HYPOTHESIS Immediate enteral feeding following major abdominal surgery reduces postoperative complications and mortality when compared with parenteral nutrition. DESIGN A prospective multicenter randomized trial. SETTING A university hospital department of digestive surgery. PATIENTS AND INTERVENTIONS Two hundred forty-one malnourished patients undergoing major elective abdominal surgery ...

background: energy deficit is a common and serious problem in pediatric intensive care units. parenteral nutrition, either alone or in combination with enteral nutrition, can improve nutrient delivery in critically ill patients by preventing or correcting the energy deficit and improving the outcomes. intralipid 10% and 20% are lipid emulsions, widely used in parenteral nutrition. despite sever...

The Cleveland Clinic institutional guidelines for the management of intestinal failure, including long-term or home parenteral nutrition and related complications, intestinal rehabilitation, and small bowel transplantation, were reviewed. PubMed was searched for relevant articles. The search was performed in November 2008; keywords used were home parenteral nutrition, short bowel syndrome, inte...

BACKGROUND A number of frail, older, undernourished patients cannot maintain adequate oral intake to meet protein-calorie needs after an illness, even when high-density nutritional supplements are added. Tolerance to enteral nutrition by gastric tube is poor in this group of patients. Peripheral parenteral nutrition is an effective method of administering nutritional support to patients with mi...

body, being contained in infusion solutions not only cause infusion-related phlebitis but also have been suggested to damage various organs such as the lungs, brain, kidneys, liver, and spleen. However, in Asian countries such as Japan, adequate attention is not paid to particulate contamination of parenteral solutions. For example, many drugs in glass ampoules are added to parenteral nutrition...

Sepsis commonly occurs in severe post-burn patients, often resulting in death. We aimed to evaluate the influence of early enteral feeding on outcomes in patients with extensive burns, including infection incidence, healing and mortality. We retrospectively reviewed 60 patients with extensive burns, 35 who had received early enteral nutrition and 25 who had received parenteral nutrition. Averag...

totally implantable venous access devices (tivad) or implantable catheter ports are devices which can be implanted subcutaneously. they enable prolonged and repeated access to the vascular system, into the peritoneal cavity or intravertebral space. this device is particularly useful for repeated medical injection, for blood sampling or transfusion of blood and blood derivatives and for total pa...

background: parenteral nutrition (pn) is a valuable life saving intervention, which can improve the nutritional status of hospitalized malnourished patients. pn is associated with complications including hyperglycemia. this study was conducted to compare two methods of blood glucose control in traumatic brain injury patients on pn. materials and methods: a randomized, open-label, controlled tri...

Parenteral nutrition offers the possibility of increasing or ensuring nutrient intake in patients in whom normal food intake is inadequate and enteral nutrition is not feasible, is contraindicated or is not accepted by the patient. These guidelines are intended to provide evidence-based recommendations for the use of parenteral nutrition in cancer patients. They were developed by an interdiscip...