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...

BACKGROUND We undertook this study to test the hypothesis that perioperative total parenteral nutrition (TPN) decreases the incidence of serious complications after major abdominal or thoracic surgical procedures in malnourished patients. METHODS We studied 395 malnourished patients (99 percent of them male) who required laparotomy or noncardiac thoracotomy. They were randomly assigned to rec...

Abstract Cardiac surgical patients in the intensive care unit certainly develop complex nutritional issues. Nutrition support is indicated these subsets of and same may be customized depending on individual patient characteristics. This review article that aims to examine American Society for Parenteral Enteral guidelines use parenteral enteral nutrition pediatric adult cardiac critical care/in...

Malnutrition, unfortunately, is not uncommon and malnourished patients suffer increased morbidity and mortality from surgery. Identification of protein-calorie deficient patients can be performed rapidly and inexpensively through standard techniques of nutritional assessment. If the gastrointestinal tract is available, safe and economic nutritional support may be provided by mouth or by tube fe...

19 INTRODUCTION P ancreatitis is caused by activation of pancreatic digestive enzymes within the pancreas leading to pain and inflammation (1). The inflammatory response to pancreatitis is similar to that of sepsis and can precipitate systemic inflammatory response syndrome (SIRS). SIRS can lead to multiple system organ failure, sepsis, hypermetabolism, hypercatabolism, and increased mortality ...

UNLABELLED PURPOSE, SETTING AND SUBJECTS: We conducted a prospective, descriptive study of postoperative patients under total parenteral nutrition controlled by a Multidisciplinary Nutritional Support Team in a tertiary care hospital. Between january 2002 and november 2003. Data of nutritional status, nutritional support, hypophosphatemia, electrolyte and metabolic complications were reviewed. ...

In order to evaluate the metabolic response of nutrition ally deprived cancer patients to parenteral nutrition, meta bolic parameters including glucose turnover, oxidation, and Cori cycle activity were measured in eight patients before and during short-term (5 to 10 days) i.v. nutrition, with solutions containing amino acids and hypertonic glu cose. Before parenteral nutrition, five patients ha...

BACKGROUND Nutrition is one of the fundamentals of care provided to critically ill adults. The volume of enteral nutrition received, however, is often much less than prescribed due to multiple functional and process issues. To deliver the prescribed volume and correct the energy deficit associated with enteral nutrition alone, parenteral nutrition can be used in combination (termed "supplementa...

PATIENT Female, 17 FINAL DIAGNOSIS: Wernicke's encephalopathy Symptoms: Blurred vision • dizziness • nystygmus • tachycardia MEDICATION - Clinical Procedure: - Specialty: Neurology. OBJECTIVE Mistake in diagnosis. BACKGROUND Wernicke's encephalopathy (WE) is an acute and life-threatening illness which is not only seen in alcoholics, but also in persons with poor nutrition lacking thiamine...

Growth outcomes for extremely premature infants remain poor, and improving growth in this population will require a better understanding of how to limit proteolysis and promote protein accretion. Extremely premature infants exhibit high rates of proteolysis that are unrestrained by physiologic increases in insulin, intravenous amino acids, and full parenteral nutrition. Imbalances in current am...