Parenteral Nutrition during Continuous Arteriovenous Hemofiltration in Critically Ill Anuric Children

2015 ◽  
pp. 250-253
Author(s):  
M. Kuttnig ◽  
G. Zobel ◽  
E. Ring ◽  
M. Trop
Keyword(s):  
Parenteral Nutrition ◽  
Critically Ill ◽  
Continuous Arteriovenous Hemofiltration

scholarly journals Protein catabolic rate in patients with acute renal failure on continuous arteriovenous hemofiltration and total parenteral nutrition.

1993 ◽  
Vol 3 (8) ◽  
pp. 1516-1521
Author(s):  
C S Chima ◽  
L Meyer ◽  
A C Hummell ◽  
C Bosworth ◽  
R Heyka ◽  
...  
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Parenteral Nutrition ◽  
Total Parenteral Nutrition ◽  
Critically Ill ◽  
Nutrition Support ◽  
Strongly Correlated ◽  
Catabolic Rate ◽  
Continuous Arteriovenous Hemofiltration ◽  
Protein Catabolic Rate

Continuous arteriovenous hemofiltration (CAVH) has been used to provide nutrition support to critically ill patients in acute renal failure (ARF). Limited information exists regarding protein needs of these patients. Nineteen postoperative patients in ARF and on CAVH and total parenteral nutrition (TPN) were studied (10 men; 9 women; mean age, 65 yr) to determine protein needs (protein catabolic rate; PCR), urea nitrogen appearance (UNA), and total nitrogen appearance (TNA). TPN was adjusted to meet the needs estimated by the Harris-Benedict and Long equations. A total of 38 24-h studies were conducted on the 19 subjects. TNA, UNA, and PCR were determined by direct measurement of body losses and calculation of body pool nitrogen changes. Patients received an average of 93.9 +/- 30.5 g of protein (1.4 g/kg) and 2,600 +/- 534 kcal/day in TPN. Mean PCR was 117.5 +/- 42.8 g/day; UNA was 18.3 +/- 6.9 g/day. TNA and UNA were strongly correlated (r = 0.99; P < 0.001). PCR was less strongly correlated with estimated protein needs (r = 0.35; P = 0.03). A regression equation was developed describing the relationship between TNA and UNA as follows: TNA = 1.895 + 0.9444 (UNA) or UNA = 0.1602 (PCR) - 0.916. On the basis of this study, CAVH permits the provision of adequate nutrition support to critically ill, unstable patients. It appears that the protein needs of patients in ARF on CAVH can be accurately estimated by determining UNA through the measurement of urea losses and urea body pool changes and by regression equations to calculate PCR.(ABSTRACT TRUNCATED AT 250 WORDS)

scholarly journals Hyperglycemia is associated with poor outcomes in surgical critically ill patients receiving parenteral nutrition

2013 ◽  
Vol 51 (2) ◽  
pp. 67-72 ◽  
Author(s):  
Chiu-Lan Yan ◽  
Yaw-Bin Huang ◽  
Chih-Yen Chen ◽  
Go-Shine Huang ◽  
Ming-Kung Yeh ◽  
...  
Keyword(s):  
Parenteral Nutrition ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Poor Outcomes
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