POPULARITY
Send us a textIn this Journal Club episode, Ben and Daphna review five recent studies with practical implications for neonatal care. The FEED1 trial examines whether starting full milk feeds from day one is safe in 30-32 week preterm infants, finding no difference in length of stay compared to gradual feeding but fewer central line days. A brief communication from UAB explores high-volume feeding strategies (≥170 ml/kg/day) and their impact on body composition in very preterm infants.The hosts discuss a mannequin study from Italy measuring forces applied during intubation with different laryngoscope types and bed heights, revealing that video laryngoscopy at navel height applies the lowest forces—contrary to most clinicians' perceptions.A large Japanese cohort study highlights the association between maternal psychological distress and neurodevelopmental delays, with postpartum distress showing stronger effects than prenatal stress. Finally, analysis of Neonatal Research Network data identifies predictors of early cord clamping in extremely preterm infants, with lack of magnesium sulfate, cesarean delivery, and antepartum hemorrhage being key factors.The episode wraps with reminders about upcoming conferences, including the Delphi Conference in Fort Lauderdale in January 2026.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!
Host: Charles Turck, PharmD, BCPS, BCCCP Guest: Sarah Cogle, PharmD, BCNSP, FASPEN Evolving evidence supports the shift from single-source to multi-source intravenous lipid emulsions in parenteral nutrition. These newer formulations may offer improved metabolic, inflammatory, and hepatic outcomes, particularly for vulnerable patient populations. Joining Dr. Charles Turck to discuss the clinical rationale and operational considerations for these formulations is Dr. Sarah Cogle, who's a Clinical Pharmacist Specialist at Vanderbilt University Medical Center in Nashville, Tennessee.
Host: Brian P. McDonough, MD, FAAFP Guest: Phil Ayers, PharmD, BCNSP, FMSHP, FASHP With the potential to reduce infection risk, improve operational efficiency, and enhance safety through standardization, multi-chamber bags are increasingly being used as an alternative to traditional compounded parenteral nutrition. To explore this approach and how it can be implemented in hospital and home care settings, Dr. Brian McDonough speaks with Dr. George Phillip Ayers. He's an Associate Clinical Professor at the University of Mississippi School of Pharmacy as well as the Chief of Clinical Pharmacy Services in the Department of Pharmacy at the Mississippi Baptist Medical Center in Jackson.
Enterocutaneous fistulas present one of the most complex challenges in clinical nutrition—and parenteral nutrition often plays a central role in management. In our latest episode, we're joined by Vanessa Kumpf, PharmD, leading expert in nutrition support, to discuss evidence-based strategies, real-world decision-making, and how to optimize outcomes for these high-risk patients.
In this podcast, JPEN Editor-in-Chief Dr. Kenneth Christopher, interviews Niklas Tappauf PhD Candidate in Experimental Medicine at The University of British Columbia. Niklas Tappauf's research is on pediatric health and biomarker development with a specific focus on the microbiome. Niklas Tappauf is first author of the research article “Multiomics profiling and parenteral nutrition weaning in pediatric patients with intestinal failure: A longitudinal cohort study”. 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 May 2025
Faculty experts highlight USP and discuss opportunities to reduce medication errors, with respect to sterility, stability, and compatibility when compounding parenteral nutrition and assigning a beyond use date. The information presented during the podcast reflects solely the opinions of the presenter. The information and materials are not, and are not intended as, a comprehensive source of drug information on this topic. The contents of the podcast have not been reviewed by ASHP, and should neither be interpreted as the official policies of ASHP, nor an endorsement of any product(s), nor should they be considered as a substitute for the professional judgment of the pharmacist or physician.
For today's topic, we will be discussing the process of Admitting a Total Parenteral Nutrition (TPN) patient to your facility. We will review what TPN is, when it is typically chosen as a nutritional option for residents, and considerations for needed admission documentation, storage considerations, and general tips for caring for your TPN residents.
In this podcast, JPEN Editor-in-Chief Dr. Kenneth Christopher, interviews Dr. Sarah Fleet, Director of the Growth and Nutrition Program and Program Director, of the Advanced Nutrition Fellowship from the Boston Children's Hospital. Dr. Fleet is a pediatrician and gastroenterologist with a research focus on nutrition education scholarship. Dr. Fleet is the first author of the research article “Knowledge assessment tool for pediatric parenteral nutrition: A validation study”. 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 January 2025
Disclosures: Nicolette Burzawa, RD, LDN, CNSC is employed by Option Care Health. She is not speaking on behalf of Option Care Health, and any opinions she expresses are her own and not necessarily those of her employer, Option Care Health. In this episode, we explore the psychosocial impact of parenteral nutrition. Listen in as our guest and host share personal experiences related to this topic. Nicolette is a Chicago-based home nutrition support dietitian where she collaborates with a multidisciplinary team to provide care and management to home TPN patients. She is dedicated to sharing her knowledge and expertise through national speaking and research and recently published an article on the Psychosocial Impact of Home Parenteral Nutrition in the April 2024 issue of DNS DPG Support Line. This episode was recorded on 10/26/24 and is hosted by Christina M. Rollins, MBA, MS, RDN, LDN, FAND, CNSC.
In this episode, we review the high-yield topic of Total Parenteral Nutrition (TPN) from the Nutrition section at Medbullets.com Follow Medbullets on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets Linkedin: https://www.linkedin.com/company/medbullets
The October 2024 podcast features Pharmacist and Professor emeritus, Dr. Jay Mirtallo from the Ohio State University and a Clinical Practice Specialist for ASPEN. Dr. Mirtallo shares the results of an influential patient-based survey of consumers on parenteral nutrition. He highlights PN access issues from the patient perspective ranging from product shortages to financial burdens and uniquely identifies unconsidered areas for improvement in the medical system to improve patient safety. He comments on action steps for all nutrition support clinicians including an emphasis on legislation to pass the medical nutrition therapy act allowing reimbursement for the role of the registered dietitian. 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 October 2024
In this podcast, Contributing Editor Berkeley Limketkai, MD, PhD, interviews Dr. Trevor Tabone on the article “Intestinal Failure-Associated Liver Disease: Current Challenges in Screening, Diagnosis and Parenteral Nutrition Considerations” published in the August 2024 issue of NCP. 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 October 2024
This podcast is a discussion with Dr. Vanessa Kumpf, a nutrition support pharmacy specialist from Vanderbilt University Medical Center, who will discuss the use of a standardized checklist for rounds on parenteral nutrition patients, both in the hospital and at home. This podcast is part of the ASPEN 2024 Malnutrition Awareness Week. 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 September 2024
Live Nursing Review with Regina MSN, RN! Every Monday & Wednesday we are live. LIKE, FOLLOW, & SUB @ReMarNurse for more. ► 50% Discount on NCLEX V2 - https://study.remarnurse.com/vit/ ► Get Quick Facts Next Gen - https://bit.ly/QF-NGN ► Subscribe Now - http://bit.ly/ReMar-Subscription ► GET THE PODCAST: https://remarnurse.podbean.com/ ► WATCH LESSONS: http://bit.ly/ReMarNCLEXLectures/ ► FOLLOW ReMar on Instagram: https://www.instagram.com/ReMarNurse/ ► LIKE ReMar on Facebook: https://www.facebook.com/ReMarReview/ Quick Facts for NCLEX Next Gen Study Guide here - https://bit.ly/QF-NGN Study with Professor Regina MSN, RN every Monday as you prepare for NCLEX Next Gen. ReMar Review features weekly NCLEX review questions and lectures from Regina M. Callion MSN, RN. ReMar is the #1 content-based NCLEX review and has helped thousands of repeat testers pass NCLEX with a 99.2% student success rate! ReMar focuses on 100% core nursing content and as a result, has the best review to help nursing students to pass boards - fast!
For medical writing assistance, please visit nascentmc.com learnAMAstyle.com for the AI in Medical Writing and Editing: Blueprint for Success in a Changing World course to assist with implementing AI in medical writing. • Imdelltra for EC-SCLC: The FDA granted accelerated approval for tarlatamab-dlle (Imdelltra) for adults with extensive-stage small cell lung cancer (ES-SCLC) who progressed after platinum-based chemotherapy. Small cell lung cancer, accounting for 10-15% of all lung cancers, is aggressive with a median survival of 12 months post-therapy. Imdelltra, a first-in-class BiTE therapy targeting DLL3, showed a 40% objective response rate and a median overall survival of 14.3 months in the phase 2 DeLLphi-301 trial. • Breyanzi for R/R LL: The FDA granted accelerated approval for lisocabtagene maraleucel (Breyanzi) for adults with relapsed or refractory follicular lymphoma after two or more systemic therapies. This CAR T-cell therapy, already approved for other B-cell malignancies, genetically modifies T cells to target tumor antigens. In the TRANSCEND FL trial, Breyanzi achieved a 95.7% overall response rate in 94 patients, with the median response duration not reached after 16.8 months. • SNB-101 for SCLC: The FDA granted fast-track designation to SNB-101 for small cell lung cancer (SCLC). SNB-101, a polymer nanoparticle formulation of the antineoplastic agent SN-38, enhances lung-specific delivery and efficacy. Early data indicates improved tolerability and efficacy, with global phase 2 trials planned for various solid tumors including colon and gastric cancers, led by SN BioScience. • Upstaza for AADC Deficiency: The FDA accepted the Biologics License Application for eladocagene exuparvovec (Upstaza), a gene therapy for aromatic L–amino acid decarboxylase (AADC) deficiency, with a Priority Review and a target date of November 13, 2024. Upstaza delivers the human DDC gene to the putamen, increasing AADC enzyme levels to restore dopamine production, showing significant neurological improvements in clinical trials. Approval was granted to PTC Therapeutics, Inc. • Altuviiio for Hemophilia A Label Update: The FDA approved an updated label for Altuviiio (antihemophilic factor, recombinant), including phase 3 XTEND-Kids trial results. This high-sustained factor VIII replacement therapy, initially approved in 2023, offers prolonged bleed protection for pediatric patients under 12 years with hemophilia A. The updated label confirms Altuviiio's safety and effectiveness for both routine and on-demand treatment. • Self-Collected Sample for Cervical Cancer Screening: The FDA approved the BD Onclarity™ HPV Assay for self-collected vaginal specimens for HPV testing when traditional cervical samples are not available. This assay, identifying six HPV strains, enhances screening access, especially for underserved populations with higher cervical cancer rates. Approval was granted to Becton Dickinson. • Clinolipid Parenteral Nutrition: The FDA approved Clinolipid (Lipid Injectable Emulsion) for pediatric patients, including preterm and term neonates. Clinolipid, a mixed oil lipid emulsion providing essential fatty acids and calories, has been available for adults since 2019 and is now approved for all ages. Approval was granted to Baxter International Inc.
This podcast is based on the recently published NCP article on Safety in Parenteral Nutrition. The speaker discusses the importance of PN compounding safety, the education and training needed to accomplish this, unique challenges with pediatric and neonatal populations, and medication compatibility. 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 February 2024
Brandy Hernandez, PharmD reviews approaches to nutritional need assessment in critical care. For more pharmacy content, follow Mayo Clinic Pharmacy Residency Programs @MayoPharmRes. You can also connect with the Mayo Clinic's School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
Parenteral Nutrition (PN) therapy can be safely administered in the long-term care setting with the appropriate preparations. These include nursing education on administration and care of patients receiving PN, updated policies/procedures, skills checklists, and having additional PN resources available.
In this podcast, JPEN Editor-in-Chief Dr. Kenneth Christopher, interviews Dr. Liam McKeever assistant professor and clinical nutrition epidemiologist at Rice University, and director and editor-in-chief of the ASPEN Clinical Guidelines, discussing the new guidelines for Parenteral Nutrition in Preterm Infants. 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 September 2023
This episode features registered dietitian nutritionists Alison Creeden and Jennifer Bryant, here to talk with us about their recent publication in National Home Infusion Association's magazine entitled Concurrent Enteral and Parenteral Nutrition Support. Alison Creeden, MS, RD, LDN, CNSC obtained a Bachelor of Science degree in Nutrition from Simmons University followed by a Master of Science degree in Nutrition from the University of Massachusetts, Amherst. Over the last eleven years, she has specialized in oncology nutrition, working at multiple Boston-based hospitals including Mount Auburn Hospital, Brigham and Women's Hospital and most recently Beth Israel Deaconess Medical Center (BIDMC). In 2019, she became the outpatient head and neck cancer dietitian at BIDMC following her experience as an inpatient oncology dietitian and critical care dietitian and in January 2022, she transitioned to home infusion, specializing in patients on home parenteral nutrition. Jennifer Bryant, MS, RD, CSO, LD, CNSC, is a registered dietitian, licensed nutritionist, nutrition support clinician, and board certified specialist in oncology nutrition. She works alongside Alison caring for home infusion as well as holds adjunct faculty positions at Southern Maine Community College, The University of Southern Maine, and The University of New England where she has taught nutrition for the last 14 years. This episode is hosted by Christina M. Rollins, MBA, MS, RDN, LDN, FAND, CNSC and was recorded on 6/14/23.
Crafting parenteral nutrition orders is challenging enough without the added pressure of PN ingredient shortages. For over 30 years, dietitians and nutrition support professionals have dealt with product shortages. This can create a wave of complications for your PN patients. Tune in to find out what you can do to weather this storm. Claim CE credit for this episode: https://bit.ly/3K2sBS6 Show Notes: ASPEN's Appropriate Dosing for Parenteral Nutrition pdf: https://www.nutritioncare.org/uploadedFiles/Documents/Guidelines_and_Clinical_Resources/PN%20Dosing%201-Sheet-Nov%202020-FINAL.pdf ASPEN's Parenteral Nutrition Shortages webpage: https://www.nutritioncare.org/Guidelines_and_Clinical_Resources/Parenteral_Nutrition_Product_Shortages/
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Anne Tucker, PharmD, BCNSP, is a Clinical Pharmacy Specialist in Critical Care/Nutrition Support at the University of Texas MD Anderson Cancer Center. She received her BS in chemistry/biochemistry from the University of Arkansas and Doctor of Pharmacy from the University of Arkansas for Medical Sciences where she also completed residency training. Dr. Tucker's areas of interest include fluid and electrolyte disorders, nutrition support in critically ill cancer patients, and the promotion of safe parenteral nutrition practices. She is active in the American Society for Parenteral Nutrition (ASPEN) and has done numerous webinars and platform presentations to enhance nutrition support knowledge and improve patient safety. Listen in as we chat about the role of the pharmacist in ensuring safety for patients receiving parenteral nutrition. This episode is hosted by Christina Rollins, MBA, MS, RDN, LDN, CNSC, FAND and recorded on 12/20/22.
JPEN editor-in-chief Dr. Kenneth Christopher speaks with Dr. Manpreet Mundi, professor of Medicine at the Mayo Clinic in Rochester, MN about his JPEN reviewed article “Management of long-term home parenteral nutrition: Historical perspective, common complications, and patient education and training”. The text included in the description of the podcast 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 January 2023
In this episode of the DNS Podcast, we feature registered dietitian nutritionist, Heather Stanner, MS, RD, LD, CNSC. Stanner is the author of a recent publication in the Journal of Parenteral and Enteral Nutrition entitled Impact of Infusion Frequency on Quality of Life in Patients Receiving Home Parenteral Nutrition. Join us as we learn more about Stanner's research outcomes and advice for dietitians working in the home infusion industry. This episode is hosted by Christina M. Rollins, MBA, MS, RDN, LDN, FAND, CNSC, and was recorded on 9/13/22. Speaker disclosure: Received honoraria from Baxter Healthcare for participation in an educational video series.
With an adequate supply of multivitamins now available in the U.S. market, it is important to ensure that your clinical practice for dosing multivitamins for your patients on parenteral nutrition (PN) meets the standard of care. This podcast discusses the appropriate dosing of multivitamins in pediatric and adult PN patients when rationing is not needed. It addresses misconceptions on the adequacy of substandard dosing and uses patient cases to demonstrate the importance of consistency in dosing and delivery of vitamins to patients on PN. Here are links to access the ASPEN Appropriate Dosing for Parenteral Nutrition practice tool: https://bit.ly/PNdosing and the handouts from the webinar which was converted into this podcast: https://bit.ly/DosingMultivitamins. December 2022
Emily Parks is a chronically ill young professional based out of San Francisco working in behavioral health and patient advocacy. Having been diagnosed with short bowel syndrome in infancy and unable to absorb nutrition orally, she was dependent on Parenteral Nutrition until receiving an isolated small bowel transplant from MedStar Georgetown University Hospital. Combining her expertise in behavioral health with her lived experience of navigating multiple tertiary hospitals firsthand has led her down the path of studying the impact of medical trauma and medical PTSD on patients and its influence on treatment outcomes. Emily founded the organization POP!, where she hosts patient lead discussion groups on all things medical PTSD related in an effort to learn what providers need to know about the mental health side of the patient experience.
This podcast is made possible through an educational grant from Baxter Healthcare. Our guest Our guest on this episode of the DNS Podcast is physician and nutrition support clinician, Dr. Mark DeLegge, here to talk about a topic impacting virtually all clinicians across the globe – parenteral nutrition related drug shortages. Dr. DeLegge completed his medical degree at the University of Maryland followed by a residency in Internal Medicine at the University of Connecticut Health Center and a fellowship in Gastroenterology/Hepatology and Nutrition at the Medical College of Virginia. He is board certified in Internal Medicine, Gastroenterology and Nutrition, is extensively published, and has been a frequent invited speaker nationally and internationally. This episode is hosted by Christina M. Rollins, MBA, MS, RDN, LDN, FAND, CNSC and was recorded on 10/18/22.
Healthy Conversations with Omy Naidoo, A show for Dieticians
Importance of micronutrients Thiamine in early feeding Indications for MC supplementation Vit D in Critical Illness Vit K deficiency in surgical pts Parenteral Vs Enteral MC
Monday 24th October 2022 Dietetics Digest The views discussed on the podcast are the views of the guest alone and not of another organisation.Is refeeding syndrome common? with Dr Kylie Matthews-Rensch APDDr Kylie Matthews-Rensch is an accredited practicing dietitian working at Royal Brisbane and Women's Hospital. Her research in refeeding syndrome has received national recognition and has impacted clinical practice guidelines across Queensland. TwitterIf you enjoyed the podcast, please can you support us by: Write a review on Apple Podcasts. Follow us on social media ( Twitter / Instagram ) Please share this podcast with a friend! This podcast is supported by an unrestricted ed...
This podcast is made possible through an educational grant from Baxter Healthcare. In this episode, we discuss parenteral nutrition micronutrient considerations with nutrition support clinician and advanced practice registered dietitian nutritionist Shelby Yaceczko, MS, RDN-AP, CNSC, CSSD. Hosted by Christina Rollins, MBA, MS, RDN, LDN, FAND, CNSC. Recorded 9/26/22.
Today in our sixth episode of Insights in Clinical Nutrition, we continue talking with special guest Emma Osland. Emma is an Advanced Accredited Practicing Dietitian currently based at the Royal Brisbane and Women's Hospital. Throughout her career to date, Emma has worked across a broad range of practice areas and is recognised for her expertise in the area of nutrition support. Emma has taken a lead role in developing AuSPEN's Adult Trace Element and Vitamin Guidelines for adults requiring parenteral nutrition and the AuSPEN Quality Framework for Home Parenteral Nutrition Provision. She is an active member of the AuSPEN HPN Model of Care working group, who are continuing to work towards laying the foundations required to establish a national model of care for HPN in Australia. Email: podcast@auspen.org.au Website: www.auspen.org.au/podcast References:1. Ambrose T, De Silva A, Naghibi M, Saunders J, Smith TR, Coleman RL, Stroud M. Refeeding risks in patients requiring intravenous nutrition support: Results of a two-centre, prospective, double-blind, randomised controlled trial. Clin Nutr ESPEN. 2021 Feb;41:143-152. doi: 10.1016/j.clnesp.2020.11.028. Epub 2021 Jan 8. PMID: 33487258.2. Blaauw R, Osland E, Sriram K, Ali A, Allard JP, Ball P, Chan LN, Jurewitsch B, Logan Coughlin K, Manzanares W, Menéndez AM, Mutiara R, Rosenfeld R, Sioson M, Visser J, Berger MM. Parenteral Provision of Micronutrients to Adult Patients: An Expert Consensus Paper. JPEN J Parenter Enteral Nutr. 2019 Mar;43 Suppl 1:S5-S23. doi: 10.1002/jpen.1525. PMID: 30812055.3. Dudrick SJ. History of parenteral nutrition. J Am Coll Nutr. 2009 Jun;28(3):243-51. doi: 10.1080/07315724.2009.10719778. PMID: 20150597.4. Ferrie, S. (2019). Does infusion time affect the retention of parenteral trace elements? British Journal of Nutrition, 122(1), 56-62. doi:10.1017/S0007114519000965.5. Klek S, Szczepanek K, Scislo L, Walewska E, Pietka M, Pisarska M, Pedziwiatr M. Intravenous lipid emulsions and liver function in adult chronic intestinal failure patients: results from a randomized clinical trial. Nutrition. 2018 Nov;55-56:45-50. doi: 10.1016/j.nut.2018.03.008. Epub 2018 Mar 22. PMID: 29960156.6. Osland EJ, Ali A, Isenring E, Ball P, Davis M, Gillanders L. Australasian Society for Parenteral and Enteral Nutrition guidelines for supplementation of trace elements during parenteral nutrition. Asia Pac J Clin Nutr. 2014;23(4):545-54. doi: 10.6133/apjcn.2014.23.4.21. PMID: 25516311.7. Osland EJ, Ali A, Nguyen T, Davis M, Gillanders L. Australasian society for parenteral and enteral nutrition (AuSPEN) adult vitamin guidelines for parenteral nutrition. Asia Pac J Clin Nutr. 2016;25(3):636-50. doi: 10.6133/apjcn.022016.05. PMID: 27440700.8. Osowska S, Kunecki M, Sobocki J, Tokarczyk J, Majewska K, Omidi M, Radkowski M, Fisk HL, Calder PC. Effect of changing the lipid component of home parenteral nutrition in adults. Clin Nutr. 2019 Jun;38(3):1355-1361. doi: 10.1016/j.clnu.2018.05.028. Epub 2018 Jun 6. PMID: 29907355.9. Rio A, Whelan K, Goff L, Reidlinger DP, Smeeton N. Occurrence of refeeding syndrome in adults started on artificial nutrition support: prospective cohort study. BMJ Open. 2013 Jan 11;3(1):e002173. doi: 10.1136/bmjopen-2012-002173. PMID: 23315514; PMCID: PMC3549252.10. Vinnars E, Wilmore D. Jonathan Roads Symposium Papers. History of parenteral nutrition. JPEN J Parenter Enteral Nutr. 2003 May-Jun;27(3):225-31. doi: 10.1177/0148607103027003225. PMID: 12757118.
Today in our fifth episode of Insights in Clinical Nutrition, we talk with special guest Emma Osland. Emma is an Advanced Accredited Practicing Dietitian currently based at the Royal Brisbane and Women's Hospital. Throughout her career to date, Emma has worked across a broad range of practice areas and is recognised for her expertise in the area of nutrition support. Emma has taken a lead role in developing AuSPEN's Adult Trace Element and Vitamin Guidelines for adults requiring parenteral nutrition and the AuSPEN Quality Framework for Home Parenteral Nutrition Provision. She is an active member of the AuSPEN HPN Model of Care working group, who are continuing to work towards laying the foundations required to establish a national model of care for HPN in Australia. Please note that the information shared in this podcast is for educational purposes only and does not constitute medical advice. Email: podcast@auspen.org.au Website: www.auspen.org.au/podcastReferences:1. Ambrose T, De Silva A, Naghibi M, Saunders J, Smith TR, Coleman RL, Stroud M. Refeeding risks in patients requiring intravenous nutrition support: Results of a two-centre, prospective, double-blind, randomised controlled trial. Clin Nutr ESPEN. 2021 Feb;41:143-152. doi: 10.1016/j.clnesp.2020.11.028. Epub 2021 Jan 8. PMID: 33487258. 2. Blaauw R, Osland E, Sriram K, Ali A, Allard JP, Ball P, Chan LN, Jurewitsch B, Logan Coughlin K, Manzanares W, Menéndez AM, Mutiara R, Rosenfeld R, Sioson M, Visser J, Berger MM. Parenteral Provision of Micronutrients to Adult Patients: An Expert Consensus Paper. JPEN J Parenter Enteral Nutr. 2019 Mar;43 Suppl 1:S5-S23. doi: 10.1002/jpen.1525. PMID: 30812055. 3. Dudrick SJ. History of parenteral nutrition. J Am Coll Nutr. 2009 Jun;28(3):243-51. doi: 10.1080/07315724.2009.10719778. PMID: 20150597. 4. Ferrie, S. (2019). Does infusion time affect the retention of parenteral trace elements? British Journal of Nutrition, 122(1), 56-62. doi:10.1017/S0007114519000965.. 5. Klek S, Szczepanek K, Scislo L, Walewska E, Pietka M, Pisarska M, Pedziwiatr M. Intravenous lipid emulsions and liver function in adult chronic intestinal failure patients: results from a randomized clinical trial. Nutrition. 2018 Nov;55-56:45-50. doi: 10.1016/j.nut.2018.03.008. Epub 2018 Mar 22. PMID: 29960156. 6. Osland EJ, Ali A, Isenring E, Ball P, Davis M, Gillanders L. Australasian Society for Parenteral and Enteral Nutrition guidelines for supplementation of trace elements during parenteral nutrition. Asia Pac J Clin Nutr. 2014;23(4):545-54. doi: 10.6133/apjcn.2014.23.4.21. PMID: 25516311 7. Osland EJ, Ali A, Nguyen T, Davis M, Gillanders L. Australasian society for parenteral and enteral nutrition (AuSPEN) adult vitamin guidelines for parenteral nutrition. Asia Pac J Clin Nutr. 2016;25(3):636-50. doi: 10.6133/apjcn.022016.05. PMID: 27440700.8. Osowska S, Kunecki M, Sobocki J, Tokarczyk J, Majewska K, Omidi M, Radkowski M, Fisk HL, Calder PC. Effect of changing the lipid component of home parenteral nutrition in adults. Clin Nutr. 2019 Jun;38(3):1355-1361. doi: 10.1016/j.clnu.2018.05.028. Epub 2018 Jun 6. PMID: 29907355.9. Rio A, Whelan K, Goff L, Reidlinger DP, Smeeton N. Occurrence of refeeding syndrome in adults started on artificial nutrition support: prospective cohort study. BMJ Open. 2013 Jan 11;3(1):e002173. doi: 10.1136/bmjopen-2012-002173. PMID: 23315514; PMCID: PMC3549252.10. Vinnars E, Wilmore D. Jonathan Roads Symposium Papers. History of parenteral nutrition. JPEN J Parenter Enteral Nutr. 2003 May-Jun;27(3):225-31. doi: 10.1177/0148607103027003225. PMID: 12757118.
In another international episode, Drs. Jennifer Lee and Jason Silverman talk to Dr. Sue Protheroe about an approach to enteral feeding for infants and children with intestinal failure. The discussion highlights important physiologic principles to consider and an overview of enteral feeding progression at different ages. Dr. Protheroe is a past president of the British Society of Pediatric Gastroenterology Hepatology and Nutrition (BSPGHAN) and leads the Home Parenteral Nutrition Service and Intestinal Failure program at Birmingham Women's and Children's Hospital in Birmingham, UK. This episode is eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!Learning Objectives:Understand the factors that can influence enteral tolerance in infants with intestinal failure.Understand the approach to the introduction of enteral nutrition including route, rate and composition of feeding.Review strategies to balance quality of life and the nutritional needs of older children with intestinal failure.Links:BSPGHAN websiteAs always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Produced by: Jason SilvermanSupport the show
In this collaborative episode with JPGN, Drs. Jennifer Lee and Jason Silverman talk to Dr. Danielle Wendel, the first author of the Management of Central Venous Access in Children With Intestinal Failure: A Position Paper From the NASPGHAN Intestinal Rehabilitation Special Interest Group published in JPGN. The discussion highlights important principles to consider and an overview of central line management in this population. Dr. Wendel is medical director of the intestinal transplant program at Seattle Children's Hospital and Associate Professor at the University of Washington School of Medicine.This episode is eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!Learning Objectives:Understand the potential impact of, and strategies for preventing central line-associated bloodstream infections (CLABSI)Understand the approach to management of thrombosis in the setting of a central line.Review strategies and preparation essential to balance quality of life and medical needs in patients on home parenteral nutrition.Links:Management of Central Venous Access in Children With Intestinal Failure: A Position Paper From the NASPGHAN Intestinal Rehabilitation Special Interest GroupAs always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Produced by: Jason SilvermanSupport the show
In this episode, we explore the current state of parenteral nutrition shortages with physician and current ASPEN president, Dr. Ryan Hurt, MD, PhD. Dr. Hurt is a faculty member in the Division of General Internal Medicine, Mayo Clinic, Rochester, Minnesota where he has a joint appointment in the Divisions of Gastroenterology and Endocrinology, Mayo Clinic. He is the Program Director for the Home Parenteral and Enteral Nutrition Program at Mayo Clinic Rochester, and has developed a clinical interest in nutrition, obesity, and addiction and most recently Long COVID, and has published over 150 peer-reviewed manuscripts and 14 book chapters in these areas. This episode is hosted by Christina Rollins, MBA, MS, RDN, LDN, FAND, CNSC. Recorded on 6/29/2022
In this pediatric-focused presentation planned in cooperation with the Section of Clinical Specialists and Scientists, our content matter expert reviews the neonatal and pediatric requirements for macronutrients and micronutrients and the characteristics of this population's specific parenteral nutrition products affect the solubility and stability of the formulation. The information presented during the podcast reflects solely the opinions of the presenter. The information and materials are not, and are not intended as, a comprehensive source of drug information on this topic. The contents of the podcast have not been reviewed by ASHP, and should neither be interpreted as the official policies of ASHP, nor an endorsement of any product(s), nor should they be considered as a substitute for the professional judgment of the pharmacist or physician.
In this podcast, Editor-in-Chief Dr. Jeanette Hasse, interviews Stephen Adams and Dr. Joseph Boullata, two of the authors of the ASPEN Consensus Statement “Safe care transitions for patients receiving parenteral nutrition” published in the June 2022 issue of NCP. June 2022 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
Healthy Conversations with Omy Naidoo, A show for Dieticians
What is ERAS Metabolic Response to Surgery Practical tips to implement ERAS Role of microbiome in perioperative nutrition Parenteral Nutrition in surgery Role of immunonutrition
Nutrition support is one of those topics that can be confusing for dietetic interns and new dietitians. This episode clarifies the difference between tube feeding (enteral nutrition) and parenteral nutrition by breaking down key aspects of each type of nutrition support. While the abbreviations "TF" and "TPN" both start with the same letter, it doesn't mean they're the same. Nutrition support questions are fair game on the RD exam. To break this concept down even further and make things easier, I created a free cheat sheet explaining the difference between tube feeding and Parenteral nutrition. Get your free copy here: https://awesome-artisan-4179.ck.page/23279b850d
In this episode, we're leaning into weaning…a TPN, that is. When you're ready to discontinue a TPN, you need to do so in a safe and strategic manner. We discuss all the steps and considerations when you're ready to wean. Show Notes: Mirtallo JM. Overview of Parenteral Nutrition. In: Mueller CM, ed. The ASPEN Nutrition Support Core Curriculum; 2017:285-296. Konrad D, Mitchell R, Hendrickson E. Home Nutrition Support. In: Mueller CM, ed. The ASPEN Nutrition Support Core Curriculum; 2017:765-784. TPN 101 webinar: https://bit.ly/3qcJFed TPN 201 webinar: https://bit.ly/3645s0X
In this episode, we discuss the advantages of developing a TPN clinical program at your facility and how to navigate through admitting and managing TPN patients.
Did you know nutrition management is often the first-line approach for managing a chyle leak? Dietitians can take the lead in managing this rare condition with highly specialized medical nutrition therapy. Not sure where to start? Tune in for your primer on chyle leaks. Follow us on social media by searching Dietitians On Demand on Instagram, Facebook and LinkedIn. Join our newsletter: https://bit.ly/2Wugmrt View our open jobs: https://bit.ly/3kvMm6S Shop Elevate by Dietitians On Demand: https://bit.ly/3klmZog Show Notes: Cleveland Clinic: https://cle.clinic/36q0OtN Sriram K, Meguid RA, Meguid MM. Nutritional support in adults with chyle leaks. 2016;32:281-286. Nutrition-Related Risks and Complications of Parenteral Nutrition: https://bit.ly/3wAjsub
Interview with Xinying Wang, MD, author of Effect of Early vs Late Supplemental Parenteral Nutrition in Patients Undergoing Abdominal Surgery: A Randomized Clinical Trial Hosted by Amalia Cochran, MD. Read Transcript
Interview with Xinying Wang, MD, author of Effect of Early vs Late Supplemental Parenteral Nutrition in Patients Undergoing Abdominal Surgery: A Randomized Clinical Trial Hosted by Amalia Cochran, MD. Read Transcript
In this podcast, Dr. Jeanette Hasse, interviews Jay Mirtallo and Wendy Phillips on their research paper “Update on Use of Enteral and Parenteral Nutrition in Hospitalized Patients with a Diagnosis of Malnutrition in the United States” published in the February 2022 issue of NCP. The text included in the description of the podcast 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 February 2022
Healthy Conversations with Omy Naidoo, A show for Dieticians
Supplemental Parenteral Nutrition (SPN) SPN vs Combo EN/PN Benefits of SPN Risks and 'Perceived Risks' of SPN Fluid balance & SPN Micronutrients & SPN SPN in Oncology
Liquid and various diets and Parenteral Nutrition
In this episode, we review the high-yield topic of Total Parenteral Nutrition (TPN) from the Nutrition section. Follow Medbullets on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets
Parenteral nutrition (PN) is the process of giving someone their nutrition intravenously. It is given when someone's digestive tract isn't working properly so they can't get their energy/nutrient/fluid needs enterally (via the GIT). Today we will discuss: What is in the PN bags? Why someone might need PN What are the complications Follow us on Instagram @yourekiddingrightdoctors Our email is yourekiddingrightpod@gmail.com (This isn't individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients)
This podcast presents an approach to nutrition support with a focus on parenteral nutrition. In this episode, listeners will learn about indications for, contraindications to, and components of parenteral nutrition, as well as the different methods it can be administered. This podcast was developed by Sierra Casey in collaboration with Dr. Jason Silverman, a Pediatric Gastroenterologist at the Stollery Children's Hospital, and an Assistant Professor of Pediatrics at the University of Alberta.
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In this episode of Bowel Sounds, hosts Dr. Temara Hajjat and Dr. Peter Lu talk to Dr. Sam Kocoshis about caring for children with intestinal failure and intestinal rehabilitation. Dr. Kocoshis is a Professor of Pediatrics at Cincinnati Children's Hospital and Medical Center and the Medical Director of the Intestinal Care Center and the Small Bowel Transplantation Program. We talk to him about the management of children with short bowel syndrome, including recent advances in promotion of intestinal adaptation, prevention of central line-associated bloodstream infections (CLABSIs), detection and treatment of small intestinal bacterial overgrowth (SIBO), and prevention of intestinal failure-associated liver disease. We also discuss the indications for small bowel transplantation and a brief history of this procedure. Finally Dr. Kocoshis gives advice for trainees and junior faculty.As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Produced by: Temara Hajjat, Peter LuSupport the show (https://www.naspghan.org/content/87/en/foundation/donate)
On today's episode I had the pleasure of interviewing a dear friend and fellow mum, Maiya Ahmed. I was really looking forward to recording this episode because Maiya has nearly 2 decades of experience in paediatrics alone! I'm in complete awe of her dedication to paediatrics and child health, and the wealth of knowledge she has gained in a specialist area of pharmacy when my journey has only just begun! Maiya knew she wanted to work with children when she was an undergraduate student. She qualified as a pharmacist and started her career as a resident pharmacist at Great Ormond Street Hospital. She has experience in a wide variety of areas (Neurology, Neonates, Parenteral Nutrition, and Infectious Diseases to name a few) and is a non-medical independent prescriber in parenteral nutrition. I also learnt about her passion for supporting developing countries to build and develop clinical services within pharmacy. In 2008, she took time out from her career to complete her MSc in International Maternal and Child Health with University College London (UCL) and then volunteered for over a year at Kenyatta University in Nairobi, Kenya! What an amazing experience! Maiya and I met in 2018 when we joined Evelina London Children's Hospital, both covering Maternity Leave contracts. I remember the day so clearly when she told me she was pregnant and having her first child. An exciting moment in our new friendship and how life has changed for her since she's become a mother. We spend some time sharing our experiences of becoming parents and acheving our professional dreams. Another exciting episode with lots of insight on how to live a fulfilled and inspiring pharmacy career. So proud of you Maiya! LinkedIn: @Maiya Ahmed Instagam: @maiya_ahmed and @plusbabyseminars Twitter: @maiyaahmed Sign up to the Return to Work Pharmacy Workshop Event by PLUSbaby Seminars on September 29th 10am-1pm Don't forget to check out the Evelina London Children's Hospital Foundation in Paediatric Pharmaceutical Care: 9th International Masterclass that will be held as a virtual event over four afternoons on October 7th, 8th, 14th, and 15th Follow me on Instagram, Facebook, LinkedIn, and/or Twitter. Feel free to subscribe to the podcast on your favourite podcast platform so you can be notified when a new episode is released or leave a review on apple podcasts. If you have any suggestions for guests you want me to talk to or if you'd like to come on yourself, please feel free to contact me via social media, or email at info@pharmacistdiaries.com.
Welcome back to the tasty morsels of critical care podcast. Sometimes the tasty morsels are exam sized snippets of my knowledge on a given topic. More frequently they are literally all I know on the subject. Today's topic of parenteral ... Read More »
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 reaching the patient, ultimately leading to improved patient outcomes. This podcast is sponsored by Fresenius Kabi. The abstract of this study is published in the March 2021 issue of JPEN (https://aspenjournals.onlinelibrary.wiley.com/doi/10.1002/jpen.2095). 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 August 2021
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 efficiently into place. This podcast is sponsored by Fresenius Kabi. The abstract of the paper will be published in the September 2021 issue of JPEN. 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 September 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 focusing on appropriate initiation of PN based on malnutrition status & anticipated length of PN need. The discussion includes the team's ongoing efforts to implement practice change. This podcast is sponsored by Fresenius Kabi. The abstract of this study is published in the March 2021 issue of JPEN (https://aspenjournals.onlinelibrary.wiley.com/doi/10.1002/jpen.2095). 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 August 2021
In this episode, I interview Emily, who is a fighter of Short Bowel Syndrome and Intestinal Transplant. Emily Parks is a chronically ill young professional based out of the Washington D.C. area working in behavioral health and patient advocacy. Having been diagnosed with short bowel syndrome in infancy and unable to absorb nutrition orally, she was dependent on Parenteral Nutrition until receiving an isolated small bowel transplant from MedStar Georgetown University Hospital. Combining her expertise in behavioral health with her lived experience of navigating multiple tertiary hospitals firsthand has led her down the path of studying the impact of medical trauma and medical PTSD on patients and their treatment outcomes as well In preparation for a PhD in medical trauma, Emily founded the organization POP!, where she hosts patient lead discussion groups on all things medical PTSD related in an effort to learn what providers need to know about the mental health side of the patient experience. Keep up with her advocacy journey! Website: popmedicalptsd.org Instagram: https://www.instagram.com/pop_medicalptsd/ --- Support this podcast: https://anchor.fm/theraredisorderpodcast/support
Dr Philip Smith, Associate and Social Media Editor of Frontline Gastroenterology and Consultant Gastroenterologist at the Royal Liverpool Hospital, UK, interviews Dr Nick Thompson, who is a Consultant Gastroenterologist in the Department of Gastroenterology, Newcastle Upon Tyne Hospitals NHS Foundation Trust. Dr Thompson has helped develop Newcastle as a regional centre for parenteral nutrition support and the hospital was recently designated as one of the Integrated Intestinal Failure Centres in England. Dr Thompson is the senior author on the guidance document "British Intestinal Failure Alliance (BIFA) guidance - haematological and biochemical monitoring of adult patients receiving home parenteral nutrition". Read the paper: https://fg.bmj.com/content/early/2021/02/16/flgastro-2020-101758
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. 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 July 2020
In this podcast, Editor-in-Chief Jeanette Hasse, PhD, RD, FADA, CNSC, interviews Emma M. Tillman, PharmD. about her article “Review and Clinical Update on Parenteral Nutrition - Associated Liver Disease,” published in the February 2013 issue of NCP. https://doi.org/10.1177/0884533612462900
In this podcast, Editor-in-Chief Kelly A. Tappenden, PhD, RD, interviews Joseph I. Boullata, PharmD, RPh, BCNSP about his article, "A Parenteral Nutrition Use Survey With Gap Analysis," published in the March 2013 issue of JPEN. https://doi.org/10.1177/0148607112464781
In this podcast, Editor-in-Chief Kelly A. Tappenden, PhD, RD, interviews J.P. Allard, MD, FRCPC about her article, "Prescription of Trace Elements in Adults on Home Parenteral Nutrition: Current Practice Based on the Canadian Home Parenteral Nutrition Registry," published in the May 2013 issue of JPEN. https://doi.org/10.1177/0148607112463074
Dr. Joe Ybarra interviews Dr. Phil Ayers, coeditor of the newly released ASPEN Parenteral Nutrition Handbook, Third Edition. Dr. Ayers is a specialist in nutrition support at Baptist Medical Center (Jackson, MS), where he is also the chief of pharmacy services. The handbook addresses PN order review, compounding, and drug shortage management. It has new chapters on competency, multichamber-bags, and electronic health records. Available in print and eBook format, the handbook can be purchased: https://rb.gy/uwx5oz Business Corporate by Alex Menco | https://alexmenco.net Music promoted by https://www.free-stock-music.com Creative Commons Attribution 3.0 Unported License https://creativecommons.org/licenses/by/3.0/deed.en_US May 2020
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In this podcast, Elles van der Louw discusses her paper 'Optimal clinical management of children receiving ketogenic parenteral nutrition: a clinical practice guide'. The paper is available here: https://onlinelibrary.wiley.com/doi/10.1111/dmcn.14306 ___ DMCN Journal: Developmental Medicine & Child Neurology (DMCN) has defined the field of paediatric neurology and childhood-onset neurodisability for over 60 years. DMCN disseminates the latest clinical research results globally to enhance the care and improve the lives of disabled children and their families. DMCN Journal - https://onlinelibrary.wiley.com/journal/14698749 ___ Watch DMCN videos on our YouTube channel: https://bit.ly/2ONCYiC Find us on Twitter! @mackeithpress - https://twitter.com/mackeithpress
Margaret M. Parker, MD, MCCM, and Elizabeth Emrath, MD, discuss Dr. Emrath's talk on the new pediatric nutritional guidelines from the 48th Critical Care Congress precourse Current Concepts in Pediatric Critical Care
In this podcast, Editor-in-Chief Kelly A. Tappenden, PhD, RD, interviews Priscilla A. Barr, MS, RDN, on the article “A Standardized Nutrition Protocol for Very Low Birth Weight Infants Resulted in Less Use of Parenteral Nutrition and Associated Complications, Better Growth, and Lower Rates of Necrotizing Enterocolitis” published in the May 2019 issue of JPEN here: https://onlinelibrary.wiley.com/doi/full/10.1002/jpen.1453
In this podcast, Editor-in-Chief Jeanette Hasse, PhD, RD, FADA, CnSC, interviews author Edward Tabor, MD on his article "The Current Status of Multi-Trace Element Products for Parenteral Nutrition in the US" published in the August 2019 issue of NCP here: https://onlinelibrary.wiley.com/doi/full/10.1002/ncp.10317
Abigail Murdy reads this year's winner, entitled 'Lifelines' by Claude Matuchansky; a piece about the lesson of medical humanism.
Here is the PDF for episode 81.
How is TPN and PPN similar and how is it different? When should each be used? How does bacterial overgrowth lead to complications? Does TPN cause diarrhea?** Register for 2025 Digital Education & Artificial Intelligence Conference !! **It will be an inspiring day filled with hands-on workshops and expert panels designed to empower educators with practical digital media and AI tools.Timestamps:(01:35) | PEARL 1: Basics of PN: What makes up parenteral nutrition?(06:54) | PEARL 2: Indications and Contraindications for TPN and PPN: When should I order parenteral nutrition?(13:40) | PEARL 3: Complications of parenteral nutrition: What are the common adverse effects of parenteral nutrition?(19:41) | PEARL 4: Parenteral nutrition myths: What should patients know before they start TPN?(23:56) | PEARL 5: Recap on Tube Feeds: How do we determine the amount of free water to give out patients on tube feeds?Transcript and Show notesTags: IMCore, CoreIM, parenteral nutrition, TPN, PPN, clinical nutrition, nutritional support, complications, patient safety, gastrointestinal disorders, critical care, internal medicine, fluid management, ICU, Crit Care, GI, gastroenterology Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy