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When Is Parenteral Nutrition Appropriate?

Patricia Worthington1, Jane Balint2, Matthew Bechtold3

  • 11 Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.

JPEN. Journal of Parenteral and Enteral Nutrition
|March 24, 2017
PubMed
Summary
This summary is machine-generated.

Parenteral nutrition (PN) is a vital therapy for intestinal failure, but it is costly and carries risks. New guidelines from the American Society for Parenteral and Enteral Nutrition (ASPEN) offer evidence-based recommendations for appropriate PN use.

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Area of Science:

  • Clinical Nutrition
  • Medical Therapeutics
  • Healthcare Policy

Background:

  • Parenteral nutrition (PN) is a critical life-sustaining treatment for patients with intestinal failure.
  • Despite its benefits, PN is expensive and associated with significant adverse events.

Purpose of the Study:

  • To develop consensus recommendations for appropriate parenteral nutrition (PN) use.
  • To guide evidence-based decision-making for clinicians and organizations involved in PN therapy.
  • To inform stakeholders, including policymakers and payers, on current PN perspectives.

Main Methods:

  • Convening a task force by the American Society for Parenteral and Enteral Nutrition (ASPEN).
  • Developing consensus recommendations based on previous clinical guidelines and safety recommendations for PN.
  • Building on existing evidence to delineate appropriate PN use.

Main Results:

  • The document provides comprehensive recommendations for appropriate PN use.
  • These recommendations aim to maximize clinical benefits while minimizing risks.
  • The guidelines support decisions on initiating, managing, and monitoring PN therapy.

Conclusions:

  • The consensus recommendations offer a framework for optimizing parenteral nutrition (PN) therapy.
  • They promote safe and effective PN practices across various healthcare settings.
  • The guidelines serve as a valuable resource for healthcare professionals, policymakers, and payers.