Parenteral Provision of Micronutrients to Adult Patients: An Expert Consensus Paper.


Journal

JPEN. Journal of parenteral and enteral nutrition
ISSN: 1941-2444
Titre abrégé: JPEN J Parenter Enteral Nutr
Pays: United States
ID NLM: 7804134

Informations de publication

Date de publication:
03 2019
Historique:
received: 22 10 2018
accepted: 04 02 2019
entrez: 28 2 2019
pubmed: 28 2 2019
medline: 29 8 2020
Statut: ppublish

Résumé

Micronutrients, an umbrella term used to collectively describe vitamins and trace elements, are essential components of nutrition. Those requiring alternative forms of nutrition support are dependent on the prescribed nutrition regimen for their micronutrient provision. The purpose of this paper is to assist clinicians to bridge the gap between the available guidelines' recommendations and their practical application in the provision of micronutrients via the parenteral route to adult patients. Based on the available evidenced-based literature and existing guidelines, a panel of multidisciplinary healthcare professionals with significant experience in the provision of parenteral nutrition (PN) and intravenous micronutrients developed this international consensus paper. The paper addresses 14 clinically relevant questions regarding the importance and use of micronutrients in various clinical conditions. Practical orientation on how micronutrients should be prescribed, administered, and monitored is provided. Micronutrients are a critical component to nutrition provision and PN provided without them pose a considerable risk to nutrition status. Obstacles to their daily provision-including voluntary omission, partial provision, and supply issues-must be overcome to allow safe and responsible nutrition practice.

Sections du résumé

BACKGROUND
Micronutrients, an umbrella term used to collectively describe vitamins and trace elements, are essential components of nutrition. Those requiring alternative forms of nutrition support are dependent on the prescribed nutrition regimen for their micronutrient provision. The purpose of this paper is to assist clinicians to bridge the gap between the available guidelines' recommendations and their practical application in the provision of micronutrients via the parenteral route to adult patients.
METHODS
Based on the available evidenced-based literature and existing guidelines, a panel of multidisciplinary healthcare professionals with significant experience in the provision of parenteral nutrition (PN) and intravenous micronutrients developed this international consensus paper.
RESULTS
The paper addresses 14 clinically relevant questions regarding the importance and use of micronutrients in various clinical conditions. Practical orientation on how micronutrients should be prescribed, administered, and monitored is provided.
CONCLUSION
Micronutrients are a critical component to nutrition provision and PN provided without them pose a considerable risk to nutrition status. Obstacles to their daily provision-including voluntary omission, partial provision, and supply issues-must be overcome to allow safe and responsible nutrition practice.

Identifiants

pubmed: 30812055
doi: 10.1002/jpen.1525
doi:

Substances chimiques

Micronutrients 0
Trace Elements 0
Vitamins 0

Types de publication

Historical Article Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

S5-S23

Informations de copyright

© 2019 American Society for Parenteral and Enteral Nutrition.

Auteurs

Renée Blaauw (R)

Division of Human Nutrition, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.

Emma Osland (E)

Department of Nutrition and Dietetics, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia.
School of Human Movement and Nutrition Sciences, University of Queensland, Brisbane, Queensland, Australia.

Krishnan Sriram (K)

US Department of Veterans Affairs, Regional Tele-ICU System (VISN 23), Hines, Illinois, USA.

Azmat Ali (A)

Department of Nutrition and Dietetics, Princess Alexandra Hospital, Brisbane, Queensland, Australia.

Johane P Allard (JP)

Division of Gastroenterology, Toronto General Hospital, University of Toronto, Toronto, Ontario, Canada.

Patrick Ball (P)

School of Pharmacy, University of Wolverhampton, Wolverhampton, UK.

Lingtak-Neander Chan (LN)

Department of Pharmacy School of Pharmacy, and Graduate Program in Nutritional Sciences, School of Public Health, University of Washington, Seattle, Washington, USA.

Brian Jurewitsch (B)

Specialized Complex Care Program, St. Michael's Hospital, Faculty of Pharmacy, University of Toronto, Toronto, Canada.

Kathleen Logan Coughlin (K)

Center for Human Nutrition, Digestive Disease and Surgical Institute, Cleveland Clinic, Cleveland, Ohio, USA.

William Manzanares (W)

Department of Critical Care, Faculty of Medicine. Hospital de Clínicas, Universidad de la República (UdelaR), Montevideo, Uruguay.

Ana Maria Menéndez (AM)

Clinical Pharmacy, University de Belgrano, Buenos Aires, Argentina.

Rina Mutiara (R)

Pharmacy Department, Cipto Mangunkusumo Hospital, Jakarta, Indonesia.

Ricardo Rosenfeld (R)

Nutrition Support Department, Casa de Saude Sao Jose, Associacao Congregacao de Santa Catarina, Rio de Janeiro, Brazil.

Marianna Sioson (M)

Section of Nutrition, Department of Medicine, The Medical City Hospital, Pasig City, Metro Manila, Philippines.

Janicke Visser (J)

Division of Human Nutrition, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.

Mette M Berger (MM)

Faculty of Biology and Medicine, Service of Intensive Care Medicine & Burns, University of Lausanne Hospitals (CHUV), Lausanne, Switzerland.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH