Surgical Critical Care

Nutrition in the Complex Surgical Patient

Activity Details
  • Credit Type: CME
  • Credit Amount: 1.00
  • Cost: $70.00
  • Release: Oct 22, 2014
  • Expires: Oct 21, 2020
  • Estimated Time to Complete:
    1 Hour(s)
  • System Requirements:
  • Average User Rating:
    (1 Rating)


Robert Martindale Robert Martindale, MD, PhD
Chief of General Surgery
Gastrointestinal and General Surgery
Oregon Health and Science University
Portland, Oregon

Needs Statement

Trauma and acute surgical emergencies remain among the leading causes of short and long term morbidity and mortality among both adults and children worldwide. Inadequate nutrition or pre-existing malnutrition has been shown to be one of the strongest predictors of poor outcomes among all patient populations, but particularly for patients with major injuries, burns, or surgical emergencies and associated hypermetabolic states. Prolonged hospital admissions after either major trauma or emergent surgical intervention often prevent the provision of adequate caloric intake via the oral route, and thus require expert assessment and provision of adequate nutritional support via alternative routes. All providers and ancillary health care personnel who provide care for trauma or emergent surgical patients should be familiar with up to date scientific evidence and principles for the initial nutritional evaluation, routine nutritional support, and principles of enteral and parenteral nutrition in the critically ill surgical patient. This includes the definition of inadequate nutrition or malnutrition, the physical examination and laboratory evaluation for nutritional status, the options for delivery of supplemental nutrition, the assessment of caloric needs for the critically ill patient, and the positive and adverse impacts of providing protein, carbohydrate, and lipid nutritional supplementation.

Target Audience

All trauma providers including physicians, physician assistants, nurses, medics, students, and other hospital staff who provide care for patients with severe injury or surgical illness requiring supplemental nutritional support.


Upon completion of this activity, participants will be able to:

  1. Discuss the methods to deliver nutritional therapy to the trauma patient
  2. Implement early enteral feeding
  3. Interpret the need for specialty formulation of nutrient containing fish oils, arginine, glutamine, and antioxidants


This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the University of Kentucky College of Medicine, and Eastern Association for the Surgery of Trauma. The University of Kentucky College of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

The University of Kentucky College of Medicine designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The University of Kentucky College of Medicine presents this activity for educational purposes only. Participants are expected to utilize their own expertise and judgment while engaged in the practice of medicine. The content of the presentations is provided solely by presenters who have been selected for presentations because of recognized expertise in their field.

ACGME Competencies

  • Patient care

Faculty Disclosure

No speaker, planner or content reviewer has any relevant financial relationships to disclose. The speaker will not discuss the off-label use of a product.
Content review confirmed that the content was developed in a fair, balanced manner free from commercial bias. Disclosure of a relationship is not intended to suggest or condone commercial bias in any presentation, but it is made to provide participants with information that might be of potential importance to their evaluation of a presentation.


This activity is jointly provided by the University of Kentucky and Eastern Association for the Surgery of Trauma.

Review Date

January 3, 2017

CE Content Concerns


Concerns or complaints related to ACPE or ACCME standards may be submitted in writing to the Director of UK HealthCare CECentral by fax to 859-323-2920, or by mail to 2365 Harrodsburg Road, Ste B475, Lexington, KY 40504


  • The Director or his/her designee will review, investigate, forward and/or respond to complaints and will put forth a best effort to adjudicate the issue(s), along with CECentral staff members, within two (2) weeks of receipt of the grievance or complaint.
  • If needed, concerns, complaints, or grievances will be brought before the UK HealthCare CECentral Advisory Board.
  • Issues regarding activity content also will be reviewed and addressed by the Activity Director.
  • A written decision will be issued in a timely manner by the Director of UK HealthCare CECentral or his/herdesignee.
  • Grievances will be considered when planning future activities.

Appeal Procedure

  • Persons who wish to appeal a decision should address the appeal by email, fax or in writing to the Director of UK HealthCare CECentral within two (2) weeks of receipt of the response.
  • The Director will bring the appeal to the UK HealthCare CECentral Advisory Board.
  • The results of the appeal will be sent to the participant no later than two (2) weeks following the meeting of the board.