Affiliation:
1. Combined Gastroenterology Department, Scarborough Hospital, Woodlands Drive, Scarborough YO12 6QL, UK
Abstract
Abstract
Background
Peripheral parenteral nutrition (PPN) currently accounts for almost 20 per cent of all parenteral nutrition administered in the UK. In the absence of consensus guidelines there is wide variation in practice. Heterogeneity of clinical trials has made direct comparisons difficult and meta-analysis impossible.
Methods
Medline, Embase and Cochrane databases were searched for all clinical trials relating to the use of PPN in adults. Relevant papers from the reference lists of these articles and from the authors' personal collections were also reviewed.
Results and conclusions
Effective PPN is possible in about 50 per cent of inpatients requiring parenteral nutrition. Evidence relating to optimal feed composition, choice of cannula, infusion technique and pharmacological manipulation is discussed, along with practical recommendations for the administration of PPN.
Publisher
Oxford University Press (OUP)
Reference56 articles.
1. First choice for total parenteral nutrition: the peripheral route;Payne-James;JPEN J Parenter Enteral Nutr,1993
2. Intravenous nutrition: the central or peripheral route?;Hansell;Intensive Ther Clin Monit,1989
3. Intravenous infusion of fat emulsions, phosphatides and emulsifying agents;Schuberth;Acta Chir Scand Suppl,1961
4. Metabolic studies in total parenteral nutrition with lipid in man. Comparison with glucose;Jeejeehoy;J Clin Invest,1976
5. Glucose or fat as non-protein energy source? A controlled clinical trial in gastroenterological patients requiring intravenous nutrition;MacFie;Gastroenterology,1981
Cited by
32 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献