Dietitians in Nutrition Support

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Dietitians in Nutrition Support (DNS) is a dietetic practice group of the Academy of Nutrition and Dietetics. Our channel is focused on educational content about nutrition support for dietetics students/interns and dietitians. We love questions and new video ideas, so please feel free to let us know what you'd like to see in the comments boxes of our videos! Disclaimer: Information provided on the DNS DPG YouTube does not necessarily reflect an official position or endorsement by the Academy/DNS DPG.

  1. 12/22/2025

    Supplemental, Peripheral, and Central Parenteral Nutrition: Indications, risks, and timing

    Getting a head start on nutrition for hospitalized patients can make a big difference when combating malnutrition and critical illness. In this video, Jessica MS, RDN, CNSC, CDN and Kaitlyn MS, RDN, CNSC, CDN discuss the importance of parenteral nutrition including supplemental, peripheral, and central administration. They will also speak to risk mitigation strategies, indications, and timing impacts of early and supplemental PN. References: Adeyinka A, Rouster AS, Valentine M. Enteral Feeding. [Updated 2022 Dec 26]. StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK532876/​ Alfano, J., & Batista, K. (2025). Registered dietitian-led parenteral nutrition order-writing leads to increased usage and decreased errors. Journal of the Academy of Nutrition and Dietetics, 125(10), A15. https://www.jandonline.org/article/S2212-2672(25)00277-1/fulltext ​ Alsharif DJ, et al. Effect of Supplemental Parenteral Nutrition Versus Enteral Nutrition Alone on ​Clinical Outcomes in Critically Ill Adult Patients: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Nutrients. 2020 Sep 28;12(10):2968. doi: 10.3390/nu12102968. PMID: 32998412; PMCID: PMC7601814.​ ​ Ayers P, et al. A.S.P.E.N. parenteral nutrition safety consensus recommendations. JPEN J Parenter Enteral Nutr. 2014;38(3):296-333. doi:10.1177/0148607113511992​ Ayers et al. Expert consensus statements and summary of proceedings from the International Safety and Quality of Parenteral Nutrition Summit. Am J Health Sys Pharm. 2024;81(3): S75-S88.​ Baik, S. M., et al. (2024). Comparison of Early Enteral Nutrition Versus Early Parenteral Nutrition in Critically Ill Patients: A Systematic Review and Meta-Analysis. Nutrients, 17(1), 10. https://doi.org/10.3390/nu17010010​ Berlana D. (2022). Parenteral Nutrition Overview. Nutrients, 14(21), 4480. https://doi.org/10.3390/nu14214480​ Bidgood et al. Nutr Clin Pract. 2025;40(4): 942-949​ Guenter P, et al. Update on use of enteral and parenteral nutrition in hospitalized patients with a diagnosis of malnutrition in the United States. Nutr Clin Pract. 2022; 37: 94–101. https://doi.org/10.1002/ncp.10827 Haines, K.L., et al. Hospital change to mixed lipid emulsion from soybean oil-based lipid emulsion for parenteral nutrition in hospitalized and critically ill adults improves outcomes: a pre–post-comparative study. Crit Care 26, 317 (2022). https://doi.org/10.1186/s13054-022-04194-8​ Harvey, S. E., Parrott, F., et al. (2014). Trial of the route of early nutritional support in critically ill adults. The New England journal of medicine, 371(18), 1673–1684. https://doi.org/10.1056/NEJMoa1409860​ Martindale, R., et al. (2020). Nutrition Therapy in Critically Ill Patients With Coronavirus Disease 2019. JPEN. Journal of parenteral and enteral nutrition, 44(7), 1174–1184. https://doi.org/10.1002/jpen.1930​ Peterson, S., Dobak, S., et al. (2020). Enteral and parenteral order writing survey - a collaborative evaluation between the Academy of Nutrition and Dietetics’ Dietitians in Nutrition Support Dietetics Practice Group and the American Society for Parenteral and Enteral Nutrition (Aspen) Dietetics Practice section. Nutrition in Clinical Practice, 35(3), 377–385. https://doi.org/10.1002/ncp.10467​ Pharmko The Long-Term Benefits and Risks of Using TPN for Nutritional Support. (2025) https://www.pharmko.com/blog/the-long-term-benefits-and-risks-of-using-tpn-for-nutritional-support​ Reignier, J., et al. Clinical Research in Intensive Care and Sepsis (CRICS) group (2018). Enteral versus parenteral early nutrition in ventilated adults with shock: a randomised, controlled, multicentre, open-label, parallel-group study (NUTRIREA-2). Lancet (London, England), 391(10116), 133–143. https://doi.org/10.1016/S0140-6736(17)32146-3​ ​ Ridley EJ, Davies AR, et al.; Supplemental Parenteral Nutrition Clinica Investigators. Supplemental parenteral nutrition versus usual care in critically ill adults: a pilot randomized controlled study. Crit Care. 2018 Jan 23;22(1):12. doi: 10.1186/s13054-018-1939-7. PMID: 29361959; PMCID: PMC5781264.​ ​ Rubino et al. Nutr Clin Pract. 2022;37: 1162-1171 ​ ​ Russell, M.K. and Wischmeyer, P.E (2018), Supplemental parenteral nutrition: review of the literature and current nutrition guidelines. Nutrition in Clinical Practice, 33: 359-369. https://doi.org/10.1002/ncp.10096​ ​ Sánchez-Guillén L, et al. Effect of Early Peripheral Parenteral Nutrition Support in an Enhanced Recovery Program for Colorectal Cancer Surgery: A Randomized Open Trial. J Clin Med. 2021 Aug 18;10(16):3647. doi: 10.3390/jcm10163647. PMID: 34441942; PMCID: PMC8396922. ASPEN Handouts https://nutritioncare.org/wp-content/uploads/2024/12/Malnutrition-PN-Indication.pdf​ https://nutritioncare.org/wp-content/uploads/2024/12/IV-Filters-For-PN-Factsheet.pdf​ https://nutritioncare.org/wp-content/uploads/2024/12/Critically-Ill-Patient-Why-Nutrition-is-Important.pdf​

    Supplemental, Peripheral, and Central Parenteral Nutrition: Indications, risks, and timing
  2. 10/27/2025

    ECMO 101 for Registered Dietitians

    When working in critical care settings as a registered dietitian, you may provide care for patients on ECMO (ExtraCorporeal Membrane Oxygenation). ECMO adds some additional complexity to the clinical picture and the RD is an essential team member to ensure adequate nutrition is provided during this time. Join Stacy MS, RDN, LDN, CNSC as she shares the foundational knowledge needed to work with patients on ECMO including what ECMO is, considerations for parenteral nutrition, calorie + protein need ranges, and related nutrient deficiencies. References: Dresen E, Naidoo O, Hill A, et al. Medical nutrition therapy in patients receiving ECMO: Evidence-based guidance for clinical practice. JPEN J Parenter Enteral Nutr. 2023;47(2):220-235. doi:10.1002/jpen.2467 Pelekhaty S, Gessler J, Baer D, et al. Malnutrition in adult patients treated with venoarterial extracorporeal membrane oxygenation: A descriptive cohort study. JTCVS Open. 2024;22:38-46. Published 2024 Oct 16. doi:10.1016/j.xjon.2024.09.029 Pelekhaty SL, Rector RP, Wu ZJ, et al. ECMO patient energy requirements: A descriptive, retrospective cohort study. Nutr Clin Pract. Published online June 8, 2025. doi:10.1002/ncp.11330 Pelekhaty SL, Peiffer M, Leibowitz JL, Tabatabai A. High protein intake and nitrogen balance in patients receiving venovenous extracorporeal membrane oxygenation: A descriptive cohort study. JPEN J Parenter Enteral Nutr. 2024;48(2):199-205. doi:10.1002/jpen.2596

    ECMO 101 for Registered Dietitians

About

Dietitians in Nutrition Support (DNS) is a dietetic practice group of the Academy of Nutrition and Dietetics. Our channel is focused on educational content about nutrition support for dietetics students/interns and dietitians. We love questions and new video ideas, so please feel free to let us know what you'd like to see in the comments boxes of our videos! Disclaimer: Information provided on the DNS DPG YouTube does not necessarily reflect an official position or endorsement by the Academy/DNS DPG.