| 16th BALTIC CLINICAL NUTRITION COURSE/ 1st JOINT COURSE WITH PICUs Targeted Optimal Nutrition Care for All Ages 18.-19. August 2025 LaSPA Laulasmaa | |||
| Registration open: Available for 75 participants; Free registration: 5 participants from each Baltic country (EST, LAT, LIT) – applications/registration due by 30.06 via web page. If no free applicants from country, places are not redistributed. For free participant selection (if more than 5 applicants per country) a 1-10 score is awarded by Org committee and society representatives based on following criteria: input/action for the development of CN on local/country level, young practitioner/scientists (under 35), no prior supported participation + places will be equally distributed for all fields and ranks of medicine based on the no of applicants incl support team members: doctors, residents, young practitioners, nurses, etc. Selection of free participants and confirmation to applicants will be sent by organizing Committee by 01.07. Local Organizing Committee: Beata Hanesoo, Birgit Kiilaspää, Angelika Lall, Karmen Koppel, Liise Verpson, Hanna-Liis Lepp | |||
| FACULTY: Michael Hiesmayr, Prof MD PhD- head of NC in Vienna Medical University, intensivist, NDay Study, AUS Simon Lal, Prof. MD PhD – Head of Salford Trust CIF Unit, gastroenterologist, Salford TRUST, UK Nada Rotovnik-Kozjek, Prof, MD – Head of NC and CIF Centre, intensivist, Slovenian Cancer Institute, SLO Laura Merras-Salmio, Ass.prof, MD – Head of NICU, intensivist, Helsinki University Central Hospital; FIN Alastair Forbes, Prof. MD PhD, Head of Clinical Nutrition Masters Programm, gatroenterologist, visiting professor at University of Tartu, EST Andrius Klimašauskas – Prof, MD, PhD, Vilnius University Hospital Santaros Clinic, intensivist, LiSPEN president, LIT Johanna Hade– Head of Pediatric ICU, anesthesiologist and intensive care specialist, Tallinn Childrens Clinic, EST Aleksandra Šhilova– Head of general and pediatric surgery, surgeon, Tallinn Childrens Hospital, EST Pia Nikander, MSc- clinical dietician, Helsinki University Central Hospital; FIN Hanna-Liis Lepp– head of clinical nutrition unit, internal medicine doctor, North Estonia Medical Centre; EstSPEN president, EST ROUNTABLES FACULTY & MODERATORS: Jetta Tuokkola MSc- clinical dietician, Helsinki University Central Hospital; FIN Kirstine Farrer, PhD, consultant dietitian-CIF Centre, Salford TRUST, UK Justė Parnarauskienė, dietologist, Vilnius University Hospital Santaros Clinic , LIT Vera Grineva– chief dietitian, LASPEN president, LAT Mihails Dolguševs, physician in intensive care, head of the Emergency Medical Center of Liepāja Regional Hospital and the Kurzeme regioon LAT Mait Alanurm, anestehesiologist and intensive care specialist, Tallinn Childrens Hospital, EST Galina Kappo, CIF nurse, clinical nutrition specialist, North Estonia Medical Centre, EST Birgit Kiilaspää, CIF nurse, chief nurse of the department of anaesthesiology and intensive care, Tallinn Children’s Hospital, EST Kairi Marlen Antoniak, PharmD- clinical pharmacist, East Tallinn Central Hospital, EST Grete Kurik MSc, junior reserch fellow(clinical nutrition), University of Tartu, EST Diana Demirbacak, internal medicine doctor, North Estonia Medical Centre; EstSPEN president, EST Anna Titova – nurse, clinical nutrition specialist, North Estonia Medical Centre, EST | |||
| Early arrival of participants/speakers recommended to enjoy the beautiful Baltic region – we recommend extending your stay at the Baltic Sea for a satellite weekend | |||
| Day 1: Monday 18 August 2025 | |||
| 09.00-10.00 (60min) | Arrival of participants/speakers/ registration & coffee | ||
| 10.00-10.10 (10min) | Welcome | Dr Hanna-Liis Lepp, EST Ms Vera Grineva, LAT Prof Andrius Klimašauskas, LIT Dr Johanna Hade, NICU, EST | To introduction and welcome the participants |
| 10.10-10.20 (10min) | Where Are We Heading? | Liise Verpson | To map the expectations from participants |
| Targets in Theory – Optimal Balance for All Ages | |||
| Session I: Optimal Targets for Optimal Functions Moderators: TBA | |||
| 10.20-10.50 (30min) | It All Starts Where It Ends | Prof Michael Hiesmayr | To understand the relation of compromised functions and nutrition To know how to set targets and measure effectiveness of nutrition care interventions |
| 10.50-11.10 (20min) | Out From the Water – How Much Fluid and Electrolytes For A Paediatric Patient? | Dr Johanna Hade | To understand the need of optimal fluid and electrolyte provision of paediatric patients in different settings To know the methods for assessment of optimal fluid balance when treating paediatric patients |
| 11.10-11.30 (20min) | How to Avoid Droughts and Floods in Adult Care? | Prof Michael Hiesmayr | To know the recommendations for fluid and electrolytes provision for adult patients in different care settings To know the practical methods to assess, measure and monitor fluid balance when treating adults |
| 11.30-11.50 (20min) | Optimal Feeding for Brain Takes Guts – Energy and Protein for Adults | Prof Nada Rotovnik-Kozjek | To know the standard needs for energy and protein for different chronic adult patient groups To understand the role of functional gut to reach the needs in compromised patients |
| 11.50-12.10 (20min) | Taking it Personally- Goals of Energy and Protein Provision in Paediatrics | Prof Laura Merras-Salmio | To know how to assess and address individual needs for energy and protein for different paediatric patient groups |
| 12.10-12.30 (20min) | Q&A for panelists | Michael, Johanna, Nada, Laura | |
| 12.30-13.00 (10+10+10min) | DEBATING MICRONUTRIENTS: TO MEASURE OR NOT TO MEASURE? | Prof Alastair Forbes Prof Simon Lal | To understand the importance of and challenges in assessment of micronutrient needs in patients |
| 13.00-14.00 (60min) | Lunch | ||
| LLL + PARALLEL WORKSHOPS I-II: Targets in Practice – Assessment and Monitoring: Measuring Real Targeted Outcomes: Body Composition, Fluid Status, Electrolyte and MN Balance Session II Moderators: TBA | |||
| 14.00-14.20 (10+10min) | WS I part I – Techniques for Assessment and Planning of Nutrition Care -Practical Cases | Case preparation and moderators: Dr Hanna-Liis Lepp (Adult AIF) Dr Diana Demirbacak(Adult CIF) Ms Pia Nikander (pediatric AIF +CIF) | To learn the assessment, diagnostic and monitoring methods of nutrition related diseases To understand the need for multidisciplinary management and teamwork in nutrition care To understand how nutrition related diseases and deficiencies are diagnosed and addressed in adult and paediatric patient groups on clinical care pathways in different practices |
| 14.20-15.30 30min+ 30min | WS I part II Case discussions GROUP I – CLINICAL ASSESSMENT OF NUTRITIONAL STATUS GROUP II – COMPOSING NUTRITION CARE PLAN GROUP I – COMPOSING NUTRITION CARE PLAN GROUP II – CLINICAL ASSESSMENT OF NUTRITIONAL STATUS | Prof Laura Merras-Salmio Ms Kirstine Farrer Ms Juste Parnarauskiene Prof Michael Hiesmayr Ms Kairi Marlen Antoniak Ms Jetta Tuokkola | To know the clinical practical planning and assessment methods for provision of energy, macro- and micronutrients in patients with different needs To learn how to draw a standard and personalized nutrition care plan: -understand the role and limits of dietetic and clinical assessment -know how to use calculations for planning energy, protein and fluid provision -know how to avoid NC metabolic complications incl refeeding syndrome -know how to interpret different clinical data incl laboratory results in practical nutrition care |
| 15.30-16.00 | EXCHANGE OF LOCATION/ Espresso Macciato | ||
| Possibilities for Achieving Optimal Targets, Patient perspective + practical case discussion with Panelists Moderator: Hanna-Liis Lepp | |||
| 16.00-16.30 (30min) | WS II part I Monitoring and Assessing BODY COMPOSITION and CELL FUNCTIONS in THEORY | Ms Nada Rotovnik Kozjek | To know the methods for measuring body composition and functions (fluid status and functional cell mass) To understand the options and limitations for use of BIA, BIVA and DEXA in clinical practice |
| 16.30-17.30 (30+30min) | Parallel WS II part II GROUP I – MEASURING and MONITORING IN PRACTICE GROUP II – CLINICAL ASSESSMENT OF RESULTS GROUP II – MEASURING AND MONITORING IN PRACTICE GROUP I – CLINICAL ASSESSMENT OF RESULTS | Prof Nada Rotovnik Kozjek Prof Michael Hiesmayr Ms Jetta Tuokola Prof Laura Merras Salmio Dr Mait Alanurm Prof Alastair Forbes Ms Grete Kurik | To know how to interpret BIVA results in practice To learn the practice of using BIVA with its restrictions To know how to interpret different results in practice To discuss and understand the perspectives of different specialists and patient on the discussed cases |
| 17.30-18.00 (30min) | Where Did We Reach: DISCUSSION on MONITORING BODY COMPOSITION and FUNCTION including Patient perspective | All participants + HL patient comments | |
| 18.00-18.15 (15min) | Q&A and Ending of Day 1 | Ms Liise Verpson | To wrap up the day |
| 19.00 Reception and Concert | |||
| Day 2: Tuesday 19 August 2025 | |||
| Achieving Nutrition Care in Practice | |||
| 08.00-09.00 (60min) | Morning swimming in the sea, yoga, strolling and stretching | ||
| 09.00-09.15 (15min) | Intro to Day 2 | Dr Hanna-Liis Lepp Prof Alastair Forbes | Brief Recap from Day one Introduction to LLL |
| Achieving Targets in Practice Session: III Moderator: TBA | |||
| 09.15-09.45 (30min) | LLL-perioperative care module 17.1 Metabolic responses to Surgical Stress | Prof Michael Hiesmayr | To know the metabolic changes related to surgical stress and their impact to outcomes and nutritional status |
| 09.45-10.15 (30min) | LLL-perioperative care module 17.2 Managing Surgical Stress: Principles of Enhanced Recovery and Effect on Outcomes | Dr Aleksandra Šilova | To know what measures can be applied to reduce complications in perioperative care |
| 10.15-10.45 (30min) | LLL-perioperative care module 17.3 Making the Gut work | Prof Alastair Forbes | To know how to avoid perioperative enteral problems To know when is feeding patients enterally safe in compromised gut in perioperative care |
| 10.45-11.15 (30min) | LLL-perioperative care module 17.4 Nutritional Therapy in the Perioperative Period | Prof Andrius Klimašauskas | To know the recommendations for nutrition care targets in perioperative patients |
| 11.15-11.45 (30min) | Coffee break | ||
| 11.45-12.15 (30min) | Case Discussion | Dr Aleksandra Šilova | |
| 12.15-12.45 (30min) | Test and closing | Prof Alastair Forbes Dr Karmen Koppel | |
| 12.45-13.45(60min) | LUNCH | ||
| WS III ja IV: | Parallel WS EN and PN in Practice | ||
| 13.45-14.45 (60 min) | WS III Achieving Enteral Nutrition Safely Case Discussions: Personalized Selection of Oral Menu, Enteral Nutrition Route & Feeds. Avoiding & Treating Complications | Dr Aleksandra Šilova Ms Anna Titova Dr Diana Demirbacak Ms Kirstin Ferrer | To know different enteral routes (NG; NJ, PEG; PEG-J, jejunostomy, fistuloclyses), how to achieve them To know how to diagnose, manage and avoid complications of enteral nutrition To be aware of the importance of oral menu selection for an individual patient To be aware of EN feed types To know how to choose feeds, regime and duration of enteral nutrition care |
| 13.45-14.45 (60min) | WS IV Achieving Parenteral Nutrition Safely: Choosing Nutrition Routes and Solutions Avoiding & Treating Complications | Prof Nada Rotovnik Kozjek Dr Johanna Hade Ms Birgit Kiilaspää Ms Kairi Marlen Antoniak | To know how to select parenteral nutrition routes To be aware of PN technical complications incl catheter related complications (thrombosis, misplacement, phlebitis) and how to avoid them To be aware of PN solution types To know how to choose different solutions for patients To know how PN solutions are prepared, stored and connected |
| 14.45-15.15 (30min) | EXCHANGE OF LOCATIONS, Coffee | ||
| 15.15-16.15 (60min) | WS III Achieving Enteral Nutrition Safely Case Discussions: Oral Menu, Enteral Nutrition Routes & Feeds. Avoiding & Treating Complications | Ms Kirstine Farrer Ms Birgit Kiilaspää Ms Anna Titova Ms Pia Nikander | To know different enteral routes (NG; NJ, PEG; PEG-J, jejunostomy, fistuloclyses), how to achieve them To know how to diagnose, manage and avoid complications of enteral nutrition To be aware of the importance of oral menu selection for an individual patient To be aware of EN feed types To know how to choose feeds, regime and duration of enteral nutrition care |
| 15.15-16.15 (60min) | WS IV Achieving Parenteral Nutrition Safely: Monitoring, diagnosing complications, Avoiding & Treating Complications Managing feeding procedures | Prof Simon Lal Ms Galina Kappo Ms Juste Parnarauskiene Ms Kairi Marlen Antoniak | To know how to select parenteral nutrition routes To be aware of PN technical complications incl catheter related complications (thrombosis, misplacement, phlebitis) and how to avoid them To be aware of PN solution types To know how to choose different solutions for patients To know how PN solutions are prepared, stored and connected |
| Session IV: | Where We Reached and Where We Want to Be – Sharing our BEST Practice in Final Session Moderators: TBA | ||
| 16.15-17.00 (45min) | It All Ends Where It Started – WS Wrap-up of Case-Discussions with Experts | Nada, Simon, Michael, Alastair, Aleksandra, Pia, Kirstine, Kairi, Galina, Birgit, Juste, Hanna-Liis (a 3min) | To wrap up questions from debates To sum up the different perspectives of multidisciplinary care and views of specialists on the discussed cases |
| 17.00-17.15 (15min) | Ending of Course, feedback, certification | Karmen Koppel, Liise Verpson | |
| 18:00.19.00 | TOUR to A.P House museum | To BRONCA invited speakers | (in the honour of maestro Arvo Pärt 90) |
Contact
If you have any questions about the registration or event logistics, please contact:
Event Secretariat:
Reelika Allemann
📞 +372 631 0121
📧 reelika.allemann@go.ee
