Parenteral Nutrition in the Health-Care Setting: A Comprehensive Review
Hani Raka Karrar *
Pharmaceutical Care, Faculty of Pharmacy, Dr. Samir Abbas Hospital, Jeddah, Alazhar University, Jeddah, Saudi Arabia.
Mahmoud Ismail Nouh
Pharmaceutical Care, Department of Medicine, King Fahad Armed Forces Hospital, Ibn Sina National College for Medical Studies, Jeddah, Saudi Arabia.
Manal Meqbel Albogami
Security Forces Hospital, Riyadh, Saudi Arabia.
Ajayeb Ayed Aldosari
Security Forces Hospital, Riyadh, Saudi Arabia.
Maram Saad Alshalawi
Security Forces Hospital, Riyadh, Saudi Arabia.
Ghaday Abdulazizi Abdulmajeed
Security Forces Hospital, Riyadh, Saudi Arabia.
Radhwan Mokhtar Khalifa
Jeddah First Health Cluster, King Abdulaziz Hospital, Jeddah, Saudi Arabia.
Reham Ahmed Hazazi
Security Forces Hospital, Riyadh, Saudi Arabia.
Abdulaziz Mousa Mahzara
Jazan Health Cluster, Jazan, Saudi Arabia.
*Author to whom correspondence should be addressed.
Abstract
Parenteral Nutrition (PN) is a critical therapeutic technique that delivers necessary nutrients straight into the circulation, bypassing the gastrointestinal system. This strategy is critical for people who are unable to acquire appropriate nourishment through oral or enteral routes owing to a variety of medical issues. PN first appeared in the mid-twentieth century, primarily to help those who were very malnourished or recuperating from significant surgery. As medical understanding of nutrition grew, so did the complexity and customization of PN formulations, allowing for personalized nutritional support depending on metabolic demands. The indications for PN are diverse, including gastrointestinal diseases, cancer therapies, severe illnesses, neurological issues, and pediatric demands. Patients suffering with Crohn's illness, short gut syndrome, and severe malnutrition caused by cancer therapies frequently rely on PN to maintain their nutritional status. Furthermore, critically sick patients in intensive care settings typically encounter elevated metabolic demands, needing efficient nutritional therapies that oral feeding cannot deliver. While PN has considerable advantages, such as increased recovery, malnutrition prevention, and quality of life, it is not without hazards. Infections, metabolic abnormalities, and liver dysfunction are all possible complications, emphasizing the importance of thorough monitoring and following best practices in PN administration. A multidisciplinary approach including healthcare specialists from several professions is required to achieve the best outcomes for patients seeking PN. Looking ahead, technological developments, personalized dietary techniques, and artificial intelligence integration promise to improve the safety and efficacy of PN. Continuous research and innovation are required to solve current difficulties and enhance the overall quality of care for patients requiring parenteral feeding. As the healthcare environment shifts, PN will remain an important component of nutritional support, requiring continuing attention and development in clinical practice.
Keywords: Parenteral nutrition, health-care setting, comprehensive review