Clinical Nutrition Week 2017 Virtual

Feb 18, 2017 ‐ Feb 21, 2017



Sessions

President's Address and Honoring of Dr. Stanley J. Dudrick, MD, FACS, FASPEN

Feb 18, 2017 4:15pm ‐ Feb 18, 2017 6:15pm

Identification: R10

Join ASPEN’s 41st president, Charlene Compher, PhD, RD, CNSC, LDN, FAND, FASPEN, as she kicks off Clinical Nutrition Week 2017. Dr. Compher is Professor of Nutrition Science at the University of Pennsylvania School of Nursing and Advanced Practice Clinical Dietitian Specialist with the Home Parenteral Nutrition Program at the Hospital of the University of Pennsylvania. A committed interdisciplinary team member, Dr. Compher values mentorship and inter-professional collaboration and carries these values into her teaching. Her popular Case Study in Clinical Nutrition course brings faculty colleagues across the Penn campus to share their professional expertise with nursing students who seek a broad exposure to nutrition care in diverse clinical settings. The Advanced Nutrition and Metabolism capstone course for nutrition students at Penn also brings important late-breaking research findings in nutrition science into the knowledge base of students. In her President’s Address, Dr. Compher will discuss ASPEN’s rich history in clinical research and project essential elements needed for continued success into the future. At the conclusion of Dr. Compher’s address, ASPEN will honor Stanley J. Dudrick, MD, FACS, FASPEN, the Father of Intravenous Feeding, with the first-ever ASPEN Lifetime Achievement Award. You won’t want to miss this opportunity to hear from one of the most influential people in the nutrition support community.

Speaker(s):
  • Charlene Compher, PhD, RD, CNSC, LDN, FASPEN, Professor of Nutrition Science; Shearer Chair in Health Community Programs; Faculty Director, Nutrition Programs, University of Pennsylvania School of Nursing, Philadelphia, PA
  • Ezra Steiger, MD, FACS, FASPEN, Nutrition Support Team, Intestinal Rehab and Transplant Program, Digestive Disease Institute, Cleveland Clinic, Cleveland, OH
  • Stanley J. Dudrick, MD, FACS, FASPEN, Professor of Surgery, Yale University School of Medicine, New Haven, CT

The Impact of Diet on the Human Microbiome and its Relevance to Disease

Feb 19, 2017 8:00am ‐ Feb 19, 2017 9:15am

Identification: S10

ASPEN is pleased to welcome Gary D. Wu, MD to give the Keynote Address for Clinical Nutrition Week 2017. Dr. Wu is the Ferdinand G. Weisbrod Professor in Gastroenterology at the Perelman School of Medicine at the University of Pennsylvania where he is the Associate Chief for Research in the Division of Gastroenterology and is also the Associate Director of the Center for Molecular Studies in Digestive and Liver Disease. Dr. Wu is currently the Director and Chair of the Scientific Advisory Board for the American Gastroenterological Association Center for Gut Microbiome Research and Education and is an elected member of both the American Society for Clinical Investigation and the American Association of Physicians. Dr. Wu will take attendees on a journey of the history of the microbiome through the present and into the future. During the presentation, an emphasis will be placed on nutrition and diet, obesity, diabetes, bile acids, and fecal microbiota transplant. Don’t miss this opportunity to learn more about one of the hottest topics in the field!

Objectives:

  1. Describe the examples of how diet can be used to alter the composition and function of the gut microbiome as a potential therapeutic modality
  2. Explain the benefits and potential risks of performing fecal microbiota transplantation (FMT)
  3. Describe the concept of the “hygiene hypothesis”

Speaker(s):
  • Gary D. Wu, MD, Professor of Medicine; Co-Director, PennCHOP Microbiome Program, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA

Late Breaking Studies in Clinical Nutrition: The Future of Clinical Nutrition

Feb 19, 2017 10:30am ‐ Feb 19, 2017 12:30pm

Identification: S20

Objectives:

  1. Explain the most cutting edge data from late breaking clinical trials in clinical nutrition
  2. Discover how data from late breaking clinical trials can be applied to bedside practice

Speaker(s):
  • Paul Wischmeyer, MD, EDIC, Professor of Anesthesiology and Surgery, Associate Vice Chair for Clinical Research, Dept. of Anesthesiology; Director of Perioperative Research, Duke Clinical Research Institute; Co-Director - Nutrition Support Service, Duke University Hospital, Duke University School of Medicine, Durham, NC
  • Nicolaas Deutz, MD, PhD, Director and Professor of the Center for Translational Research in Aging and Longevity, Department of Health & Kinesiology, Texas A&M University, College Station, TX
  • Gordon Jensen, MD, PhD, Senior Associate Dean for Research, University of Vermont College of Medicine, Burlington, VT
  • Greet Van den Berghe, MD, PhD, Head of Laboratory of Intensive Care Medicine, Professor of Medicine, KU Leuven - University of Leuven, Leuven, Belgium
  • Tommy Cederholm, MD, PhD, Professor, Department of Public Health and Caring Sciences, Clinical Nutrition, and Metabolism, Uppsala University, Uppsala, Sweden
  • Stephen A. McClave, MD, FASPEN, Professor, University of Louisville School of Medicine, Louisville, KY
  • Emma Ridley, MPH, APD, PhD Candidate and ICU Nutrition Program Manager, Monash University, Melbourne, Australia

Persistent Inflammation Immunosuppression Catabolic Syndrome (PICS)

Feb 19, 2017 4:00pm ‐ Feb 19, 2017 6:00pm

Identification: S40

Objectives:

  1. Describe PICS
  2. Define protein catabolism and the importance of nutritional support in PICS
  3. Provide critical care management of these patients from a nutritional objective
  4. Analyze the inferences that we can make from the literature to help combat this disease process

Speaker(s):
  • Frederick A. Moore, MD, FACS, MCCM, Professor and Chief of Acute Care Surgery, University of Florida College of Medicine, Gainesville, FL
  • Robert G. Martindale, MD, PhD, Professor & Chief, Division of General Surgery, Oregon Health & Science University, Portland, OR
Speaker(s):
  • Martin Daniel Rosenthal, MD, Assistant Professor Trauma, Acute Care Surgery, and Critical Care. Chair of the University of Florida Nutrition Committee, University of Florida, Gainesville, FL

Dudrick Symposium - Pediatric Intestinal Failure: Frontiers in Intestinal Adaptation

Feb 20, 2017 8:00am ‐ Feb 20, 2017 10:00am

Identification: M10

The 2016 Dudrick Award Winner, Paul Wales, BSc, MD, MSc, FRCSC, FACS, is a Neonatal and Pediatric Surgeon at The Hospital for Sick Children (SickKids). He completed medical school and his general surgery residency at the University of British Columbia. He then completed a Pediatric General Surgery Fellowship at SickKids in Toronto followed by a Master's of Science in Clinical Epidemiology at The University of Edinburgh, Scotland/UK. Since beginning his practice in 2002, Dr. Wales has been interested and invested in the care of infants and children with short bowel syndrome and intestinal failure. Dr. Wales was instrumental in the establishment of the GIFT (Group for Intestinal Function and Treatment) program at SickKids, which remains the only formal intestinal rehabilitation program in Canada and where he remains Director of Operations. Being in such a position allowed Dr. Wales to bring to light the impact of intestinal rehabilitation programs on reducing mortality from both intestinal failure and associated liver disease and the need for liver transplantation. He also founded the Intestinal Failure fellowship at SickKids Hospital, recognizing the need to develop clinicians with the expertise and skills set to care for infants with intestinal failure. Dr. Wales has assembled a panel of experts to present on intestinal failure and intestinal adaptation. You will not want to miss this opportunity learn from leaders in the field.

Objectives:

  1. Describe the physiological mechanisms associated with intestinal adaptation
  2. Summarize the role of the microbiome in health and disease as it pertains to intestinal failure.
  3. Utilize the study of metabolites to understand intestinal physiology and a potential target for future therapies
  4. Identify appropriate prebiotic sources for use in patients with short bowel syndrome associated intestinal failure

Speaker(s):
  • Brad Warner, MD, Pediatric Surgeon-in-Chief, Jessie L. Ternberg, MD PHD, Distinguished Professor of Pediatric Surgery, St. Louis Children's Hospital and Washington University School of Medicine, St. Louis, MO
  • Paul Wales, BSc, MD, MSc, FRCSC, FACS, Neonatal and Pediatric Surgeon, The Hospital for Sick Children (SickKids), Toronto, Ontario Canada
  • Kelly Tappenden, PhD, RD, FASPEN, Professor and Department Head, Department of Kinesiology and Nutrition, University of Illinois at Chicago, Chicago, IL
  • Michael Helmrath, MD, MS, Surgical Director, Intestinal Rehabilitation Program; Director of Surgical Research; Pediatric Surgeon, Colorectal Center, University of Cincinnati, Cincinnati, OH
  • Karen Madsen, PhD, MSc, BA, Professor, University of Alberta, Edmonton, Alberta, Canada

Premier Nutrition and Metabolism Research Paper Session and VARS Award Competition

Feb 20, 2017 10:30am ‐ Feb 20, 2017 12:30pm

Identification: M20

Speaker(s):
  • Todd W. Rice, MD, MSc, Associate Professor of Medicine, Vanderbilt University Medical Center, Nashville, TN
  • Lauren Beckman, PhD, RD, Clinical Dietitian, Swedish Medical Center, Englewood, CO
  • Giliane Belarmino, PhD, University of Sao Paulo, Sao Paulo, Brazil
  • Ashley C. Newell, MD, MEd, FAAP, Clinical Fellow, Vanderbilt University Medical Center, Nashville, TV
  • Gregory J. Guthrie, PhD, Postdoctoral fellow, Children's Nutrition Research Center, Baylor College of Medicine, Houston TX
  • Wilhelmus G. Looijaard, MD, VU University Medical Center Amsterdam, Leiden, Netherlands
  • Celeste M. Lavallee, BSc, RD, RD, University of Alberta, Edmonton, Canada

Malnutrition Prevalence and Outcomes: State of the Science Across the Lifespan

Feb 20, 2017 2:30pm ‐ Feb 20, 2017 4:00pm

Identification: M30

Objectives:

  1. Identify US hospitalized patient prevalence of malnutrition based on AHRQ databrief and relation to diagnoses/procedures and readmissions
  2. Outline the results from the ASPEN survey on assessment parameters and use of EHRs in documentation
  3. Describe nutrition assessment variables and relationship with outcomes according to latest literature

Speaker(s):
  • Ainsley Malone, MS, RD, LD, CNSC, FAND, FASPEN, Nutrition Support Dietitian, Mt. Carmel Grove City Hospital, Grove City, OH
  • Sadeq Quraishi, MD, MHA, MMSc, Staff Anesthetist and Intensivist, Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Boston, MA
  • Peggi Guenter, PhD, RN, FAAN, FASPEN, Senior Director of Clinical Practice, Quality and Advocacy, American Society for Parenteral and Enteral Nutrition, Silver Spring, MD
  • Sandra Bouma, MS, RDN, CSP, Clinical Dietitian, CS Mott Children's Hospital, University of Michigan Health System, Ann Arbor, MI
  • Kris M. Mogensen, MS, RD-AP, LDN, CNSC, Team Leader Dietitian, Department of Nutrition, Brigham and Woman's Hospital, Boston, MA

Protein, Muscle and ICU Outcomes

Feb 20, 2017 4:15pm ‐ Feb 20, 2017 5:45pm

Identification: M40

Objectives:

  1. Describe the nutritional approach to limit muscle wasting in the ICU
  2. Analyze the effect of nutrition therapy on protein turnover in critically ill patient
  3. Implement enhanced protein delivery in patients to improve ICU survivor outcomes

Speaker(s):
  • Sadeq Quraishi, MD, MHA, MMSc, Staff Anesthetist and Intensivist, Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Boston, MA
  • Danielle E. Bear, RD, MRES, HEE/NIHR Clinical Doctoral Fellow, Department of Critical Care, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom
  • Peter JM Weijs, PhD, Professor Nutrition and Exercise; Professor Nutrition and Exercise, Amsterdam University Medical Centers; Amsterdam University of Applied Sciences, Amsterdam, the Netherlands
  • Kenneth B. Christopher, MD, SM, Assistant Program Director, Internal Medicine Residency Program, Brigham and Women's Hospital, Boston MA
  • Elisabeth De Waele, MD, PhD, Vice President Intensive Care, Free University of Brussels, Brussels, Belgium

Rhoads Research Lecture and Awards Ceremony: Clinical Research in an Age of Collaboration - Together We Can Do Bigger and Better!

Feb 21, 2017 8:00am ‐ Feb 21, 2017 9:15am

Identification: T10

As health care professionals interested in clinical nutrition, we face numerous challenges as we try and provide optimal nutrition to individual patients in our health care system. Some of the difficulties in achieving optimal nutritional policies and practices arise from the devaluation or de-prioritization of nutrition issues relative to other clinical problems our patients face. As a consequence, malnutrition continues to go unassessed, significant underfeeding continues in institutionalized care, and patients experience the attendant negative consequences of poor or inadequate nutritional management. I posit that a large part of the problem can be attributed to a weak or absent evidentiary basis that informs our clinical practice guidelines. Evidence for this assertion comes from a review of recent clinical practice guidelines and the nature of the evidence informing these guidelines that reveals few strong clinical recommendations and numerous small, low-moderate quality single center randomized trials. Moreover, existing large-scale RCTs study selected patients and have limited applicability to the broader practice setting. What can be done to rectify this situation and ultimately improve patient outcomes? I will offer 4 potential solutions that will elevate the practice of clinical nutrition and make it easier to get our job accomplished and aid our patients in achieving the best possible outcomes: 1) the creation of registry-based, volunteer supported, large-scale, clinical trials; 2) the creation of research networks and protocol development meetings; 3) a shift away from physiological measurements and mortality to more rigorous patient centered outcomes including activity and performance-based measures; and 4) family engagement and capacitation in nutrition care of their loved ones. Collectively, these efforts have the possibility to transform the nature of the evidence underpinning our nutrition recommendations and how nutrition is valued by our peers, patients, and their families.

Objectives:

  1. List some barriers and facilitators to achieving best clinical nutrition practice
  2. Describe the process by which we as a clinical nutrition community can collaborate to generate high levels of evidence to support our nutrition practice
  3. Summarize the role of family capacitation and engagement in improving nutrition practice

Speaker(s):
  • Daren K. Heyland, MD, MSc, Director, Clinical Evaluation Research Unit, Kingston General Hospital; Director, The Canadian Researchers at the End of Life Network; Director, Critical Care Nutrition, Queen's University, Kingston, Ontario, Canada

Intestinal Failure and Parenteral Nutrition Associated Liver Disease (IFALD/PNALD) - When to Worry

Feb 21, 2017 9:45am ‐ Feb 21, 2017 11:15am

Identification: T20

Objectives:

  1. Outline the mechanisms, clinical presentations, challenges, and approach to adult IFALD/PNALD
  2. Describe the pathophysiology, clinical profile and implications including liver failure and transplant in pediatric population
  3. Summarize the prevention and treatment of IFALD/PNALD in pediatric and adults and emerging therapies

Speaker(s):
  • Kathleen Gura, PharmD, BCNSP, FASHP, FPPAG, FASPEN, Clinical Pharmacist, Department of Pharmacy, Boston's Children's Hospital, Boston, MA
  • Dan Waitzberg, MD, PhD, Associate Professor, University of Sao Paulo, Sao Paulo, Brazil
  • Ajay Jain, MD, Associate Professor; Chairman, Nutritional Advisory Committee; Medical Director, Pediatric Liver Transplantation, Saint Louis University, St. Louis, MO
Speaker(s):
  • Puneet Puri, MBBS, MD, FACP, Assistant Professor of Medicine, Virginia Commonwealth University, Richmond, VA
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