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Symposium on nutritional requirements of the surgical patient. 2. Peripheral parenteral nutrition.
Can J Surg 1978; 21(6):489-92CJ

Abstract

During total parenteral nutrition hypertonic (25%) dextrose combined with 5% amino acid solutions must be used to achieve the necessary non-protein calorie/nitrogen ratio of 150:1. The resultant hyperosmolarity prohibits utilization of peripheral veins and makes cannulation of the subclavian vein mandatory. This exposes the patient to the risks of infection and technical complications, but these are uncommon and less important than the deleterious effects of chronic starvation. However, under certain clinical conditions it is possible to supply partial parenteral nutrition through peripheral veins, thereby avoiding the dangers of subclavian catheterization. Three such techniques--the intralipid system, protein sparing and infusion of the "P-900" solution--have been used with moderate success. The composition of the solutions and the techniques used are described.

Authors

No affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

104781

Citation

Freeman, J B.. "Symposium On Nutritional Requirements of the Surgical Patient. 2. Peripheral Parenteral Nutrition." Canadian Journal of Surgery. Journal Canadien De Chirurgie, vol. 21, no. 6, 1978, pp. 489-92.
Freeman JB. Symposium on nutritional requirements of the surgical patient. 2. Peripheral parenteral nutrition. Can J Surg. 1978;21(6):489-92.
Freeman, J. B. (1978). Symposium on nutritional requirements of the surgical patient. 2. Peripheral parenteral nutrition. Canadian Journal of Surgery. Journal Canadien De Chirurgie, 21(6), pp. 489-92.
Freeman JB. Symposium On Nutritional Requirements of the Surgical Patient. 2. Peripheral Parenteral Nutrition. Can J Surg. 1978;21(6):489-92. PubMed PMID: 104781.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Symposium on nutritional requirements of the surgical patient. 2. Peripheral parenteral nutrition. A1 - Freeman,J B, PY - 1978/11/1/pubmed PY - 1978/11/1/medline PY - 1978/11/1/entrez SP - 489 EP - 92 JF - Canadian journal of surgery. Journal canadien de chirurgie JO - Can J Surg VL - 21 IS - 6 N2 - During total parenteral nutrition hypertonic (25%) dextrose combined with 5% amino acid solutions must be used to achieve the necessary non-protein calorie/nitrogen ratio of 150:1. The resultant hyperosmolarity prohibits utilization of peripheral veins and makes cannulation of the subclavian vein mandatory. This exposes the patient to the risks of infection and technical complications, but these are uncommon and less important than the deleterious effects of chronic starvation. However, under certain clinical conditions it is possible to supply partial parenteral nutrition through peripheral veins, thereby avoiding the dangers of subclavian catheterization. Three such techniques--the intralipid system, protein sparing and infusion of the "P-900" solution--have been used with moderate success. The composition of the solutions and the techniques used are described. SN - 0008-428X UR - https://www.unboundmedicine.com/medline/citation/104781/Symposium_on_nutritional_requirements_of_the_surgical_patient__2__Peripheral_parenteral_nutrition_ DB - PRIME DP - Unbound Medicine ER -