Odası - Klinik Gelişim Dergisi - Klinik Nütrisyon
Cilt 9 / No:
4 / Nisan 1996
TARİHÇESİ VE TÜRKİYEDEKİ GELİŞMELER
Ali Reşat Moral
NÜTRİSYON (TPN): ENDİKASYON VE KOMPLİKASYONLAR
NÜTRİSYON DESTEĞİNİN ÖNEMİ
KLİNİKLERİNDE KLİNİK NÜTRİSYON
VİTAMİN VE ESER ELEMENTLER
KULLANILAN PREPARATLAR VE BAZI PRATİK TPN FORMÜLLERİ
This special issue is prepared
to evaluate certain basic supports of clinical nutrition and to give practial
information related to this treatment performed under hospital conditions.
Many rapid and unexpected progressions in the field of protein-energy malnutrition
concept have occurred since its first description 60 years ago. In this
subject, medicine and technology together make very important steps. With
the progression of clinical nutrition which is handled as enteral and parenteral
nutrition, many important results are obtained such as decreased tendency
to infections, positive effects on would healing, decrease in morbidity
and mortality, shortening in hospitalisation and convalescence periods.
Now with nutritional support it's easy to deal with short intestine syndrome,
to control postoperative gastrointestinal fistula and to supply energy
need perioperatively and postoperatively.
Each chapter of this issue
is reviewed by professional authors. Specific nutritional deficiencies
are not evaluated. Basic practical points in minimizing the effects of
nutritional deficiencies due to starvation have been evaluated. Response
to treatment is better if the problem is starvation; but nutrition must
be organized according to changed metabolism associated with tissue destruction.
Energy, glucose, fat, protein, electrolyte, vitamin and trace elements
needs, the way of administrations and doses of these entities and possible
complications are evaluated. Enteral and parenteral nutrition, especially
TPN, is from technical and clinical-metabolic point of view; special performance
in children and in intensive care units; importance of perioperative nutritional
support recommended in recent years and extended evaluations on vitamins
and trace elements are handled. Lastly, enteral and parenteral preparations
used clinically are presented and practical TPN formulations are proposed.
As Van Way CWmentioned "Nutritional
evaluation is an art rather than a science". Only with effective use of
this art, an optimum treatment can be planned.