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  • Title: The therapeutic advantages of a balanced nutritional support system.
    Author: Kirkpatrick JR, Dahn M, Hynes MJ, Williams D.
    Journal: Surgery; 1981 Mar; 89(3):370-4. PubMed ID: 6781085.
    Abstract:
    Twenty-two critically ill patients were entered into a 21-day prospective study to evaluate the feasibility of relying on a balanced nutritional support system to satisfy the needs of a diverse group of surgical patients. No patient sustained a serious complication related to glucose metabolism, and only two patients required insulin. Twenty-one of the patients achieved positive nitrogen balance during the study, and 13 had a significant weight gain not related to water retention. Documented sepsis was present in 50% of the patients but in spite of this, 91% had a successful course of therapy. The ease of management and metabolic efficiency of this approach encourages the use of fat as a primary energy substrate in a balanced nutritional support system to restore positive energy and nitrogen balance.
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