Revisão Acesso aberto Revisado por pares

Parenteral Nutrition in the Critically Ill Patient

2009; Massachusetts Medical Society; Volume: 361; Issue: 11 Linguagem: Inglês

10.1056/nejmct0806956

ISSN

1533-4406

Autores

Thomas R. Ziegler,

Tópico(s)

Electrolyte and hormonal disorders

Resumo

A 67-year-old woman with type 2 diabetes mellitus undergoes extensive bowel resection for mesenteric ischemia. Tube feedings are associated with adverse effects, and central venous parenteral nutrition is recommended. The appropriate use of parenteral nutrition is controversial, though in selected circumstances it can be beneficial. Control of hyperglycemia is essential. Overfeeding and the refeeding syndrome are potential adverse effects.

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