Improving Nutrition Interventions in the Critical Care Setting: A Team-Based Approach (SU24)

Breakout

Date & Time:

March 23, 2025

10:30 AM – 12:30 PM ET

Format:

In Person & Virtual

CE Credits:

2 Hours

UAN: JA0002345-0000-25-030-L99-P

Course level:

Intermediate

session objectives:

What You'll Learn

LEARNING OBJECTIVES

  • Choose appropriate critically ill patients for enteral nutrition during hemodynamic instability.
  • List the indications for and provision of parenteral nutrition in critically ill patients.
  • Discuss medications commonly used in critically ill patients and their effects on glycemic control, lean body mass loss, and gastrointestinal perfusion.
  • Compare and contrast the effects of high versus lower protein delivery in the ICU and longer-term functional outcomes.
  • Differentiate the pathophysiology and neurologic consequences of hyperammonemia in liver failure and severe malnutrition.
  • Develop a concept of personalized nutrition support in critically ill patients as it relates to calories, protein, insulin, and concomitant medications.

 

Topics & Presenters

Case #1: Enteral Nutrition During Hemodynamic Instability

Anne Tucker
PharmD, BCNSP, FASPEN

Clinical Pharmacy Specialist – Critical Care / Nutrition Support

The University of Texas MD Anderson Cancer Center

Houston, TX

Case #2: Parenteral Nutrition Considerations and Use in a Critically Ill Patient

Lauren Probstfeld
MS, RD, CNSC

Clinical Dietitian, Medical Intensive Care Unit

Michael E. DeBakey VA Medical Center

Houston, TX

Case #3: High Versus Lower Protein Delivery in the ICU and Longer-Term Functional Outcomes

Todd Rice
MD, MSc, FASPEN

Professor of Medicine

Division of Allergy, Pulmonary and Critical Care Medicine, Vanderbilt University Medical Center

Nashville, TN

Case #4: Hyperammonemia in the Critically Ill Adult Patient

Prem Kandiah
MD

Associate Professor of Neurology

Emory University Hospital

Atlanta, GA

Moderators:

Stephanie Dobak

MS, RD, LDN, CNSC

Clinical Dietitian III

Jefferson Weinberg ALS Center

Philadelphia, PA

GLP-2 Use: From Data to Real Life Management of Patients With Intestinal Failure (SU23)

Breakout

Date & Time:

March 23, 2025

10:30 AM – 12:00 PM ET

Format:

In Person & Virtual

CE Credits:

1.5 Hours

UAN: JA0002345-0000-25-028-L01-P

Course level:

Intermediate/Advanced

Pediatric Content

session objectives:

What You'll Learn

LEARNING OBJECTIVES

  • Identify the indications for glucagon-like peptide-2 (GLP-2) use in intestinal failure.
  • Evaluate data on GLP-2 to guide evidence-based decision making in clinical practice.
  • Develop strategies for weaning parenteral nutrition (PN) and advancing oral and enteral nutrition.
  • Enhance understanding of the real-world impact of GLP-2 therapy.

 

Topics & Presenters

GLP-2 Therapies: Effectiveness and Safety

David Mercer
MD, PhD, FRCS(C), FACS

Director of the Intestinal Rehabilitation Program

University of Nebraska Medical Center

Professor of Surgery

Division of Transplant Surgery, University of Nebraska Medical Center

Omaha, NE

From Clinical Trials to Clinical Practice: Real-World Impact of GLP-2 Therapy

Sivan Kinberg
MD

Director, Pediatric Intestinal Rehabilitation Center

Columbia University Irving Medical Center

Assistant Professor of Pediatrics

Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Columbia University Irving Medical Center

New York, NY

Practical Strategies for Weaning Parenteral Nutrition and Advancing Oral and Enteral Nutrition

Christine Hoyer
MS, RD, CSP, CDN, CNSC

Pediatric Nutrition Support Dietitian

NewYork-Presbyterian Morgan Stanley Children’s Hospital

New York, NY

Moderators:

Sivan Kinberg

MD

Director, Pediatric Intestinal Rehabilitation Center

Columbia University Irving Medical Center

Assistant Professor of Pediatrics

Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Columbia University Irving Medical Center

New York, NY

Fueling Success: Strategies for Establishing, Engaging, and Sustaining Nutrition Support Teams for Another 50 Years (SU22)

Breakout

Date & Time:

March 23, 2025

10:30 AM – 12:00 PM ET

Format:

In Person & Virtual

CE Credits:

1.5 Hours

UAN: JA0002345-0000-25-027-L99-P

Course level:

Intermediate

session objectives:

What You'll Learn

LEARNING OBJECTIVES

  • Summarize the practical application and value of the nutrition support team (NST) in acute care settings.
  • Describe the structure of health systems’ nutrition support care models.
  • Identify performance metrics and outcomes used in successful NSTs.
  • Develop strategies that organizations can use to invigorate and/or engage the NST within a hospital and/or health system.

 

Topics & Presenters

Introduction, History, and Structure of Nutrition Support Teams

Lynn Hiller
DCN, RDN, CNSC

Advanced Practice Nutrition Support and Critical Care Dietitian

James A. Haley Veteran's Hospital

Tampa, FL

Nutrition Support Teams: Upholding Their Value and Furthering Relationships

Lisa Maria
PHD, RD, CNSC

Informatician

Bruce W. Carter Veterans Affairs Medical Center

Miami, FL

Performance Metrics and Outcomes for Nutrition Support Teams

Mary Chew
MS, RD

Research Dietitian

Phoenix Veterans Affairs Medical Center

Phoenix, AZ

How to Promote Active Interprofessional Nutrition Support Teams

Amir Kamel
PharmD, BCNSP, FASPEN

Clinical Pharmacy Specialist

Nutrition Support / Critical Care, University of Florida Health

Gainesville, FL

Case Exemplars From an Academic Health Science Center Interprofessional Nutrition Support Team

Martin Rosenthal
MD, FACS, FASPEN

Associate Professor

Division of Acute Care Surgery, University of Florida Health

Director, Abdominal Wall Reconstruction and Intestinal Rehab Service

Department of Surgery, University of Florida Health

Gainesville, FL

Summary and Conclusion

Sandra Wolfe Citty
PhD, APRN-BC, FASPEN

Clinical Associate Professor

University of Florida

Clinical Nurse Investigator

North Florida/South Georgia Veterans Health System

Gainesville, FL

Moderators:

Sandra Wolfe Citty

PhD, APRN-BC, FASPEN

Clinical Associate Professor

University of Florida

Clinical Nurse Investigator

North Florida/South Georgia Veterans Health System

Gainesville, FL

Tackling Malnutrition in Hospitalized Children Using an Interprofessional Nutrition Care Pathway (SU20)

Breakout

Date & Time:

March 23, 2025

10:30 AM – 12:00 PM ET

Format:

In Person & Virtual

CE Credits:

1.5 Hours

UAN: JA0002345-0000-25-025-L99-P

Course level:

Intermediate

Pediatric Content

session objectives:

What You'll Learn

LEARNING OBJECTIVES

  • Develop familiarity with the definition, criteria, prevalence, and consequences of malnutrition in hospitalized children.
  • Apply strategies and tools to support the implementation of an interprofessional pediatric nutrition care pathway in the hospital.
  • Address commonly asked questions about assessing and treating pediatric malnutrition in hospital settings.

 

Topics & Presenters

Why Do We Need a Nutrition Pathway in Hospitalized Children?

Jessie Hulst
MD, PhD

Pediatric Gastroenterologist and Associate Professor

The Hospital for Sick Children

Toronto, ON Canada

How to Identify Malnutrition in Hospitalized Children

Andrea Martinez
MD

Pediatric Gastroenterologist

BC Children's Hospital

Vancouver, BC Canada

How to Manage Pediatric Malnutrition at the Individual Child and Hospital Level

Jillian Owens
RD

Registered Dietitian

McMaster Children's Hospital

Hamilton, ON Canada

Moderators:

Catherine Larson-Nath

MD, CNSC

Director of Intestinal Rehabilitation Program and Fellowship Program Director

Pediatric Gastroenterology, Hepatology, and Nutrition, University of Minnesota Medical School

Associate Professor

Pediatric Gastroenterology, Hepatology, and Nutrition, University of Minnesota Medical School

Minneapolis, MN

Myth-Busting Enteral Nutrition in the ICU: An Interprofessional Perspective (T23)

Breakout

Date & Time:

March 25, 2025

9:45 AM – 11:15 AM ET

Format:

In Person & Virtual

CE Credits:

1.5 Hours

UAN: JA0002345-0000-25-061-L99-P

Course level:

Intermediate

session objectives:

What You'll Learn

LEARNING OBJECTIVES 

  • Outline the benefits and risks associated with enteral nutrition in critically ill patients. 
  • Describe the evidence supporting the appropriate use of enteral nutrition in critically ill patients, including its impact on mortality, infection rates, and length of stay in real world ICU scenarios where EN is often mistakenly considered contraindicated. 
  • Identify and debunk common misconceptions surrounding enteral nutrition practices in the ICU setting. 

Topics & Presenters

Nutrition Myths: The Dietitian Perspective

Leslie Murray
RD, LDN, CNSC

Clinical Dietitian

Duke University Health System

Durham, NC

Nutrition Myths: The Physician Perspective

Paul Wischmeyer
MD, EDIC, FCCM, FASPEN

Professor of Anesthesiology and Surgery; Director, TPN/Nutrition Support Service

Duke University School of Medicine

Associate Vice Chair for Clinical Research

Department of Anesthesiology, Duke University School of Medicine

Durham, NC

Nutrition Myths: The Nurse Perspective

Jan M. Powers
PhD, RN, CCNS, CCRN, NE-BC, FCCM, FAAN

Clinical Nurse Specialist

Cleveland Clinic

Cleveland, OH

Nutrition Myths: The Pharmacist Perspective

Vivian Zhao
PharmD, BNCSP, FASPEN

Clinical Pharmacy Specialist II – Nutrition Support

Emory University Hospital

Atlanta, GA

Moderators:

Ashley DePriest

MS, RDN, LD, CNSC, FCCM

Assistant Director Clinical Nutrition, Food and Nutrition Services

Emory Healthcare

Atlanta, GA

What a Clinician Should Know When Prescribing Home Parenteral Nutrition (T22)

Breakout

Date & Time:

March 25, 2025

9:45 AM – 11:15 AM ET

Format:

In Person & Virtual

CE Credits:

1.5 Hours

UAN: JA0002345-0000-25-060-L99-P

Course level:

Intermediate

session objectives:

What You'll Learn

LEARNING OBJECTIVES 

  • Determine appropriate indications for home parenteral nutrition (HPN) and how to select the appropriate central venous access device. 
  • Develop safe practices in designing the HPN formula, including compatibility and stability considerations. 
  • Employ HPN-specific strategies for managing PN component shortages. 
  • Identify the psychosocial implications of HPN and how to integrate a patient-centered care approach

Topics & Presenters

HPN Indications and Central Venous Access Device Selection

Stanislaw Klek
MD, PhD

Head of Oncological Surgery Unit

Stanley Dudrick's Memorial Hospital, Skawina

Head of the Surgical Clinic at the National Cancer Institute in Krakow

Department of General and Oncology Surgery, Intestinal Failure Unit, Marie-Sklodowska-Curie National Research Institute of Oncology

Krakow, Poland

Designing a Safe and Effective HPN Formula

Vanessa Kumpf
PharmD, BCNSP, FASPEN

Clinical Pharmacist Specialist, Nutrition Support

Vanderbilt University Medical Center

Nashville, TN

PN Component Shortages: Clinical Considerations and Challenges in the Home Setting

Kristy Feeney
MS, RD, CNSC

National Manager, Nutrition

Coram Specialty Infusion Services

Everett, WA

Psychosocial Impact of HPN and Achieving Goals

Nicolette Burzawa
RD, LDN, CNSC

Nutrition Support Dietitian

Option Care Health

Itasca, IL

Moderators:

Vanessa Kumpf

PharmD, BCNSP, FASPEN

Clinical Pharmacist Specialist, Nutrition Support

Vanderbilt University Medical Center

Nashville, TN

When Less is Not More: Recognizing and Mitigating Sarcopenia Across Disease States (T21)

Breakout

Date & Time:

March 25, 2025

9:45 AM – 11:15 AM ET

Format:

In Person & Virtual

CE Credits:

1.5 Hours

UAN: JA0002345-0000-25-059-L01-P

Course level:

Intermediate

session objectives:

What You'll Learn

LEARNING OBJECTIVES 

  • Summarize the epidemiology and impact of sarcopenia across disease states.
  • Identify practical modalities for detecting and quantifying sarcopenia and sarcopenic obesity. 
  • Discuss the impact of sarcopenia and preventative and therapeutic strategies in adults with malignancy, obesity, and critical illness.

Topics & Presenters

Sarcopenia in Critically Ill Patients

Sarah Peterson
PhD, RD, CNSC, LDN

Assistant Professor

Department of Clinical Nutrition, Rush University

Chicago, IL

Sarcopenia in Patients With Obesity

Manpreet S. Mundi
MD

Professor of Medicine

Division of Endocrinology, Diabetes, Metabolism, and Nutrition, Mayo Clinic

Rochester, MN

Sarcopenia in Malignancy

Juan Carlos Lopez Delgado
MD, PhD

Professor of Critical and Emergency Care

University of Barcelona

Intensive Care Specialist, Medical Intensive Care Unit

Hospital Clinic of Barcelona

Barcelona, Spain

Current Definitions of Sarcopenia and Sarcopenic Obesity

Michelle Schneider
MS, RD, CNSC, CCTD, FASPEN

Lead Clinical Dietitian

Froedtert Hospital

Milwaukee, WI

Moderators:

Michelle Schneider

MS, RD, CNSC, CCTD, FASPEN

Lead Clinical Dietitian

Froedtert Hospital

Milwaukee, WI

Health Equity Across the Intestinal Failure Care Continuum (T20)

Breakout

Date & Time:

March 25, 2025

9:45 AM – 11:15 AM ET

Format:

In Person & Virtual

CE Credits:

1.5 Hours

UAN: JA0002345-0000-25-058-L99-P

Course level:

Intermediate

Pediatric Content

session objectives:

What You'll Learn

LEARNING OBJECTIVES 

  • Describe the health disparities that exist in adult and pediatric intestinal failure. 
  • Define the role of healthcare professionals in addressing intestinal failure disparities. 
  • List potential solutions to address health disparities across the intestinal failure care continuum.

Topics & Presenters

Intestine Transplantation: The Source of or Solution to Health Inequities in Intestinal Failure?

Vikram Raghu
MD, MS

Assistant Professor of Pediatrics

Division of Gastroenterology, Hepatology, and Nutrition, University of Pittsburgh School of Medicine

Pediatric Gastroenterologist and Transplant Hepatologist

UPMC Children's Hospital of Pittsburgh

Pittsburgh, PA

Achieving Equitable Health Outcomes in Pediatric Intestinal Failure

Susan Gutierrez
MD

Pediatric Gastroenterology Fellow

University of California San Francisco School of Medicine

San Francisco, CA

Inequity in Adult Intestinal Failure: Does Decentralized Care Lead to Poor Clinical Outcomes?

Kishore Iyer
MBBS

Professor of Surgery, Pediatrics, and Global Health

Icahn School of Medicine at Mount Sinai

Director of Adult and Pediatric Intestinal Rehabilitation and Transplantation

Mount Sinai Hospital

New York, NY

Moderators:

Simon Horslen

MBChB, FRCPCH

Professor of Pediatrics

University of Pittsburgh School of Medicine

Director of Pediatric Hepatology

UPMC Children's Hospital of Pittsburgh

Pittsburgh, PA

Nicole Misner

MS, RDN

Clinical Pediatric Dietitian

Division of Gastroenterology, Hepatology, and Nutrition, University of South Florida Health Morsani College of Medicine

Tampa, FL

How We Got Here: Celebrating the Advances in Nutrition Support on the 50th Anniversary of ASPEN (SA24)

Breakout

Date & Time:

March 22, 2025

2:30 PM – 4:00 PM ET

Format:

In Person & Virtual

CE Credits:

1.5 Hours

UAN: JA0002345-0000-25-023-L99-P

Course level:

Intermediate

session objectives:

What You'll Learn

LEARNING OBJECTIVES 

  • Describe the steps in the development of modern parenteral nutrition administration. 
  • Define the advances in technology of indirect calorimetry and list how these advances can improve patient outcomes. 
  • Identify the reasons for the ongoing controversy regarding efficacy of parenteral versus enteral nutrition and the current data that is evolving to improve patient outcomes by avoiding infectious complications. 

Topics & Presenters

The Development of Central Venous Access Devices

Ryan Hurt
MD, PhD, FASPEN

Professor of Medicine

Mayo Clinic College of Medicine

Rochester, MN

Advances in PN Compounding Technology

Kathleen Gura
PharmD, BCNSP, FASHP, FPPAG

Pharmacy Clinical Research Program Manager

Boston Children's Hospital

Assistant Professor of Pediatrics

Harvard Medical School

Boston, MA

Advances in Measuring Energy Expenditure

Stephen A. McClave
MD, FACN, FASGE, FASPEN, AGAF

Professor of Medicine and Director of Clinical Nutrition

School of Medicine, University of Louisville

Louisville, KY

The Evolving Controversy Regarding the Clinical Outcomes Between Enteral and Parenteral Nutrition

D. Dante Yeh
MD, MHPE, FACS, FCCM, FASPEN, CNSC

Chief of Emergency General Surgery

Denver Health

Professor of Surgery

Denver Health

Denver, CO

The Long-Term Home Pareneral Nutrition Patient: Caregiver Perspectives on Changes Over Time

Teresa Poindexter

Mother; Oley Foundation Member

Concord, CA

Moderators:

Lingtak-Neander Chan

PharmD, BCNSP, FASPEN

Professor of Pharmacy

School of Pharmacy, University of Washington

Interdisciplinary Faculty of the Graduate Program in Nutritional Sciences

University of Washington

Seattle, WA

Peggi Guenter

PhD, RN, FASPEN, FAAN

Special Projects Consultant

American Society for Parenteral and Enteral Nutrition

Silver Spring, MD

The ICU Clinician’s Guide to Nutrition Physiology: Latest Insights (SA23)

Breakout

Date & Time:

March 22, 2025

2:30 PM – 4:00 PM ET

Format:

In Person & Virtual

CE Credits:

1.5 Hours

UAN: JA0002345-0000-25-022-L99-P

Course level:

Advanced

session objectives:

What You'll Learn

LEARNING OBJECTIVES 

  • Analyze how timing may be just as important as dose in nutrition trials, in relation to metabolic health. 
  • Summarize how chrono-nutrition can serve as an intervention strategy to reduce metabolic complications and improve circadian misalignment during and after critical illness. 
  • Demonstrate how calorie, protein, and micronutrient metabolism may impact the outcomes of large clinical trials such as TARGET, EFFORT and NUTRIREA-3. 
  • Identify which biomarkers are already available in clinical practice and which emerged in recent trials to further improve nutrition practice in ICU. 

Topics & Presenters

Timing of Nutrition and Metabolic Health: Implications For Feeding Practices in Critically Ill Patients

Imre Kouw
PhD, MNutrSci

Assitant Professor

Nutritional Biology, Wageningen University & Research

Wageningen, Gelderland Netherlands

How Do Calorie and Protein Metabolism Influence Outcomes From Augmented Nutrition Trials?

Lee-Anne Chapple
BMedSci, MNutrDiet, PhD

Associate Professor

Adelaide Medical School, University of Adelaide

Research Fellow

Adelaide Medical School, University of Adelaide

Senior Critical Care Dietitian

Nutrition and Dietetics Department, Royal Adelaide Hospital

Adelaide, South Australia Australia

Can Biomarkers Improve Nutrition Practice?

Christian Stoppe
FAHA, FESC

Professor of Medicine

Department of Cardiac Anesthesiology and Intensive Care Medicine, German Heart Center Charité Berlin

Clinical Scientist, Trialist

Würzburg University

Würzburg, Germany

Moderators:

Todd Rice

MD, MSc, FASPEN

Professor of Medicine

Division of Allergy, Pulmonary and Critical Care Medicine, Vanderbilt University Medical Center

Nashville, TN