Critical Care Nutrition: Adults and Pediatrics

Since the publication of the 2016 American Society of Parenteral and Enteral Nutrition and Society of Critical Care Medicine's Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient, numerous randomized controlled trials have challenged the recommendation for early enteral nutrition, suggesting early exclusive parenteral nutrition is safe, feasible, and associated with equal outcomes. New data has also challenged the recommendation for supplemental parenteral nutrition in the critically ill adult and will be discussed thoroughly in this webinar. Additionally, ther will be an evaluation of the 2017 ASPEN Comprehensive Nutritional Guidelines for Critically Ill Pediatric Patients and their application to patients in the inpatient and outpatient clinical settings. Highlights include laboratory monitoring parameters for long-term parenteral nutrition, ideal additives and supplementation to parenteral nutrition and recommendations to reduce the incidence of central-line associated blood stream infections.

Learning Objectives:

• Describe guideline recommendations for use of exclusive and supplemental parenteral nutrition in the critically ill adult.
• Identify and appraise landmark randomized controlled trials comparing early enteral versus early exclusive parenteral nutrition in critically ill adults.
• Identify and appraise landmark randomized controlled trials comparing early enteral plus supplemental parenteral nutrition to enteral nutrition alone.
• Cogitate on scenarios for exclusive and supplemental parenteral nutrition.
• Describe long-term parenteral nutrition lab monitoring in the inpatient and outpatient settings