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[Peripheral parenteral nutrition: myth or reality?]
A García de Lorenzo1, A Zarazaga, J M Culebras
1Servicio de Medicina Intensiva, Hospital Universitario La Paz, Madrid, España.
Nutricion Hospitalaria
|January 1, 1993
Summary
Hypocalorific peripheral parenteral nutrition is debated for surgical patients. This review clarifies concepts and analyzes studies to determine its efficacy and limitations as nutritional support.
Area of Science:
- Clinical Nutrition
- Surgical Metabolism
Context:
- Parenteral nutrition (PN) methods face ongoing debate, particularly regarding energy requirements and nutrient utilization in surgical patients.
- The efficacy and appropriate application of hypocalorific peripheral parenteral nutrition (HPPN) as nutritional backup for surgical patients remain controversial.
Purpose:
- To clarify concepts and establish criteria for understanding perioperative, peripheral, and hypocalorific nutrition.
- To evaluate the physiological basis and clinical effects of perioperative parenteral nutrition on patient outcomes.
- To critically analyze existing studies on HPPN efficacy in surgical patients.
Summary:
- Reviews the physiological underpinnings of HPPN for surgical patients.
- Assesses the impact of perioperative parenteral nutrition on disease progression.
- Critically analyzes diverse study results to draw conclusions on HPPN's efficacy and limitations.
Impact:
- Aims to resolve controversies surrounding HPPN by providing a clear analysis of its role in surgical nutrition.
- Offers evidence-based insights to guide clinical practice regarding the use of HPPN in surgical settings.
- Contributes to a better understanding of optimal nutritional support strategies for surgical patients.