ASPEN Podcasts

This video honors Jose Pimiento, MD, FACS, Associate Professor of Surgery, in the division of Gastrointestinal Oncology, at the Moffitt Cancer Center in Tampa, FL. Dr. Pimiento had the honor of training with Dr. Stanley Dudrick, the father of intravenous feeding. He shares some of Dr. Dudrick’s philosophy that as a surgeon, you need to be capable of handling everything, including the nutrition of...

In November 2020, the Durable Medical Equipment Medicare Advisory contractors retired the Local Coverage Determinants (LCDs) for home parenteral and enteral nutrition (PEN). On September 5, 2021 new LCDs took effect after close to 4 decades of no change. This podcast discusses the new LCDs, what it means for home PEN patients and home providers. It also addresses the challenges that still exist in...

Lipid injectable emulsions (ILEs) are complex pharmaceutical formulations intended as a source of energy and fatty acids for parenteral nutrition (PN). Part 1 of this series addressed adult use. Part 2 addresses ILE safety in neonatal and pediatric patients, who often require higher doses compared with adults to support growth, development, and daily metabolic needs. ILE is often administered as a...

Dr. Kelly Tappenden interviewed Dr. Moriah Bellissimo on her Harry Vars Award-winning study that explored the novel use of plasma high-resolution metabolomics data to examine associations of lean mass with circulating amino acids in clinically stable working adults. They discuss the potential indicators of catabolism and repair after illness and injury. November 2021 Business Corporate by Alex Men...

Guest Editor, Manpreet S. Mundi, MD interviews Dr. Yaseen M. Arabi, MD discussing the main points in the paper "Nutrition Support for Critically ill Patients”. Business Corporate by Alex Menco | alexmenco.net Music promoted by www.free-stock-music.com Creative Commons Attribution 3.0 Unported License creativecommons.org/licenses/by/3.0/deed.en_US November 2021

This Spotlight honors David S. Seres, MD, ScM, PNS, FASPEN, director of the Medical Nutrition Program and associate professor of medicine in the Institute of Human Nutrition at Columbia University Medical Center in New York City. He has over 30 years of experience in nutrition support consulting, clinical research, and teaching. He’s currently the section editor for nutrition at UpToDate. Dr. Sere...

This podcasts discussed a sentinel paper, Malnutrition Diagnoses and Associated Outcomes in Hospitalized Patients: United States, 2018, looking at the most current HCUP (Healthcare Cost Utilization Project) data on malnutrition in hospitalized patients. The data confirms that malnutrition is prevalent in hospitalized patients and is associated with higher readmission rates, inpatient mortality and...

Dr. Isabel Correia discusses her paper, "A Nutrition Therapy Cost-Effectiveness Model Indicating How Nutrition May Contribute to the Efficiency and Financial Sustainability of the Health Systems." Malnutrition is highly prevalent in hospitalized patients but seldom recognized and treated. Malnutrition poses several adverse events, such as increased infection rates, length of hospital stay, and mor...

This podcast discusses an abstract presented at ASPEN21 looking at the risk of refeeding syndrome in home start PN patients using the ASPEN Refeeding Consensus Recommendations (NCP 2020, Vol 35, Issue 2, pp. 178-195). With the identification of 94% of the home start PN population at risk of refeeding syndrome, the authors discuss how they implemented the consensus recommendations across their home...

This podcast, based on Recommendations for Photoprotection of Parenteral Nutrition for Premature Infants: An ASPEN Position Paper, answers questions on the need to photoprotect parenteral nutrition in premature infants, the recommendations made by an ASPEN workgroup, how to implement these recommendations, and the need for additional medical devices to put these new practices safely and efficientl...

This podcast discusses a retrospective study that evaluated the role that a multidisciplinary Nutrition Support Team may have in reducing PN ordering errors and decreasing the number of days patients experience electrolyte abnormalities during the duration of PN therapy. The study authors conclude that when PN errors are appropriately identified and corrected, potential harm can be prevented from...

This podcast discusses two adult patient cases with mixed oil ILE refractory Intestinal Failure Associated Liver Disease (IFALD). IFALD which has been associated with soy-based ILE, has seen some improvement with the use of mixed oil ILEs. The 2 patients discussed in this podcast did not improve with mixed oil ILE but saw significant improvement of IFALD with the use of fish oil ILE. The use of fi...

This Spotlight honors Shirley Paski, MD, MS, FRCP(C), director of small bowel diseases and nutrition at Cedars-Sinai Medical Center in Los Angeles, CA. Dr. Paski, who completed her residency in Canada, shares some of the differences between Canadian and US healthcare. She has built nutrition programs with multidisciplinary teams at the VA hospital at the University of Washington and at Cedars-Sina...

This podcasts discusses a retrospective study looking at the impact of using Fish Oil (FO)-ILE on parenteral nutrition associated cholestasis (PNAC). All patients were previously on a mixed oil ILE and were changed to the FO-ILE due to an elevated direct bilirubin >2 mg/dL. All patients benefitted with a decrease in the direct bilirubin while on the FO-ILE. The podcast discusses the different pati...

This podcast highlights a retrospective study which compared adult trauma patients admitted to the ICU that received a 4-oil lipid emulsion within PN therapy to patients that received either a soy oil-based lipid emulsion or a dextrose and amino acid PN. The study outcomes were incidence of infection, ICU and hospital length of stay and mortality. This podcast is sponsored by Fresenius Kabi. The a...

In this podcast, Editor-in-Chief Kelly A. Tappenden, PhD, RD, interviews Iva Hojsak MD, PhD, on the article “Healthy Siblings of Children with Crohn's Disease Exhibit More Rapid Changes in Microbiota Composition as a Response to Exclusive Enteral Nutrition” published in the August 2021 issue of JPEN. https://doi.org/10.1002/jpen.1981 August 2021

In this podcast, Editor-in-Chief Jeanette Hasse, PhD, RD, interviews author Kasuen Mauldin, PhD, RD on the article “Performing Nutrition Assessment Remotely via Telehealth” published in the August 2021 issue of NCP. August 2021

This podcast discusses a study which evaluated parenteral nutrition (PN) use in a surgical subspecialty practice during a 6-month period evaluating the concordance with recommendations and to identify opportunities for i quality improvement. The authors discuss why PN use is frequently not concordant with established ASPEN recommendations. This leaves opportunity for quality improvement efforts fo...

This podcast reviews 2 studies looking at the management of home PN patients. It looks at the safety of initiating PN in the home and the risk of refeeding syndrome. Also highlighted is the complexity of the home PN patient which necessitates the management of these patients by trained nutrition support clinicians who are focused on individualized care. This podcast is sponsored by Fresenius Kabi....

This Spotlight honors ASPEN’s 42 president, Nilesh Mehta, MD, FASPEN, anesthesia professor and critical care nutrition & metabolism chair at Harvard Medical School in Boston, MA. During his early years of practice, Dr. Mehta realized there was very little evidence-based guidelines to drive nutrient delivery to sick children at the bedside. Depending on the team, the child was fed differently and t...

The History of Human Subjects Research and Rationale for IRB Oversight: NCP June 2021 (36.3) In this podcast, Editor-in-Chief Jeanette Hasse, PhD, RD, FADA, CnSC, interviews Ryan Spellecy, PhD, and Kristin Busse, PharmD, BCPS.

This Spotlight honors Robin Mendelsohn, MD, clinical director of Gastroenterology, Hepatology and Nutrition Services, and associate professor of clinical medicine at Memorial Sloan Kettering Cancer Center (MSK) in New York City. Dr. Mendelsohn’s interest in nutrition was solidify after she had 6 months of nutrition focus in her GI fellowship at MSK. Today, she runs the nutrition services at MSK an...

In this podcast, Editor-in-Chief Kelly A. Tappenden, PhD, RD, interviews Lee-anne S. Chapple, PhD, on the article “Effects of Standard Versus Energy-Dense Formulae on Gastric Retention, Caloric Delivery, and Glycaemia in Critically Ill Patients” published in the May 2021 issue of JPEN. https://doi.org/10.1002/jpen.2065

This Spotlight honors Renee Stapleton, MD, Professor of Medicine, Division of Pulmonary and Critical Care Medicine, Burlington, VT. When Dr. Stapleton was a fellow, she became interested in research and saw nutrition in the ICU as an open box, with many unanswered questions. She has since led multiple nutrition RCTs, including a trial examining the effect of combined exercise and protein delivery...

Spotlight honors Carol E. Semrad, MD, Professor of Medicine, Director of Adult Clinical Nutrition and Small Bowel Disease, Section of Gastroenterology, Hepatology and Nutrition at University of Chicago Medicine. Dr. Semrad highlights the limited nutrition training in GI programs and the importance for physicians with interest in nutrition to find mentors who are experts in the field. She emphasize...