Navigating the Perioperative Nutrition Landscape

Program Date: 16 June 2017
Publication Date: 16 June 2017
Continuing Education Units: 1.5 Nurse Contact Hours, 1.5 Dietitian CPEU

Course Objectives:

  • Explore the impact of malnutrition on surgical outcome and the clinical immune effects of early postoperative enteral nutrition
  • Review the current evidence and the surgical nutrition guidelines including the role of immunonutrition
  • Describe the mechanism of surgery-associated insulin resistance and the evidence for carbohydrate loading
  • CDR Level: 2
  • Suggested Learning Codes: 5010, 5090, 5440
  • Performance Indicators: 10.2.5,10.2.6,10.2.9
  • Media Format(s): Video (English)
  • Run Time: 90 Minutes

Course Instructor Bio(s)

Stephen A. McClave, MD

Professor of Medicine, Director, Nutrition Support Team U of L Hospital
University of Louisville Health Care Outpatient Center, Louisville, Kentucky

Stephen A. McClave, MD, is a native of Columbus, OH, though he has lived in Louisville, KY, and has been on faculty at the University of Louisville School of Medicine for over 30 years, where he is Professor of Medicine and Director of Clinical Nutrition.

Dr McClave received his medical degree from Ohio State University in Columbus, and completed his residency in internal medicine and Chief Residency at the Medical University of South Carolina in Charleston. He then finished his fellowship in gastroenterology at the University of South Florida in Tampa. He served previously as Director of the Nutrition Curriculum for the Introduction to Clinical Medicine Course for the first- and second-year medical students.

Dr McClave also was a member of the American Society for Gastrointestinal Endoscopy (ASGE) Task Force for Enteral Nutrition and the past chairman of the ASGE Special Interest Group in Enteral Nutrition; co-chairman and lead author for the 2016 American College of Gastroenterology Guidelines on Nutrition Therapy of the Adult Hospitalized Patient; and awarded the Honorary Lifetime Membership of the Academy of Nutrition and Dietetics. He is a Fellow of ASPEN, ASGE, American College of Nutrition, and American Gastroenterological Association.

An author to over 220 articles, 40 textbook chapters, and numerous medical educational videotapes, Dr McClave’s research interests and clinical expertise involve critical care nutrition and early enteral feeding, guidelines for nutrition therapy, endoscopic techniques for enteral access, and indirect calorimetry. Along with numerous academic interests, Dr McClave has a healthy appreciation for several outdoor sports, including running, biking, boating, or skiing, depending on where his travel takes him.

Robert G. Martindale, MD, PhD

Chief of the Division of Gastrointestinal and General Surgery Medical Director, Hospital Nutritional Service
Oregon Health & Science University Portland, Oregon

Robert G. Martindale, MD, PhD, moved to Portland, OR, in 2005, and began his tenure at Oregon Health & Science University, where he is currently Professor of Surgery and Chief of the Division of Gastrointestinal and General Surgery. He also serves as the Medical Director for Hospital Nutritional Service.

Dr Martindale received his medical degree from George Washington University in Washington, DC. He then completed his surgical residency at Madigan Army Medical Center in Tacoma, WA, where he also served as Director of Nutrition Support Service. He completed his PhD in nutrition at UCLA in the laboratories of Drs Grossman, Yamada, and Levin at the Center for Ulcer Research and Education.

Upon completing his Army commitment at Eisenhower Medical Center in Augusta, GA, in 1993, he joined the faculty at the Medical College of Georgia where he spent 10 years and held many distinguished positions. His primary focus throughout his professional career has been on surgical education, gastrointestinal surgery, complex abdominal wall reconstruction, and caring for patients with complex nutritional issues, while his research interests include clinical academic surgery, abdominal wall reconstruction, surgical metabolism, and nutritional modulation of the immunity. A winner of numerous teaching awards, Dr Martindale continues to mentor young physicians/investigators and is an author of over 250 publications, including peer-reviewed manuscripts, review articles, chapters, and several medical educational videos, as well as the co-editor of a textbook dealing with surgical and critical care nutrition.

Dr Martindale is on numerous professional committees at the local, national, and international level. He is on the editorial board for several surgical and nutritional journals, as well as an editorial reviewer for over 20 peer-reviewed journals. He routinely is invited to give lectures not only nationally, but internationally as well.

Paul E. Wischmeyer, MD, EDIC

Duke University, School of Medicine, Durham, North Carolina

Paul Wischmeyer, PhD, MD is a Professor of Anesthesiology at the University of Colorado School of Medicine, where he also serves as the Associate-Chair of Clinical and Translational Research and the Director of Nutrition Therapy Services. He recently completed his term as the Editor-in-Chief of the Journal of Parenteral and Enteral Nutrition. Dr. Wischmeyer’s clinical focus is on Intensive Care Medicine and Nutrition Therapy. His research focus is translational research in the field of nutritional pharmacology. Dr. Wischmeyer’s laboratory, the Translational PharmacoNutrition and Pharmacology Laboratory (TPN Lab) performs research ranging from basic mechanistic cell work to large-scale multi-center clinical trials in the field of acute care nutrition. Further, he has spent the past 20 years on research into the protective effect of glutamine and other nutrients in critical illness and surgery. Dr. Wischmeyer was recently awarded the Stanley Dudrick Research Scholar Award by the American Society for Parenteral and Enteral Nutrtition and The Lifetime Achievement Award of the International Parenteral Nutrition Society (IPENEMA) for significant contributions to the field of parenteral nutrition.

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