Guidelines on Parenteral Nutrition from the German Society for Nutritional Medicine (DGEM)

000086 10.3205/000086 urn:nbn:de:0183-0000863 Review Article Guidelines on Parenteral Nutrition from the German Society for Nutritional Medicine (DGEM) – Overview Leitlinie Parenterale Ernährung der Deutschen Gesellschaft für Ernährungsmedizin e. V. (DGEM) – Überblick Koletzko Koletzko B. B M.D., Professor of Paediatrics

Dr. von Hauner Children's Hospital, University of Munich, Medical Centre, Lindwurmstr. 4, 80337 Muenchen, Germany, Tel.: +49 89 5160-3967, Fax: +49 89 5160-3336Dept. Metabolic Diseases & Nutritional Medicine, Dr. von Hauner Children's Hospital, University of Munich, Germany

office.koletzko@med.uni-muenchen.de author Jauch Jauch K. W. KW

Dept. Surgery Grosshadern, University Hospital, Munich, Germany

author Verwied-Jorky Verwied-Jorky S. S

Dept. Metabolic Diseases & Nutritional Medicine, Dr. von Hauner Children's Hospital, University of Munich, Germany

author Krohn Krohn K. K

Dept. Metabolic Diseases & Nutritional Medicine, Dr. von Hauner Children's Hospital, University of Munich, Germany

author Mittal Mittal R. R

Dept. Metabolic Diseases & Nutritional Medicine, Dr. von Hauner Children's Hospital, University of Munich, Germany

author Working group for developing the guidelines for parenteral nutrition of The German Society for Nutritional Medicine Working group for developing the guidelines for parenteral nutrition of The German Society for Nutritional Medicine author German Medical Science GMS Publishing House

Düsseldorf

610 Special Issue 20090114 20091118 engl 1612-3174 7 GMS German Medical Science GMS Ger Med Sci 27 Overview Guidelines of the German Society for Nutritional Medicine e.V. (http://www.dgem.de), prepared in collaboration with the following medical associations: The German Society for Anesthaesiology und Intensive Medicine (http://www.dgai.de), The German Society for Surgery (http://www.dgch.de), The German Society for Paediatrics (http://www.dgkj.de), The German Society for Internal Medicine (http://www.dgim.de), The German Society for Internal Intensive and Emergency Medicine (http://www.dgiin.de), The German Society for Digestive and Metabolic Diseases (http://www.dgvs.de), The German Diabetes Society (http://www.deutsche-diabetes-gesellschaft.de), The German Interdisciplinary Alliance for Intensive and Emergency Medicine (http://www.divi-org.de), and The Society for Paediatric Gastroenterology and Nutrition e.V. (http://www.gpge.de). This is a revised, English-language version of Leitlinie Parenterale Ernährung der DGEM published in Aktuelle Ernährungsmedizin 2007, 32 (S1) (http://www.thieme-connect.de/ejournals/toc/akternmed/27157). Chapters 1 Introduction and methodology (http://www.egms.de/en/journals/gms/2009-7/000085.shtml) 2 Nutritional status (see ESPEN Guidelines on Enteral Nutrition, Clinical Nutr. 2006;25(2):175-360;http://www.sciencedirect.com/science/journal/02615614) 3 Energy expenditure and energy intake (http://www.egms.de/en/journals/gms/2009-7/000084.shtml) 4 Amino acids (http://www.egms.de/en/journals/gms/2009-7/000083.shtml) 5 Carbohydrates (http://www.egms.de/en/journals/gms/2009-7/000082.shtml) 6 Lipid emulsions (http://www.egms.de/en/journals/gms/2009-7/000081.shtml) 7 Water, electrolytes, vitamins and trace elements (http://www.egms.de/en/journals/gms/2009-7/000080.shtml) 8 Organisation, regulations, preparation and logistics of parenteral nutrition in hospitals and homes; the role of the nutrition support team (http://www.egms.de/en/journals/gms/2009-7/000079.shtml) 9 Access technique and its problems in parenteral nutrition</PlainText></TextGroup> <LineBreak></LineBreak>(<Hyperlink href="http://www.egms.de/en/journals/gms/2009-7/000078.shtml">http://www.egms.de/en/journals/gms/2009-7/000078.shtml</Hyperlink>)</Pgraph> <Pgraph>10 Practical handling of AIO mixtures <LineBreak></LineBreak>(<Hyperlink href="http://www.egms.de/en/journals/gms/2009-7/000077.shtml">http://www.egms.de/en/journals/gms/2009-7/000077.shtml</Hyperlink>)</Pgraph> <Pgraph>11 Complications and monitoring <LineBreak></LineBreak>(<Hyperlink href="http://www.egms.de/en/journals/gms/2009-7/000076.shtml">http://www.egms.de/en/journals/gms/2009-7/000076.shtml</Hyperlink>)</Pgraph> <Pgraph>12 Ethical and legal points of view in parenteral nutrition <LineBreak></LineBreak>(<Hyperlink href="http://www.egms.de/en/journals/gms/2009-7/000075.shtml">http://www.egms.de/en/journals/gms/2009-7/000075.shtml</Hyperlink>)</Pgraph> <Pgraph>13 Neonatology/Paediatrics <LineBreak></LineBreak>(<Hyperlink href="http://www.egms.de/en/journals/gms/2009-7/000074.shtml">http://www.egms.de/en/journals/gms/2009-7/000074.shtml</Hyperlink>)</Pgraph> <Pgraph>14 Intensive medicine <LineBreak></LineBreak>(<Hyperlink href="http://www.egms.de/en/journals/gms/2009-7/000073.shtml">http://www.egms.de/en/journals/gms/2009-7/000073.shtml</Hyperlink>)</Pgraph> <Pgraph>15 Gastroenterology <LineBreak></LineBreak>(<Hyperlink href="http://www.egms.de/en/journals/gms/2009-7/000072.shtml">http://www.egms.de/en/journals/gms/2009-7/000072.shtml</Hyperlink>)</Pgraph> <Pgraph>16 Hepatology <LineBreak></LineBreak>(<Hyperlink href="http://www.egms.de/en/journals/gms/2009-7/000071.shtml">http://www.egms.de/en/journals/gms/2009-7/000071.shtml</Hyperlink>)</Pgraph> <Pgraph>17 Parenteral nutrition in patients with renal failure <LineBreak></LineBreak>(<Hyperlink href="http://www.egms.de/en/journals/gms/2009-7/000070.shtml">http://www.egms.de/en/journals/gms/2009-7/000070.shtml</Hyperlink>)</Pgraph> <Pgraph>18 Surgery and transplantation <LineBreak></LineBreak>(<Hyperlink href="http://www.egms.de/en/journals/gms/2009-7/000069.shtml">http://www.egms.de/en/journals/gms/2009-7/000069.shtml</Hyperlink>)</Pgraph> <Pgraph>19 Non-surgical oncology <LineBreak></LineBreak>(<Hyperlink href="http://www.egms.de/en/journals/gms/2009-7/000068.shtml">http://www.egms.de/en/journals/gms/2009-7/000068.shtml</Hyperlink>)</Pgraph> <SubHeadline>Working group members (WG) </SubHeadline> <Pgraph>Adolph M<Superscript>3</Superscript> (WG 3, 6L, 14), Arends J<Superscript>4</Superscript> (WG 19L), Bauer K<Superscript>5</Superscript> (WG 13), Biesalski HK<Superscript>6</Superscript> (WG 7L), Bischoff SC<Superscript>7</Superscript> (WG 7L, 8L, 9, 12, 15), Blumenstein I<Superscript>8</Superscript> (WG 4), Bockenheimer-Lucius G<Superscript>9</Superscript> (WG 12), Boehles H-J<Superscript>5</Superscript> (WG 4, 7, 13), Bolder U<Superscript>10</Superscript> (WG 5L), Braß P<Superscript>11</Superscript> (WG 9), Celik I<Superscript>12</Superscript> (WG 1), Dossett A<Superscript>4</Superscript> (WG 19), Druml W<Superscript>13</Superscript> (WG 14, 17L), Ebener Ch<Superscript>14</Superscript> (WG 5, 18), Fietkau R<Superscript>15</Superscript> (WG 19), Franken Ch<Superscript>16</Superscript> (WG 10), Frewer A<Superscript>17</Superscript> (WG 12), Fusch Ch<Superscript>18</Superscript> (WG 13L), Goeters Ch<Superscript>19</Superscript> (WG 4), Hartl W<Superscript>2</Superscript> (WG 9, 11L), Hauner H<Superscript>20</Superscript> (WG 5), Hausser L<Superscript>21</Superscript> (WG 18), Heller AR<Superscript>22</Superscript> (WG 6), Holland-Cunz S<Superscript>23</Superscript> (WG 18), Hug MJ<Superscript>24</Superscript> (WG 19), Jauch KW<Superscript>2</Superscript> (C, WG 1, 9L, 5, 11, 14, 18), Jochum F<Superscript>25</Superscript> (WG 13), Kemen M<Superscript>26</Superscript> (WG 18), Kester L<Superscript>27</Superscript> (WG 8), Kierdorf H<Superscript>28</Superscript> (WG 17), Koch T<Superscript>22</Superscript> (WG 6), Koletzko B<Superscript>1</Superscript> (C, WG 1L, 6, 13, 15), Koller M<Superscript>29</Superscript> (WG 1L), Kopp IB<Superscript>30</Superscript> (WG 1), Kraehenbuehl L<Superscript>31</Superscript> (WG 18), Krawinkel M<Superscript>32</Superscript> (WG 13), Kreymann G<Superscript>33</Superscript> (WG 3L, 5, 6, 14L), Krohn K<Superscript>1</Superscript> (C, WG 6, 13), Kuse ER<Superscript>34</Superscript> (WG 18), Laengle F<Superscript>35</Superscript> (WG 18), Meier R<Superscript>36</Superscript> (WG 8), Muehlebach S<Superscript>37</Superscript> (WG 9, 10L, 13), Muehlhoefer A<Superscript>38</Superscript> (WG 7), Mueller MJ<Superscript>39</Superscript> (WG 3), Ockenga J<Superscript>40</Superscript> (WG 5), Parhofer K<Superscript>41</Superscript> (WG 11), Plauth M<Superscript>42</Superscript> (WG 16L), Pscheidl E<Superscript>43</Superscript> (WG 6, 9), Radziwill R<Superscript>44</Superscript> (WG 8), Rittler P<Superscript>2</Superscript> (WG 11), Rothaermel S<Superscript>45</Superscript> (WG 12L), Schmid I<Superscript>1</Superscript> (WG 19), Schregel W<Superscript>46</Superscript> (WG 9L), Schulz R-J<Superscript>47</Superscript> (WG 4, 15L), Schuetz T<Superscript>48</Superscript> (WG 16), Schwab D<Superscript>49</Superscript> (WG 8), Senkal M<Superscript>50</Superscript> (WG 6), Shang E<Superscript>51</Superscript> (WG 19), Stanga Z<Superscript>52</Superscript> (WG 9L, 10), Stein J<Superscript>8</Superscript> (WG 4L), Thul P<Superscript>53</Superscript> (WG 8, 9), Traeger K<Superscript>54</Superscript> (WG 5), Verwied-Jorky S<Superscript>1</Superscript> (C, WG 1), Volk O<Superscript>55</Superscript> (WG 9), Wehkamp K-H<Superscript>56</Superscript> (WG 12), Weimann A<Superscript>57</Superscript> (WG 18L), Zander AR<Superscript>58</Superscript> (WG 19), Zuercher G<Superscript>59</Superscript> (WG 12, 19)<LineBreak></LineBreak><LineBreak></LineBreak>C = member of the coordinating team, WG = member of the working group, L = working group leader<LineBreak></LineBreak><LineBreak></LineBreak><Superscript>1</Superscript>Dept. Metabolic Diseases & Nutritional Medicine, Dr. von Hauner Children's Hospital, University of Munich; <Superscript>2</Superscript>Dept. Surgery Grosshadern, University Hospital, Munich; <Superscript>3</Superscript>Dept. of Anaesthesiology and Intensive Medicine, Eberhard-Karl University, Tuebingen; <Superscript>4</Superscript>Dept of Oncology and Tumour Biology, University of Freiburg; <Superscript>5</Superscript>Dept. of Paediatrics, Johann-Wolfgang-Goethe University of Frankfurt; <Superscript>6</Superscript>Institute for Biochemistry und Nutrition Science, University of Stuttgart-Hohenheim; <Superscript>7</Superscript>Dept Nutritional Medicine and Prevention, University Stuttgart-Hohenheim; <Superscript>8</Superscript>Dept. Internal Medicine, University of Frankfurt; <Superscript>9</Superscript>Senckenberg Institute for the History and Ethics of Medicine, University of Frankfurt; <Superscript>10</Superscript>Dept. of Surgery, University of Regensburg; <Superscript>11</Superscript>Dept. of Anaesthesiology and Operative Intensive Medicine, University of Cologne; <Superscript>12</Superscript>Institute for Theoretical Surgery, Philipps University Hospital, Marburg; <Superscript>13</Superscript>Clinical Dept. of Nephrology and Dialysis, University of Vienna, Austria; <Superscript>14</Superscript>Dept. of General, Visceral and Children's Surgery, Heinrich-Heine-University of Dusseldorf; <Superscript>15</Superscript>Depts. Paediatric Surgery and Radiation Therapy, University of Rostock; <Superscript>16</Superscript>Central Pharmacy, University of Dusseldorf; <Superscript>17</Superscript>Dept. of History, Ethics and Philosophy of Medicine, Medical University Hannover; <Superscript>18</Superscript>Dept. of Pediatrics, McMaster University, Hamilton, Canada; <Superscript>19</Superscript>Dept of Anaesthesiology and Operative Intensive Medicine, University of Munster; <Superscript>20</Superscript>Else-Kroener-Fresenius Centre for Nutritional Medicine, Technical University of Munich; <Superscript>21</Superscript>Dept. of General and Visceral Surgery, Augsburg; <Superscript>22</Superscript>Dept. of Anaesthesiology and Intensive Therapy, University of Dresden; <Superscript>23</Superscript>Dept. of Paediatric Surgery, University of Tuebingen; <Superscript>24</Superscript>Pharmacy, University Hospital Freiburg; <Superscript>25</Superscript>Dept. of Paediatrics, Spandau Hospital, Berlin; <Superscript>26</Superscript>Dept. Surgery, Lutheran Hospital Herne; <Superscript>27</Superscript>Dept. of Gastroenterology, Hepatology and Endocrinology, Medical University of Hannover; <Superscript>28</Superscript>Dept. Nephrology, Braunschweig; <Superscript>29</Superscript>Centre for Clinical Studies, University of Regensburg; <Superscript>30</Superscript>Institute for Theoretical Surgery, Philipps University of Marburg; <Superscript>31</Superscript>Dept. of Surgery, Canton Hospital Fribourg, Switzerland; <Superscript>32</Superscript>Institute for Nutritional Science and Centre for Paediatrics, University of Giessen; <Superscript>33</Superscript>Baxter S.A., Schaffhausenerstr., Zurich, Switzerland; <Superscript>34</Superscript>Central Clinic for Anaesthetics, Operative Intensive Medicine and Pain Therapy, Hospital of Salzgitter; <Superscript>35</Superscript>Dept. General Surgery, University of Vienna, Austria; <Superscript>36</Superscript>Dept. of Gastroenterology, Hepatology and Nutrition, University of Basel, Switzerland; <Superscript>37</Superscript>CSO Vifor Pharma Ag, Villars-sur-Glâne, Switzerland; <Superscript>38</Superscript>Dept. of Internal Medicine, Gastroenterology, Hepatology and Infectiology, St. Catharine's Hospital, Stuttgart; <Superscript>39</Superscript>Institute for Human Nutrition and Food Science, Christian-Albrechts-University of Kiel; <Superscript>40</Superscript>Medical Clinic II, Hospital Bremen Centre; <Superscript>41</Superscript>Dept. Medicine II, University of Munich; <Superscript>42</Superscript>Dept. of Internal Medicine, Municipal Clinic Dessau; <Superscript>43</Superscript>Dept. of Anaesthesiology, Intensive Medicine and Special Pain Therapy, Landshut; <Superscript>44</Superscript>Pharmacy und Patient Advice Centre, Clinic Fulda; <Superscript>45</Superscript>Institute for Biological, Health and Medical Law, University of Augsburg; <Superscript>46</Superscript>Dept. of Anaesthetics, St. Joseph's Hospital Krefeld-Uerdingen; <Superscript>47</Superscript>Clinic for Geriatrics, St. Marien-Hospital, Cologne; <Superscript>48</Superscript>Medical Department, Division of Gastroenterologie, Hepatology and Endocrinology, Charité Universitätsmedizin Berlin; <Superscript>49</Superscript>Dept. Medicine II, Martha-Maria Hospital, Nuremberg; <Superscript>50</Superscript>Dept. Surgery I, St. Mary's Hospital Witten; <Superscript>51</Superscript>Dept Surgery, University Hospital of Mannheim; <Superscript>52</Superscript>Polyclinic for Endocrinology, Diabetology and Clinical Nutrition, Clinic for General Internal Medicine, University of Berne, Switzerland; <Superscript>53</Superscript>Dept. of General, Visceral, Vascular and Thorax Surgery, Humboldt University of Berlin; <Superscript>54</Superscript>Dept. of Anaesthesiology, University of Ulm; <Superscript>55</Superscript>Dept. of Internal Medicine I/Cardiology, Krefeld; <Superscript>56</Superscript>University for Applied Science, Hamburg; <Superscript>57</Superscript>Dept. of General und Visceral Surgery, St. George's Hospital, Leipzig; <Superscript>58</Superscript>Dept. of Oncology and Haematology, University of Hamburg; <Superscript>59</Superscript>Dept. of Internal Medicine I, University of Freiburg.</Pgraph> </TextBlock> <Media> <Tables> <NoOfTables>0</NoOfTables> </Tables> <Figures> <NoOfPictures>0</NoOfPictures> </Figures> <InlineFigures> <NoOfPictures>0</NoOfPictures> </InlineFigures> <Attachments> <NoOfAttachments>0</NoOfAttachments> </Attachments> </Media> </OrigData> </GmsArticle>