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H J Prinzler

Publications and source records attributed to H J Prinzler.

4 recordsLinked to original sources

[Routine postoperative parenteral feeding with a complete solution].

A total of 20 patients of both sexes received total parenteral nutrition with an all-in-one solution (excluding fat). All patients underwent a medium-sized surgical intervention. The solution was applied throughout 4 postoperative days in a medium dosage of 30 ml/kg B.w./day. Additional electrolyte solutions (200-500 ml/day) were allowed, to substitute fluid losses. Routine laboratory parameters remained in hemostasis; even blood sugar was stabilized between 120 and 150 mg% (x) without insulin. The authors conclude that short-term parenteral nutrition using this all-in-one solution exclusively could achieve hemostasis in clinically relevant parameters. No side effects were detected.

Adult↗

[Parenteral use of a fat emulsion in the early postoperative period].

Parenteral application of fat emulsions has been established as useful in long term artificial nutrition especially during weaning off the ventilator. In order to ascertain whether these advantages can also be proved in nonventilated patients in the immediate postoperative phase, alternatively carbohydrates versus a new fat emulsion were investigated. 30 patients were randomly allocated to three different nutrition regimens. The caloric and nitrogen supplementation was identical for all groups, while the carbohydrate and fat content was different. Group I: only carbohydrates (as caloric source), group II: high fat load (3 g/kg/day), group III: medium fat dosage (1.5 g/kg/day). Routine laboratory parameters as well as acid-base-status and fat metabolism were evaluated. While most of the routine parameters were not significantly different between the groups, triglyceride levels in serum were highest in group II but never exceeding 280 mg/dl (-x). Nitrogen balance as well as protein metabolism were significantly improved using regimen III, thus documenting the beneficial effect of a medium fat dosage in the immediate postoperative phase. Parenteral nutrition combining amino acids, carbohydrates and a fat emulsion seems to be the optimal postoperative regimen even in patients without ventilatory support.

Abdomen↗