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A roadmap for implementing a successful clinical experience with intradialytic parenteral nutrition.
Molina, Pablo; Quilis, Aina; Durbá, Alba; Barril, Guillermina; Pérez-Torres, Almudena; Sánchez-Villanueva, Rafael; Huarte, Emma; González-Oliva, Juan Carlos; Cigarrán, Secundino; Prieto-Velasco, Mario; García-Falcón, Teresa; Salgueira, Mercedes; Gaínza, Franciso Javier; Carrero, Juan Jesús.
Afiliação
  • Molina P; Department of Nephrology, FISABIO, Hospital Universitari Doctor Peset, Valencia, Spain; Department of Medicine, Universitat de València, Spain; Multidisciplinary Renal Nutrition Working Group, Spanish Society of Nephrology, Spain. Electronic address: pablo.molina-vila@uv.es.
  • Quilis A; Department of Nephrology, FISABIO, Hospital Universitari Doctor Peset, Valencia, Spain.
  • Durbá A; Department of Nephrology, FISABIO, Hospital Universitari Doctor Peset, Valencia, Spain; Multidisciplinary Renal Nutrition Working Group, Spanish Society of Nephrology, Spain.
  • Barril G; Multidisciplinary Renal Nutrition Working Group, Spanish Society of Nephrology, Spain; Biomedical Research Foundation, Hospital Universitario de La Princesa, Madrid, Spain.
  • Pérez-Torres A; Multidisciplinary Renal Nutrition Working Group, Spanish Society of Nephrology, Spain; Department of Nephrology, Hospital Universitario La Paz, Madrid, Spain; Department of Nutrition, Hospital Universitario Santa Cristina, Madrid, Spain.
  • Sánchez-Villanueva R; Department of Nephrology, Hospital Universitario La Paz, Madrid, Spain.
  • Huarte E; Department of Nephrology, Hospital de San Pedro, Logroño, Spain.
  • González-Oliva JC; Department of Nephrology, Hospital de Mollet, Fundació Sanitària Mollet, Mollet del Vallès, Barcelona, Spain.
  • Cigarrán S; Multidisciplinary Renal Nutrition Working Group, Spanish Society of Nephrology, Spain; Department of Nephrology, Hospital Ribera Polusa, Lugo, Spain.
  • Prieto-Velasco M; Department of Nephrology, Hospital Universitario de León, León, Spain.
  • García-Falcón T; Department of Nephrology, Complexo Hospitalario Universitario A, Coruña, A Coruña, Spain.
  • Salgueira M; Department of Nephrology, Hospital Universitario Virgen Macarena, Department of Medicine at University of Seville, Spain.
  • Gaínza FJ; Department of Nephrology, Hospital Universitario de Cruces, Biocruces Bizkaia Health Research Institute, Barakaldo, Spain.
  • Carrero JJ; Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden; Department of Clinical Sciences, Karolinska Institutet, Danderyd Hospital, Stockholm, Sweden.
Clin Nutr ESPEN ; 63: 322-331, 2024 Jul 01.
Article em En | MEDLINE | ID: mdl-38976478
ABSTRACT
BACKGROUND AND

AIMS:

Intradialytic parenteral nutrition (IDPN) is a safe and effective patient-tailored nutritional strategy for providing nutrient supplementation to malnourished or at risk of malnutrition patients on hemodialysis (HD), who did not adequately respond to intensive dietary counselling and oral nutritional supplementation. Although IDPN is recommended by current ESPEN and KDOQI guidelines for nutrition in HD patients, none of these documents informs how to successfully implement this therapy, being the lack of knowledge on practical aspects of IDPN one of the main limitations to its use. The aim of this narrative review was to provide a practical roadmap for guiding the nephrologists, dietitians, and renal nurses in their everyday clinical practice about the use of IDPN.

METHODS:

A multidisciplinary group formed by specialists from the areas of Nephrology and Nutrition agreed to address different practical aspects related to IDPN in HD patients. Based on the available evidence in the literature and on the authors' clinical experience, different topics were selected to develop a detailed plan for implementing a successful experience with IDPN, proposing a practical IDPN roadmap.

RESULTS:

This IDPN roadmap provides practical information on when an IDPN should be started; what type of nutrients should be part of an IDPN; how the IDPN should be administered; how the effectiveness and safety of the IDPN should be monitored; how to determine the effectiveness of IDPN; and the conditions that advise discontinuing the IDPN.

CONCLUSIONS:

IDPN is a safe and effective nutritional therapy for HD patients, although the lack of staff training may limit its use. This review addresses different practical aspects of IDPN, helping interdisciplinary teams in their daily clinical practice to improve the nutritional care of HD patients, either malnourished or at risk of malnutrition.
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Texto completo: 1 Base de dados: MEDLINE Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Idioma: En Ano de publicação: 2024 Tipo de documento: Article