Parenteral Nutrition: Indications, Access, and Complications

Gastroenterol Clin North Am. 2018 Mar;47(1):39-59. doi: 10.1016/j.gtc.2017.10.001. Epub 2017 Dec 15.

Abstract

Parenteral nutrition (PN) is a life-sustaining therapy in patients with intestinal failure who are unable to tolerate enteral feedings. Patient selection should be based on a thorough assessment to identify those at high nutrition risk based on both disease severity and nutritional status. This article reviews both the acute and chronic indications for PN as well as special formulation consideration in specific disease states, vascular access, and complications of both short-term and long-term PN.

Keywords: Central venous catheter; Complications; Intestinal failure; Malnutrition; Parental nutrition.

Publication types

  • Review

MeSH terms

  • Catheterization, Central Venous / adverse effects
  • Catheterization, Peripheral / adverse effects
  • Chronic Disease
  • Critical Illness / therapy
  • Gastrointestinal Tract / surgery
  • Humans
  • Malnutrition / therapy*
  • Parenteral Nutrition / adverse effects*
  • Parenteral Nutrition / methods*
  • Parenteral Nutrition Solutions* / chemistry
  • Patient Selection
  • Perioperative Care

Substances

  • Parenteral Nutrition Solutions