scholarly journals Total Parenteral Nutrition Successfully Treating Black Esophagus Secondary to Hypovolemic Shock

2017 ◽  
Vol 2017 ◽  
pp. 1-3 ◽  
Author(s):  
Tony S. Brar ◽  
Richard Helton ◽  
Zareen Zaidi
Keyword(s):  
Parenteral Nutrition ◽  
Total Parenteral Nutrition ◽  
Complete Resolution ◽  
Hypovolemic Shock ◽  
Successful Outcome ◽  
Multimodal Approach ◽  
Black Esophagus ◽  
Area Of Interest ◽  
Noncompliant Patient ◽  
Further Development

We present a patient who developed black esophagus secondary to hypovolemic shock and was placed on total parenteral nutrition for three weeks after hospital discharge. The area of interest is the multimodal approach used in treatment of this noncompliant patient. Even with a high mortality rate, this case illustrates a successful outcome of a patient who responded to appropriate immediate therapy resulting in complete resolution of the necrosis with no further development of complications.

scholarly journals 925 Maintenance of Elective Surgical Care During Covid-19 Pandemic

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
H Digne-Malcolm ◽  
A Kanwal ◽  
P Puventhiranathan ◽  
L Phelan ◽  
M Hamid ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Parenteral Nutrition ◽  
Total Parenteral Nutrition ◽  
Elective Surgery ◽  
Surgical Care ◽  
Patient Transfers ◽  
Level 3 ◽  
The Mean ◽  
Further Development ◽  
Level 2

Abstract Introduction Recent publications demonstrate significant morbidity in surgical patients with concurrent COVID-19 infection. This, combined with the redistribution of resources to support the pandemic, led to abrupt cessation in planned operating. COVID-19-free ‘cold’ sites were established to enable elective surgery to resume with reduced risk. We evaluate the outcomes and limitations of a newly established cold site. Method Data were collected retrospectively for all patients operated between June and September 2020 by either General Surgery or Urology. Primary outcomes were 30-day COVID-19 infection and 30-day mortality. Secondary outcomes included length of stay, 30-day complications, and need for transfer to ‘hot’ hospital sites. Results 881 patients were included. No patients had a positive COVID-19 test within 30 days of their operation. 30-day mortality was 0.01% (n = 1). The mean (+/-SD) length of stay was 1.69+/-3.42 days. 12.15% (n = 107) of patients experienced a complication within 30 days and 11.7% (n = 103) were readmitted within 30 day of discharge. 3.3% (n = 29) of patients required transfer to a ‘hot’ hospital site. 44.8% of these were admitted to level 2 or level 3 care, 17.2% required total parenteral nutrition, and 20.7% returned to theatre. Conclusions ‘Cold’ surgical sites are effective in preventing peri-operative COVID-19 infection. Elective surgery can therefore continue safely through the pandemic with such precautions. Further development of on-site resources, including provision for total parenteral nutrition and access to higher level care, will help to minimise the need for patient transfers to COVID-19 exposed sites.

Abstract #916 Total Parenteral Nutrition (TPN) Interferences with Testosterone Assay

2018 ◽  
Vol 24 ◽  
pp. 215-216
Author(s):  
Tariq Alrasheed ◽  
Gaurav Bhalla ◽  
Naveen Kakumanu ◽  
George Hebdon ◽  
Saleh Aldasouqi
Keyword(s):  
Parenteral Nutrition ◽  
Total Parenteral Nutrition

Planning Total Parenteral Nutrition

1983 ◽  
Vol 1 (3) ◽  
pp. 633-646
Author(s):  
Wiley W. Souba ◽  
Douglas W. Wilmore
Keyword(s):  
Parenteral Nutrition ◽  
Total Parenteral Nutrition
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