Current Status of Peripheral Alimentation
Authors: JACQUES X. CHIPPONI
Journal: Annals of Internal Medicine (1981)

Editorials1 July 1981Current Status of Peripheral AlimentationJACQUES X. CHIPPONI, M.D., JULIA C. BLEIER, M.N.S., R.D., DANIEL RUDMAN, M.D.JACQUES X. CHIPPONI, M.D.Search for more papers by this author, JULIA C. BLEIER, M.N.S., R.D.Search for more papers by this author, DANIEL RUDMAN, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-95-1-114 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptFor hospital patients unable to eat or absorb adequate amounts of nutrients, three routes of nutritional support are available: nasogastric (1), peripheral intravenous, or central intravenous (2). Peripheral intravenous nutrition is the focus of this note.To maintain current nutritional state or to replete undernutrition, the therapist must provide all 36 essential nutrients, because inadequate intake of even one will eventually cause a clinical deficiency syndrome (3). The nutritional components in 2 L/d of solution needed for maintenance of a healthy, 70-kg adult include 2000 kcal (glucose, 985 kcal; amino acids, 240 kcal; and triglycerides, 765 kcal), 2400 mosmol (including...References1. HEYMSFIELDBETHELANSLEYNIXONRUDMAN SRJDD. Enteral hyperalimentation: an alternative to central venous hyperalimentation. Ann Intern Med. 1979;90:63-71. LinkGoogle Scholar2. DUDRICKWILMOREVARSRHOADS SDHJ. Long term total parenteral nutrition with growth, development, and positive nitrogen balance. Surgery. 1968;64:134-42. MedlineGoogle Scholar3. RUDMAN D. Nutritional requirements. In: ISSELBACHER KJ, ADAMS RD, BRAUNWALD E, PETERSDORF RG, WILSON JD, eds. Harrison's Principles of Internal Medicine. New York; McGraw-Hill Book Co.; 1980; 396-403. Google Scholar4. BLACKBURNFLATTCLOWESO'DONNELL GJGT. Peripheral intravenous feeding with isotonic amino acid solutions. Am J Surg. 1973;125:447-54. CrossrefMedlineGoogle Scholar5. FREEMANSTEGINKWITTINETHOMPSON JLMR. The current status of protein sparing. Surg Gynecol Obstet. 1977;144:843-9. MedlineGoogle Scholar6. GREENBERGJEEJEEBHOY GK. Intravenous protein sparing therapy in patients with gastrointestinal disease. J Parent Ent Nutr. 1979;3:427-32. CrossrefMedlineGoogle Scholar7. ISAACSMILLIKANSTACKHOUSEHERSHRUDMAN JWJTD. Parenteral nutrition of adults with a 900 milliosmolar solution via peripheral veins. Am J Clin Nutr. 1977;30:552-9. CrossrefMedlineGoogle Scholar8. SHENKINWRETLIND AA. Parenteral nutrition. World Rev Nutr Diet. 1978;28:1-111. CrossrefMedlineGoogle Scholar9. GUBACOLLINSRICHKOZLOFFMCDONALD AGNLP. Nondialysis uses for vascular access procedures. Ann Surg. 1979;190:72-4. CrossrefMedlineGoogle Scholar10. FRYALLARDYCE PD. Polytetrafluoroethylene grafts for vascular access for hyperalimentation. Can J Surg. 1979;22:154-5, 158. MedlineGoogle Scholar11. GAXITUAWILSONBISTRIANBLACKBURN RKBG. Factors determining peripheral vein tolerance to amino acid infusions. Arch Surg. 1979;114:897-900. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Emory University School of Medicine Atlanta, Georgia PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByAcute Renal FailureNutrition by HypodermoclysisAcute Renal FailureTreatment of Hyperlipidemic Pancreatitis in Pregnancy With Total Parenteral NutritionAcute Renal Failure 1 July 1981Volume 95, Issue 1Page: 114-115KeywordsAmino acidsGlucoseMalnutritionNutrientsNutrition Issue Published: 1 July 1981 PDF DownloadLoading ...