This article explores parenteral nutrition (PN) not only as a therapy but also as a system of care, highlighting the potential “evidence gaps” in guidelines for PN use. The importance of interdisciplinary nutrition care, error reporting, and data-driven practice changes on improving PN therapy is emphasized. Finally, the American Society for Parenteral and Enteral Nutrition’s current and future role in advancing the science, practice, and safety of PN is reviewed.
KaminskiMV. Humanism in hyperalimentation. JPEN J Parenter Enteral Nutr. 1981;5:1-6.
2.
DalyJM. 10th Anniversary Presidential Address: parenteral feeding (1966-1986)—growth and development of an individual, a scientific discipline and an organization. JPEN J Parenter Enteral Nutr. 1986;10:329-336.
NestleM. Nutrition instruction for health professions students and practitioners: strategies for the 1980s. JPEN J Parenter Enteral Nutr. 1982;6:191-193.
MarekPE. Death by total parenteral nutrition: the saga continues. Crit Care Med. 2011;39:1536-1537.
11.
LipmanTO. Grains or veins: is enteral nutrition really better than parenteral nutrition? A look at the evidence. JPEN J Parenter Enteral Nutr. 1998;22:167-182.
12.
JeejeebhoyKN. Total parenteral nutrition: potion or poison?Am J Clin Nutr. 2001;74:160-163.
NehmeAE. Nutritional support of the hospitalized patient. JAMA. 1980;283:1906-1908.
19.
KleinSKinneyJJeejeebhoyK. Nutrition support in clinical practice: review of published data and recommendations for future research directions. Summary of a conference sponsored by the National Institutes of Health, American Society for Parenteral and Enteral Nutrition, and American Society for Clinical Nutrition. JPEN J Parenter Enteral Nutr. 1997;21:133-156.
20.
AugustDAHuhmannMB; American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) Board of Directors. A.S.P.E.N. clinical guidelines: nutrition support therapy during adult treatment and in hematopoietic cell transplantation. JPEN J Parenter Enteral Nutr. 2009;33:472-500.
21.
McClaveSAMartindalRGVanekVW. Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient. Society of Critical Care Medicine (S.C.C.M.) and the American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.). JPEN J Parenter Enteral Nutr. 2009;33:277-316.
MirtalloJMHawksworthKPayneB. A nutrition support service web application to manage patients receiving parenteral nutrition. Nutr Clin Pract. 2009;24:447-458.
24.
JensenGLMirtalloJMCompherC. Adult starvation and disease-related malnutrition: a proposal for etiology-based diagnosis in the clinical practice setting from the International Consensus Guideline Committee. JPEN J Parenter Enteral Nutr. 2010;34:156-159.
25.
BoullataJI.Overview of the parenteral nutrition use process. JPEN J Parenter Enteral Nutr. 2012;36(suppl 2):10S-13S.
26.
SacksGSRoughSKudskKA. Frequency and severity of harm of medication errors related to the parenteral nutrition process in a large university teaching hospital. Pharmacotherapy. 2009;29:966-974.
27.
SeresDSacksGSPedersenCA. Parenteral nutrition safe practices: results of the 2003 American Society for Parenteral and Enteral Nutrition survey. JPEN J Parenter Enteral Nutr. 2006;30:259-265.
MirtalloJM; PN Safety Summit Participants. Consensus of parenteral nutrition safety issues and recommendations. JPEN J Parenter Enteral Nutr. 2012;36(suppl 2):62S.
31.
LjungqvistOvan GossumALeon SanzMdeManF. The European fight against malnutrition. Clin Nutr. 2010;29:149-150.
32.
HiesmayrMSchindlerKPernickaE. Decreased food intake is a risk factor for mortality in hospitalized patients: The NutritionDay survey 2006. Clin Nutr. 2009;28:484-491.
33.
ButterworthCEThe skeleton in the hospital closet. Nutr Today. 1974;9:4-8.
