New Kids on the Block: The Role of Alternative Lipid Formulations in Parenteral Nutrition
Lipid injectable emulsions (ILEs) are an integral part of balanced parenteral nutrition. While single lipid source, e.g. soybean oil, has previously been the standard of care, mixtures of different lipid emulsions have now become widely available. New lipid products now contain a combination of soybean oil, medium‐chain triglycerides, olive oil, and fish oil. The immunomodulatory and anti-inflammatory benefits of mixed lipid products are supported by growing literature. Additionally, use of these products may improve outcomes in select patient populations. The purpose of this presentation is to review alternative ILEs and discuss their roles in therapy across the continuum of care.
- Describe the role of lipid injectable emulsions (ILEs) and discuss the differences between various formulations.
- Evaluate the literature supporting use of alternative ILEs and their roles in therapy in various patient care settings, including acute, critical care, and home care settings.
- Develop appropriate ILE treatment and monitoring plans taking into consideration patient specific variables.
- 10.4.2 Applies knowledge of pharmacotherapy and its effect on nutrient absorption, utilization and metabolism when developing and/or revising the plan of care.
- 4.2.6 Analyzes and synthesizes information and identifies new information, patterns and findings.
- 6.2.5 Applies research/evidence-based findings to improve practice, service delivery, and health and nutrition of customers.
Lauren Probstfeld, MS, RD, CNSC
Clinical Dietitian, Advanced Practice
Michael E. DeBakey VA Medical Center
Jackie Johnston, PharmD, BCPS
Clinical Assistant Professor (Ernest Mario School of Pharmacy, Rutgers) Critical Care Pharmacist
Rutgers, The State University of New Jersey
Heather Stanner, MS, RD, LD, CNSC
Corporate Dietitian, Infusion Nutrition Specialist
Coram CVS/Specialty Infusion Services