Journal of Nutrition Research
An official journal of IAPEN India association

Abstract

Total Parenteral Nutrition (TPN) can be administered using individual containers or "all in one" type, commercial bags or multi bottle solutions prepared in the hospital drug-store. The aim of this work is to study the clinical efficiency and safety of surgical and traumatologic profile patients in Intensive Care Units (ICU) using all-in-one 3 compartment bag systems (TNA-peri). Fifteen adults with hypercatabolism syndrome of various genesis taking treatment in the surgical resuscitation department were included in this study and followed for four months (Nov 2013 to Feb 2014). In the course of study, depending upon the main pathology and performed surgical procedure, all the patients were divided into 2 groups. The first group patients (T-group) were given TNA-peri, 1 vial 2 times per day and the second group patients (K-group) were given standard multi-bottle systems containing amino acids solutions, glucose solutions, fat emulsions and micronutrients: vitamins, microelements, electrolytes in the volume estimated pursuant to the physiological needs. It is observed that the T-group receiving TNA-Peri, had more efficient recovery of hemoglobin and whole protein level with less duration of respiratory support, period of stay in ICU and frequency of suppurative septic complications compared to the K-group patients. This study shows that all-in-one, 3 component bags to be the system of choice to increase the clinical efficiency in surgical and traumatologic profile patients.

Keywords: Parenteral nutrition, TPN, intravenous, resuscitation and intensive care of traumatic patients, resuscitation and intensive care of surgical patients, clinical efficiency