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The webcast was held on Thursday, November 17, 2011
Program Overview
ICU nutrition, like other care modalities in the ICU, is an ever-changing target. There is no question that enteral nutrition should be used preferentially over parenteral nutrition when possible, it’s what to do when the “not possible” occurs. When should parenteral nutrition be started? If full enteral nutrition cannot be tolerated, is a trophic amount still beneficial? Will underfeeding of enteral nutrition positively or negatively affect clinical outcomes? Are the current guidelines still up-to-date? These questions and others will be answered in this upcoming webinar!
Learning Objectives
Upon completion of this webcast participants will be able to:
1. Discuss optimal timing of parenteral nutrition in ICU patients
2. Understand potential risks/benefits of trickle vs. full enteral feeds
3. Review hot topics in ICU nutrition and how they may impact present guidelines
Schedule (Central Time)
1:00 p.m. - 1:05 p.m. Webcast Introduction
(Trish Glover, RN, MS - Moderator)
1:05 p.m. - 1:35 p.m. Early Parenteral Nutrition; Yes, No or Maybe
1:35 p.m. - 2:05 p.m. How to Feed: Trickle vs. Full Enteral Feeding
1. Benefits and Risks of Trickle vs. Full EN – the first seven days
a. Low Flow States/Ischemic Reperfusion Injury
i. Slow and steady may win the race, but is there a time to throw in the towel
b. What are we doing now?
i. Review of clinical trials and international surveys
c. What should we be doing?
i. Definitions of “trickle or trophic” vs. “full”
ii. Is there a difference between trickle and full enteral nutrition on clinical outcomes?
iii. What does the evidence tell us?
d. What questions remain unanswered?
2. EN is NOT an option for 3 days or longer than 7 days – when should we start the TPN?
3. Hot topics in ICU Nutrition today
a. What’s being studied
b. New information
c. Potential updates to current guidelines
(Beth Taylor, MS, RD, FCCM, CNSD)
2:05 p.m. - 2:30 p.m. Question and Answer Session
Faculty
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Robert G. Martindale, MD, PhD
Professor of Surgery
Oregon Health and Science University
Portland, Oregon, USA |
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Beth Taylor, MS, RD, FCCM, CNSD
Nutrition Support Dietitian
Barnes Jewish Hospital
St. Louis, Missouri, USA |
This webcast, "The Future of Critical Care Nutrition Therapy" is supported, in part, by a medical education grant from Baxter.
Target Audience
This continuing medical education offering is intended to meet the needs of all physicians, nurses, pharmacists, and other providers who care for the critically ill patient.
Type of Activity
This activity is intended to apply best practice methods for managing the ICU patient.
Competencies
SCCM supports recommendations that will promote lifelong learning through continuing education. SCCM promotes activities that encourage the highest quality in education that will enhance knowledge, competence or performance in critical care practice. This activity will meet the following competencies:
- Practice Applications
- Quality Improvement
- Multiprofessional Teamwork
CE/CME Credit
Physicians
Accreditation Statement: The Society of Critical Care Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Designation Statement: The Society of Critical Care Medicine designates this live educational activity for a maximum of 1.5 AMA PRA Category 1 credits™.
Each physician should claim only those hours of credit that he/she actually spent in the educational activity.
Nurses
This program has been approved by the California Board of Registered Nursing, Provider No. 8181, for up to 1.5 contact hours.
Pharmacists
The Society of Critical Care Medicine is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education. This course provides up to 1.5 contact hours of continuing education credit (0236-0000-11-304-L04-P). Pharmacists must complete the online verification form to confirm sessions attended and upon completion, a certificate can be downloaded and printed.
Obtaining CE/CME credits
To obtain credit, please complete the following evaluation. You will be prompted to complete your CE/CME credit application, for the live activity only, by logging in with your SCCM customer is and password.
You will need your SCCM customer number to continue. Click here if you have forgotten your user ID. Your password should be your last name, unless you have changed it. If you have any questions, please contact education@sccm.org or call +1-847-827-6869.
To reprint a copy of the CE/CME certificate, please click here.
System Requirements
Audio speakers
PC-based attendees:
Windows® 2000, XP Home, XP Pro, 2003 Server, Vista
Macintosh®-based attendees:
Mac OS®X 10.4(Tiger®) or newer
