This ASPEN podcast discusses the paper: American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Nutrition Screening & Therapy Within a Surgical Enhanced Recovery Pathway & editorial: Perioperative Nutrition: A High Impact, Low Risk, Low Cost Intervention. (Anesthesia & Analgesia, June 2018). Drs. P. Wischmeyer, D. Evans and R. Martindale discuss the proven benefits of a perioperative nutrition program, the key program components and offer guidance on implementing a program in your institution.

This podcast is supported by Abbott as part of Malnutrition Awareness Week 2020.

https://pubmed.ncbi.nlm.nih.gov/29369092/

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September 2020

The JPEN article discussed in this podcast highlights the POET program developed and implemented at Duke University to address the issue of preoperative malnutrition and its negative consequences. The paper’s author discusses the preliminary experience to efficiently screen patients for preoperative nutrition risk and proactively manage malnutrition before and after surgery. The POET team believes that programs such as this will improve nutrition screening, nutrition care and outcomes, along with significant cost savings due to the negative and costly effects of malnutrition.

This podcast was supported by Abbott.

https://doi.org/10.1002/jpen.1824

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Sept/Oct 2020

The study discussed in this podcast was an Abstract of Distinction from ASPEN20. Due to a concern of potential vitamin E toxicity in patients receiving a fish oil (FOLE) or mixed lipid emulsion containing fish oil, which has added vitamin E to prevent oxidation of PUFA, the study reviewed vitamin E levels in children being treated for IFALD with FOLE. In this podcast, the study author discusses the details of the study and the basis of the conclusion that there is low concern for development of hypervitaminosis E toxicity with FOLE therapy in this patient population.

This podcast is sponsored by Fresenius Kabi. The abstract of this study is published in the February 2020 issue of JPEN.

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The Key points covered in this podcast are:

• ILEs containing omega-3s may have less pro-inflammatory effects in critically ill patients

• A number of guidelines support the use of ILEs containing omega-3s

• Parenteral nutrition containing omega-3s may be cost effective

https://freseniuskabinutrition.com/resources/

This podcast highlights an abstract from ASPEN20 in which a study looking at trends of liver profiles, micronutrients, nutrition, and growth for pediatric intestinal failure patients undergoing intestinal rehabilitation while using a mixed oil intravenous lipid emulsion with the goal of providing up to 30% of parenteral nutrition calories from lipids. The study was successful in delivering up to 30% of calories from lipids, allowing a decrease in glucose infusion rate and an increase in concentration of kcals per hour reducing overall hours per day of TPN. No patient progressed to cholestasis and growth and development was supported.

This podcast is sponsored by Fresenius Kabi. The abstract of this study is published in the February 2020 issue of JPEN.

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This podcast highlights an ASPEN 20 Poster of Distinction of a study which assessed the safety and tolerance of a 4-oil vs soybean oil (SO) lipid emulsion in adult HPN patients. The study demonstrated that 4-oil lipid emulsions were a safe and effective alternative to SO emulsions for HPN patients. Switching from SO to a 4-oil lipid emulsion as a major component of HPN was associated with a significant improvement in serum total bilirubin and alkaline phosphatase levels.

This podcast is sponsored by Fresenius Kabi. The abstract of this podcast in the February 2020 issue of JPEN.

This podcast is sponsored by Fresenius Kabi. The abstract of this study is published in the February 2020 issue of JPEN.

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Aug 2020

Advancements in Lipid Emulsions: The Emergence of Olive Oil

Gary Zaloga, MD, MA is the CEO of MedSciHealth Consultants, in Florida, and a consultant for Baxter Healthcare. In this discussion with Mary Russell, MS, RDN, medical science liaison at Baxter Healthcare, Dr. Zaloga discusses aspects of advances in IV lipid emulsions. The podcast expands on concepts discussed in the three YouTube videos on the same topic.

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Management of Irritable Bowel Syndrome: Physician-Dietitian Collaboration: NCP October 2020 (35.5)

In this podcast, Editor-in-Chief Jeanette Hasse, PhD, RD, FADA, CNSC, interviews author Carol Ireton-Jones, PhD, RDN, CNSC, FASPEN, and Michael F. Weisberg, MD on the article “Management of Irritable Bowel Syndrome: Physician-Dietitian Collaboration” published in the October 2020 issue of NCP.

https://doi.org/10.1002/ncp.10567

In this podcast Dr. P Cober discusses the challenges and guidance’s of safe management through drug shortages in the neonatal population. Her insights will benefit all patient ages and disciplines. She provides insights into the use of the ASPEN Drug Shortage Recommendations and stresses the importance of inter- and cross department communication.

ASPEN is pleased to bring educational material originally developed as an ASPEN2020 Central Stage to clinicians as a podcast. Thank you to the Central Admixture Pharmacy Services, CAPS for their support of this podcast.

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Aug 2020

Adherence to Mixed Intravenous Lipid Emulsion Criteria for Parenteral Nutrition in a Level IV Neonatal Intensive Care Unit- An ASPEN2020 Abstract

This podcast highlights a quality improvement abstract accepted for the ASPEN2020 conference which discusses a retrospective review of indications for use of a mixed oil ILE. As a result of this review the indication for use of this new ILE was decreased from an estimated or actual PN duration of greater than 30 days to a duration of 14 days, which the authors stated better meets their patient needs.

This ASPEN Podcast is sponsored by Fresenius Kabi. This ASPEN podcasts are opportunity to learn about research that is available in abstract form in the February 2020 issue of JPEN and was unable to be presented at the ASPEN2020 virtual conference.

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July 2020