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

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
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 
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?
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

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 

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 

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

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

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

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

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 

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