, MHA, MMSc

      MODERATOR
      Sadeq Quraishi, MD, MHA, MMSc

      Learning Objectives
      1. Describe enhanced recovery after surgery (ERAS) and its importance in perioperative care
      2. Identify parameters to effectively screen patients in the perioperative setting
      3. Develop procedures to improve compliance with ERAS protocols
      4. Define the most effective protein supplementation for both prehabilitation and perioperative optimization
      5. Analyze the variety of nutritional approaches to pain management for enhanced recovery

      LEARNING LEVEL; Advanced
      UAN: JA0002345-0000-19-005-L04-P
      CE CREDIT: 4 hours 

      Nutrition Support Fundamentals Course (NSFC-2019)

      Saturday, March 23 7:00 AM - Saturday, March 23 4:00 PM
      Phoenix, AZ
       
      ASPEN Staff
       
      aspen@nutritioncare.org
       
      301-587-6315
       
      ASPEN
       

      Nutrition Support Fundamentals Course 

      ASPEN'S Nutrition Support Fundamentals Course (NSFC) provides a comprehensive of nutrition support therapy. In addition to providing a thorough review of core nutrition support topics such as nutrition assessment and nutrient deficiencies, parenteral nutrition, enteral nutrition, fluids and electrolytes, and pediatrics, the NSFC will also include specialty areas of nutrition support such as home care, critical care, gastrointestinal disorders, ethics, and statistics. The Course can be used as a tool for helping you identify personal knowledge gaps to further identify future areas of learning. Whether you are preparing for a certification examination or seeking additional professional growth in nutrition support, recognizing these knowledge gaps allows you to use your professional development time and energy more effectively. Don't miss this invaluable nutrition support-focused course! 

      FACULTY & TOPICS
      Assessment of Nutrition Deficiencies
      Mary Marian, DCN, RDN, CSO, FAND

      Fluids and Electrolytes and Acid-Base
      Ezra Steiger, MD, FACS, FASPEN

      GI Physiology and Ethics
      Donald Kirby, MD, FACP, FACN, FACG, AGAF, CNSC, CPNS, FASPEN

      PN and Home PN
      Phil Ayers, PharmD, BCNSP, FASHP

      EN and Home EN
      Linda Lord, NP, CNSC, ACNP-BC

      Pediatrics and Neonatal
      Elizabeth Bobo, MS, RD, LDN, CNSC

      Critical Care and Statistics
      Beth Taylor, DCN, RDN-AP, CNSC, FCCM

      EN and PN Access
      Antoinette Neal, RN, CRNI, CNSC, VA-BC

      MODERATOR
      Antoinette Neal, RN, CRNI, CNSC, VA-BC

      LEARNING OBJECTIVES
      1. Assess personal knowledge of nutrition support and identify areas requiring further study for the NSFC examination or other professional growth
      2. Review core nutrition support topics including nutrient deficiencies, pediatric nutrition support, parenteral and enteral nutrition, and fluids and electrolytes
      3. Highlight specialty areas of nutrition support such as home care, critical care, ethics, statistics, and gastrointestinal disorders

      Learning Level: Basic/Intermediate
      UAN: JA0002345-0000-19-002-L04-P
      CE Credit: 8 hours

      Parenteral Nutrition Order Writing Workshop (PNW-2019)

      Saturday, March 23 7:00 AM - Saturday, March 23 4:00 PM
      Phoenix, AZ
       
      ASPEN Staff
       
      aspen@nutritioncare.org
       
      3015876315
       
      ASPEN
       

      Parenteral Nutrition Order Writing Workshop

      The workshop is designed to train clinicians to assess a patient requiring parenteral nutrition (PN) and subsequently initiate and manage the PN therapy for that patient. The workshop will be offered in two sessions. The first will emphasize the basic concepts of PN order writing and management and the second will allow for application of the knowledge gained through work in small groups on sample patient cases with distinguished faculty experts. 

      Workshop capacity is limited to 40 participants, so register early. This small class size will be optimal for hands-on learning with the course faculty to ensure each participant completes the course with improved skills in creating and managing PN orders. Course registrants will receive a complimentary copy of the ASPEN Parenteral Nutrition Workbook: Cases and Worksheets for Adult, Pediatric, and Neonatal Patients.

      FACULTY
      Mary Petrea Cober, PharmD, BCNSP, BCPPS
      Jessica Monczka, RD, LDN, CNSC
      Ainsley Malone, MS, RD, LD, CNSC, FAND, FASPEN
      Karrie Derenski, PharmD, BCNSP, CNSC

      MODERATOR
      Karrie Derenski, PharmD, BCNSP, CNSC

      LEARNING OBJECTIVES
      1. Create and write a PN formula according to the patient's nutrition assessment
      2. Create a safe PN formula order per compounding and stability limits
      3. Identify potential nutrition interactions in a PN solution and adjust the PN order accordingly
      4. Manage PN in a patient from initiation to achieving the goal rate and beyond
      5. Manage electrolytes in PN in the face of abnormal patient laboratory values and medications
      6. Manage PN while accounting for differences in patient diagnoses and age 

      LEARNING LEVEL: Basic
      UAN: JA0002345-0000-19-003-L04-P
      CE CREDIT: 8 hours 

      Research Workshop: The Relationship Between the Intestinal Barrier and Chronic Disease (RW-2019)

      Saturday, March 23 7:30 AM - Saturday, March 23 4:00 PM
      Phoenix, AZ
       
      ASPEN Staff
       
      aspen@nutritioncare.org
       
      3015876315
       
      ASPEN
       

      Research Workshop: The Relationship Between the Intestinal Barrier and Chronic Disease

      In the U.S., 86% of the nation's $2.7 trillion annual health care expenditures are for individuals with chronic and mental health conditions. A growing body of evidence indicates that a compromised intestinal epithelial barrier influences the incidence and severity of these chronic diseases, such as type 1 and 2 diabetes and obesity, primary intestinal disorders such as celiac disease and inflammatory bowel disease, and neurologic disorders such as autism and Parkinson's disease. A healthy intestinal epithelium forms a barrier between the host and environment, and the intestinal microbiota educates and maintains the host intestinal health and immune system. An altered intestinal epithelial barrier allows translocation of antigens and pathogens from the intestinal lumen into the host. The translocation of antigens and pathogens promotes further intestinal epithelial barrier disruption leading to a systemic chronic inflammatory state associated with the development and persistence of disease. Despite growing evidence linking diet, environment, the intestinal epithelium, and inflammatory diseases, there is a gap between the science and healthcare policy and practice. This large gap presents an enormous opportunity to develop scientifically based strategies, healthcare policies and clinical guidelines to prevent and reduce the risk of chronic inflammatory diseases with the aim of developing interventions that promote an intact and healthy intestinal epithelium. To this end, it is crucial that health care providers understand how nutrition, environment, microbiota, and intestinal epithelium interact. This workshop addresses an important and evolving field of research with potential for clinical impact that you will not want to miss. 

      FACULTY & TOPICS
      Welcome and Introductions 
      Kelly Tappenden, PhD, RD
      Yimin Chen, PhD, RD, CNSC
      Enid E. Martinez, MD

      Overview of the Intestinal Epithelial Barrier
      Jerrold Turner, MD, PhD

      Intestinal Epithelial Barrier and the Human Microbiome
      Gary D. Wu, MD

      Role of Nutrition as a Modulator of Intestinal Barrier Health and Disease
      Kelly Tappenden, PhD, RD

      Intestinal Epithelial Barrier and Obesity/Metabolic Syndrome
      Daniel Winer, MD

      Intestinal Epithelial Barrier and Autoimmune Diseases
      Alessio Fasano, MD

      Intestinal Epithelial Barrier and the Neurologic System - Gut-Brain Axis
      Brittany Needham, PhD

      Circadian Rhythms and the Intestinal Barrier
      Amir Zarrinpar, MD, PhD

      Synthesis of Presentations/Panel Discussion
      All Faculty

      MODERATORS
      Yimin Chen, PhD, RD, CNSC
      Enid E. Martinez, MD

      LEARNING OBJECTIVES
      1. Describe the properties and functions of the intestinal epithelial barrier
      2. Describe how the microbiota and nutrition modulate the intestinal epithelial barrier
      3. Summarize how the intestinal epithelial barrier impacts risk for various chronic inflammatory diseases
      4. Evaluate the current literature on factors that influence intestinal epithelial barrier integrity
      5. Explore opportunities for translational science from communication and collaboration among interdisciplinary researchers and clinicians that can bring about changes in health care practice and public policy relevant to the management and prevent of inflammatory-based chronic diseases

      LEARNING LEVEL: Advanced
      UAN: JA0002345-0000-19-006-L04-P
      CE CREDIT: 6.5 hours

      ASPEN 2019 Nutrition Science & Practice Conference

      Saturday, March 23 12:00 PM - Tuesday, March 26 4:00 PM
      Phoenix, AZ
       
      ASPEN Staff
       
      aspen@nutritioncare.org
       
      301-587-6315
       
      ASPEN
       

      Nutrition is Your Competitive Edge

      Today’s healthcare environment demands professionals who recognize that nutrition is a key ingredient in successful patient outcomes.

      Professionals who study the science behind nutrition…

      …who apply research-based best practices

      …who advocate for nutrition care as a critical component of patient care. 

      These are the physicians, nurses, researchers, dietitians, pharmacists and other experts who attend ASPEN’s Nutrition Science and Practice Conference.

      Postgraduate Course 2: Critical Care - Update on Micronutrient Therapies in Sepsis (PG2-2019)

      Saturday, March 23 12:00 PM - Saturday, March 23 4:00 PM
      Phoenix, AZ
       
      ASPEN Staff
       
      aspen@nutritioncare.org
       
      3015876315
       
      ASPEN
       

      Postgraduate Course 2: Critical Care - Update on Micronutrient Therapies in Sepsis

      The ASPEN Critical Care Post Graduate Course is the optimal course for physicians, dietitians, nurses, and pharmacists who work with critically ill patients. The 2019 course is no exception. Join your colleagues for an in-depth learning experience in critical care nutrition with an emphasis on micronutrient therapies in sepsis. The course will focus on thiamin, vitamin C, vitamin D, and coenzyme Q10. 

      FACULTY & TOPICS

      Introduction
      Sadeq Quraishi, MD, MHA, MMSc

      Vitamin B1 (Thiamin)
      Michael Donnino, MD

      Vitamin C
      Paul Marik, MD

      Vitamin D
      Sadeq Quraishi, MD, MHA, MMSc

      Coenzyme Q10 (CoQ10)
      Michael Donnino, MDc

      MODERATOR
      Sadeq Quraishi, MD, MHA, MMSc

      LEARNING OBJECTIVES
      1. Describe the role of Vitamin B1 (Thiamin) in sepsis and determine when to provide to patients
      2. Identify which patients with sepsis would benefit from receiving Vitamin C
      3. Describe the role of Vitamin D in critically ill patients with sepsis and determine appropriate amounts to provide
      4. Summarize physiological changes to Coenzyme Q10 in sepsis and identify appropriate supplementation for patients in sepsis

      LEARNING LEVEL: Intermediate
      UAN: JA0002345-0000-19-004-L04-P
      CE CREDIT: 4 hours

      Nutrition for the Practicing Pediatric Clinician: Nutrition Support Challenges in the Intestinal Failure Patient (NPPC-2019)

      Saturday, March 23 12:00 PM - Saturday, March 23 4:00 PM
      Phoenix, AZ
       
      ASPEN Staff
       
      aspen@nutritioncare.org
       
      3015876315
       
      ASPEN
       

      Nutrition for the Practicing Pediatric Clinician: Nutrition Support Challenges in the Intestinal Failure Patient 

      Patients with intestinal failure (IF) represent a challenging group. Their nutrition support and management need to be tailored based on the bowel segment resected, the amount of resection as well as underlying disease etiology. There is also ongoing debate for intestinal lengthening procedures and their timing for maximizing nutrient absorption. Enteral or parenteral nutrition support and their respective percentages to promote parenteral nutrition autonomy as well as the optimal surgical procedures to enable nutrition delivery like gastrostomy/gastro-jejonostomy or jejunostomy tube and bolus vs continuous feeds present significant challenges. Challenges also remain in treating small bowel bacterial overgrowth as well as instituting gut motility modulators in such patients. Recent data also presents new evidence of alteration in nutrient absorption and assimilation based on influences by the gut microbiota, bile acids and systemic effects modulated by downstream targets with key gut luminal receptor activation. This preconference will present current evidence supporting clinical practices and highlight potential pitfalls in the management of this patient population. 

      LEARNING OBJECTIVES
      1. Identify key pathophysiological changes affecting nutrition status based on the site and amount of bowel segment resected
      2. Critically examine the current indications, timing, and nutritional consequences of bowel lengthening and other surgical procedures for patients with intestinal failure
      3. Discuss implications of variances in enteral feeding like continuous vs bolus feeding, type of formula, route of nutrition delivery
      4. Describe various medical therapies and the role of nutritional supplements (probiotics, pre-biotics, fiber) offered to improve enteral feeding tolerance with a goal of enteral autonomy
      5. Summarize current basic and translational research alluding to the role of gut microbiota, bile acids and key gut signaling effecting nutrition outcomes in patients with intestinal failure 

      FACULTY & TOPICS
      Overview of the Strategies for Enteral Autonomy

      Jeffrey Rudolph, MD

      Thinking Ahead: Nutrition Deficiencies in Patients with Short Bowel Syndrome
      Samuel Kocoshis, MD

      Route and Type of Enteral Nutrition and Enteral Supplements
      Gail Cresci, PhD, RD, LD, CNSC

      Small Bowel Bacterial Overgrowth and Motility Problems
      Valeria Cohran, MD

      Challenges in the Home Care of the Intestinal Failure Patient
      Beth Lyman, RN, MSN, CNSC

      Psychosocial Challenges in the Care of Patients with Intestinal Failure
      Rebecca Johnson, PhD

      Overview of Surgical Techniques for Short Bowel Syndrome and Intestinal Rehabilitation
      Dave Mercer, MD, PhD, FRCS

      New Horizons: Bugs, Drugs and Biomarkers in Intestinal Rehabilitation and Live Injury - From the Lab to the Clinic
      Ajay Jain, MD

      MODERATORS
      Charlene Compher, PhD, RD, CNSC, LDN, FAND, FASPEN
      Timothy Sentongo, MD

      LEARNING LEVEL: Intermediate
      UAN: JA0002345-0000-19-001-L01-P
      CE CREDIT: 4 hours