title: Omega-3 Fatty Acids in Modern Parenteral Nutrition: A Review of the Current Evidence.
abstract: Intravenous lipid emulsions are an essential component of parenteral nutrition regimens. Originally employed as an efficient non-glucose energy source to reduce the adverse effects of high glucose intake and provide essential fatty acids, lipid emulsions have assumed a larger therapeutic role due to research demonstrating the effects of omega-3 and omega-6 polyunsaturated fatty acids (PUFA) on key metabolic functions, including inflammatory and immune response, coagulation, and cell signaling. Indeed, emerging evidence suggests that the effects of omega-3 PUFA on inflammation and immune response result in meaningful therapeutic benefits in surgical, cancer, and critically ill patients as well as patients requiring long-term parenteral nutrition. The present review provides an overview of the mechanisms of action through which omega-3 and omega-6 PUFA modulate the immune-inflammatory response and summarizes the current body of evidence regarding the clinical and pharmacoeconomic benefits of intravenous n-3 fatty acid-containing lipid emulsions in patients requiring parenteral nutrition.
authors.affiliation: Stanley Dudrick's Memorial Hospital, General Surgery Unit, Skawina 32-050, Poland. klek@poczta.onet.pl.
authors.forename: Stanislaw
authors.initials: S
authors.lastname: Klek
keywords: lipid emulsions; omega-3 PUFA; omega-3 fatty acids; parenteral nutrition