In 1968, Dudrick et al described a quite new method whereby severly ill patients could receive their total nutritional requirements intravenously via subclavian vein for periods of weeks or months.
Parenteral hyperalimentation ahs proved to be of immense value in a host of clinical situations, as there has been a growing awareness of the need for nutritional support in patients undergoing surgery, both postoperative morbidity and mortality
rates
have decreased with the use of total parenteral nutrition.
This study analysed the clinical course of 80 patients receiving parenteral hyperalimentation for periods of 7 days or more at the Chonnam University Hospital form 1983 to june 1990.
@ES The results were as follows:
@EN 1) The age distributions in 80 patients are relativitely even between 3rd and 7th decade and sex distributions are male predominance with 53 cases of men than 27 cases of female.
2) Routes for central vein are mainly via subclavian vein (53.8%) and others were jugular or basilic vein.
3) Enterocutaneous filstula is the most common indication for hyperalimentation and others are pancreatitis, prolonged ileus, sepsis, inflammatory bowel disease, acute renal failure, hepatic disease and so on.
4) Mean duration of hyperalimentation is 23 days and the longest period is 162 days in traumatic pancreatitis.
5) Complications of hyperaliinentation are decreased hepatic function most commonly, infection, catheter sepsis and Zinc deficiency and that associated with technique are pneumothorax, arterial puncture, subcutaneous hematoma, intrapleural
infusion and
catheter embolism
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