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Determination of optimal hyperalimentation infusion rate

1975; Elsevier BV; Volume: 18; Issue: 5 Linguagem: Inglês

10.1016/0022-4804(75)90121-3

1095-8673

Paul Rutten, George L. Blackburn, J. P. Flatt, Edward Hallowell, D Cochran,

Cardiac Arrest and Resuscitation

Increased attention is being paid to the proper nutrition of critically ill surgical and medical patients. The effects of prolonged starvation or semistarvation on morbidity and mortality are well recognized [7, 14,261. Total parenteral nutrition (TPN) techniques [18, 291 and oral chemically defined diets [12, 34, 381 have made it possible to feed patients in most disease states. Indications for the use of these therapies have become widespread [I, 20, 22, 341. Most complications related to TPN are well recognized and their incidence can be reduced by the creation of hospital nutritional services that include interested staff, hyperalimentation nurse, therapeutic dietitian, and pharmacy. Proper guidelines have been developed for the management of central vein catheterrelated complications [36, 401, fluid and electrolyte, acid-base derangements [19, 37, 441 and septic complications [4, 16,431.