title: Parenteral nutrition.
abstract: Over the last 50 years, parenteral nutrition has been recognised as an invaluable and potentially lifesaving tool in the physician's arsenal in the management of patients with intestinal failure or inaccessibility; however, it may also be associated with a number of potentially life-threatening complications. A recent NCEPOD report (2010) identified a number of inadequacies in the overall provision and management of parenteral nutrition and recommendations were made with the aim of improving clinical practice in the future. This paper focuses on the practical aspects relating to parenteral nutrition for adults, including important concepts, such as patient selection, as well as general management. We also explore the various pitfalls and potential complications and how these may be minimised.
authors: P Neild, Department of Gastroenterology, St George's Hospital, Blackshaw Rd, London SW17 0QT, UK. Email penny.neild@nhs.net.
authors: N
authors: N
authors: Inayet
authors: P
authors: P
authors: Neild
mesh_terms: D000328:Adult; D016470:Bacteremia / Q000209:etiology; D055499:Catheter-Related Infections / Q000209:etiology; D006801:Humans; D010288:Parenteral Nutrition / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D016331:Parenteral Nutrition, Home; D018579:Patient Selection; D055677:Refeeding Syndrome / Q000209:etiology
keywords: CRBSI; intestinal failure; line sepsis; parenteral nutrition; re-feeding syndrome