|
KMID : 0371319740160110039
|
|
Journal of the Korean Surgical Society
1974 Volume.16 No. 11 p.39 ~ p.50
|
|
|
Intravenous Hyperalimentation
|
|
|
|
|
Abstract
|
|
|
We have used intravenous hyperalimentation (IVH) on twelve cases of critically ill surgical patients between October 1971 and April 1974 according to the method of Dudrick et al (table. I below).
There were two potentially serious complications in this series.
One patient developed septicemia due to a coliform organism (case I) at the end of the IVH period. The septicemia cleared spontaneously after removal of the centralvenaus line when the patient could take sufficient amounts of nutrients orally.
The other patient (case IV) who received a right hepatic lobectomy developed hyperglycemia on the 9th day of IVH. Interestingly this complication was associated with acute gastric dilataion buf its cause and effect were not clear. This complication was corrected immediately and IVH was continued without further
We think the IVH was quite helpful to those critically ill patients, otherwise there would be prolonged morbidity and some mortality.
To avoid the potentially serious complications it is essential tc monitor closely body weight, vital signs, serum electrolyte sad sugar, urine sugar, serum osmolality and other variables according to the particular situations.
To achieve maximum utilization of the method continuous and monitored administration throughout 24 hours is essential.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|