Do Patients With a Baseline Clinical Condition Warranting the Cautious Use of Parenteral Nutrition Develop Subsequent Metabolic Complications?

Solomon, Diana; Hollands, James M.; Siemianowski, Laura A.; Smith, Colleen E.; Song, Richard; Bingham, Angela L.

doi:10.1177/0884533616680793

Cited by 3 publications

(5 citation statements)

References 39 publications

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“…Cabe ressaltar que o acesso femoral não é indicado para NP devido aos riscos infecciosos. A realização do procedimento guiado por ultrassonografia (USG) diminui drasticamente os riscos de complicações (8).…”

Section: Resultsunclassified

“…A síndrome da realimentação é uma complicação nutricional decorrente da instalação inadequada da reintrodução alimentar que merece destaque nos pacientes sujeitos à nutrição parenteral que são desnutridos ou que passaram um longo período sem suporte nutricional. As principais intercorrências encontradas na NP são relacionadas a hidratação, balanço de eletrólitos, alterações lipídicas, infecção de cateter e trombose (8).…”

Section: Introductionunclassified

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Alimentação parenteral: principais complicações decorrentes de seu uso / Parenteral nutrition: main complications resulting from it's use

Parry¹,

Belem²,

Lima³

et al. 2022

Braz. J. Hea. Rev.

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A nutrição parenteral (NP) surgiu por volta de 1970 e é utilizada em pacientes que não estão aptos para realizar a alimentação via oral de forma efetiva. Assim como todo procedimento, possui riscos e benefícios que devem ser analisados pela equipe multiprofissional responsável pelo paciente. Durante sua utilização, deve-se fazer um monitoramento contínuo do paciente, visando diminuir a incidência das principais alterações metabólicas decorrentes da NP. Metodologia: Realizar uma revisão da narrativa acerca das principais complicações metabólicas após utilização da NP. Os dados foram retirados das fontes "PubMed", "Scielo" e "Google Scholar" em português e inglês, publicados nos últimos 10 anos. Discussão e Conclusão: A monitorização contínua do paciente submetido a NP é a melhor forma de prevenir possíveis complicações decorrentes desse procedimento. As principais intercorrências encontradas na NP são relacionadas a hidratação, balanço de eletrólitos, alterações lipídicas, infecção de cateter e trombose.

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Section: Resultsunclassified

Section: Introductionunclassified

Alimentação parenteral: principais complicações decorrentes de seu uso / Parenteral nutrition: main complications resulting from it's use

Parry¹,

Belem²,

Lima³

et al. 2022

Braz. J. Hea. Rev.

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“…Throughout the course of the studies, all of the serum triglyceride levels in these studies remained lower than thresholds commonly used for ILE removal as outlined earlier . Table displays results from all studies discussed for cross reference.…”

Section: Literature Reviewmentioning

confidence: 90%

“…18 Throughout the course of the studies, all of the serum triglyceride levels in these studies remained lower than thresholds commonly used for ILE removal as outlined earlier. [13][14][15][19][20][21] Table 2 displays results from all studies discussed for cross reference. Overall, studies suggest that FO ILE may be protective against rapid increases in serum triglycerides.…”

Section: Serum Triglyceridesmentioning

confidence: 99%

Impact of Intravenous Lipid Emulsions Containing Fish Oil on Clinical Outcomes in Critically Ill Surgical Patients: A Literature Review

2018

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A fish oil (FO)–containing intravenous lipid emulsion (ILE; FO ILE) has been approved for use in the United States; however, similar formulations have been used throughout Europe and China in intensive care units since the 1990s. This literature review evaluates the evidence regarding the effectiveness of FO ILE on clinical outcomes in the critically ill surgical patient population. The review of available evidence demonstrates that ILEs containing FO lower triglyceride concentrations, inflammatory markers, and liver function enzymes, and improve morbidity and mortality outcomes in critically ill surgical patients.

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“…Study definitions for metabolic complications were applied from a previous study at this institution. 7 The study time frame for this research was expanded beyond the previous investigation and included additional patients. Study definitions were applied by way of retrospective review of the electronic medical record (EMR).…”

Section: Methodsmentioning

confidence: 99%

Metabolic Complications Occur More Frequently in Older Patients Receiving Parenteral Nutrition

et al. 2020

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Background The European Society for Clinical Nutrition and Metabolism Guidelines for Parenteral Nutrition in Geriatric Patients state metabolic complications are more frequent in elderly patients. However, literature provides limited information about metabolic complications in older patients receiving parenteral nutrition (PN). Consequently, the purpose of this study was to compare the development of metabolic complications in older vs younger patients receiving PN. Methods Patients receiving PN from May 1, 2014, to February 7, 2017, at Cooper University Hospital were included. Metabolic complications assessed included acid‐base disturbances, hepatic complications, hypercapnia, hyperchloremia, hyperglycemia, hypernatremia, hypertriglyceridemia, hypochloremia, hypoglycemia, hypokalemia, hypophosphatemia, and refeeding syndrome. Results 595 patients were included (older group [≥65 years]: n = 245, median age: 76 years; younger group [<65 years]: n = 350, median age: 53 years]. Certain characteristics were similar between groups (female, 51%; mean body mass index of 28; critically ill, 34%; central PN, 97%; median duration of PN, 7 days; mean energy provision PN, 25.4 kcal/kg/d; mean dextrose infusion rate, 2.31 mg/kg/min). Overall, metabolic complications developed in 58% of patients and occurred more frequently in older vs younger patients (65.7% vs 53.4%; P = .003). Multivariate logistic analysis demonstrated increased odds of metabolic complications in the older group (odds ratio, 1.55; 95% CI, 1.014–2.375). Conclusions Older hospitalized patients are more likely to develop a metabolic complication during their PN course than younger patients. This study heightens awareness that patients of advanced age are subject to metabolic complications; practitioners should anticipate and resolve complications in a timely manner.

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Do Patients With a Baseline Clinical Condition Warranting the Cautious Use of Parenteral Nutrition Develop Subsequent Metabolic Complications?

Cited by 3 publications

References 39 publications

Alimentação parenteral: principais complicações decorrentes de seu uso / Parenteral nutrition: main complications resulting from it's use

Alimentação parenteral: principais complicações decorrentes de seu uso / Parenteral nutrition: main complications resulting from it's use

Impact of Intravenous Lipid Emulsions Containing Fish Oil on Clinical Outcomes in Critically Ill Surgical Patients: A Literature Review

Metabolic Complications Occur More Frequently in Older Patients Receiving Parenteral Nutrition

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