Case Studies of Intradialytic Total Parenteral Nutrition in Nocturnal Home Hemodialysis.
Muscle quality
fluid hydration
hemodialysis
ultrasound
Journal
Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation
ISSN: 1532-8503
Titre abrégé: J Ren Nutr
Pays: United States
ID NLM: 9112938
Informations de publication
Date de publication:
Jan 2023
Jan 2023
Historique:
received:
27
02
2022
revised:
02
05
2022
accepted:
19
06
2022
pubmed:
8
7
2022
medline:
25
1
2023
entrez:
7
7
2022
Statut:
ppublish
Résumé
The standard use of intradialytic parenteral nutrition has yielded heterogeneous clinical results. Confounders include patient selection, limited dialysis sessional duration, and frequency. Nocturnal home hemodialysis provides an intensive form of kidney replacement therapy (5 sessions per week and 8 hours per treatment). We present a series of 4 nocturnal home hemodialysis patients who required intradialytic total parenteral nutrition (IDTPN) as their primary source of caloric intake. We describe the context, effectiveness, and complications of IDTPN in these patients. Our patients received a range of 1200 to 1590 kCal (including 60 to 70 g of amino acids) with each IDTPN session for up to 27 months. As the availability of home hemodialysis continues to grow, the role of supplemental or primary IDTPN will require further research for this vulnerable patient population.
Identifiants
pubmed: 35798187
pii: S1051-2276(22)00118-2
doi: 10.1053/j.jrn.2022.06.009
pii:
doi:
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
219-222Informations de copyright
Copyright © 2022 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.