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Beneficial Effect of Coinfusing a Lipid Emulsion on Venous Patency
Author(s) -
Pineault Marjolain,
Chessex Philippe,
Piedboeuf Bruno,
Bisaillon Suzanne
Publication year - 1989
Publication title -
journal of parenteral and enteral nutrition
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.935
H-Index - 98
eISSN - 1941-2444
pISSN - 0148-6071
DOI - 10.1177/0148607189013006637
Subject(s) - enteral administration , crossover study , fat emulsion , medicine , parenteral nutrition , osmole , liter , regimen , osmotic concentration , anesthesia , endocrinology , placebo , alternative medicine , pathology
The hypothesis that infused fat could prolong venous patency was tested in a paired crossover design. Parenterally fed newborn infants received, for a given level of energy, (60 vs 80 kcal/kg/day), two 6‐day isocaloric and isonitrogenous (434±3.4 mg/kg/day, n=32) regimens differing only by the fat intake (LF: 1.03±0.02, HF: 2.78±0.05 g/kg/day). Paired comparisons of osmolarities within isocaloric (60 or 80 kcal/kg/day) infusions showed that high fat regimens were associated with significantly lower osmolarities. A paired comparison of patency times showed that the drop in osmolarity produced by the high fat regimen at 60 kcal/kg/day led to a significantly longer venous patency time. The comparison of patency times between regimens (LF, 60 kcal/kg/day) and HF, 80 kcal/kg/day) with same osmolarities (702 mOsm/liter) and glucose intakes (11 g/kg/day) documented that the fat emulsion per se had a vascular protective effect. This observation demonstrates that the coinfusion of a lipid emulsion exerts a beneficial effect, whether biochemical or biophysical, on the vascular endothelium of peripheral veins. ( Journal of Parenteral and Enteral Nutrition 13: 637–640, 1989)