This paper describes a computer programme for a low cost microcomputer designed to assist in the task of administering total parenteral nutrition to neonates: no knowledge of computers is necessary to operate the system. The programme displays recommended values for each of the total parenteral nutrition constituents that must be prescribed, based on detailed analysis of all the pertinent varia...

OBJECTIVE To evaluate the incidence and cause of parenteral nutrition-induced lipogenesis. DESIGN Retrospective patient review. SETTING A 40-bed predominantly surgical ICU. PATIENTS One hundred forty patients receiving central venous nutrition and mechanical ventilatory support. INTERVENTIONS Indirect calorimetry was used to determine patient's measured energy expenditure (MEE) and resp...

CASE A 62-year-old man with cirrhosis, hepatitis C, and hepatocellular carcinoma, underwent a liver transplant. On day 11 after surgery, a chylous leak from a partial wound dehiscence was noted. The leak did not respond to 2 weeks of uninterrupted, fat-free clear liquid diet and 12-hour total parenteral nutrition at night. The same treatment was continued for another 6 weeks with fatty meal cha...

Using deuterium oxide dilution technique, the total body water changes of five infants maintained on total parenteral nutrition have been determined. While average weight gains of from 14 to 53 g/day were documented, there were decreases in percentage total body water from 13 to 50%. These data taken together support tissue accretion rather than water retention as the mechanism of weight gain i...