[Use of a medium and long chain triglyceride mixture for parenteral nutrition in a university hospital: results of an internal audit].
OBJECTIVE
The aim of this study was to determine whether a medium and long chain triglyceride mixture for parenteral nutrition is used in accordance with indications and contraindications in hospital practice.


METHODS
Patient data recorded in 30 consecutive patients included illness, nutritional status, laboratory findings before nutrition as well as indications and contraindications for parenteral nutrition.


RESULTS
When expressed in g.kg-1.day-1 maximal recommended doses of the mixture were exceeded in 32% but there was no excess when expressed in g.kg-1.hr-1. Serious hepatic insufficiency was present in 11% of the patients, 38% had hypertriglyceridemia and one had serious coagulopathy. There were 3 contraindications for the mixture.


CONCLUSIONS
Indications for using this emulsion were respected, but there were contraindications in 45% of the cases. These contraindications are however questionable as is the daily dosage. Because the mixture seems better for use in many cases of parenteral nutrition, it would appear best to discuss the prescription case by case.
Unité Fonctionnelle de Nutrition, CHU Dupuytren, Limoges.
J C
JC
Desport
V
V
Pelagatti
B
B
Hoedt
A
A
Lagarde
L
L
Courat
D
D
Sautereau
B
B
Pillegand
D000328:Adult; D000368:Aged; D000075202:Contraindications; D005217:Fat Emulsions, Intravenous / Q000627:therapeutic use*; D005260:Female; D006785:Hospitals, University; D006801:Humans; D008297:Male; D008485:Medical Audit; D008875:Middle Aged; D010288:Parenteral Nutrition / Q000379:methods / Q000706:statistics & numerical data*; D011446:Prospective Studies; D014280:Triglycerides / Q000627:therapeutic use*
D005217:Fat Emulsions, Intravenous; D014280:Triglycerides
Utilisation d'un mélange de triglycérides à chaînes longues et chaînes moyennes pour la nutrition parentérale en hôpital universitaire. Résultats d'un audit interne.