Comprehensive Guidelines for the Safe Administration of Total Parenteral Nutrition (TPN) in Surgical and Critically Ill Patients
surgical nutrition
Keywords:
Total Parenteral Nutrition (TPN), surgical nutrition, Bone DiseaseAbstract
Total Parenteral Nutrition (TPN) is a vital therapeutic intervention for patients who cannot achieve adequate nutrition enterally. This paper provides comprehensive guidelines for the initiation, advancement, and monitoring of TPN, aiming to minimise complications such as hyper glycaemia, infections, and metabolic disturbances. The guidelines are based on an extensive review of current literature and clinical best practices, offering a structured approach to optimise patient outcomes through meticulous planning and proactive management.
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Alivizatos V, Felekis D, Zorbalas A. Evaluation of the effectiveness of octreotide in the conservative treatment of postoperative enterocutaneous fistulas. Hepatogastro- enterology. Jul-Aug 2002; 49(46): 1010-2.
Al-Jurf, Adel S. and Karen D. Indications for Total Parenteral Nutrition (TPN)." University of Iowa Virtual Hospital. March 2003.
Baines M, Shenkin A. Lack of effectiveness of short-term intravenous micronutrient nutrition in restoring plasma antioxidant status after surgery. Clin Nutr 2002;21:145–50.
Cagir B., Sawyer M.: Nutritional management of short bowel syndrome in adults. ESPEN Guidelines on Parenteral Nutrition: gastroenterology. Clin Nutr. Sep 2009 emedicine.medscape.com/article/193391
Calder PC. Long-chain n-3 fatty acids and inflammation: potential application in surgical and trauma patients. Braz J Med Biol Res 2003;36:433–46.
Gillanders L., Angstmann K., Nurs. B., Ball P., Chapman C., Hardy G., Hope J., Smith R., Strauss B., and Russell D.: AuSPEN clinical practice guideline for home parenteral nutrition patients in Australia and New Zealand. Nutrition 2008; 24: 998–1012.
Glasgow S. and Herrmann V.: Nutrition. In: Klingensmith, Mary E.; Amos, Keith D.; Green, Douglas W.; Halpin, Valerie J.; Hunt, Steven R. (eds) Washington manual of surgery 4th ed, 2005; ch.2: 36-52.
Hesse U, Ysebaert D, de Hemptinne B. Role of somatostatin-14 and its analogues in the management of gastrointestinal fistulae: clinical data. Gut 2001; 49(Suppl 4): iv11–iv21.
Ioannidis O., Lavrentieva A., Botsios D.: the ESPEN guidelines for nutrition support in acute pancreatitis. J Pancreas (Online) 2008; 9(4):375-390.
Jacobs DO. Bioelectrical impedance analysis: implications for clinical practice. Nutr Clin Pract 1997;12:204–10.
Jagoe RT, Goldberg AL: What do we really know about the ubiquitin-proteasome pathway in muscle atrophy?. Curr Opin Clin Nutr Metab Care 2001; 4:183-190.
Krishnan JA, Parce PB, Martinez A, Diette GB, Brower RG. Caloric intake in medical ICU patients: consistency of care with guidelines and relationship to clinical outcomes. Chest 2003;124:297–305
Kumar A, Singh N, Prakash S, Saraya A, Joshi YK. Early enteral nutrition in severe acute pancreatitis: a prospective randomized controlled trial comparing nasojejunal and nasogastric routes. J Clin Gastroenterol 2006; 40:431-4
Le Banh : Serum Proteins as Markers of Nutrition: What Are We Treating? Practical Gastroenterology 2006; 43:46-57.
Lloyd D., Gabe S. and Windsor A. Nutrition and management of enterocutaneous fistula. British Journal of Surgery 2006; 93: 1045–1055.
Lofberg E, Gutierrez A, Wernerman J, et al: Effects of high doses of glucocorticoids on free amino acids, ribosomes and protein turnover in human muscle. Eur J Clin
Invest 2002; 32:345-353.
Lorite MJ, Smith HJ, Arnold JA, et al: Activation of ATP-ubiquitin-dependent proteolysis in
skeletal muscle in vivo and murine myoblasts in vitro by a proteolysis-inducing factor
(PIF). Br J Cancer 2001; 85:297-302.
Luiking YC, Deutz NE. Exogenous arginine in sepsis. Crit Care Med 2007;35: S557–63
Lynch AC, Delaney CP, Senagore AJ, Connor JT, Remzi FH, Fazio VW. Clinical outcome
and factors predictive of recurrence after enterocutaneous fistula surgery. Ann Surg 2004;
: 825–831.
Medeiros AC, Aires-Neto T, Marchini JS, Brandao-Neto J, Valenca DM, Egito ES.
Treatment of postoperative enterocutaneous fistulas by high-pressure vacuum with a
normal oral diet. Dig Surg 2004; 21: 401–405
Stroud M., Duncan H. and Nightingale J.: Guidelines for Enteral Feeding in Adult Hospital
Patients. Gut 2003; 52: vii 1-12.
Zheng YM, Li F, Zhang MM, Wu XT.: Glutamine dipeptide for parenteral nutrition in abdominal surgery; a meta-analysis of randomized controlled trials. World J Gastroenterol 2006;12:7537–41.
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