Parenteral and Enteral Nutrition: Examining the Role of Transition and Timing

Program Date: 30 January 2011
Continuing Education Units: 1.5 Nurse Contact Hours, 1.5 Dietitian CPEU

Course Objectives:

  • Review literature supporting enteral nutrition as preferred route over parenteral nutrition.
  • Outline published guidelines to assist the practitioner in the appropriate use of enteral nutrition.
  • Identify transition strategies and timing from parenteral nutrition to enteral nutrition.
  • Discuss why current practices may differ from guidelines.
  • CDR Level: 2
  • Suggested Learning Codes: 2070, 4190, 5000, 5010, 5030, 5090, 5100, 9020
  • Media Format(s): Video(English)
  • Run Time: 94 minutes

Course Instructor Bio(s)

Krishnan Sriram, MD, FACS, FRCS(C)

Chair and Program Director, Division of Surgical Critical Care
Section Chief, Surgical Nutrition
Director, Nutrition Support Team, Dept of Surgery; John H. Stroger Hospital of Cook County, Chicago, IL

Dr. Krishnan Sriram graduated from Madras Medical College (1974) and completed his surgical residency training with Chicago Medical School (1979) following which he stayed on as faculty for many years, with responsibilities in general surgery, trauma, endoscopy, and especially critical care and nutrition support. He was also the director of the nutrition support team at the VA Hospital in North Chicago, IL. Prior to assuming his current position, Dr. Sriram worked in Madras, India, as a clinical professor in providing the opportunity to understand different work environments. He is the Founder-President of Indian Society for Parenteral & Enteral Nutrition and an executive committee member of the Parenteral and Enteral Nutrition Society of Asia (PENSA). Dr. Sriram’s main interests in the field of nutrition are in enteral feeding, micronutrients, and team building, areas in which he has several publications and presentations.

Marion Winkler, PhD, RD, LDN, CNSC

Associate Professor of Surgery, Alpert Medical School of Brown University
Surgical Nutrition Specialist, Department of Surgery/Nutrition Support Service, Rhode Island Hospital, Providence, RI

Dr. Marion Winkler, is currently Surgical Nutrition Specialist, Department of Surgery and Nutritional Support Service at Rhode Island Hospital, Providence, RI and Associate Professor of Surgery at the Alpert Medical School of Brown University. Dr. Winkler received her BS in Nutrition from Case Western Reserve University in Cleveland, Ohio, her MS in Allied Health and Clinical Dietetic Research from the University of Connecticut, and PhD from the University of Medicine and Dentistry of New Jersey. She is active in the American Dietetic Association, is a former chair of Dietitians in Nutrition Support, and is a Past President of the American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.). Dr. Winkler currently serves as secretary of the A.S.P.E.N. Rhoads Research Foundation and is a member of the Board of Trustees for the Oley Foundation. She serves on the Program Planning Committee of the Society for Critical Care Medicine. Her research focuses on quality of life and home parenteral nutrition dependency.

Susan Brantley, MS, RD, LDN, CNSD

Coordinator, Metabolic Support Services, University of Tennessee Medical Center, Knoxville, TN

Susan Brantley received her Master’s Degree in Nutrition Science at the University of Tennessee in Knoxville. She is a registered dietitian of the American Dietetic Association and is licensed in the state of Tennessee. She is certified in nutrition support practice by the National Board of Nutrition Support Certification and the American Society of Parenteral and Enteral Nutrition. Currently, she is the Metabolic Support Services team coordinator at the University of Tennessee Medical Center in Knoxville. She received the ADAF Award of Excellence in Clinical Dietetics in 2006 after nomination by her peers in the Dietitians in Nutrition Support (DNS) Practice Group of ADA and the 2009 Award for Distinguished Service from the Dietitians in Nutrition Support Practice Group. Ms. Brantley was also a member of the A.S.P.E.N. Enteral Nutrition Recommendations Task Force and a contributing author of the recently published Enteral Nutrition Practice Recommendations published in the Journal of Parenteral and Enteral Nutrition. Susan was selected to receive the A.S.P.E.N. 2009 Distinguished Nutrition Support Dietitian Award: Advance Clinical Practice, presented at the 2009 Clinical Nutrition Week in New Orleans.


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