Welcome back to the Brown survey podcast.

Today we are going to kick things off with the important topic of enteral nutrition delivery in the acute care setting. Nutrition delivery can be a challenge at times on surgical services and there are always a lot of questions by clinicians on how to approach enteral delivery with patients, calculating individual caloric goals, route of nutritional delivery, and choosing the correct supplemental formulas.

Joining me to discuss this topic is Our local expert on surgical nutrition, Dr. Marion Winkler, PhD, RD, LDN, CNSC. Dr Winkler is a Professor of Surgery at the Alpert School of Medicine here at Brown and a Surgical Nutrition Specialist in the Department of Surgery and Nutritional Support Service at Rhode Island Hospital. 

Podcast Chapters:

(1:46 ) What are our goals with enteral nutrition delivery?

(3:12 ) When should we consider supplementing enteral nutrition?

(6:08 ) How do we determine caloric goals for patients

(9:05 ) Protein requirements in patients

(11:42 ) Which formula to choose  

(16:01 ) Route of administration: gastric vs post pyloric  

(17:23 ) Continuous versus Bolus feeding  

(19:04 ) Interruptions in feeding/volume based feeding  

(21:35 ) Gastric Residuals  

(24:15 ) How good are we at delivering nutrition 

(25:38 ) When to consider TPN administration 

ASPEN Guidelines: https://aspenjournals.onlinelibrary.wiley.com/doi/10.1002/jpen.2267