Parenteral nutrition

被引:5
作者
Forbes, Alastair [1 ]
机构
[1] UCL Hosp, Dept Gastroenterol & Clin Nutr, London NW1 2BU, England
关键词
catheter; cholestasis; hyperglycaemia; lipid emulsion; sepsis; total parenteral nutrition;
D O I
10.1097/MOG.0b013e328012134a
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Purpose of review The past 12 months have seen advances in the safe use of intravenous nutrition and its place in the therapeutic armamentarium. Recent findings Complications of intravenous nutrition and proposed optimal strategies to avoid them are considered, with particular attention to the hazards of hyperglycaemia. Intravenous nutrition in certain specified conditions is addressed, including its minor role in advanced malignancy. New details on the effects of amended lipid emulsions are presented, together with a meta-analysis of growth hormone and glutamine. Summary Parenteral nutrition needs attention to detail if it is to be employed safely and effectively. Special care should be taken to maintain blood glucose in the normal range. There are currently insufficient data to warrant wholesale switching to novel lipid emulsions or the global use of glutamine or growth hormone.
引用
收藏
页码:183 / 186
页数:4
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