Pp137-Sun Impact of Parenteral Nutrition Standardization on Costs and Quality Indicators in Adult Patients

Use of Intravenous Lipid Emulsions With Parenteral Nutrition: Practical Handling Aspects

“…Standardization may include use of standardized PN formulae (MCB or compounded), which would lead to improved safety and efficiency. The use of standard PN in selected patients may lead to advantages in efficiency and economy without compromising clinical appropriateness …”

“…Standardization using MCBs has advantages over compounded bags and multi‐bottle systems, including shorter length of hospitalization, reduced time and labor, and fewer errors in PN preparation . However, standard PN formulations cannot always cover the macronutrient needs of all patients (eg, some patients with renal impairment, critical illness, and those undergoing long‐term PN) . Of particular note is the use of MCBs after surgery, as surgical patients account for a large proportion of patients requiring PN.…”

“…The use of standard PN in selected patients may lead to advantages in efficiency and economy without compromising clinical appropriateness. 20,72 Standardization using MCBs has advantages over compounded bags and multi-bottle systems, including shorter length of hospitalization, reduced time and labor, and fewer errors in PN preparation. 29,30 However, standard PN formulations cannot always cover the macronutrient needs of all patients (eg, some patients with renal impairment, critical illness, and those undergoing long-term PN).…”

“…29,30 However, standard PN formulations cannot always cover the macronutrient needs of all patients (eg, some patients with renal impairment, critical illness, and those undergoing long-term PN). 72 Of particular note is the use of MCBs after surgery, as surgical patients account for a large proportion of patients requiring PN. PN surgical guidelines state that individualized nutrition is often unnecessary in patients without serious comorbidity.…”

Malnutrition in Long-term Hospitalized Patients

“…However, several retrospective and prospective studies have shown that the use of PN is an independent risk factor developing the other health problems 22 . PN is a costly technology and can also be associated with complications such as electrolyte disturbances, hyperglycaemia, hypertriglyceridaemia, as well as hepatobiliary, infectious and mechanical complications 23 . Considering these complications caused by it, individual nutritional solution should be selected considering the condition of the patient while deciding on PN support.…”