EARLY VERSUS LATE TOTAL PARENTRAL NUTRITION (TPN) IN CRITICALLY ILL PATIENTS IN INTENSIVE CARE UNIT (ICU).

  • Gad S. Gad
  • Mahmoud M. Ismail
  • khaled M. Abdelshafi
Keywords: Total parenteral nutrition, ICU, mechanical ventilation, critically ill, infection, postoperative

Abstract

Introduction: TPN has shown to better started late than early with advantages on complications
and infection.
Methods: Between 2017 and 2018, 80 critically ill patients with ICU admission were treated with
the TPN.
Results:
38 males and 42 females with a mean age of 49.35 years (35–75) were included. The most common
causes of ICU admission were postoperative and CV events with every single case treated with
enteral nutrition as a base line and TPN as complementary treatment that started early or late
according to the patient criteria.
The TPN showed to have lower complications in the form of less AKI and less respiratory
compromise also less chest and bloodstream infections.
Conclusions: Late TPN initiation is superior to early TPN in critically ill patients in the ICU.

Published
2020-01-01
Section
Articles