Parenteral nutrition: Hospital to home

• Published in: Journal of the American Dietetic Association Vol. 93; no. 6; pp. 664 - 673
• Main Authors: McCrae, Joann Davey, O'Shea, Regina, Udine, Laurie Mello
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01-06-1993; Elsevier; Elsevier Limited
• Subjects: Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy; Biological and medical sciences; Diet; Dietetics - trends; Emergency and intensive care: injuries, diseases due to physical agents. Diving. Drowning. Disaster medicine; Energy Metabolism; Fat Emulsions, Intravenous; Health care; Humans; Intensive care medicine; Medical sciences; Nutrition; Parenteral Nutrition; Parenteral Nutrition, Home; Protein Hydrolysates; Therapy; United States; United States; Human; Parenteral administration; At home; Feeding
• ISSN: 0002-8223; 2212-2672; 1878-3570; 2212-2680
• DOI: 10.1016/0002-8223(93)91673-E

Parental nutrition support is the provision of essential nutrients intravenously, bypassing the intestinal tract. It is used in a variety of clinical settings and medical conditions. Parenteral nutrition is a complex technology that requires the input of many professionals, including dietitians. The role of the dietitian in parenteral nutrition support involves direct patient care, consultative services, education, program development, and research. Even though this field of practice is still developing, some common practices can be described. Nutrition assessment determination of macronutrient and micronutrient requirements, and monitoring are vital aspects of the provision of parenteral nutrition support that benefit from the knowledge and experience of a dietitian. The future of parental nutrition includes identification of preferred fuels for specific disease states, development of new lipid emulsions, and identification of conditionally essential nutrients.