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Parenteral provision of micronutrients to adult patients: an expert consensus paper
Blaauw, Renée Osland, Emma Krishnan, Sriram Ali, Azmat Allard, Johane P. Ball, Patrick Chan, Lingtak-Neander Jurewitsch, Brian Coughlin, Kathleen Logan Manzanares, William
Blaauw, Renée
Osland, Emma
Krishnan, Sriram
Ali, Azmat
Allard, Johane P.
Ball, Patrick
Chan, Lingtak-Neander
Jurewitsch, Brian
Coughlin, Kathleen Logan
Manzanares, William
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2019-02-27
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Abstract
Background:Micronutrients, an umbrella term used to collectively describe vitamins and trace elements, are essential componentsof nutrition. Those requiring alternative forms of nutrition support are dependent on the prescribed nutrition regimen for theirmicronutrient provision. The purpose of this paper is to assist clinicians to bridge the gap between the available guidelines’recommendations and their practical application in the provision of micronutrients via the parenteral route to adult patients.Methods:Based on the available evidenced-based literature and existing guidelines, a panel of multidisciplinary healthcareprofessionals with significant experience in the provision of parenteral nutrition (PN) and intravenous micronutrients developedthis international consensus paper.Results:The paper addresses 14 clinically relevant questions regarding the importance and use ofmicronutrients in various clinical conditions. Practical orientation on how micronutrients should be prescribed, administered, andmonitored is provided.Conclusion:Micronutrients are a critical component to nutrition provision and PN provided without thempose a considerable risk to nutrition status. Obstacles to their daily provision—including voluntary omission, partial provision, andsupply issues—must be overcome to allow safe and responsible nutrition practice.
Citation
Blaauw et. al (2019) Parenteral provision of micronutrients to adult patients: an expert consensus paper, Journal of Parenteral and Enteral Nutrition, 43(1), pp. S5-S23.
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Journal article
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en
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0148-6071
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Attribution-NonCommercial 3.0 United States