This document presents the official recommendations of the American Gastroenterological Association (AGA) on Parenteral Nutrition. It was approved by the Clinical Practice and Practice Committee on April 13, 2001 and by the AGA Governing Board on May 18, 2001.

Patients who are unable to use their gastrointestinal system for feeding purposes are now usually started on parenteral nutrition. It is a therapeutic tool used in the clinical management of patients requiring special nutritional care both in the hospital, and at home (home parenteral nutrition). The idea of providing nutrients intravenously in humans was first realised when Sir Christopher Wre...

introduction: the incidence of malnutrition in hospitalized patients is reported to be high. in particular, patients with esophageal cancer are prone to malnutrition, due to preoperative digestive system dysfunctions and short-term non-oral feeding postoperatively. selection of an appropriate method for feeding in the postoperative period is important in these patients.   materials and methods:...

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...

There is growing interest in nutrition therapies that deliver a generous amount of protein, but not a toxic amount of energy, to protein-catabolic critically ill patients. Parenteral amino acids can achieve this goal. This article summarizes the biochemical and nutritional principles that guide parenteral amino acid therapy, explains how parenteral amino acid solutions are formulated, and compa...

INTRODUCTION Administrative claims data have not commonly been used to study the clinical effectiveness of medications for rheumatoid arthritis (RA) because of the lack of a validated algorithm for this outcome. We created and tested a claims-based algorithm to serve as a proxy for the clinical effectiveness of RA medications. METHODS We linked Veterans Health Administration (VHA) medical and...

OBJECTIVE To provide evidence-based treatment recommendations for adults with acute migraine who require treatment with injectable medication in an emergency department (ED). We addressed two clinically relevant questions: (1) Which injectable medications should be considered first-line treatment for adults who present to an ED with acute migraine? (2) Do parenteral corticosteroids prevent recu...

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. Medication errors at hospital discharge are an important safety issue that can affect Outpatient Parenteral Antibiotic Therapy (OPAT) outcomes. Electronic medication reconciliation is a process to correct discrepancies at healthcare transitions. This study takes a novel approach of measuring types and prevalence of intravenous (IV) antibiotic errors at hospital discharge before and ...