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[Total parenteral nutrition in surgery].

M G Sirovich, F Ruotolo, R Andrich

    Minerva Anestesiologica
    |September 1, 1979
    PubMed
    Summary

    Total parenteral nutrition (TPN) is a critical intervention for surgical patients with severe metabolic issues. This study confirms TPN

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    Area of Science:

    • Surgical nutrition
    • Metabolic disorders
    • Clinical biochemistry

    Context:

    • Metabolic physiopathology in surgical patients presents complex challenges.
    • Effective nutritional support is crucial for managing surgical stress and recovery.
    • Assessing the biochemical basis for nutritional interventions is essential.

    Purpose:

    • To examine the indications and biochemical foundations for total parenteral nutrition (TPN) in surgical patients.
    • To discuss administration routes, modalities, and chemico-clinical controls for TPN.
    • To report on the clinical application and outcomes of TPN in a specific patient cohort.

    Summary:

    • This study reviews the metabolic challenges in surgical patients and the rationale for total parenteral nutrition (TPN).
    • It details TPN administration, monitoring, and presents findings from 16 patients with necrotico-haemorrhagic acute pancreatitis (AP) and its sequelae.
    • The technique proved beneficial in complex and critical surgical scenarios.

    Impact:

    • Total parenteral nutrition (TPN) offers a viable and effective therapeutic option for complex surgical conditions.
    • The findings support the use of TPN in managing severe gastrointestinal and metabolic complications post-surgery.
    • This research highlights the importance of tailored nutritional strategies in critical surgical care.

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