A New Approach to Evaluate the Final Effect of Parenteral Nutrition

Kudlicka, V.; Dobersky, P; Kudličková, V.

doi:10.1159/000219612

Cited by 3 publications

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“…Dieser Abfall ist durch den verstärkten Katabolismus und einer lokalenpermeabilitatsveränderung der Kapillarwand bedingt (34). Bei parenteraler Ernährung mit Aminosäuren ist es möglich, den postoperativen Albuminabfall durch eine Steigerungder Syntheserate zu vemngern (16), dabei hat das aus den zugeführten Aminosäuren gebildete Albumin eine längere Halbwertszeit als exogen zugeführtes Albumin (24,48). Auch bei unserem Patientenkollektiv kommt es zu dem erwarteten Albuminabfall mit dem niedrigsten Wert am 5. postoperativen Tag.…”

Section: Ergebnisseunclassified

Der postoperative Stoffwechsel -Unterschiede zwischen prä- und postoperativem Beginn der totalen parenteralen Ernährung

Georgieff¹,

Kattermann²,

Geiger³

et al. 1980

Anästhesiol Intensivmed Notfallmed Schmerzther

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Section: Ergebnisseunclassified

Der postoperative Stoffwechsel -Unterschiede zwischen prä- und postoperativem Beginn der totalen parenteralen Ernährung

Georgieff¹,

Kattermann²,

Geiger³

et al. 1980

Anästhesiol Intensivmed Notfallmed Schmerzther

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Unterschiede im postoperativen Stoffwechselverhalten bei prä- und postoperativem Beginn der totalen parenteralen Ernährung

et al. 1979

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We investigated the postoperative metabolism of patients undergoing gastric resection by beginning total parenteral nutrition pre- (group 1) and postoperatively (group 2). A third group remained fasting until 3 h after the surgical intervention. Because of the high serum glucose concentrations and the high glucose losses in the 24-h urine on the operation day in group 1 and 2 only the base glucose requirement (150--250 g/24/h) should be given in the early postoperative period. The low blood glucose concentration in group 3 and the elevated lactate values in group 2 underline this recommandation. Compared with group 2 and 3, group 1 had low free fatty acid concentrations of 250 micronVal/l because of the continuous pre-, intra-, and postoperative infusion. Compared with normal metabolic conditions, the free fatty acids do not seem to have the same insulin-antagonizing effect in the posttraumatic state. The fall of cholesterol after the surgical trauma reached its maximum after 12--15 h and amounted to about 40 mg% in the first two groups. Albumin and total protein fell continuously in group 1 and 2. The electrophoresis in group 1 showed a rise of alpha 1- and alpha 2-globulin to more than double the initial value, the beta-globulin showed only slight changes, the gamma-globulin dropped only slightly up to the 4th postoperative day. As a sign of an augmented catabolism the serum urea concentration rose during the postoperative state. Group 1 and 2 had a favourable nitrogen balance. The postoperative bilirubin rise could be held lower in group 1 compared to group 2.

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Possibilities and necessities of parenteral nutrition with amino acid mixtures

Fekl¹,

Frey

1975

Z Ernährungswiss

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A New Approach to Evaluate the Final Effect of Parenteral Nutrition

Cited by 3 publications

References 0 publications

Der postoperative Stoffwechsel -Unterschiede zwischen prä- und postoperativem Beginn der totalen parenteralen Ernährung

Der postoperative Stoffwechsel -Unterschiede zwischen prä- und postoperativem Beginn der totalen parenteralen Ernährung

Unterschiede im postoperativen Stoffwechselverhalten bei prä- und postoperativem Beginn der totalen parenteralen Ernährung

Possibilities and necessities of parenteral nutrition with amino acid mixtures

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