Critical Care Specialist Group - Estimating essentials: a critical care conundrum - Annual Study Day

Hosted by Critical Care Specialist Group

This year the annual study day moves to Wales!

We will be covering all things requirements - from the evidence behind predictive equations to the science behind indirect calorimetry and successful business case examples.

We will be looking at how we assess our patients and which anthropometric measurements are best in our patient group and will also be providing updates on some of the work that the CCSG has done in the last year.

Join us in person for amazing networking opportunities plus indirect calorimetry demos by Baxter, CCSG poster presentations and post event drinks reception.

Take a look at the programme *subject to change

Speakers
  • Indirect calorimetry in the ICU: How does it work, what is the evidence and how should we be using it?, with Martin Sundström Rehal (Keynote Speaker), Specialist Physician, Anaesthesia & Intensive Care Medicine at Department of Perioperative Medicine and Intensive Care, Karolinska University Hospital, Stockholm Sweden.

    Summary of talk - The talk will cover the physiological underpinnings of indirect calorimetry, a critical appraisal of the evidence of benefit from it's application in critically ill patients, and a pragmatic opinion of how it can be used.

    About Martin - Martin is an Anaesthesia/ICU staff specialist and clinical lead for ICU nutrition at Karolinska University Hospital in Huddinge. Research interests include energy metabolism, indirect calorimetry, and physical recovery after critical illness.
  • Assessing nutrition status for the critically ill patient, with Dr Kate Lambell, ICU Clinical Lead Dietitian at Alfred Health, Melbourne , Australia - (Keynote speaker - session will be pre-recorded). 

    Summary of talk - A summary of the evidence behind nutrition assessment during critical illness, with a focus on methods of muscle assessment: CT, bioelectrical impedance analysis, muscle ultrasound, anthropometry, and subjective physical assessment.

    About Kate - Kate has 19 years’ experience working as a clinical dietitian and currently leads the ICU, burns and trauma dietetics team at The Alfred Hospital in Melbourne, Australia. In 2021, Kate completed her PhD which focused on the evaluation of novel bedside techniques for muscle mass assessment in critically ill adults. Kate has research interests in critical care nutrition, body composition analysis, energy expenditure, and diagnostic tools to assess and monitor nutrition status during hospitalisation. 
  • Assessing estimated nutritional requirements in patients living with obesity on critical care – Result from UK dietetic survey, with Dr Adrian Brown, NIHR Advanced Fellow and Senior Research Fellow; Senior Specialist Dietitian at University College London.

    Summary of talk - This talk will explore the findings of the joint Critical Care and Obesity Specialist Groups national survey on how nutritional requirements are estimated in people living with obesity who are critically ill and involve an open discussion with CCSG members about the implications of the results on clinical practice.

    About Adrian - Dr Adrian Brown is a NIHR Advanced Fellow and Senior Research Fellow/Lecturer in Nutrition and Dietetics in the Centre of Obesity Research at University College London. He is also a Senior Specialist Weight Management and Bariatric dietitian with over 18 years of clinical experience and a PhD in Medicine from Imperial College London.  His research interests centre around obesity, type 2 diabetes, kidney disease, bariatric surgery, weight stigma, ultra-processed foods, weight related terminology, food insecurity and sustainability in people living with obesity and the use of formula-based diets in different patient populations. Dr Brown is Chair of the Specialist Obesity Group for the British Dietetic Association.
  • CCSG Bolus Feeding Guidelines Update with Bethan Jenkins, Lead Adult Dietitian at University Hospital Southampton NHS Trust.

    Summary of talk - 
    The CCSG Bolus Feeding Guidelines were updated in 2024. This presentation will provide a brief summary of the guidelines and evidence base for the recommendations.

    About Bethan - Bethan is the lead acute adult dietitian at University Hospital Southampton (UHS) NHS Trust. After graduating from the University of Surrey she initially worked as a renal dietitian then moved to specialise in critical care dietetics in 2013. Since 2022 she has managed the team of adult acute dietitians at UHS, providing leadership for a team of around 50 dietitians and assistants.  Alongside her leadership and clinical role Bethan works one day a week in research currently supported by a British Dietetic Association Research Grant.
  • IC in real life- case study exampleswith James Jackson, Principal Dietitian for Critical Care & Major Trauma Services at St Georges University Hospitals NHS Foundation Trust.

    Summary of talk - IC is a revolutionary addition to the dietitians toolkit for measuring resting energy expenditure in critical care patients. This presentation covers real-life examples of IC and how the results compare to more traditional methods of determining energy targets.

    About James - James Jackson is the lead critical care dietitian at St Georges University Hospitals NHS Foundation Trust & dietetic representative on the AHP professional advisory group of the Intensive Care Society. James also co-chairs the BDA CCSG Introduction to Critical Care Dietetics working group. James has been using indirect calorimetry since 2021 where he and his team have collected over 200 valid measurements in their IC database.
  • What's the evidence on predictive equations for energy and protein in critical illness? with Elizabeth Donnelly, Specialist Dietitian at Mersey and West Lancs NHS Trust.

    Summary of talk - This presentation will evaluate and collate the main pieces of evidence behind the commonly used predictive equations recommendations for energy and protein on critical care.

    About Elizabeth - She graduated from University of Chester in 2018 with a degree in dietetics and started her first job at Southport Community. Elizabeth then went on to work at the Countess of Chester Hospital as a rotational band 5 and secured her first band 6 role at the Walton Centre before finding her passion for dietetics in critical care and moving to this role at Whiston Hospital where she currently works. Elizabeth is living in Chester after moving away briefly after university but missed the city so much she moved back not long after and has been there since!
  • IC business case FAQ, with Richard Ballard, Advanced Dietitian / Critical Care Clinical Specialist at The Rotherham NHS Foundation Trust.

    Summary of talk - The process of writing a business case for IC – who to involve, how to make a start, what was a challenge, what was a success, how long does it realistically take?

    About Richard - Richard has worked at the Rotherham NHS Foundation Trust since graduating in 2010 progressing to his current role within Critical Care as an Advanced Dietitian in 2019. The journey took him through specialist posts in Diabetes, Gastroenterology and Surgery. Key achievements in post include post graduate study with Dietetic supplementary prescribing and the introduction of indirect calorimetry which is now used routinely as part of nutritional assessments in the Rotherham Critical Care Unit.
  • A year in review: critical care nutrition research, with Terpsi Karpasiti, Clinical Lead Critical Care Dietitian at Royal Brompton & Harefield Hospitals, Guy's & St Thomas' (GSTT) NHS Foundation Trust.

    Summary of talk - Terpsi will provide an update of the most influential critical care nutrition research studies published over the last year. The session will include study details, points of consideration and take home messages for clinical practice.

    About Terpsi - Terpsi is the Clinical Lead Critical Care Dietitian at the Royal Brompton & Harefield Hospitals. She has an MSc in Critical Care Medicine, extensive experience in critical care nutrition and specialises in cardiorespiratory critical care and ECMO. Terpsi has a keen interest in research, with her main research focus being the nutritional and delayed gastric emptying management of critically ill patients receiving ECMO. Terpsi also holds an extended role within the critical care team, which includes bedside post-pyloric feeding tube placements. She is currently joint research officer for the BDA CCSG, and co-chair of the BDA CCSG NJ team.
  • Presentation of the Critical Care Research Award presentations, with  Dr Danni Bear and Terpsi Karpasiti

In this session, the four top scoring abstracts from the Critical Care Specialist Group award will have a chance to present their research. The winners will be announced at the end of the study day.

Costs
  • Critical Care Specialist Group Member £75
  • BDA Member £100
  • Non Member £150 
  • BDA Student Member and Member of Critical Care Specialist Group £25

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Important - Recordings will be emailed to all those who purchase tickets, these will not be available to purchase afterwards. Therefore please ensure you have bought your tickets prior to the event if you are planning on watching the recordings.

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