Parenteral Nutrition: Indications, Access, and Complications.

Brian M Lappas, Dhyanesh Patel, Vanessa Kumpf, Dawn Wiese Adams, Douglas L Seidner

Journal: Gastroenterology clinics of North America 2018;47(1):39-59

PMID: 29413018

Full Text on Elsevier Science View on PubMed

Abstract

Parenteral nutrition (PN) is a life-sustaining therapy in patients with intestinal failure who are unable to tolerate enteral feedings. Patient selection should be based on a thorough assessment to identify those at high nutrition risk based on both disease severity and nutritional status. This article reviews both the acute and chronic indications for PN as well as special formulation consideration in specific disease states, vascular access, and complications of both short-term and long-term PN.

Address: Department of Internal Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.; Division of Gastroenterology, Hepatology and Nutrition, Vanderbilt University Medical Center, Nashville, TN, USA.; Division of Gastroenterology, Hepatology and Nutrition, Vanderbilt University Medical Center, Nashville, TN, USA. Electronic address: [email protected].

DOI: 10.1016/j.gtc.2017.10.001

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MeSH Terms: Catheterization, Central Venous, Catheterization, Peripheral, Chronic Disease, Critical Illness, Gastrointestinal Tract, Humans, Malnutrition, Parenteral Nutrition, Parenteral Nutrition Solutions, Patient Selection, Perioperative Care