Use of glycerol in peripheral parenteral nutrition.

摘要: Peripheral parenteral nutrition avoids the use of central lines and is a useful means nutritional support for selected patients. Amino acids alone have been used peripheral shown to give near nitrogen equilibrium. The addition small amounts dextrose amino further improves balance, but at expense making solutions unsterilizable unstable by standard techniques. Glycerol nonprotein calorie source that can be autoclaved with stored. Fasting patients about undergo major abdominal surgery were randomly allocated receive 3% or without glycerol. solution was infused vein 5 days, starting morning following surgery. Routine monitoring, blood tests, balance tests performed during this time. No adverse reactions either encountered. Liver function electrolytes, hematologic values similar in both groups. cumulative better acid plus glycerol group (+5 +/- 3.3 gm) than (-9.7 3 (P less 0.02). Serum insulin levels higher serum free fatty lower group. rose plateaued third day safe administer vein. as compared alone.