AI Article Synopsis
- A critical review highlights recent studies on intradialytic parenteral nutrition (IDPN) for malnourished hemodialysis patients.
- The effectiveness of IDPN as a treatment option for these patients is confirmed.
- It stresses the importance of regular monitoring to address malnutrition in this high-risk group.
Article Abstract
A critical review of recent international literature related to the use of intradialytic parenteral nutrition is given. The role of intradialytic parenteral nutrition as a therapy in malnourished hemodialysis patients is established and the need for systematic monitoring of this population at high risk of malnutrition is emphasized.
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| http://dx.doi.org/10.1097/00075197-200205000-00009 | DOI Listing |
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Intradialytic Parenteral Nutrition in Patients on Hemodialysis: A Multicenter Retrospective Study.
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Article Synopsis
- Intradialytic parenteral nutrition (IDPN) is an effective nutritional strategy for malnourished patients on hemodialysis, especially those who haven’t responded well to standard dietary methods.
- Current guidelines for IDPN lack practical implementation strategies, which has limited its usage in clinical settings.
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Revisiting Intradialytic Parenteral Nutrition: How Can We Apply the Evidence in Clinical Practice?
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Northland Renal Service, Whangarei Hospital, Whangarei, New Zealand.
Intradialytic parenteral nutrition (IDPN) remains a controversial nutrition support practice in hemodialysis. Multiple reviews and evidence-based clinical practice guidelines have been published in the past 20 years. Despite essentially looking at the same evidence, conclusions and recommendations vary significantly, leading to widespread uncertainty among clinicians on the value of and indications for IDPN.
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Hemodialysis (HD) and pressure injuries (PI) are both hypercatabolic states that may contribute to protein-energy wasting development. These conditions require increased energy and protein to prevent losses from HD and support wound healing. Nutrition support therapy using intradialytic parenteral nutrition (IDPN) with or without a combination of oral nutrition supplements has yielded positive outcomes among patients receiving HD with protein-energy wasting.
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