Article révisé par les pairs
| Résumé : | In clinical practice, lipid intake may account for 30-50% of non-protein calories, depending on the individual patient's tolerance to both carbohydrate and lipids. We would recommend not to provide lipid emulsions to patients with marked hypertriglyceridaemia (more than 4-5 mmol/l or 350-450 mg/dl), and to provide only small amounts (using a low infusion rate) in patients with elevated (2-3.5 mmol/l or 190-260 mg/dl) plasma triglycerides. During the first few days of lipid emulsion administration, particularly in stressed patients, the prescribed lipid load should be infused as slowly as possible, e.g., at a rate lower than 0.1 g/kg/h with LCT and lower than 0.15 g/kg/h with a mixed MCT/LCT emulsion. Plasma triglyceride levels should be monitored during this initial period and infusion rate adjusted to measured values. In the future, lipid preparations may be provided to modify the fatty acid pattern of cell membranes and to supply important lipid-soluble vitamins. © 2008 European Society for Clinical Nutrition and Metabolism. |
