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Prevention of complications for hospitalized patients receiving parenteral nutrition: A narrative review
Journal article   Open access   Peer reviewed

Prevention of complications for hospitalized patients receiving parenteral nutrition: A narrative review

Dina Al-Zubeidi, Mary Beth Davis and Riad Rahhal
Nutrition in clinical practice, Vol.39(5), pp.1037-1053
10/2024
DOI: 10.1002/ncp.11201
PMID: 39152093
Appears in  UI Libraries Support Open Access
url
https://doi.org/10.1002/ncp.11201View
Published (Version of record) Open Access

Abstract

Hospitalized patients may benefit from parenteral nutrition to address their compromised nutrition status attributed to limited oral/enteral intake and increased nutrient/energy requirement during acute illness. Parenteral nutrition, however, can be associated with many complications that can negatively impact patient outcomes. In this review, we focus on potential metabolic and catheter-related complications associated with parenteral nutrition use. We report on potential risk factors for such complications and highlight strategies for prevention and early recognition. To optimize outcomes, key findings include the creation and implementation of evidence-based protocols with proven efficacy. For each hospital unit delivering parenteral nutrition to patients, tracking compliance with established protocols and patient outcomes is crucial for ongoing improvement through identification of gaps, proper reeducation and training, and ongoing refinement of care protocols. Establishment of specialized inpatient nutrition support teams should be considered.Hospitalized patients may benefit from parenteral nutrition to address their compromised nutrition status attributed to limited oral/enteral intake and increased nutrient/energy requirement during acute illness. Parenteral nutrition, however, can be associated with many complications that can negatively impact patient outcomes. In this review, we focus on potential metabolic and catheter-related complications associated with parenteral nutrition use. We report on potential risk factors for such complications and highlight strategies for prevention and early recognition. To optimize outcomes, key findings include the creation and implementation of evidence-based protocols with proven efficacy. For each hospital unit delivering parenteral nutrition to patients, tracking compliance with established protocols and patient outcomes is crucial for ongoing improvement through identification of gaps, proper reeducation and training, and ongoing refinement of care protocols. Establishment of specialized inpatient nutrition support teams should be considered.
 Parenteral Nutrition central venous catheterization nutrition nutrition support practice nutrition support teams venous access UIOWA OA Agreement

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