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September 1972

Intravenous HyperalimentationA Review of Two and One-Half Years' Experience

Author Affiliations

St. Louis
From the Department of Surgery, Washington University School of Medicine (Dr. Baue), and the Jewish Hospital of St. Louis.

Arch Surg. 1972;105(3):414-419. doi:10.1001/archsurg.1972.04180090019005

Between January 1969 and July 1971, a total of 71 patients varying in age from 11 to 92 years received intravenous hyperalimentation. Of the 22 patients who died, no deaths were directly attributed to this procedure. This treatment was given for four types of problems: intestinal obstruction, enterocutaneous fistulas, inflammatory lesions of the bowel, and inadequate oral intake of other origins. The development of a standardized protocol and an experienced hyperalimentation team was found to be essential to proper management. Catheter complications were seen in five cases, osmotic diuresis in four, hyperosmolar nonketotic coma in one, hypokalemia in three, and hypoglycemia in one. Most patients experienced gain in strength and weight, loss of excess body water, improvement in wound healing, and an improved sense of well-being.