Lipid emulsions in parenteral nutrition: does it matter?

dc.contributor.author

Haines, Krista

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Grisel, Braylee

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Gorenshtein, Laura

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Wischmeyer, Paul E

dc.date.accessioned

2023-07-04T04:03:01Z

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2023-07-04T04:03:01Z

dc.date.issued

2023-06

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2023-07-04T04:02:56Z

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Purpose of review

Recently, clinicians have shown interest in switching patients to nonsoybean-based intravenous lipid emulsion (ILE) formulas for parental nutrition (PN) due to adverse outcomes related to high Omega-6 content in soybean oil (SO) ILE's. This review summarizes recent literature on improved clinical outcomes with new Omega-6 lipid-sparing ILE's in PN management.

Recent findings

Although there is a paucity of large-scale studies directly comparing Omega-6 lipid sparing ILE's with SO-based lipid emulsion use in PN in ICU patients, there is strong translational and meta-analysis evidence to suggest that lipid formulations containing fish oil (FO) and/or olive oil (OO) have favorable effects on immune function and improve clinical outcomes in ICU populations.

Summary

More research is needed to directly compare omega-6-sparing PN formulas with FO and/or OO versus traditional SO ILE's. However, current evidence is promising for improved outcomes using newer ILE's including reduced infections, shorter lengths of stay, and reduced costs.
dc.identifier

00075198-990000000-00083

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1070-5295

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1531-7072

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https://hdl.handle.net/10161/28309

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eng

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Ovid Technologies (Wolters Kluwer Health)

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Current opinion in critical care

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10.1097/mcc.0000000000001058

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Lipid emulsions in parenteral nutrition: does it matter?

dc.type

Journal article

duke.contributor.orcid

Haines, Krista|0000-0002-2056-1820

duke.contributor.orcid

Wischmeyer, Paul E|0000-0002-3369-7911

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Duke

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School of Medicine

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Clinical Science Departments

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Anesthesiology

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Anesthesiology, Critical Care Medicine

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Surgery

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Trauma, Acute, and Critical Care Surgery

pubs.publication-status

Published

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